Impact of NHSP and ESP on Families with Deaf Babies and Professionals

R. Hunt

    Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review


    The impact on parents and professionals of the use of a structured monitoring protocol for early identified deaf children. Following the introduction of universal newborn hearing screening in England, the government commissioned a structured parent-led monitoring protocol for use with early identified deaf children. Known as the ESMP (Early Support Monitoring Protocol) and introduced in 2004 it is now available nationally as a standard practice tool. Its use raises a number of questions concerning the implications for parents of routinely becoming involved in the developmental monitoring of their infants from the first months, the impact on parent/professional relationships; and indeed the viability of a parent-led instrument. The aim of this study was to explore the ways in which the ESMP is utilised by parents and professionals. Seven hearing parents of early identified deaf children and four primary interveners were involved. Data were collected by means of: (i) observation of professional and parent interaction when using the ESMP, and (ii) semi-structured interview. Data were analysed by means of mixed methods (Miles & Huberman, 1994) and were hand coded.Principles findings to be presented include: 1. How primary interveners control which families are offered the monitoring protocol2. The extent to which the use of the monitoring protocol is influential in moulding the parent child relationship3. Parents’ construction of the use of the monitoring protocol as an emotional task that excites strong feelings, both positive and negative.4. How and why primary interveners experience the monitoring protocol as an important tool that helps them in their professional role5. The use of the monitoring protocol is a third participant in the parent/professional relationship that influences the model of partnership in which parents and professionals engage.The primary conclusion of this work is that the monitoring protocol is highly influential in contributing to a move in the balance of power between parents and professionals away from the professionals and towards parents.This work is part of a doctoral thesis and is sponsored by ESRC (Award No PTA-030-2003-00460)
    Original languageEnglish
    Title of host publicationhost publication
    Publication statusPublished - Jun 2008
    EventEuropean Conference on Newborn hearing Screening - Como, Italy
    Duration: 1 Jan 1824 → …


    ConferenceEuropean Conference on Newborn hearing Screening
    CityComo, Italy
    Period1/01/24 → …


    • Deaf baby, Monitoring protocol, early support, hearing impaired


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