"We have SALT services within ours, physio support, young parents groups, wishes and feelings work (with children whose families are in uproar due to domestic violence), outreach support and emotional support. I can remember one Mum (middle class) who literally could not leave the house without having panic attacks. The Outreach worker befriended her and spent time getting to know her before progressing to slow walks (initially just to the end of the path and back) around the block. These kinds of services are just so stretched elsewhere. Where would this Mum have gone without the outreach service? Into the mental health service which is as overstretched as the HV service locally. She would have joined a long waiting list within the mental health service. The children's centre provided a friendly service very rapidly. With this latest proposal she would not have had the Surestart support."
Do you not think a health visitor or a CPN should be providing this sort of support? When my son was born our doctor's surgery had THREE health visitors. It now has one health visitor that it shares with a neighbouring surgery. The cutbacks in the health visiting service have funded surestart.
In my sad experience with my son, even a health visitor can get out of their depth with mental illness. Surely an outreach worker with limited qualifications could end up doing more harm than good. It would be safer for your client to have a CPN.
There is a lot of waste in surestart. There is far too much spent on admin staff.
"The middle classes should only be able to go if they are directedly referred for a big issue eg pnd. A parent when they are suffering should be able to go to a place like surestart for support not to be judged."
A middle class mum with postnatal depresion would find it humilating. They would never go if Surestart was seen as being something for those who can't cope. Mental illness doesn't stop people having pride.
Surely its better to allow all mums to attend, but think about the services offered.
"I work with surestart in my job and personally I dont think the middle classes should be able to attend. Often they are like the ones that are on here judging people on whether they use dummies, let their child drink a fruit shoot or drink juice out of a bottle etc."
Surely its your job to challenge such behaviour. If a mother is vile to others then she loses her right to attend surestart.
However mothers with postnatal depression are sometimes the most judgemental.