Minding the Baby: A Mentalization‐Based Parenting Program

Sadler, Lois S.; Slade, Arietta; Mayes, Linda C.

doi:10.1002/9780470712986.ch14

Cited by 136 publications

(169 citation statements)

References 13 publications

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“…In the Minding the Baby (MTB) program, described as an interdisciplinary program to enhance PRF, Slade and colleagues (Sadler, Slade, & Mayes, 2006) demonstrated positive improvements with traumatized parents and with teen parents by helping parents to keep the babies "in mind" in all ways. Importantly for this discussion, workers accomplish this task with frequent references to the babies' internal states and intentions.…”

Section: Increasing Prf As An Infant Mental Health Interventionmentioning

confidence: 97%

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ABSTRACT: Parents' behaviors demonstrating reflective capacity towards their children, parental reflective functioning, have been identified as central to both the formation of a secure attachment and therapeutic efforts to remediate attachment problems (Fonagy & Target, 2005;Sadler, Slade, & Mayes, 2006). We hypothesize that reflective skills in providers may be key elements in effecting change through the parentprofessional relationship.

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confidence: 98%

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Observe, listen, wonder, and respond: A preliminary exploration of reflective function skills in early care providers

Tomlin

Sturm

Koch

2009

Infant Mental Health Journal

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Parents' behaviors demonstrating reflective capacity towards their children, parental reflective functioning, have been identified as central to both the formation of a secure attachment and therapeutic efforts to remediate attachment problems (Fonagy & Target, 2005; Sadler, Slade, & Mayes, 2006). We hypothesize that reflective skills in providers may be key elements in effecting change through the parent-professional relationship. As a first step, the present study examined early care and intervention providers' self-report of the importance of reflective practice skills in their work with families of young children. We further examined whether provider characteristics such as professional affiliation and experience related to importance ratings. Lastly, we examined, in a preliminary fashion, whether provider valuing of reflective functioning skills is associated with reported practice using hypothetical vignettes drawn from common home-visiting scenarios.

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Section: Increasing Prf As An Infant Mental Health Interventionmentioning

confidence: 97%

“…

…”

mentioning

confidence: 98%

Observe, listen, wonder, and respond: A preliminary exploration of reflective function skills in early care providers

Tomlin

Sturm

Koch

2009

Infant Mental Health Journal

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“…Further, Minding the Baby (MTB; (79)) is a home visiting intervention for high-risk parents that is implemented by an interdisciplinary team that teaches parents to be mindful of their children's emotional needs. Mentalization (i.e., individuals' ability to envision their own mental states and those of others and to predict behavior based on these mental states) and reflective functioning are key components.…”

Section: Attachment-based Parenting Interventionsmentioning

confidence: 99%

The state of evidence-based parenting interventions for parents who are substance-involved

et al. 2015

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Approximately 70 million children and adolescents live with at least one parent who abuses or is dependent on alcohol or an illicit substance. Given the negative parenting practices that substance-involved mothers and fathers tend to exhibit as well as the poor outcomes that their children, particularly their young children, experience, evidence-based parenting interventions are an important complement to substance abuse treatments. At this time, there are few studies that compare the efficacy of parenting interventions for these parents, however. Nonetheless, research has begun to examine skillbased and attachment-based parenting interventions for substance-involved families with young children. These parenting interventions should be considered within the context of the neurobiology of substance abuse, which emphasizes the role of dopamine in the reward systems that promote substance use. In the context of these neurobiological connections, parenting interventions that engender repeated intense emotional experiences may stimulate this same reward system and, therefore, may be more efficacious. Attachment-based interventions are particularly promising when such connections are considered. More attention needs to be paid to bringing impactful parenting interventions to substance-involved parents with young children.

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“…Psychosocial interventions using this approach have received some empirical support, particularly when used with individuals characterized by severe early and/or current adversity, such as with Borderline patients (Bateman and Fonagy, 2008) or at-risk carers (e.g., Sadler et al, 2006Sadler et al, , 2013Suchman et al, 2012). Some preventative programmes rooted in mentalizing approaches have also demonstrated efficacy among children and young people (e.g., Fonagy et al, 2006;Keaveny et al, 2012;Twemlow et al, 2011), including adolescents who harm themselves (Rossouw and Fonagy, 2012), as well as with foster carers (Adkins et al, 2018;Bammens et al, 2015) and in post-adoption support (Midgley et al, in press).…”

Section: Current Interventionsmentioning

confidence: 99%

The Reflective Fostering Programme: background and development of a new approach

Redfern

Wood

Lassri

et al. 2018

Adoption & Fostering

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Looked after children represent a vulnerable group in society, many of whom are exposed to maltreatment, particularly in the form of relational trauma, prior to placement with a foster family. Challenging behaviours can place foster placements at risk and looked after children often confront the possibility of placement breakdown. A carer's capacity to retain a robust understanding of the children in their care as autonomous individuals with needs, feelings and thoughts may reveal to be important in enabling them to respond more effectively to the worrying or disruptive behaviour they might experience. The Reflective Fostering Programme (RFP) is a new group-based programme aiming to support foster carers of children aged 4-11.This innovative development follows calls by NICE and other organisations to help improve outcomes for children in care, by improving resources to their carers. The RFP is rooted in evidence drawn from the field of contemporary attachment and mentalizing research, which indicates that children who have a carer high in reflective functioning tend to have more favourable outcomes in terms of social-emotional wellbeing. It also draws on the evidence that looking after a child who has impaired capacity to mentalize as a result of early relational trauma has an impact on the carer's capacity to mentalize and respond sensitively to the child (Ensink et al., 2015). This paper sets out the rationale for the RFP, outlines its key elements, and concludes by outlining future service implementation and a planned feasibility study examining this approach. Key wordsMentalization, reflective fostering, foster carers, looked after children, interventions IntroductionThe number of looked after children in England and Wales has been growing steadily in the last few years. In March 2016 there were 70,440 children in care, up by 5% compared to 2012 2 (Department for Education [DfE], 2016). Additionally, there has been a move away from residential and toward fostering placements, with three-quarters of looked after children placed with foster carers (DfE, 2016). This is in recognition of the fact that children develop best in the context of stable, predictable relationships, with present and available caregivers, and that foster care is in many ways the most important 'intervention' that can be offered to a child who is not able to live with their birth family (National Institute for Health and Care Excellence [NICE], 2013).Despite the clear advantages of foster care, children in such placements can place great demand on carers, who aren't always provided with sufficient training and ongoing support to cope with the various demands of the role (Bunday et al., 2015; Gurney-Smith et al., 2017;Schofield et al., 2000;Sinclair et al., 2000). More than 45% of looked after children have a diagnosable mental health disorder-five times the prevalence of mental health disorder among children in the general population (NICE, 2013). Experiences of neglect and trauma are common within this group of children, but...

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Minding the Baby: A Mentalization‐Based Parenting Program

Cited by 136 publications

References 13 publications

Observe, listen, wonder, and respond: A preliminary exploration of reflective function skills in early care providers

Observe, listen, wonder, and respond: A preliminary exploration of reflective function skills in early care providers

The state of evidence-based parenting interventions for parents who are substance-involved

The Reflective Fostering Programme: background and development of a new approach

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