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Criteria for referral to OXPIP

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Core criteria

  1. Parent pregnant and/or with child up to age 2.
  2. Where there is evidence of a dysfunction/disruption to the relationship/attunement of parent and infant.
  3. Where there is evidence that the parents want to engage with therapeutic work. And that they have the capacity to change.

Issues may include:

Antenatal

  • Former miscarriage and currently pregnant
  • IVF/ Infertility treatment
  • Previous traumatic birth experiences
  • No space for baby in parent’s mind
  • Pregnancy seems unreal – baby not thought about or experienced as real person

Parental history and present circumstances

  • PND
  • Depression - in current or previous generations
  • Chronic maternal anxiety
  • Death of previous child
  • Death or illness in the family
  • Death or illness in previous generations
  • Isolation
  • Lack of support
  • Recent life stress (bereavement, job loss, immigration)
  • Domestic abuse
  • Trauma

Interactional/relationship issues

  • Difficulties bonding with the baby
  • Negative attributions made towards a child, even if ‘jokey’
  • Lack of conversation/vocalisation with the baby
  • Lack of eye contact Lack of sensitivity to infant’s cries or signals
  • No encouragement of child’s development
  • Physically rough with the baby

Vulnerability in Baby

  • Failure to thrive
  • Feeding difficulties and/or constipation
  • Severe sleep problems
  • Extreme crying/very difficult to manage
  • Prematurity
  • Passive/nonresponsive or excessively compliant baby
  • Developmental delay
  • Lack of vocalisation by the baby

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