[Guidelines and standards: needs analysis grid for families followed by Integrated Perinatal and Early Childhood Services (SIPPE)]

D'Auray G, Moreault B
Record ID 32018001698
Original Title: Guides et normes: Grille d’analyse des besoins des familles suivies dans les Services intégrés en périnatalité et pour la petite enfance (SIPPE)
Authors' objectives: The first objective of the mandate was to develop a grid to permit identification of the needs of the families receiving services from SIPPE. In collaboration with a working group, it was determined that the analysis grid should possess the following features: centred on the needs of the child and of those with a parenting role; able to ensure the family’s participation; able to facilitate the development of an intervention plan (IP) or individualized service plan (ISP); simple, user-friendly and able to evolve and be completed in sequence, in concordance with the intervention dimensions of SIPPE; interdisciplinary; able to capture the strengths and difficulties of the families; and able to take the particular characteristics of the families and their environment into account. The second objective was to define the terms and conditions of use of the family needs analysis grid in an accompanying user manual, to facilitate its use and to specify the preferred approach and strategies
Authors' results and conclusions: RESULTS: Combining these four strategies enabled observations to be made that then guided the development of the family needs analysis grid and its user manual. The deliverables of this project are thus characterized by: • a holistic vision of the needs of SIPPE families; • a participatory approach that ensures that the analysis and identification of needs is based upon dialogue with the parents; • a focus on the strengths of children and parents; • the involvement of fathers by taking their perspectives into account in the needs analysis; • being a simple and user-friendly tool (containing a limited number of questions and statements that encourage dialogue, and incorporating an approach that builds trust); • the consideration of the characteristics of the families and their environment (using simple vocabulary, images and questions that are sensitively worded); 3 • statements being worded in such a way that there is a focus on the child’s needs and the parents’ role in responding to them; • being applicable in the context of SIPPE interventions; • links with the new SIPPE reference framework and the guidelines for SIPPE interventions. To support a thorough needs analysis process, INESSS developed the following four documents. • The needs analysis grid addresses needs regarding: 1) nutrition, sleep and lifestyle habits / social support; 2) living conditions; 3) the needs of parents during the prenatal period; 4) children’s needs; and 5) the needs of parents during the postnatal period; • The Informations sur la famille (family information) sheet gathers general information about the family, services it requires as well as risk and protective factors; • The Pour aller plus loin (taking it further) document includes questions to further explore a topic discussed during completion of the grid or to initiate discussion on new aspects of a family’s needs. It also suggests the use of a genogram to outline and graphically illustrate the child’s family and social contacts; • The user manual aims to facilitate adoption of the tool by service provides and clinical attendants of SIPPE. It describes the tool and outlines the preferred approach and accompanying strategies. CONCLUSIONS: Families followed by the SIPPE program are particularly vulnerable and the identification of their needs through a respectful and participatory approach aims first and foremost to adapt interventions to their situation. The Grid is therefore important to guide the intervention and ensure their needs are met in a specific and efficient manner. All personnel in the Réseau de la santé et des services sociaux (RSSS) and its partners that are implicated in the care of these families must contribute to this response. By supporting parents in their role, needs analysis can contribute to the overall development of young children (aged 0 to 5) who are vulnerable. It should be emphasized that acceptability and applicability issues may complicate implementation of the grid and its complementary tools in the field, because other tools are already in use by SIPPE personnel. Such complications may also relate to the obligations of different types of professionals when it comes to evaluation, the ongoing accessibility of the tool in an interdisciplinary setting and computerization and archiving of the grid. It is desirable to support the appropriation of the grid through the training planned as part of the deployment of the new SIPPE reference framework.
Authors' methods: Four strategies were used to achieve this mandate: 1) A deliberative expert consensus method (RAND/UCLA Appropriateness Method - RAM), based on a review of existing tools in Québec and internationally and documents related to SIPPE practice, in order to determine the needs to be documented using the grid, how to analyze them and the content of the user manual; 2) Consultation with families followed by SIPPE (via individual interviews) in order to obtain more details about the needs to be documented and to identify the approach to be favoured when completing the analysis grid; 3) Consultation with SIPPE service providers (via written feedback and focus groups) in order to ensure the acceptability and applicability of the analysis grid; 4) Consultation with other stakeholders: a project working group, and INESSS’s Clinical Excellence Committee in the Direction de l’évaluation et du soutien à l’amélioration des modes d’intervention en services sociaux et santé mentale and its panel of users and informal caregivers. The process to ensure content validity, based on the review of existing tools and expert consensus (RAM method), was complemented with the various consultations. The objective was to reinforce the relevance of the analysis grid and its user manual, and the need for the information contained therein. Their acceptability and applicability were evaluated particularly during the consultations with parents, service providers and the panel of experts. For its part, the working group contributed to the contextualization of the work, by assessing the concordance between the tools developed and the documents already known to SIPPE
Project Status: Completed
Year Published: 2021
English language abstract: An English language summary is available
Publication Type: Other
Country: Canada
Province: Quebec
MeSH Terms
  • Maternal-Child Health Services
  • Child Health Services
  • Social Support
  • Health Planning Guidelines
Organisation Name: Institut national d'excellence en sante et en services sociaux
Contact Address: L'Institut national d'excellence en sante et en services sociaux (INESSS) , 2021, avenue Union, bureau 10.083, Montreal, Quebec, Canada, H3A 2S9;Tel: 1+514-873-2563, Fax: 1+514-873-1369
Contact Name: demande@inesss.qc.ca
Contact Email: demande@inesss.qc.ca
Copyright: Gouvernement du Québec
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.