Pride in Parenting: Training Curriculum for Lay Home Visitors
Linda T. Diamond, M.S. and Marion H. Jarrett, Ed.D., editors.

Unit 12
Child Growth and Development

During their first year, babies grow faster, both physically and emotionally, than during any other time of their lives. Babies need food and physical care along with help and encouragement through every stage of development to thrive and grow into strong, healthy, and confident people.

Most parents try to do the best they can for their children even when there are adverse circumstances. PSSs can help support parenting efforts by providing emotional support, by helping parents gain the knowledge they need to develop confidence and competence, and by linking them to health and social services and other community resources when needed.

Objectives

  • By the end of this unit, participants will be able to:
  • Describe what is meant by physical/motor, cognitive, emotional, social and communication development.
  • Discuss why it is so important for an infant to feel loved and cared for.
  • Discuss how parents and caregivers can help infants develop feelings of security and trust.

Time

4 1/2 hours

Outline

A. Why Learn About Infant Growth and Development?
B. Building Blocks of Infant Development
C. Summary and Review

Materials

  • Resource Mothers. (1993). Resource Mothers Curriculum Sourcebook (Ch. 12). Sterling, VA: INMED.
  • Resource Mothers. (1993). Resource Mothers Handbook (Ch. 14). Sterling, VA: INMED.
  • Video "Your Baby and You: Understanding Your Baby’s Behavior", Communication Skill Builders, 3830 E. Belleview, P.O. Box 42050, Tucson, AZ 85733.
  • Weitzberg, B. (1992). Exploring the World of Infants and Toddlers: A Training Manual About Infants, Toddlers, & Their Parents. Baltimore, MD: Friends of the Family, Inc. (410) 659-7701.
  • Shelov, S.P. & Hannemann, R.E. (Eds.) (1991). American Academy of Pediatrics Caring for Your Baby and Young Child: Birth to Age 5. N.Y.: Bantam Books.
  • Child Development True/False Quiz ( Handout #1).
  • Post-Unit Test (Handout #2)
  • Role Plays (Training Aid #1)
  • Role Play Feedback (Overhead #1)
  • Post-Unit Evaluation
  • Program policies regarding child abuse and neglect.
  • Program policies concerning confidentiality.
  • Blackboard and chalk or newsprint, markers and tape.
  • Video Equipment: video camera, tripod, tape, television, VCR.
Advance Preparation

  • Review Chapter 14, "Child Growth and Development" of the Resource Mothers Handbook and ask trainees to review it ahead of time.
  • Review Resource Mothers Curriculum Sourcebook, Unit 12, Child Growth and Development.
  • Review video: Your Baby and You: Understanding Your Baby's Behavior.
  • For background information, review Exploring the World of Infants and Toddlers.
  • Make sufficient copies of any handouts to be used.
  • Review and bring the group a copy of Caring for Your Baby and Young Child: Birth to Age 5.
  • Have several special pictures, sayings, poems about babies and their development. Two suggestions are:
  • Leach, P. (1990). Your Baby and Child, Birth to 5 Years, (pp.9-12). N.Y.: Alfred Knopf.
  • Bermont & Langston (1965). The Child. N.Y.: Pocket Books, INC.
  • Try out video equipment. Set up camera to videotape role plays.

A. Why Learn About Infant Growth and Development? (1 1/2 hours)

Rationale:

PSSs are parents themselves and have lots of practical knowledge of infant growth and development. Just like the PSSs, most parents learn how to care for their infants through "on the job training." It is important to establish in the beginning of this unit why learning some principles of infant growth and development can benefit PSSs and their clients.

Procedure:

1. Use special pictures, sayings or poems to begin this unit.

2. Activity. True/False Quiz. Distribute the Child Development True/False Quiz (Handout #1) and ask participants to take five or ten minutes to complete it. If participants have difficulty reading, you can administer the quiz verbally. Reassure participants that this is not a test of their knowledge and the papers will not be collected.

When participants have finished, read aloud each of the statements and ask them to raise their hand each time you read a statement they believe to be true. Encourage discussion and provide correct answers and rationale only after each item is discussed.

3. Discussion. Ask participants who have children to try to recall their feelings when their children were infants. Looking back, was there ever a time when they worried about something their baby didn't seem to do as soon as other babies -- like smiling, rolling over, sitting up, talking, sleeping through the night, or walking? Some mothers may not have been concerned when their babies achieved these developmental milestones. Other mothers may have worried that their child was "slow" or behind other children they knew. If you have children, you may want to "get the ball rolling" by sharing one or two concerns about your own child's development.

