Baby guide

from Wikipedia, the free encyclopedia

Babylotse is a nationwide prevention program for preventive child protection and early health promotion of children in maternity clinics and medical practices . The initiator is the Foundation for Family-Oriented Aftercare Hamburg SeeYou .

The need for psychosocial support for families is growing steadily. The period between pregnancy, birth and early childhood is considered to be a particularly critical psychosocial situation. With early help , local and regional support systems for parents with small children from 0 to 3 years of age have been established since 2012. Despite convincing research results on the effectiveness and efficiency of early aid, early detection and intervention are not yet sufficiently successful in practice. The Babylotse program aims to systematize the transfer of families from the health system to the network of early aid and other social security systems. The core is the pilot function for finding and using the right facilities.

Goals and target groups

The aim of the Babylotse program is to promote healthy child development, regardless of the psychosocial stress situation in the family. The program is aimed at young families during pregnancy, childbirth and early childhood. Specially qualified baby guides advise families in gynecologists' practices and maternity clinics in order to identify psychosocial stress at an early stage and to enable them to successfully find suitable help. The offer is voluntary and free of charge for families.

The foundation supports maternity clinics, medical practices, youth welfare organizations and municipalities throughout Germany with the introduction of the baby pilot program. The foundation also offers an extensive range of development and qualification programs. The Federal Working Group BAG Health & Early Help, co-initiated by SeeYou, helps political decision-makers to understand the need for pilot systems from the health system to other social security systems and thus promotes Germany-wide dissemination and regular funding.

Services and impact

Baby guides bring together the tasks and services of the health system , social welfare and child and youth welfare in the sense of case management . In this way, you avoid unclear structures and duplications in the help system, which usually lead to even greater uncertainty among families and cause unnecessary costs.

Baby guides are typically social pedagogues , in individual cases also midwives , family midwives , pediatric nurses or representatives of comparable professional groups with additional qualifications. They support families in highly sensitive and at the same time high-risk phases of life effectively and efficiently in dealing with everyday problems as well as in raising children and in solving conflicts and crises. The spectrum ranges from clarifying formal issues such as registering a birth or applying for parental allowance, worries and fears about the birth and life with a newborn, to existential problems such as unclear residence status, homelessness or violence in a partnership. They have expert knowledge of the local network and can therefore effectively guide families into suitable, local support offers.

The program has been shown to lead to earlier and more stable use of early help. A positive effect on the parent-child relationship and ultimately on child development is postulated. Studies also show a significant increase in the self-efficacy expectation of mothers.

The Babylotse program has been awarded the “WIRKT!” Seal of approval by Phineo since 2015 .

Origin and Distribution

The program was developed in Hamburg on the initiative of the pediatrician Sönke Siefert at the Catholic Children's Hospital Wilhelmstift . The Catholic Marienkrankenhaus Hamburg introduced the program in 2007 as the first maternity hospital . By standardizing work processes with the help of a quality management system according to DIN ISO as well as consulting and training services, the transfer to locations throughout Germany was achieved. A nationwide quality association is used for quality assurance and development.

Baby guides are active at 60 clinics and 31 outpatient locations in eight federal states (as of June 2020):

  • Lower Saxony:
    • Wilhelmshaven Clinic
    • Diakovere (Friederikenstift and Henriettenstift)
    • St. Bernward Hospital GmbH i. V. m. Caritas Association for the city and district of Hildesheim
    • Rübenberge Clinic
    • Marienhospital Osnabrück
    • Klinikum Osnabrück GmbH
    • Social service of catholic women Cloppenburg (baby guide outpatient)
    • Social service of Catholic women in Oldenburg (baby guide outpatient)
    • Social service of catholic women Vechta (baby guide outpatient)
  • Thuringia
    • Hufeland Klinikum GmbH

Scientific basis

The conceptual development of the program is based on the findings of studies that have dealt with the causes of child neglect. The consideration of the neglect cases of the past increasingly focuses on the importance of the family living conditions and their effects on the development of the children. The idea of ​​the program also relates to the findings of the Mannheim longitudinal study and the Düsseldorf program “Future for Children”. The risk and protective factors identified there were considered and evaluated in the program.

Legal basis

The Prevention Act provides for a further development of child preventive medical examinations into prevention-oriented health examinations including prevention-oriented advice. With references to local and regional support and counseling offers for families and children with special support needs, tailor-made offers for prevention in the medical and social field are to be conveyed at an early stage from the early detection examination U2. The basis for this is a comprehensive history of stress, which has been a regular element of early detection examinations since the restructuring of the Children's Directive by the Federal Joint Committee in 2016. The law also provides for advice on regional support offers as part of antenatal care. This mediation mandate is taken into account with the implementation of the baby pilot program in maternity clinics and in gynecological practices. In addition to the Federal Child Protection Act , individual federal states (Rhineland-Palatinate, Hamburg) have created corresponding legal framework conditions for those involved in the health care system in their state hospital laws.

