First 2000 Days
The first 2000 days of life is a critical time for physical, cognitive, social and emotional health. What happens in the first 2000 days has been shown to have an impact throughout life.
For example, early life experiences are:
- strongly predictive of how a child will learn in primary school
- a predictor of school performance, adolescent pregnancy and involvement with the criminal justice system in the adolescent years
- linked to increased risk of drug and alcohol misuse and increased risk of antisocial and violent behaviour
- related to obesity, elevated blood pressure and depression in 20-40 year olds
- predictive of coronary heart disease and diabetes in 40-60 year olds
- related to premature ageing and memory loss in older age groups.
Dr Elisabeth Murphy explains the importance of the first 2000 days and actions that can be taken to improve life-long outcomes. Transcript: The first 2000 days of life – Dr Elisabeth Murphy
The First 2000 Days Framework is a strategic policy document which outlines the importance of the first 2000 days of a child’s life (from conception to age 5) and what action people within the NSW health system need to take to ensure that all children have the best possible start in life.
The framework incorporates a range of policies, programs, services and models of care to make sure that the right health services are available for everyone.
The First 2000 Days Framework Implementation Strategy is a strategic document which will guide NSW Health’s implementation of the First 2000 Days Framework (PD2019_008).
The implementation strategy will assist local health districts and speciality health networks in implementing the First 2000 Days Framework, including providing information to assist them in developing their local plans.
The evidence review highlights the importance of the first 2000 days of life for lifetime physical, social and emotional health outcomes and what parents and professionals can do to support a child’s development.
Webinar Series and Resources
First 2000 Days webinar series aims to build capacity of service providers and health professionals to provide support and referral pathways to families and young children in the First 2000 Days of life.
The series is a collaboration between MNCLHD Health Services and Bluesky Community Services.
This project aims to:
- Increase knowledge of the first 2000 days and priority health areas.
- Increase confidence to engage in conversations about priority health areas.
- Increase confidence to refer to the right level of service at the right time.
- Increase knowledge of and referral pathways to local health services and programs.
There’s 13 sessions within the webinar series, click here to view and register.
2021 Webinar Outcomes
119 participants across 19 mid north coast services attended the 2021 pilot webinar series. The outcomes from the 2021 series included many participants agreeing that the sessions were interactive, informative and increased their knowledge and skills to support families and young children.
Jody Clayton is the Child Protection and Child Wellbeing Co-ordinator for the Mid North Coast Local Health District. Jody’s session will outline the importance of the first 2000 days of a child’s life, and actions that can be taken to promote better life outcomes. It will also build awareness of referral services and programs to support families and children.
View the presentation on the First 2000 Days overview.
Links to resources referred to in webinar 1:
- Australian Institute of Family Studies, The Australian Government’s key research body in the area of family wellbeing.
- Australian Early Development Census (AEDC), a nationwide data collection of early childhood development at the time children commence their first year of full time school.
- Baby Coming, You Ready?
- Aboriginal specific resources for mumson ‘growing strong together’, ‘birthing our way’, ‘birth’, ‘brining bub home’, ‘raising kids in a strong community’ and ‘trauma and grief’.
- Ages and Stages videos for Dads
- 4 minute video- The impacts of intergenerational trauma
- First 1000 Daysresources including ‘Culture starts in the Womb’, ‘Building strong people for the Future’, and ‘Your relationship with Baby’
- Building resilience in children aged 0-12, Beyond Blue.
- Centers for Disease control and Prevention (CDC) Adverse Childhood Experiences.
- Emerging Minds, dedicated to the mental health and emotional wellbeing of Australian infants, children and families.
- Talking about early childhood development in Australia: Guide for communicators. Frameworks Institute.
- Harvard Center for the Developing Child
- How childhood trauma affects health across a lifetime- Pediatrician Nadine Burke Harris explains that the repeated stress of abuse, neglect and parents struggling with mental health or substance abuse issues has real, tangible effects on the development of the brain.
