Information

Infant Mental Health Implementation and Advisory Group minutes: 2 February 2022

Minutes from the meeting of the group on 2 February 2022.


Attendees and apologies

Author:

  • Alex Brown

Present:

  • Anne McFadyen, Chair, IMH-IAG, NHS National Services Scotland
  • Marita Brack, Head of Parenting and Infant Mental Health Programme, NHS Education for Scotland
  • Alex Brown, Assistant Programme Manager, NHS National Services Scotland
  • Roch Cantwell, PNIMH Programme Board Vice Chair, NHS National Services Scotland
  • Andrew Dawson, Professional Lead for Child Psychotherapy, NHS Greater Glasgow and Clyde 
  • Rachel Fraser, Scotland Development Lead, Parent-Infant Foundation
  • Douglas Guest, Head of Programme, Home-Start Scotland
  • Heather Kelly, Assistant Director, Aberlour
  • Ann Marie Kennedy, Change is a Must Team Leader, Perth and Kinross Council
  • Hugh Masters, PNIMH Programme Board Chair, Scottish Government
  • Kat Masterson, Participation Officer, Maternal Mental Health Scotland
  • Nashwa Matta, Associate Specialist in Paediatrics, Royal College of Paediatrics and Child Health
  • Chris Miezitis, Co-Director, Father’s Network Scotland
  • Helen Minnis, Professor of Child and Adolescent Psychiatry, University of Glasgow
  • Juan Perez Olaizola, Consultant Child and Adolescent Psychiatrist, NHS Forth Valley
  • Alison Robertson, Consultant Clinical Psychologist, Maternity and Neonatal Services, NHS Greater Glasgow and Clyde
  • Joanne Smith, Perinatal and Infant Mental Health Policy Manager, NSPCC Scotland

In attendance:

  • Bea Anderson, Consultant Clinical Psychologist, NHS Greater Glasgow and Clyde
  • Lisa Golds, Intern, Perinatal and Early Mental Health Team, Scottish Government
  • Jacqueline Horn, Project Manager, Specialist Children’s Services, NHS Greater Glasgow and Clyde
  • Fiona Wilson, Senior Policy Officer, Perinatal and Early Mental Health Team, Scottish Government

Apologies

  • Lizzy Archibald, Service Development Adviser, Scottish Government
  • Iona Colvin, Interim Director and Chief Social Work Advisor, Children and Families Directorate, Scottish Government
  • Linda Jardine, Children and Family Services Director, Children 1st
  • Harriet Waugh, Perinatal and Early Years Mental Health Team Lead, Scottish Government

Items and actions

Welcome and housekeeping

Anne McFadyen (Chair) welcomed everyone to the eleventh Infant Mental Health Implementation and Advisory Group (IMH-IAG) meeting, and apologies were noted as above.

Review of minutes, actions and updates

It was agreed that the minutes were an accurate representation of the October 2021 meeting, with one correction to a name on page two.

Post-meeting note: the spelling of Kat Masterson’s name has been amended, and the minutes will be made available on the webpage.

In preparation for the ‘Supporting Women, Reducing Harm’ event at the end of April 2022, Anne and colleagues from Aberlour are interviewing women to ensure that the voice of lived experience is at the centre of the day. It is hoped that the Minister for Mental Wellbeing and Social Care, Mr Kevin Stewart, and the Minister for Drugs Policy, Ms Angela Constance, will either introduce the event in-person or with a prerecorded welcome video.

Joanne Smith (Policy Manager, NSPCC) has organised a meeting with the London Infant and Family Team (LIFT) to gain understanding of how their work to strengthen the National Institute for Health and Care Excellence (NICE) guidelines can be replicated in Scotland with the Scottish Intercollegiate Guidelines Network (SIGN).

Marita Brack (Head of Parenting and Infant Mental Health Programme, NHS Education for Scotland) gave an update on recent and upcoming training:

  • 6 practitioners trained in Video Interaction Guidance (VIG) in December 2021, and 13 more to be trained in March 2022
  • 60 practitioners have started the Warwick IMH Online course, with another cohort the same size in March 2022
  • Solihull Approach Train the Trainer training taking place in late February 2022 and foundation level Solihull Approach being delivered in March 2022
  • two cohorts for the Institute of Health Visiting Champions training before the end of March 2022. The January cohort was postponed due to service pressures

Helen Minnis (Professor of Child and Adolescent Psychiatry, University of Glasgow) updated the IMH-IAG on recent work of the IMH Evaluation and Research subgroup:

  • in December 2021, Helen and Anne opened the subgroup meeting up to academics from across Scotland to hear about and bring together multiple pieces of relevant evaluation work that are happening across Scotland. Angela McLaughlin, Clinical Psychology Fellow, University of Edinburgh, is working with a group of students to pull the discussion into a report
  • Glasgow University were recently granted funding to develop a micro credential in IMH, which is the first step in the planned IMH Masters

Terms of reference, membership and representation

The Terms of Reference document were discussed and some changes in representation proposed and approved by the group. Anne is meeting with Joanna Macdonald, who chairs the implementation of the new child protection guidance, and will seek to identify a colleague from The Promise team and child care service manager representation to join the group. A representative from every Health Board and/or regional representation were suggested as important additions to the group membership.

