Using a Relationship-Focused Approach to Implementing the Promoting First Relationships® home visiting model across state-wide systems and disciplines
Jennifer Rees, Monica Oxford
Promoting First Relationships® (PFR) is a birth-five trauma-informed, strengths-based, relationship-focused, and reflective home visiting model that uses specific consultation strategies, video feedback and curriculum to promote secure caregiver-child relationships and helps parents understand and meet their child’s social and emotional needs. PFR has been evaluated in four RCTs: including American Indian families (Booth-LaForce et al., 2019), infants and toddlers in foster care (Spieker et al., 2012), infants and toddlers in child protective services (Oxford et al., 2016), and with infants at risk for Autism Spectrum Disorder (Jones et al., 2017). Findings across these studies show improved parental sensitivity and parents’ knowledge of child development as well as reduced foster care placements (Oxford et al., 2016) and enhanced permanency for children already in foster care (Spieker et al., 2014) and improved child affective communication (Oxford et al., 2016), competency (Spieker et al. 2012), and stress physiology (Hastings et al., 2017; Spieker & Nelson, 2013).
The poster will detail the implementation phases and tools that PFR uses to help multi-disciplinary organizations and state-wide systems implement our evidence-based program, including: 1) inquiry and learning; 2) planning; 3) training and implementing; and 4) ongoing support including reflective consultation, fidelity monitoring, and evaluation. Specific information will be provided regarding our Readiness Assessment tool and two different pathways to help organizations maintain fidelity to the model.
Throughout the process, the key ingredient to successful implementation is PFR’s relationship-focused approach and the relationship that we build with our partner organizations. Their success with implementation is dependent on a parallel process – meaning that the support we give organizations helps them develop the capacity to best support their providers during training and ongoing practice, which in turn, leads to them delivering the model with enthusiasm, confidence and competence in order to best support the families that they serve.