4. Discussion. Now ask participants what can sometimes happen when parents don't understand the emotional and physical capabilities of their children. Possible answers: Parents can get angry and frustrated with the child.

  • Parents can feel inadequate.
  • Parents might push the child to do something they aren't yet ready to master and instead of enjoying the exhilaration of learning something new, the baby becomes frustrated and stops trying.
  • Babies may be held back from mastering more difficult skills for which they are ready.
  • Baby's behavior may be misinterpreted as willfulness, stubbornness, or naughtiness.
  • Parent may not recognize the need to help baby master basic skills.
  • Parent may not recognize something is wrong with baby's development and get help as soon as possible.

5. Discussion. Ask participants who do parents in their community usually turn to for information and advice about child growth and development. Possible answers:

  • family
  • friends
  • clinic

Ask if participants think there is a role for PSSs when it comes to helping parents understand infant growth and development. What is that role? Possible answers:

  • listening
  • answering questions
  • observing
  • offering support
  • being a source of advice

Discuss what PSSs can do if the advice they give conflicts with advice given by another trusted source.

Discuss how PSSs will decide who to include in discussions about infant growth and development. How about involving members of the family besides the baby's mother, for example the grandmother, father, aunt, or godparent? Use Role Plays from Training Aid #1. Each PSS will need a partner. Each pair will act out the role play that they were given. Discuss the role plays with the whole group to get feedback after each pair is finished.

Reinforce the important role that PSSs can play in helping to support parents. Helping parents understand how to foster the healthy growth and development of their newborn is just one of many ways PSSs can assist new parents.

6. Activity: Designing Objectives. Again, let the participants know how much you value their knowledge and experience. Ask them what they would like to learn about infant growth and development. What would help them in their roles as PSSs? Write their suggestions on the blackboard or newsprint. Be prepared to modify your agenda based on their perceived learning needs.


B. Building Blocks of Infant Development (3 hours)

Rationale:

In this unit, participants examine five basic areas in which infants grow and develop skills during the first twelve months of life. Participants will also discuss how the development of trusting relationships can foster development in all five skill areas.

Refer to the definition and explanation of 'trust' in RM Handbook. This unit presents the idea that a baby is a 'person-in-the-making' and that there are many factors that can impact development.

Procedure:

Mini-lecture and discussion. In Chapter 14 of the Resource Mothers Handbook, four general areas in which babies grow and develop skills are explained. Ask if anyone can name them. The Resource Mothers Handbook includes Communication (speech and language development) in the Cognitive area. We are going to look at Communication as a separate, fifth area of development. Responses should include:

  • Physical/motor development (physical movement for stability and mobility as well as finer movements of the arms and hands for play and self feeding)
  • Cognitive development (thinking, memory, responding to the world with one's senses ie.smelling, touching, hearing, tasting)
  • Emotional development (self-esteem)
  • Social development ( responding and reaching out to others)
  • Communication development ( understanding and expressing)

With each developmental area give examples of skills in that area and ask for ideas from the participants as well. Include ideas of developmental milestones and developmental progression of skills.

For each of the five developmental areas have a different colored square of paper. Post these on a blackboard or flip chart. Explain that these skills are all interrelated, which means that one skill can affect one or more of the others. This is especially true during the period we are talking about, Birth to One Year of Age. Give one example of how skills are interrelated, such as a baby seeing her mother and reaching up to touch her. The baby sees (cognitive), extends her arms to touch her mother (physical), and responds to her mother by reaching for her (social, emotional, and communication). Ask trainees to give other examples from their personal experiences.

Write skills on individual post-its. Have participants place each skill in the area in which it belongs; ask if the skill really fits in more than one area.

Discuss how one activity can elicit skills in many areas and how a skill in one area can facilitate skill development in another area.

Discuss how a parent's actions can help or hinder normal growth and development. Possible points for discussion:

Infants need to feel they are loved and cared for. During the first couple of years, children have a strong need to develop close, loving attachments with a few special adults in their lives. Some experts label this important social task as the development of trust. Feeling secure and loved helps a child with all other stages of development.

