Brazelton Touchpoints
New Hampshire Children’s Trust
Strengthening Families Summit
March 31, 2014
Presenters
• Cathy Kuhn, PhD
• Kristen Valente, LICSW
Brazelton Touchpoints
"When
we strengthen families, we ultimately strengthen the
community. Our goal is that parents everywhere work with
supportive providers, feel confident in their parenting role, and
form strong, resilient attachments with their children. To help
achieve this, providers must be responsive to parents,
knowledgeable about child development, and eager to see
every parent succeed.“
-T Berry Brazelton, MD
© 2007 Brazelton Touchpoints Center®
Brazelton Touchpoints Network
Auburn, ME
Augusta, ME
Bangor, ME
Waterville, ME
Port Gamble S’Klallam Tribe, WA
Andover, MA
Seattle, WA
Suquamish Tribe, WA
Blackfeet Tribe, MT
Confederated Salish and Kootenai, MT
White Earth Band of
Ojibwa, MN
Rocky Boy’s Chippewa Cree, MT
Milwaukee, WI
Racine, WI
Red Cliff Band of Lake
Superior Chippewa, WI
Manchester, NH
Grand Haven, MI
Vermont
Chicago, IL
Port Chester, NY
Decatur, IL
Rapid City, SD
Logan, UT
Arapahoe County, CO
Colorado Springs, CO
Douglas/Elbert Counties, CO
Fremont County, CO
LaPlata County, CO
Larimer County, CO
Logan/Phillips/Sedgewick &
Morgan Counties, CO
Syracuse, NY
Elgin, IL
Bloomington, IN
Rockford, IL
Indianapolis, IN
Scranton, PA
West Lafayette, IN
Wilkes Barre, PA
Omaha, NE (2)
Western IA
New York City, NY
East Orange, NJ
Princeton, NJ
Butler County, OH
Trenton, NJ
Cincinnati, OH
Prairie Band of
Potawatomi Nation, KS
Columbia, MO
Kansas City, MO
Stillwater, OK
Cary, NC
Nashville, TN
Jacksonville, NC
Wake County, NC
Wilmington, NC
Gallup, NM
Austin, TX
Greenville, SC
College Station, TX
Dallas, TX
Brevard County, FL
Ft. Worth/ Tarrant County, TX
Palm Beach County, FL
Statewide:
Houston, TX
Tallahassee, FL
CA, CO, ME, VT
Round Rock, TX
Miami, FL
International:
Waco, TX
© 2007 Brazelton Portugal
Touchpoints Center®
Waterbury, CT
Ocean, NJ
Charlotte, NC
Pueblo of Laguna, NM
Dorchester,
MA
Newton, MA
Muskegon, MI
Fresno, CA
Hemet, CA
Lassen County, CA
Los Angeles, CA
Napa, CA
Oakland, CA
Sacramento, CA
San Francisco, CA
Santa Clara Cty., CA
San Mateo, CA
Sonoma County, CA
Venice, CA
Boston, MA
Washington, DC
Talbot County/
Easton, MD
BRAZELTON
TOUCHPOINTS
CENTER
Impact of Trainings
© 2007 Brazelton Touchpoints Center®
Impact of Touchpoints on Parents
and Early Childcare Providers
Parents with early care providers trained in
Touchpoints report that:
Among parents, Touchpoints has been show to:
•
•
Enhance parent-infant relationships
•
Moderate parental stress in populations where
parental stress tends to increase, on average,
over time
•
Normalize parent’s perceptions of their child’s
behavior
•
Increase well-child care treatment adherence
•
Improve infant developmental outcomes
•
Improve maternal mental health indicators
Their providers are more supportive of parent
expertise than comparison providers.
•
They have better quality and more
collaborative relationships with their
providers.
•
They have increased confidence in their
providers.
•
They show less stress in general, and more
stable stress levels over time compared to
families without trained providers
© 2007 Brazelton Touchpoints Center®
To provide safe, affordable housing and comprehensive social services to
individuals and families who are homeless or at risk of becoming
homeless, enabling them to gain self-sufficiency and respect.
© 2005 Brazelton Touchpoints Center™
• Since 1885, Ellis Memorial has been committed to serving
working families in the South End of Boston Ma and
adjacent neighborhoods with a comprehensive array of
programs. Today, those programs include high-quality early
education and care, safe and educationally enriching afterschool and summer programs for youth, day programs for
disabled, frail or elderly adults and supportive services that
build strong, stable families. From infants to elders, Ellis
Memorial offers high-quality, affordable options that
support working families
© 2007 Brazelton Touchpoints Center®
Expectations Exercise
© 2007 Brazelton Touchpoints Center®
Fundamentals of
Touchpoints
What are Touchpoints?
Touchpoints are that time in a child’s development when
change occurs in the child’s behaviors that can confuse
or puzzle parents.
They are the predictable bursts, regressions and pauses
in a child's development.
