Select Committee on Health Written Evidence


Memorandum by The Parenting Education and Support Forum (WP 47)

INTRODUCTION

  1.  This submission is made by The Parenting Education and Support Forum(the Forum) which is the national umbrella body for people who work with parents. It has 1,300 members who are working with about one million parents in England. It provides support, information and quality assurance structures to the sector. The Forum was established at the National Children's Bureau in 1995 by a group of children's national voluntary organisations. The Forum has developed the National Occupational Standards for Work with Parents; they are currently being field-tested and will be submitted to the UK Approvals Body in April 2005. There is a draft of the standards and more information about the Forum's work at www.parenting-forum.org.uk.

  2.  The Forum strongly welcomes the Choosing Health White Paper. It welcomes in particular the section on mental health and the measures proposed for providing services for parents. While much of the White Paper rightly refers to the role of parents in encouraging healthy eating and exercise for children, the Forum is pleased that the crucial importance of good parenting in enabling mental health and high self-esteem is also recognised. Negative, cold, violent or abusive parenting can lead to risk-taking behaviour such as alcohol or substance abuse as well as self-harm or even suicide.

  It is the very authoritarian parenting style that appears to lead to the poorest outcomes for children (after Maccoby and Martin 1983) cit Sutton et al 2004 "Support from the Start" DfES research report 524.

  The US National Longitudinal Study of Adolescent Health has shown that low levels of attachment or connection to family and school are important risk factors for many health outcomes in adolescence, such as emotional distress, suicidal behaviour, violence and substance abuse (Resnick et al 1997 cit.Sanson, 2002).

    "Parents are the most important influence on a person's level of self-esteem. Once parents have had their say, little else in life will be able to modify the opinion of self thus formed" (Prof N Emler, "The Costs and Causes of Low Self-Esteem" Joseph Rowntree Foundation 2001). Parenting education and support can break the cycle of poor parenting and prevent it being passed from generation to generation.

  3.  The Forum is concerned about a number of issues which could prevent the Government from achieving its public health goals.

  The first is a unique opportunity to educate and encourage parents which is currently being missed. This is during the ante-natal period. The expectant parents, fathers as well as mothers, feel nervous and excited; they are anxious to learn about this new phase in their lives and to do their best to be good parents. Research makes clear the benefits of fathers' involvement in their upbringing of their children "It plays a protective role against psychological problems in adolescents" (Flouri E and Buchanan A (2003) The role of father involvement in later mental health Journal of Adolescence 26(1) 63-78).

  Yet the only preparation currently offered is for the birth itself. We should take advantage of this period to prepare the couple for the emotional impact of the new baby, the changes in the couple relationship, to tell them about the amazing capacity for learning of the new-born and of his need to responsive care. Fathers as well as mothers are completely involved at this stage, and we waste the opportunity in practising breathing exercises.

  We urge the Select Committee to insist that we train and provide time for midwives and health visitors to deliver much more in depth and comprehensive preparation for both parnets for the forthcoming enormous change in their lives.

  4.  There needs to be specific training for all practitioners in how to provide parenting education and support. Being a parent is not a medical condition. People who have been trained for other areas of work, for example as doctors or nurses, have not ipso facto been trained to work with parents.

  David Quinton found that "How we work with parents is as important as what we do." (Supporting Parents: Messages from Research Prof. David Quinton publ By Dept of Health and DfES 2004 Jessica Kingsley )

  Well-intentioned work with parents carried out by untrained practitioners runs the risk of failing to help, of alienating vulnerable parents, and of giving a bad reputation to this work. Providing services for those parents who are most in need of help is difficult and complex. It is not simply a matter of delivering advice or information.

  The necessary infrastructure and mechanisms exist to ensure that the goals will be achieved but there is a danger that they will not be adhered to; we therefore urge the Select Committee to insist that services should meet the standards set out in the National Occupational Standards for Work with Parents.

  5.  Choosing Health refers to the National Service Framework(NSF) for Children which states that:

    "Parents and carers are enabled to receive the information, services and support which will help them to care for their children and equip them with the skills they need to ensure that their children have optimum life chances and are healthy and safe."

  We urge the Select Committee to insist that the NSF be provided with the necessary budget to implement its recommendations and be set explicit time-limited targets which will ensure that this admirable goal it sets out is achieved.

  6.  We are pleased that Choosing Health sets out some proposals for providing support for parents in Sure Start initiatives. Almost all parents want to do a good job of bringing up their children but sometimes need help. The commonly held perception that parents feel they have failed if they ask for help is not true. The Forum is currently a partner in a BBC project which is using TV broadcasts to offer parents the opportunity to attend parenting workshops. The response from parents to the question "Why are you interested in going to a parenting workshop?" indicates that parents aspire to do the best job they can and welcome help.

    "I just feel I could still learn a lot about relationships with my child."

    "He is now picking things up from school. Just need a bit of help and advice."

    "I am worried that I am not bringing up my child in a rounded way, struggling with tantrums and generally stressed."

    "To see if I can gain some positive ideas about how to be a more patient parent."

  It is also untrue that the help is available but is rejected by parents who need it. The parents sentenced under Parenting Orders famously said "I had been asking for help for years; why did I have to wait till my child was labelled a criminal to get it?" (Youth Justice Board Report 2001)

  7.  The Government will be better able to achieve its public health goals if:

    Parenting education and support services are widely available for parents of children of all ages as and when the parents need them.

    Preparation for the emotional impact of parenthood is offered to both parents before the child is born

    Parenting education and support is only delivered by those who are recruited, trained and supported in line with the requirements of the National Occupational Standards for Work with Parents.

    The Children's National Service Framework has the budget and targets to ensure it delivers its ambitious vision.

January 2005





 
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