Early Childhood Innovation Network, Washington, D.C., USA.
Children's National Primary Care, Children's Health Center - Anacostia, Washington, D.C., USA.
Infant Ment Health J. 2022 May;43(3):373-389. doi: 10.1002/imhj.21981. Epub 2022 May 17.
A family- and culturally-centered approach to conversations about early relational health (ERH) can open up opportunities for universal family engagement. The appraisal of family-baby relational health is more trustworthy and useful when there is attunement to family voice and facilitator bias. Early Relational Health Conversations (ERH-C) is a model for ERH promotion and intervention. This model has eight components: preparing and entering the ERH-C space, accessing strength and knowledge in a healing-centered space, pausing and co-creating, storytelling, witnessing, mutual reflection, affirming, and claiming their relationship narrative, and mutual insight. It is a paradigm shift in working with African American families and possibly other historically marginalized families who are also impacted by structural racism. The eight components are explained, and examples are given from the perspective of an Africentric worldview. The importance of cultural humility, attuning to and honoring family culture is emphasized. Insights for implementation in primary care and other settings are provided. Healing-centered engagement practices embedded in ERH-C have the potential to move ERH work into the social justice arena. The ERH-C is a family reflection model. Ideas for future directions for ERH-C are discussed.
以家庭和文化为中心的方法来讨论早期关系健康（ERH）可以为普遍的家庭参与开辟机会。当家庭声音和促进者偏见得到协调时，对家庭-婴儿关系健康的评估更可信且更有用。早期关系健康对话（ERH-C）是促进和干预 ERH 的一种模式。该模式有八个组成部分：准备和进入 ERH-C 空间、在以治疗为中心的空间中获取力量和知识、暂停和共同创造、讲故事、见证、相互反思、肯定和声称他们的关系叙述，以及相互洞察。这是与非裔美国家庭以及可能受到结构性种族主义影响的其他历史上处于边缘地位的家庭合作的范式转变。解释了这八个组成部分，并从非洲中心世界观的角度给出了例子。强调了文化谦逊的重要性，以及协调和尊重家庭文化的重要性。提供了在初级保健和其他环境中实施的见解。嵌入 ERH-C 中的以治疗为中心的参与实践有可能将 ERH 工作推向社会正义领域。ERH-C 是一种家庭反思模式。讨论了 ERH-C 的未来发展方向。
