MATERNAL INFANT HEALTH PROGRAM (MIHP)

INFANT PLAN OF CARE

Part 2

Interventions By Risk Level

Beneficiary:

General Infant Development

INTERVENTION LEVEL / RISK INFORMATION / INTERVENTION
Using Motivational Interviewing techniques, complete the following interventions:
MODERATE
Date: / Age appropriate Bright Futures questions answered (BF2-BF15) and score is positive
ASQ -3 result (s) in gray zone
ASQ- SE result(s) in gray zone
Professional staff concern with parent’s understanding of infant development. / Refused all interventions
1.  Discuss the importance of attachment and family comfort level and confidence with caring for infant.
Date Achieved:
2.  Review the age appropriate developmental milestones.
Date Achieved:
3.  ASQ-3 done at age appropriate intervals
Date Achieved:
4.  Review age appropriate social/emotional milestones including:
ü  Cries, coos, smiles
ü  Looks at faces
ü  Seeks comfort
ü  Shows excitement
ü  Turns to parent or caregiver when scared or unsure
ü  Calms down when hurt or upset when comforted by a familiar adult
ü  Is curious about new people and things around him
ü  Actively explores new places
ü  Likes to discover new things
Date Achieved:
5.  ASQ-SE done at age appropriate intervals
Date Achieved:
6.  Discuss suggestions for parents support of infant’s social/ emotional development:
ü  Gently hold and cuddle infant
ü  Respond to infant’s effort to communicate with eye contact and imitating sounds
ü  Enrich infant’s routine (meal, bath and nap times) with stories, songs, etc.
ü  Take time to follow infant’s lead (join in floor time)
ü  Guide through social interactions
ü  When infant is fussy or crying try to uncover real reason for behavior (e.g. scared, hungry, thirsty, cold, hot, etc.)
ü  Protect infant from family violence: do not allow anyone to physically abuse or use words to hurt infant.
ü  Take care of own social/emotional health.
Date Achieved:
7.  Arrange referral to additional supports (e.g. Early On, Children’s Special Health Care Services, Infant Mental Health Specialist, parenting classes, etc.).
Date Achieved:
8.  Encourage family to keep all care appointments and follow medical care provider
Recommendations.
Date Achieved:
9.  Assist with addressing barriers to access services.
Date Achieved:

MIHP I006

Revised 10/1/14