Awards

The program has received several awards, including the KKVD Social Prize (2015), the Charity Award from Springer Medizin Fachverlag (2015) and the Prize for Health Networkers (2016). In December 2018, the Baby Guides Hamburg were awarded the Yagmur commemorative prize for "civil courage in child protection".

literature

  • Cremer, Georg: Poverty in Germany - Who is poor? What's wrong How can we act ?, Verlag CH Beck, Munich 2016, ISBN 978-3-406-69922-1 .

Web links

Individual evidence

  1. ↑ The Baby Pilot program. SeeYou Foundation online, accessed April 24, 2017 .
  2. ↑ http://www.seeyou-hamburg.de/seeyou-hilft/die-stiftung/
  3. ↑ Expenditure and income of public youth welfare. Federal Statistical Office online, accessed on March 29, 2017 .
  4. ^ The Touchpoints ™ Model of Development. Brazelton Touchpoints online, accessed March 29, 2017 .
  5. ↑ What is Early Aid? National Center for Early Aid online, accessed March 21, 2017 .
  6. ↑ Costs and benefits of early help. Federal Center for Health Education online, accessed on March 21, 2017 .
  7. ↑ http://www.seeyou-hamburg.de/seeyou-hilft/babylotse/das-programm-babylotse/
  8. ↑ http://www.gesund-aufwachsen.ruhr/neues-programm-babylotse-fuer-werdende-muetter/
  9. ↑ From practice for practice - advanced training for specialist staff. SeeYou Foundation online, accessed April 24, 2017 .
  10. ↑ About the Federal Working Group on Health & Early Help. BAG Health & Early Aid online, accessed on March 29, 2017 .
  11. ↑ Pawils, S., Schwinn, A., Koch, U., Metzner, F., tear, F. (2010). Babylotse Hamburg - model evaluation of the effectiveness of a social early warning system. Final report. Excerpts in: Datasheet Babylotse inpatient in the maternity hospital. SeeYou Foundation online, accessed March 29, 2017 .
  12. ↑ Pawils, S., Wendt, C., Metzner, F., hardener, M. (2013). Outpatient baby guide Hamburg - model evaluation of the effectiveness of a social early warning system in an outpatient setting. Final report. Excerpts in: Datasheet Babylotse Hamburg outpatient in gynecological practices. SeeYou Foundation online, accessed March 29, 2017 .
  13. ↑ Babylotse project portrait. Phineo online, accessed March 29, 2017 .
  14. ↑ http://www.seeyou-hamburg.de/seeyou-hilft/babylotse/unsere-partner-kliniken-in-deutschland/
  15. ↑ Laucht, M .; Schmidt, MH u. a. (2000). Risk and protective factors in the development of children and adolescents. In: Interdisciplinary early intervention 19/2000. Munich, Basel: Ernst Reinhardt Verlag. Pp. 97-108.
  16. ↑ Laucht, M .; Schmidt, MH et al. (2000): Longitudinal research on the developmental epidemiology of mental disorders: Objective, conception and central findings of the Mannheim risk child study. In: Journal for Clinical Psychology and Psychotherapy 29/2000 No. 4. Göttingen: Hogrefe-Verlag. Pp. 246-262.
  17. ↑ KinderZUKUNFT NRW project. Forum Kinderzukunft online, accessed on March 29, 2017 .
  18. ↑ § 26 SGB V health examinations for children and adolescents. Social Code online, accessed on March 29, 2017 .
  19. ^ Children's guidelines of the G-BA. Federal Joint Committee online, accessed on March 29, 2017 .
  20. ↑ § 24d SGB V Medical care and midwifery help. Social Code online, accessed on March 29, 2017 .
  21. ↑ § 6c paragraph 6 Hamburg Hospital Act. State law Hamburg online, accessed on April 23, 2017 .
  22. ↑ Babylotse - psychosocial support in maternity clinics. (No longer available online.) KKVD social price online, archived from the original on March 20, 2017 ; Retrieved April 23, 2017 .
  23. ↑ The 2015 award ceremony - 2nd place: SeeYou - Baby Pilot. Springer Medicine online, accessed April 23, 2017 .
  24. ↑ Prize Winner 2016 - Baby Pilot. (No longer available online.) Health Networker Online, archived from the original on June 18, 2017 ; Retrieved April 23, 2017 .
  25. ↑ Michael Lezius: Yagmur Memorial Prize 2018 goes to the Baby Pilot program of the SeeYou Foundation. Yagmur Memorial Foundation, December 21, 2018, accessed February 24, 2019 .