Action: Anne McFadyen

Anne noted that it was Rachel Fraser’s last meeting as she is moving from the Parent-Infant Foundation to the Perinatal Mental Health team in NHS Lothian. She was thanked for her input and given our best wishes.

Perinatal and Infant Mental Health Programme Board

Fiona Wilson (Senior Policy Officer, Perinatal and Early Years Mental Health team) gave an update on recent and upcoming work.

The Peer Support stakeholder event will take place on Wednesday 23rd February. This is a half-day session to bring together peer support organisations and anyone with an interest or involvement in peer support to share best practice and make connections.

The Health, Social Care and Sport Committee have undertaken a short inquiry into perinatal mental health in Scotland. Although this was a Scottish Parliament exercise, the Perinatal and Early Years Mental Health team carried out a rapid analysis of the 102 consultation responses and identified a range of themes, some of which fell out with the portfolio of the Minister for Mental Wellbeing and Social Care, Mr Stewart. An evidence session with stakeholders on 7th December 2021 helped to shape the questions asked of Hugh Masters (Chair of the Perinatal and Infant Mental Health Programme Board), Mr Stewart, and the Minister for Public Health, Women’s Health and Sport, Ms Todd, at the Committee session on 14th December 2021. The team have replied to a Committee request for more information, and, at the time of the meeting, were waiting to receive the report.

Post-meeting note: The committee report has been published.

The Perinatal and Early Years policy team are aiming to launch the public consultation for the options appraisal on increasing Mother and Baby Unit (MBU) bed provision in late February 2022. ‘Delivering Effective Services’ outlines that the 4 additional beds should be sited in one or split between the two existing MBUs, or in a new MBU in the North of Scotland. More information on the consultation will be shared with the IMH-IAG when available.

Action: Perinatal and Early Years Mental Health Team

Fiona agreed to contact Parent Club around making the Wellbeing for Wees Ones resources created by Anne and others available on the website, and promoting the information on the main home page. Fiona asked the group to return suggestions for additional online content and marketing by the end of February.

Action: Fiona Wilson/All

Infant voice

Anne and Kat Masterson (Participation Officer, Maternal Mental Health Scotland) asked the IMH-IAG for comments on their proposal to create and chair an ‘Infant Voice’ short life working group. The group aims to produce a clear SG position statement on infant rights, to create an infant pledge or revise the Women and Families Maternal Mental Health pledge to include infant perspective, and to produce best practice guidelines on how to take account of infants’ views. Please send expressions of interest to join the group membership to nss.pnimh@nhs.scot

Joanne Smith advised that NSPCC Scotland is part of a coalition group working on an Early Years charter that will outline what infants and parents should be able to expect in the first two years of life. Joanne will share more information when the work is finalised.

Action: Joanne Smith

Douglas Guest (Head of Programme, Home-Start) advised that Home-Start Scotland have partnered with The Promise team to coproduce a piece of work on family involvement. Home-Start are also planning a parental awareness campaign around the United Nations Convention on the Rights of the Child (UNCRC).

Evaluation of infant mental health services

Andrew Dawson (Professional Lead for Child Psychotherapy, NHS Greater Glasgow and Clyde) presented an overview of NHS GG and C’s approach to evaluating their developing infant mental health service. The IMH team looked at the Evaluability Assessment to identify ways to meaningfully contribute to the work of the Perinatal and Infant Mental Health Programme Board, and adapt the outcomes to the local GG and C IMH service. When a Research Assistant is appointed, the team will develop their overarching evaluation approach into a phased plan for the next 12 months and beyond.

There was discussion around involving fathers/co-parents, and the interface with the third sector. Andrew agreed to share the slides with the group for information.

Action: Andrew Dawson

Any other business

Lisa Golds (Internship, SG Perinatal and Early Years Mental Health team) has recently completed a literature and evidence review of IMH measures being used in Scotland. Lisa’s presentation has been made available, and the report will be finalised and incorporated into the Public Health Scotland evaluation plan.

Next meeting

Wednesday 6th April 2022.

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