Mental Health in the NICU Lecture Pack
Caring for infants in the NICU involves more than just the care of the newborn. The whole family unit requires care in order to protect the mental health and wellness of infant and parents alike. The experience of having a premature or ill newborn, combined with the stress of the NICU environment, can have lasting negative effects without early intervention. Learn more about supporting the mental health of NICU families with this special package. With presentations on parental mental health, infant mental health, the mental health of NICU staff and interdisciplinary neuroprotective mental health care, this is your opportunity to expand your learning and clinical skills.
Cheryl has been a practicing educational psychologist for 37 years. She has spent the last 34 years of her career providing psychological, neurodevelopmental and infant mental health services in neonatal intensive care units and developmental follow-up clinics. Cheryl currently is working with NICUs to provide staff professional development and self-care education. This work nurtures the NICU professional team so they can nurture and support infants and their families. Cheryl is the National Perinatal Association’s Director of Development and Outreach. Cheryl is a member of the World Association for Infant Mental Health, The Pennsylvania Association for Infant Mental Health. She advocates for families with substance use issues during the perinatal period.Cheryl’s passion is helping families and staff to give optimal care to infants and young children. This care provides the infant or child with the foundation they need to live full, rich and healthy lives.
Objective 1: Discuss the importance of self-care and care of co-workers as aspects of NICU work;
Objective 2:Participants will describe the behaviors and attitudes that are concerns for the development of compassion fatigue, burnout and posttraumatic stress disorder;
Objective 3: Participants will be able to describe self-care and mental health treatment approaches to support a healthy work-life balance and how to access available resources for concerns.
The presentation will focus on the impact of NICU work on the mental health of the staff, how to care for one’s self and co-workers and how to recognize mental health issues. Specifically, self-care issues around sleep, nutrition, exercise and attitude will be discussed. Identifying the signs of compassion fatigue, burnout and posttraumatic stress disorder and how to treat them will complete the presentation.
Dr. Craig lives in metro Atlanta, GA., is an Associate Professor and the Department Chair of Brenau University’s School of Occupational Therapy program. She has been practicing for 35 years, received her degree in OT at the Medical College of Georgia, her MBA from the University of Alaska-Fairbanks, and her PhD in Infant and Childhood Disorders with emphasis in Mental Health and Developmental Disabilities from Fielding Graduate University. Jenene currently serves as the Director of Education for National Association of Neonatal Therapists (NANT). She is also on the executive committee of the Board of Directors for the National Perinatal Association. In addition to consulting with several local NICUs, Jenene works PRN at a regional Level III NICU. She serves as a national speaker for the care of premature infants and families embattled in the stressful environment of the NICU. Jenene’s personal passion is to support multidisciplinary work in the NICU with a focus on parent-infant outcomes.
Objective 1: Participants will be able to understand and articulate the concepts and tenets of interdisciplinary neuroprotective care in the NICU;
Objective 2: Participants will be able to have a working knowledge of what the Potentially Better Practice (PBP) recommendations contain;
Objective 3: Participants will be able to begin to consider quality improvement projects for increasing comprehensive family support.
Hospitalization of a baby in a Neonatal Intensive Care Unit (NICU) has been described as a traumatic experience for both parents and baby leading to higher rates of postpartum depression and posttraumatic stress disorder in parents and to adverse developmental, cognitive and behavioral outcomes in their infants. The focus of care in the NICU has been broadening and evolving to emphasize the importance of supporting the family-infant relationship, since ultimately, the well-being of the family affects the well-being of the baby. Research documents that NICU parents both desire and benefit from psychosocial support from NICU staff, yet many staff, including neonatologists and neonatal nurses, do not feel they have adequate skills to support these needs. NICU staff need knowledge and tools beyond what typical healthcare education provides. Interdisciplinary recommendations for work toward best practice around psychosocial support of infants/parents and staff are presented.
Kara Wahlin is a licensed marriage and family therapist and art therapist who resides in the Coachella Valley of southern California. After going through the preterm birth of her twin sons William and Elliott, and the subsequent loss of William, Kara made the promise to dedicate her clinical work to helping other families coping with the trauma and loss often wrought by the NICU experience. She developed the website NICU Healing in order to provide free information, couples and individual therapy, and online support to NICU families. Kara uses strengths-based, neuroloscientifically-informed and creative practices to empower her clients to picking up the pieces of their lives and moving forward with their new life stories. She speaks frequently at conferences discussing best clinical practices, and writes for her own as well as other blogs about new ways of coping with mental health issues that come up after traumatic experiences. In her free time, Kara and her son Elliott are art machines and expert hikers, and also spend their time at home with their menagerie of small animals.