  • Ask how parents can help their infants feel loved and secure.
  • Respond quickly and consistently to the baby's needs. In the first several months, it is impossible to spoil a baby. Ask the group if they agree with this and discuss their reactions. (Also see Unit 11, Baby Care.)
  • Provide consistency. Babies do not require absolute consistency, but establishing some regularity in routines, environment, and responses helps baby to feel that life is predictable and secure.
  • Show love and affection often. There are many, many ways to do this. Ask the group to name some (smiling, holding, singing, rocking, patting, admiring, carrying, etc.). Even at very young ages children imitate the people they love. Newborns imitate adult facial expressions. One of the most important jobs of a parent is to reflect back to the child his or her instinctive joy. Children are naturally full of joy and love. PSSs -- and parents and grandparents -- have an opportunity to make this world a better place by helping children hold onto these instincts, rather than becoming distrustful and fearful. You may also want to discuss that it is sometimes hard to love a baby -- especially if the baby is fussy or colicky and doesn't fulfill a parent's expectations. It can also be difficult if parents are stressed by other pressures in their lives. Learning to show love is an important task for new parents.
  • Try to understand what the baby is attempting to communicate. Get to know what makes baby happy and miserable. If the baby arches his back and pulls away from the adult that is holding him, he may be telling that adult that he is over stimulated and needs a rest in a quiet room away from bright light, noise and other extraneous stimulation. Ask the group for other examples.
Help the infant develop specific skills.

  • There are many ways parents can help their babies develop specific skills. Most new skills in the early months will emerge without help from parents -- skills like sucking and swallowing, learning to use arms and fingers, learning to crawl and then walk. But there are many, many toys and games that can assist in infant development and help babies and parents enjoy the time they spend together.
  • Providing positive reinforcement is another way to encourage baby in skill development. "Wow. Look at you! Aren't you having fun? What a strong baby!"
Encourage interest in the outside world by stimulating the infant's curiosity.

  • Children discover very early that learning is fun. The child who learns to enjoy his or her early attempts at exploration and who meets with positive reinforcement will develop curiosity and a true joy in learning. One way to foster that interest in the outside world is to provide activities that interest and stimulate the baby.
People who have never had loving, trusting relationships in their lives sometimes find it difficult to establish warm, loving relationships with their children. The PSS should be alert to signs that indicate parents are having difficulty forming loving attachments with their babies. Ask the group to name some signs to watch for. Possible response:

  • parent ignores baby's cries
  • baby's physical needs (food, dry clean diaper, clean clothes and bedding, safety, etc.) aren't met
  • parent doesn't seem to enjoy baby or take an interest in his or her growth and development
  • parent doesn't enjoy physical contact with the baby
  • infant cries incessantly or not at all--as though he or she has given up
  • baby has a vacant stare and doesn't attempt to make eye contact or reach out to parent in any way
  • baby shows outward signs of physical abuse such as bruises, welts, and other unexplained injuries
  • baby cries when parent comes near

Let participants know that if a PSS has concerns about the formation of trust and loving attachments between her client and baby, she should discuss the situation immediately with her Supervisor. Physical signs of abuse must be reported to the Supervisor immediately. Review the child protection laws of your state, your program policy regarding child abuse and neglect, and policies regarding confidentiality. You may have discussed these requirements in Unit 2 and will again in Unit 14, but it is prudent to review these guidelines again.

 
C. Summary and Review (15 Minutes)

Procedure:

  1. Rephrase the objectives on the first page of this unit as questions. Ask a volunteer to answer each question.
  2. Distribute the post-unit evaluation forms.
  3. Distribute post-unit test.




Unit 12 Handout #1
Child Development True/False Quiz

Put a check by the statements you believe are true. This is not a test and will not be collected.



Unit 12 Handout #2
Post-Unit Test

1. Describe what is meant by:

a. physical/motor development:
b. cognitive development:
c. emotional development:
d. social development:
e. communication development:

2. Why is it important for an infant to be loved and cared for?

3. Discuss how parents and caregivers can help infants develop feelings of security and trust.



Unit 12 Teaching Aid #1
Role Plays

Use each scenario for a pair of participants. One should be the client and one the PSS.


Unit 12 Teaching Aid #2
Role Play Feedback

  1. What do you think you the Parenting Support Specialist did well? What do you think you the Parenting Support Specialist did well?
  2. What could the Parenting Support Specialist have changed or done differently?
  3. What other things do you think the Parenting Support Specialist might say or do to help a mother in this situation?


Unit 12 Post-Unit Evaluation

Unit Covered: _____
Date: _____

  1. Do you feel we covered all the information in this unit that we said we were going to?
  2. What did you like best about the unit?
  3. What did you like least about the unit?
  4. Was the information in this unit presented clearly? If not, please explain.
  5. In which skill areas do you feel you need more practice or help?
  6. How can we make this unit better?
  7. Any additional comments?

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