Each family member will take on a unique caregiver role and face opportunities to participate in the transitioning of a child from hospital to home. It is important at this time to allow siblings to set the role they are comfortable fulfilling and to help them understand that the family is growing and all members are equally valuable. When the new baby is medically fragile or has a disability that all potential caregivers understand the child’s unique needs and how best they can provide support; including age appropriate information for siblings.
- Baby Matters: A Gateway to State Policies and Initiatives
- Center on the Social and Emotional Foundations for Early Learning (CSEFEL)
- Family Guide to Assistive Technology and Transition Planning. Published by the Family Center on Technology and Disability (FCTD), this 50 page guide is aimed at providing families with the information they need to effectively prepare for and participate in periods of transition in their children’s lives. The Guide is available in both English and Spanish.
- Kentucky Educational Television (KET) Kids and Families Resources – Links for Parents
- PregnancyToday.com: Parenting section
- STOMP – Specialized Training of Military Parents
- Zero to Three – Policies and Program Recommendations for Infants and Toddlers
- Zero to Three – The Nation’s Leading Resource on the first Years of Life
Hospital to Home: Individual Planning
New parents must not only prepare for the new family member, but also for their own individual needs and potential issues. Self-awareness is a valuable and vital step in being able to support others.
- Bringing Baby Home
- Disability Resource Center, Center for Accessible Living
- FitPregnancy: Parenting Resources
- Healthy Place – America’s Mental Health Channel
- Planning for bringing baby home
- StorkNet – Resources for new mothers
Hospital to Home: Health and Development
There are many health issues for both new parent and child at this phase of the transition process. It is usually forefront to consider the child’s health but is equally important to consider the mother’s health as well as potential issues facing other family members. Bringing home a new baby is a stress and joy filled time which changes the normal pattern of daily routine. This can lead to potential health issues for all involved. The following links cover information for both family and child; including those children with special medical or developmental needs.
This phase is the very beginning of parent and child interaction. By understanding what to expect along the way the parent can prepare ahead and know what milestones to expect and how to identify red flags.
- Locate good medical care from a pediatrician, family physician, nurse practitioner or health department
- Keep recommended visits to doctor in first year of life for well-child checkups, screenings and immunizations: within first couple weeks, 1 month, 2 months, 4 months, 6 months, 9 months and 12 months
- Get early identification of potential problems – slow growth or inappropriate weight for height, maltreatment, developmental delays, vision, hearing, language, acute and chronic diseases
- Baby Brain Map
Promoting Healthy and Safe Habits
- Back to Sleep – For healthy babies, back sleeping is preferred and reduces the risk of sudden infant death syndrome (SIDS)
- Car Seats – Rear facing infant seat fastened securely in the back seat of the car
- Car Seat Safety – Kentucky Office of Highway Safety
- Crib Safety – Firm mattress that fits snugly into the crib. Crib slats no more than 2 3/8 inches apart; keep sides of crib raised
- Help to Quit Smoking
- Never, Never Shake a Baby – Shaken Baby Syndrome
- On Sudden Infant Death Syndrome – Centers for Disease Control and prevention
- Smoke-free environment – For New Moms to Stay off Cigarettes
Nutrition and Oral Health
- Breastfeeding is Best – Mother eats healthy food and gets plenty of water
- Breast Feeding Tips http://www.parents.com
- Do Not Feed Honey in First Year (risk of botulism for infants)
- If Bottle feeding, Give Iron-fortified Formula
- To avoid harming a baby’s teeth, do not put him/her to bed with a bottle containing anything other than water
- Get adequate rest
- Eat nutritious foods
- Identify when you need some supports, ask, and be willing to accept help
- Engage all family members with the baby in caregiving
- Manage stress
- Jenny’s Light Organization
- Nurturing behaviors – holding, cuddling, rocking, talking, singing to your baby
- Learning about baby and child temperament and how it affects the way the baby relates to the world; babies are unique right from birth!
- Look for goodness of fit between infant temperament and parenting style or expectations
- Relationships: The Heart of Development and Learning, Zero to Three
- Zero to Three: Child Development
Be Involved in Community
- Ask for help with financial resources if you need them
- Maintain and expand ties to community through social, religious, cultural, and recreational programs
- Bright Futures – American Academy of Pediatrics
- Charting Progress for Babies in Childcare – CLASP policy solutions that work for low-income people. http://www.clasp.org/babiesinchildcare
- Family Voices of Kentucky – Keeping Families at the Center of Children’s Health Care.
- Free Online Course to Help Reduce the Risk of SIDS in Childcare Centers
- Health Kentucky – A Network of Caring
- Healthfinder – Live well Learn how
- Kentucky Department of Public Health
- KidsHealth for Parents – Growth and Development
- Kids Source Online – Newborn Growth and Development
- La Leche League International
- March of Dimes – Serving Babies Together
- National Center for Medical Home Implementation
- Medical Home Information Kentucky
- National Center on Birth Defects and Developmental Disabilities – a resource for families and professionals
- National Center on Substance Abuse and Child Welfare – Training and Tutorials
- Primary Care Sources in Kentucky
Home to Hospital; Interagency Collaboration
To find an Interagency Transition Agreement, Interagency Transition Plan, or Interagency Transition Self Assessment for your area, Please go to Kentucky Partnership Website – KECTP
Collaboration at this transition point will require communication between the family and potential center based programs they are intereste in prior to selection. If family selects more than one program (eg: Head Start and a Child care Center), special attention should be given to making sure those agencies are aware of jointly serving the child and family. Communication between/ among the family and partnering agencies/ programs will assure transition success for all involved. If you would like to know more about regional and local resources, click on the KY Regional Resource Guide Version 6.1 or contact the local Family Resource Center with the local school district.
In KY, interagency collaboration for early childhood includes state, regional, and community transition planning for children prenatal to age six and their families. Kentucky provides guidance from the state agencies within the Early Childhood Interagency Transition Agreement. Regions utilize the state agreement in decision making and local county teams use both to determine additional procedures unique to their community agencies, children and families. This systems approach allows agencies and families at each level the opportunity to identify strengths and possible areas of improvement.
The KY transition planning process includes Interagency Transition Agreements (ITA) which document policies and procedures with roles and responsibilities (who does what when); Interagency Transition Plans (ITP) which document needs/activities (training, cross program visitation schedule, etc.) across the agency programs; and Interagency Transition Self Assessments (ITSA) which allows communities to discuss and agree upon the current level of recommended transition practice implementation across the community. This acts as a “needs assessment” to determine where transition gaps may occur and the implementation level of recommendations within the KY Early Childhood 2005 Report.
See the Resources, Forms and Applications link for more on this transition point as well as related points of transition.