Objective 1: Delegates will learn how mirror neurons function in infant brain development, as well as how kangaroo developmental care creates an environment specific to the success of premature infants in this regard;
Objective 2: Delegates will learn how traumatic memory is imprinted, and how there can be adverse effects of a traumatic birth and consequential hospitalization of the baby/babies (or mother) for parents of premature infants. This, in turn, can affect developmental outcomes for infants as oftentimes the isolation, stigma, and healthcare costs associated with trauma keep parents stifled from seeking the care they need after their traumatic birth experiences;
Objective 3: Delegates will learn how attachment affects overall brain development, the success of family systems and overall functioning for premature infants over the course of their life;
Objective 4: Posttraumatic growth is evidenced in NICU parents, and may indicate that due to the traumatic circumstances of the birth their babies, the intimate knowledge of NICU parents' babies' needs and their own hopes for attachment can inform a very strong, healthy and resilient attachment after discharge from the NICU, particularly with supportive interventions from NICU staff.
Evidence has shown that attachment between a primary caregiver and their preterm infant can change the neurodevelopmental outcomes for the infant later in life. Attachment can be seen as a living organism between parent/caregiver and child, and with encouraged development and growth, the attachment relationship can have profound effects, even in the context of the most difficult of circumstances and medical diagnoses. The more NICU caregivers know how to encourage attachment, the likelier a family system will need less medical/psychological intervention after discharge from the hospital.
Kate White is and award-winning craniosacral and massage therapist, prenatal and early childhood educator. She is trained in somatic therapies, prenatal and perinatal health, lactation, brain development, infant mental health, and has specialized in mother-baby dyad care using somatic prevention and trauma healing approaches for nearly 20 years. She is a mother of two children, holds a BA and MA in Communication, is a Registered Craniosacral Therapist in the Biodynamic Craniosacral method and a Somatic Experiencing® Practitioner. Her work combines somatic therapy with brain development to help give families with babies and small children the best possible start. She is Founding Director of Education for the Association for Prenatal and Perinatal Psychology and Health from 2013 – 2018 where she managed a large online educational program for professionals. She currently co-directs this program, administering an online program for parents and parent professionals, runs a private practice and offers her own seminars through the Center for Prenatal and Perinatal Programs, ppncenter.com.
Topic: Best Practices in Prenatal and Perinatal Psychology and Somatic Health for Optimal Birth Outcomes - [View Abstract]
Topic: Integration of the Science of Safety and Resilience into Perinatal Care: A 5 Step Process - [View Abstract]
Topic: The Science of Safety and Trauma Specific Recognition to Improve Birth Outcomes: What Does It Mean for the Midwife? - [View Abstract]
Topic: “It Was Right but so Wrong:” Helping Families Make Sense of Difficult Births with Trauma Sensitive and Prenatal and Perinatal Healing Approaches - [View Abstract]
Objective 1: Participants will be able to recognize nervous system states connected to survival states and trauma responses;
Objective 2: Participants will be able to learn skills of self and co-regulation;
Objective 3: Participants will be able to identify methods to help self, partners, parents, patients and babies to regulate survival states.
Having a baby in the Neonatal Intensive Care Unit is one of the most stressful life events for a parent. The nervous system of babies and parents can go into survival mode, disrupting normal development, especially attachment and bonding. This presentation will detail the nervous system’s response to overwhelming births so that parents and professionals can better understand how to support themselves, their partners, parents and babies. Strategies for self-care and skills for increasing nervous system capacity for greater health will be presented. A successful story of reducing prematurity in a birth center will be presented.
Accreditation
CERPs - Continuing Education Recognition Points GOLD Conferences has been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07 4 CERPs (4 R-CERPs)
If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please sent us an email to [email protected] if you have any questions.Tags / Categories
(IBCLC) Education and Communication, (IBCLC) Infant, (IBCLC) Psychology, Sociology, and Anthropology, Family-Centered Care, Infant Mental Health, Mental Health NICU Staff, Parents in the NICU, Stress in the Neonate
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Will there be Handouts?
- YES! Each lecture comes with a PDF handout provided by the Speaker.
Some lectures include a Q&A, what does that mean?
- During our online conferences, presentations that occur live are also followed by a short 15 minute Question & Answer Session. The Speaker addresses questions that were posted by Delegates during the presentation. We include the recording of these Q&A Sessions as a bonus for you.
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