© 2007 Brazelton Touchpoints Center®
Systems Approach to Working
with Children & Families
Parent
FIT Staff
Child
Caregiver
© 2007 Brazelton Touchpoints Center®
A Paradigm Shift
TO
FROM
•
•
•
•
•
Deficit Model
Linear Development
Prescriptive
Objective Involvement
Strict Discipline
Boundaries
© 2007 Brazelton Touchpoints Center®
•
•
•
•
•
Positive Model
Multidimensional Development
Collaborative
Empathic Involvement
Flexible Discipline
Boundaries
TOUCHPOINTS
© 2007 Brazelton Touchpoints Center®
Pregnancy
Newborn
3 Weeks
6-8 Weeks
4 Months
7 Months
9 Months
12 Months
15 Months
18 Months
2 Years
3 Years
4 Years
5 Years
6 Years
Three-Tiered
Approach
Developmental Framework
Development is characterized by regressions, bursts, and
pauses
Development is multidimensional
Bursts in one domain of development cause regressions
in other domains
© 2007 Brazelton Touchpoints Center®
Relational Framework
• Each Touchpoint is an
opportunity for the
professional to join with a
parent to form a supportive
partnership.
• Touchpoint interactions build
on parental strengths.
© 2007 Brazelton Touchpoints Center®
Anticipatory Guidance
A way of nurturing families that highlights prevention
by using a parents own knowledge to prepare them for
the next Touchpoint and its expected developmental
themes
It is not predicting the next Touchpoint or offering
advice (suggesting the provider is the expert)
© 2007 Brazelton Touchpoints Center®
Touchpoints
Offer
Opportunity
Points of disorganization
in the child and in the
family equal opportunities
to build relationships with
parents
© 2007 Brazelton Touchpoints Center®
Touchpoints Principles
Use the behavior of the child as your language
Value and understand the relationship between you and the parent
Focus on the parent-child relationship
Look for opportunities to support mastery
Value passion wherever you find it
Recognize what you bring to the interaction
Be willing to discuss matters that go beyond your traditional role
Value disorganization
© 2007 Brazelton Touchpoints Center®
Parent Assumptions
The parent is the expert on his/her child.
All parents have strengths.
All parents want to do well by their child.
All parents have something critical to share at each
developmental stage.
All parents have ambivalent feelings.
Parenting is a process built on trial and error.
© 2007 Brazelton Touchpoints Center®
Provider Assumptions
Each provider is the expert within the context of
his/her practice setting.
Providers want to be competent.
Providers need support and respect of the kind we
are asking them to give to parents.
Providers need to reflect on their contribution to the
parent-provider interactions.
© 2007 Brazelton Touchpoints Center®
The Toddler
T. Barry Brazelton
Introduction to the
Toddler Touchpoint
© 2007 Brazelton Touchpoints Center®
Characteristics of
Developmental Process
Infant: Unfolding
Toddler: Exploding
© 2007 Brazelton Touchpoints Center®
Toddler vs. Infant
Developmental Process
BALANCE: adults ability & need to control the child’s affect and
behavior
Infant
Behavior requires
little control
Affect is easy
to control
© 2007 Brazelton Touchpoints Center®
Toddler
Behavior requires
massive control
Affect is impossible
to control
© 2007 Brazelton Touchpoints Center®
© 2007 Brazelton Touchpoints Center®
Toddler vs. Infant
Developmental Process
COMPLEXITY: the actions & intentions of an infant are more
straight-forward than those of a toddler
Infant
Toddler
Social Reference for coming to
agreement
Social Reference to test the limits
Infant mental process transparent
© 2007 Brazelton Touchpoints Center®
Toddler mental process opaque
© 2007 Brazelton Touchpoints Center®
Toddler vs. Infant
Developmental Process
REGULATION: Needs and wants of an infant are generally
sequenced one at a time than those of a toddler who wants
opposing desires at the same time.
Infant
Wants one thing
at a time
© 2007 Brazelton Touchpoints Center®
Toddler
Wants two totally
disparate experiences
at the same time
Toddler Developmental Agenda
Independence  Dependence
• Wants control of own purpose and self
• Wants control of others availability
© 2007 Brazelton Touchpoints Center®
© 2007 Brazelton Touchpoints Center®
© 2007 Brazelton Touchpoints Center®
© 2007 Brazelton Touchpoints Center®
Toddler Developmental Agenda
Empathy  Aggression
Discovers the spectrum of affect
Love  Hate
Kiss  Bite
© 2007 Brazelton Touchpoints Center®
Toddler Developmental Agenda
Knowledge  Skill  Judgment
© 2007 Brazelton Touchpoints Center®
Using A Toddler’s Behavior as
Language:
Translation, Please!
© 2007 Brazelton Touchpoints Center®
© 2007 Brazelton Touchpoints Center®
Toddler Behavior as Language:
Translation, Please!
“What I want NOW!”
(Immediate Need)
© 2007 Brazelton Touchpoints Center®
© 2007 Brazelton Touchpoints Center®
© 2007 Brazelton Touchpoints Center®
© 2007 Brazelton Touchpoints Center®
© 2007 Brazelton Touchpoints Center®
Exploring the Parent Assumptions
1. Pick two assumptions that you find most interesting or most challenging
2. Talk to your neighbor about why you chose the ones you did. Why is it
challenging? What makes it hard to put it into practice?
1.
2.
3.
4.
The parent is the expert on his/her child.
All parents have strengths
All parents want to do well by their child.
All parents have something critical to share at each developmental
stage.
5. All parents have ambivalent feelings.
6. Parenting is a process built on trial and error.
© 2007 Brazelton Touchpoints Center®
For More Information About
Touchpoints
Brazelton Touchpoints Center
http://www.brazeltontouchpoints.org/
© 2007 Brazelton Touchpoints Center®
For More Information on Upcoming
Trainings
http://www.nhceh.org/
603-641-9441 x251
© 2007 Brazelton Touchpoints Center®