Gillian Morrow

Parents and professionals working together: turning the rhetoric into reality

Parental involvement and participation, partnership with parents, and community‐focused development are important features of government initiatives such as the Sure Start project for children under four years of age and their families. A common feature of the rhetoric is ‘empowerment’ as a means of achieving this. This article describes the activity and development of the Parents Committee in one Sure Start programme and uses this to tease out different dimensions of empowerment. In particular, it highlights issues regarding developing empowerment and the dynamic tension between the growth of personal power and the changing symmetry of power relationships. A tentative model of the trajectory of developing empowerment is presented. This may raise challenges for professionals seeking to fulfill their professional role in a complex context and questions as to whether, or how, it might be possible to better prepare professionals for this dimension of their work.

Interprofessional teamworking for child and family referral in a Sure Start local programme

Interprofessional and inter-agency working are important features of UK government initiatives, such as Sure Start local programmes for children under 4 years old and their families. Part of the vision for Sure Start was that providers of services and support would work together in new ways that cut across old professional and agency boundaries and focus more successfully on family and community needs. This paper describes the development and functioning of a Referral and Allocation Project in one trailblazer Sure Start local programme. The Programme employs staff with backgrounds that include health, social work, education and clinical psychology who work in a shared location. The Referral and Allocation Project sought to develop, through regular meetings, a whole-team inter-agency focus on discussing the needs of families who had been referred, or had referred themselves, to Sure Start and on suggesting ways in which support or advice could be offered and accessed in order to meet their needs. The paper examines issues that arose during the development of the Project, in particular psychodynamic dimensions such as emotional impact and professional anxiety. These may have implications for the format and culture of interprofessional team meetings and for training and professional development.

Models of interprofessional working within a Sure Start “Trailblazer” Programme

This paper evaluates interprofessional working within a Sure Start “trailblazer” programme based upon definitions of multi-, inter- and trans-disciplinary practice. Examples of practice from within the programme include professionals working towards family support and child protection objectives, providing a forum for child and family referral and a programme to promote mother-child bonding. Findings are discussed in the context of linking interprofessionality with government target-setting, professional identity and values and integrated working practice for Sure Start/Childrens Centres.

Evaluating the role of the Sure Start Plus Adviser in providing integrated support for pregnant teenagers and young parents.

This paper offers a descriptive evaluation of the role and performance of the Sure Start Plus Adviser in providing integrated support for pregnant teenagers and young parents, and focuses on their interprofessional working. The study, based upon interviews and questionnaires with advisers, pregnant and parenting teenagers and mainstream professionals, was conducted within five Local Authorities in the north-east of England. Findings show differences in how the role was undertaken and in terms of its impact within different authorities. The principal contribution was perceived as providing one-to-one advice, personal and emotional support and by networking within agencies to help change the attitudes and role of mainstream professionals, for example, in midwifery, housing and Connexions. The conclusion affirms the adviser as a role model to inform current developments towards creating lead professional status and integrated packages of support for teenage parents.