- How every child can thrive by five- 7 year old Australian Molly Wright explains how a game of peek-a-boo can change the world.
- RaisingChildren.net.au, The Australian Parenting Website.
- Love Talk Sing Read Play
- SMS4Dads, fathers, dads to be, families and health professionals can receive free text messages, support, info and tips.
- Sound Scouts, the government funded hearing check app suitable for children (& adults) aged 4 and over. Endorsed by Hearing Australia, it’s evidence based, fun and engaging, the app takes the player through 3 quick games that test for the three main types of hearing loss; sensorineural hearing loss, conductive hearing loss and listening difficulties in noise. Results are delivered securely and immediately in an easy to read report.
- The First 1000 Days Australia, a First Nations model aimed at strengthening all families so they can give their children the best start in life.
- The Raine Study, established in 1989 in Australia, is one of the largest multigenerational, prospective cohorts of pregnancy, childhood, adolescence and adulthood to be carried out anywhere in the world.
Frances Guy is the Clinician Midwifery Consultant (CMC) for Maternity Services with the Mid North Coast Local Health District. Frances’ session will focus on the importance of antenatal care in the first 2000 days of life. It will also provide in-depth information on how to access local antenatal services to help families make ongoing healthier lifestyle changes.
View the presentation on antenatal care.
Links to resources referred to in webinar 2:
Maternity Services: Find everything you and your clients need to know about accessing maternity services.
Health and wellbeing during pregnancy: Resources and services to support pregnant woman.
Get Healthy in Pregnancy: Refer women to a professional phone-based health coach which can support and motivate women to develop tools to help her stay healthy during her pregnancy, to birth and beyond.
Bri-Ellen Fussell is a Health Promotion Officer and Dietician with the Mid North Coast Local Health District. Bri-Ellen’s session will focus on the Get Healthy in Pregnancy (GHiP) Service. GHiP is a free NSW Government service which offers a phone-based health coach to support pregnant woman to develop motivation and tools to help them and their babies to stay healthy during their journey from pregnancy, to birth and beyond. This session will build your knowledge of the service and confidence to refer to the service.
View the presentation on Get Healthy in Pregnancy.
Links to resources referred to in webinar 3:
Elizabeth Crane is a Child and Family Health Nurse and Lactation Consultant based in the Coffs Clinical Network. Elizabeth’s session will focus on the importance of early breastfeeding in the first 2000 days of life. It will also provide information on strategies to support families with early breastfeeding and how to access local Child and Family Services and Breastfeeding Support Services.
View the presentation on Early Breastfeeding
Links to resources referred to in webinar 4:
- Breastfeeding Basics video at the Australian Breastfeeding Association.
Monica Carlon is the Nurse Unit Manager of Tresillian Day Services Coffs Harbour and Tresillian-2U mobile service. Monica’s session will focus on sleep and settling in the early years. It will also include an overview of how to access specialised parenting services and how they help families to improve parenting confidence and parent child relationships.
View the presentation on Sleep and Settling.
Links to resources referred to in webinar 5:
- Australian Association for Infant Mental Health Inc. AAIMHI (2016) Controlled crying, Position Paper. https://www.aaimh.org.au/about-us/position-statements-and-guidelines/
- Australian Association for Infant Mental Health Inc. AAIMHI (2016) Responding to baby’s cues, Position Paper 2. https://www.aaimh.org.au/about-us/position-statements-and-guidelines/
- Centre of Perinatal Excellence (COPE) (2017) Australian Clinical Practice Guideline: Mental Health Care in the Perinatal period, October 2017 website: https://www.cope.org.au/
- Chavasse, F (2018) The Tresillian Sleep Book, Harper & Collins
- NSW Health (2019) The First 2000 Days Framework, PD2019_008 https://www1.health.nsw.gov.au/pds/Pages/doc.aspx?dn=PD2019_008
- NSW Health (2021) Safe sleeping for babies – https://www.health.nsw.gov.au/kidsfamilies/MCFhealth/maternity/Pages/safe-sleep.aspx
- Powell, B., Cooper, G., Hoffman, K., and Marvin, B (2014) The Circle of Security Intervention: Enhancing attachment in early- parent child relationships. The Guilford Press: New York, website https://www.circleofsecurityinternational.com/
- Raising Children website – https://raisingchildren.net.au/?gclid=CjwKCAjwlqOXBhBqEiwA-hhitOptClflF2JFUwTZ94y4WPSV4FD9y35Auv27pD_GJo0da2Hxa7P5-RoCJ6kQAvD_BwE
- Tresillian website https://www.tresillian.org.au/
Rachel Gerathy is a Health Promotion Officer and Dietician. She works on the PICNIC project and is based in Coffs Clinical Network. Symone Lindsey is a Child and Family Health Nurse and Midwife based in Coffs Clinical Network.
