The First 2000 Days Framework
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.
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.
- First 2000 Days Framework
- First 2000 Days Implementation Strategy 2020-2025
- First 2000 Days Evidence review
- The first 2000 days of life– Dr Elisabeth Murphy explains the importance of the first 2000 days and actions that can be taken to improve life-long outcomes.
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.
The webinar series is split into 13 sessions:
- Importance of First 2000 Days, Jody Clayton (8 June)
- Antenatal Care, Frances Guy (29 June)
- Get Healthy in Pregnancy, BriEllen Fussel (6 July)
- Early Breastfeeding, Elizabeth Crane (28 July)
- Sleep and Settling, Monica Carlon (2 August)
- Nutrition and Feeding, Rachel Gerathy and Symone Lyndsey (17 August)
- Perinatal Infant Mental Health (21 September)
- Oral Health (28 September)
- Refugee Health (11 October)
- Speech Pathology (19 October)
- Smoking Cessation (16 November)
- Physical Activity and Screen time (22 November)
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.
Webinar recordings will be uploaded once completed.
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.
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/
For more information contact Teisha Schirmer