[Prevention of child neglect by outreach care of family midwives].
The service of freelance family midwives was field-tested in the project "outreach care for mothers and their children--network family midwives" in the years 2002-2006 in Lower Saxony in three municipalities. The data of 590 cared for women and their children were evaluated. The clientele, that has been defined as target group--e.g., underage pregnant women and mothers, single pregnant women and mothers, pregnant women and mothers in difficult social and psychosocial life situations, pregnant women and mothers with a migratory background--could be reached by the family midwives. In 80% of the cared for women and their children an improvement of the initial situation was achieved. In all tackled problem areas positive changes were achieved, however to a varying degree. The greatest successes were observed in reducing mental overload and fears, improvement of knowledge, appropriate nursing care of the child, improvement of the mother-child relationship, and improvement of the health situation. The positive results with respect to achieving the target group, the results of care and the referral of clients to regular support structures was a consequence of the good mutual trust between client and family midwife as well as the intense cooperation between the family midwives and a social workers (coordinator) who was released from work by one youth welfare office.
Windorfer
Adolf
A
Eine Chance fur Kinder, Hannover. info@eine-chance-fuer-kinder.de
D000293:Adolescent; D002649:Child Abuse / Q000517:prevention & control* / Q000523:psychology; D003159:Community-Institutional Relations; D004493:Education; D054242:Emigrants and Immigrants / Q000523:psychology; D005260:Female; D005858:Germany; D006801:Humans; D008880:Midwifery; D009034:Mother-Child Relations; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000523:psychology; D011610:Psychosocial Deprivation; D012307:Risk Factors; D015406:Single Parent / Q000523:psychology