Quality statement 3: Video feedback programmes

Quality statement

Parents and carers of preschool-age children with or at risk of attachment difficulties are offered a video feedback programme.

Rationale

A video feedback programme can help parents and carers nurture their child, understand their child's behaviour, respond positively and behave in ways that are not frightening. It can also improve how parents and carers respond to their own feelings when nurturing the child. Improving a carer's relationship with a child may ensure placement stability.

Quality measures

Structure

Evidence of local arrangements to ensure that parents and carers of preschool-age children identified to have or be at risk of attachment difficulties are offered a video feedback programme.

Data source: Local data collection.

Process

Proportion of preschool-age children with or at risk of attachment difficulties whose parents or carers receive a video feedback programme.

Numerator – the number in the denominator whose parents or carers receive a video feedback programme.

Denominator – the number of preschool-age children with or at risk of attachment difficulties.

Data source: Local data collection.

Outcome

a) Sensitivity and responsiveness in parents of children with attachment difficulties on the edge of care.

Data source: Local data collection.

b) Breakdown in care placements for preschool aged children with or at risk of attachment difficulties.

Data source: Local data collection. Department for education (2016/2017) Looked after children return, collects return to care after or during previous permanent arrangement. National Audit Office (2014) Children in care.

What the quality statement means for service providers, health and social care practitioners, and commissioners

Service providers (health and social care providers) ensure that they have a video feedback programme available to offer the parents and carers of preschool aged children with or at risk of attachment difficulties.

Health and social care practitioners (such as mental health professionals in multi-agency services, health visitors and social workers) ensure that they offer a video feedback programme to parents and carers of preschool aged children with or at risk of attachment difficulties.

Commissioners (clinical commissioning groups and local authorities) ensure that they commission services that can offer parents and carers of preschool aged children with or at risk of attachment difficulties a video feedback programme.

What the quality statement means for children and their parents and carers

Parents and carers of preschool aged children identified to have or be at risk of attachment difficulties are recorded interacting together on video. This helps the parent or carer see how they react and behave with the child or young person, and the social care professional give help on how to change any behaviour that could cause problems.

Source guidance

Definitions of terms used in this quality statement

Carers

Foster carers (including kinship carers), special guardians and adoptive parents.

[Adapted from NICE's guideline on children's attachment]

Video feedback programmes

Video feedback programmes are delivered in the parental or carers home by a trained health or social care worker who has experience of working with children and young people. The programme should:

  • consist of 10 sessions (each lasting at least 60 minutes) over 3–4 months

  • include filming the parents or carers interacting with the child for 10–20 minutes every session

  • include the health or social care worker watching the video with the parents or carers to:

    • highlight parental or carer sensitivity, responsiveness and communication

    • highlight parental or carer strengths

    • acknowledge positive changes in the behaviour of the parents or carer and child.

[Adapted from recommendation 1.4.2 in NICE's guideline on children's attachment]