Center for the Study of Social Policy, Washington, District of Columbia, USA.
Private Practice, Seattle, Washington, USA.
Infant Ment Health J. 2022 May;43(3):493-506. doi: 10.1002/imhj.21986. Epub 2022 May 10.
Early relational experiences are key drivers for developing social emotional capacities, educational achievement, mental health, physical health, and overall wellbeing. The child health sectors are committed to promotion, prevention, and early intervention that optimize children's health and development, often employing evidence-based screening as foundational practices. Despite a variety of validated parent-infant observational assessment tools, few are practical within busy practice settings, acceptable with all racial and ethnic groups and ready for universal adoption. In response to this need, a team of clinicians, early childhood educators, researchers and infant mental health specialists collaborated to develop and test a novel video-based, dyadic relational screening and monitoring tool, the Early Relational Health Screen (ERHS). This tool uniquely focuses on the early parent-child relationship (6-24 months), within the construct of early relational health (ERH). Initial testing demonstrated that the ERHS is a valid, reliable, feasible, and useful screening and monitoring tool for clinical applications. The ERHS was further developed within a population-based, prospective research study and adapted with brief video feedback for parents in the home visiting and child health sectors. The ERHS and its adaptations appear to advance ERH and equity within the transforming child health and public health care systems of today.
早期的人际关系经历是培养社会情感能力、教育成就、心理健康、身体健康和整体幸福感的关键因素。儿童健康部门致力于促进、预防和早期干预，以优化儿童的健康和发展，通常采用基于证据的筛查作为基础实践。尽管有各种各样经过验证的父母-婴儿观察评估工具，但很少有适用于繁忙的实践环境的，适用于所有种族和族裔群体的，以及准备好普遍采用的。为了满足这一需求，一组临床医生、幼儿教育工作者、研究人员和婴儿心理健康专家合作开发并测试了一种新的基于视频的、二元关系筛查和监测工具，即早期关系健康筛查（ERHS）。该工具独特地关注早期的亲子关系（6-24 个月），并在早期关系健康（ERH）的结构内。初步测试表明，ERHS 是一种有效的、可靠的、可行的、有用的临床应用筛查和监测工具。ERHS 进一步在基于人群的前瞻性研究中进行了开发，并为家庭访问和儿童健康部门的父母提供了简短的视频反馈进行了调整。ERHS 及其调整似乎在当今转型中的儿童健康和公共医疗保健系统中促进了 ERH 和公平。