This session will focus on child nutrition and the importance of forming short and long-term diet patterns and eating behaviour during the first 2000 days. You will gain the knowledge and skills to implement feeding practices which determine child feeding behaviour and diet quality and assist problematic eaters in the care environment.
Resources mentioned in webinar 6
Paris Bebb and Louise Scott are both Child and Family Health Nurses and midwives based in the Coffs Clinical Network, with over 15 years’ experience in these fields.
This session will focus on the role of the Child and Family Health Nurse and the importance of supporting families to access this service in the first 2000 days. It will also focus on building your knowledge and confidence to support families and carers to access Child and Family Health Services.
Resources mentioned in webinar 7:
- Child and Family Health presentation slides
- Blue book
- Milestones matter
- Love talk sing read play print book
- Child and family health – Frequently asked questions
- Pregnancy care for Aboriginal families AMIHS brochure
- Statewide Eyesight Preschooler Screening
- National Immunisation Program Schedule
- Child and Family Health Services NSW Map
- Aboriginal and Maternal Infant Health Services and Building Stronger Foundations NSW map
- How to introduce the common allergy causing foods – National Allergy Strategy video below
Angeline Landry is a Clinical Psychologist and is the District Perinatal and Infant Mental Health Service (PIMHS) Clinical Lead and the District Safe Start Coordinator for the MNCLHD. Angeline manages a small team across the district who offer tertiary consultation and liaison services to Mental Health Services and all services working in the perinatal space, facilitating referral pathways, assessment advice & complex care planning whilst capacity building across the district.
This session will focus on attachment, trust, and an infant’s emotional growth in the context of the parent-infant dyad. The presentation will also build awareness of and confidence in knowing what questions to ask, which indicators to look for, and then where to refer parents who are experiencing mental health concerns during the perinatal period.
Resources mentioned in webinar 8:
- Perinatal Anxiety and Depression Australia– Information, helpline and factsheets for parents and health professionals working with parents
- Beyond Blue – Information, helpline and factsheets for anxiety, depression and suicide prevention
- Perinatal Depression & Anxiety Helpline – Mental Health support and resources for expecting and new parents
- Mothersafe – Free telephone service for for women and their healthcare providers concerned about exposures during pregnancy and breastfeeding.
- Guided Meditation and Mindfulness Headspace App –
- THIS WAY UP – Online Treatment Programs for Perinatal Mental Health
- MumSpace – Perinatal Depression and Anxiety Support
- Baby Coming You Ready? – Supporting Aboriginal and Torres Strait Islander parents-to-be and new parents
- STAYIN’ ON TRACK – Aboriginal resources developed by Aboriginal men for Aboriginal dads
- Deadly Tots – Deadly Tots App contains information for every Aboriginal Family to help their Bub learn and grow
- 13YARN – First national crisis support line for mob who are feeling overwhelmed or having difficulty coping
- Here’s Looking at You – Video resource for Aboriginal and Torres Strait Islander families focused on recognising and understanding infant communication from 0-3mths. Great to use with parents as a teaching tool.
- Brother to Brother 1800 435 799 – Aboriginal men’s crisis line
For more information contact Teisha Schirmer