title: Matching parenting support needs to service provision in a universal 13-month child health surveillance visit.
abstract: BACKGROUND
  The Glasgow Parenting Support Framework is an intervention to support families with preschool children. It provides structured support through universal and targeted interventions. Two routine family visits by health visitors have been piloted, one involving a home assessment when the child is 13 months old.
  
  
  OBJECTIVE
  To establish the need for parenting support in the population at 13 months and whether or not the home assessment improved the match of service provision to need.
  
  
  METHODS
  Health visitors were asked to collect data on existing problems and service provision to families, the mental state of the child's principal carer, an observation of the parent-child relationship and details of management plans. Data from the Child Health Surveillance System were also used.
  
  
  RESULTS
  Data were obtained for 549 families. Nine families were noted to have problems in the parent-child relationship. Carers in these families had poorer mental health. In all, 20% of families had a revisit scheduled: they were also more likely to have poor mental health. All families with possible problems in the relationship had a revisit scheduled. Depression scores measured during the pilot were a significant predictor of revisiting and referral, with an odds ratio of 1.37 for every one point increase in score on the Adult Wellbeing Scale depression subscale.
  
  
  CONCLUSIONS
  Current service provision matches need to some extent but routine visits focused on parenting difficulties at 13 months, particularly parental depression, may help to identify families needing support who would not otherwise have received it.
authors.affiliation: University of Glasgow, UK.
authors.forename: C
authors.initials: C
authors.lastname: Wilson
authors.forename: L
authors.initials: L
authors.lastname: Thompson
authors.forename: A
authors.initials: A
authors.lastname: McConnachie
authors.forename: P
authors.initials: P
authors.lastname: Wilson
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000534:rehabilitation; D002662:Child Health Services / Q000600:supply & distribution*; D002669:Child Welfare; D002675:Child, Preschool; D003156:Community Mental Health Services / Q000600:supply & distribution*; D003866:Depressive Disorder / Q000534:rehabilitation; D006304:Health Status; D006801:Humans; D007223:Infant; D008603:Mental Health; D020380:Needs Assessment; D010287:Parent-Child Relations; D016487:Parenting; D010290:Parents / Q000523:psychology*; D010865:Pilot Projects; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012606:Scotland; D012944:Social Support