Brazelton Institute at Boston Children’s Hospital

 

Red-Ball-NBO-NewbornThe Brazelton Institute is dedicated to promoting the healthy development of infants and families, through research and education programs for people who care for children and their families in the perinatal period and the early months of life. The Institute is based in the Division of Developmental Medicine, Boston Children's Hospital, which is an affiliate of the Harvard Medical School.  It is the home of the Neonatal Behavioral Assessment Scale (NBAS) and the Newborn Behavioral Observations (NBO)™ system and provides training - both on-site and off-site - on the NBAS and on the NBO system. 

Our training programs are designed to provide professionals with a training experience that conveys an appreciation of the importance of an individualized relationship-based approach to infants and families, of recognizing the baby as a person from the outset, and of conveying an informed and sympathetic appreciation of the challenges parents and families face with the birth of a child.  The Institute is also committed to promoting and conducting research to ensure that the information offered to professionals and parents is reliable and trustworthy. The work of the Brazelton Institute is based on the assumption that parents and families have the central and primary role in ensuring the health and well-being of their children. However, we believe that doctors, nurses, psychologists, psychiatrists, physical and occupational therapists, infancy and early intervention specialists, child and family therapists, social workers and other allied health and education professionals in the community, are significant partners in providing services to parents. 

"Berry was the best observer of children I have ever seen. He seemed to know what they were thinking and how to connect to them. He also could make a bond with just about any parent all over the world."

 

-Leonard Rappaport, Chief Emeritus, Division of Developmental Medicine, Mary Deming Scott Professor of Pediatrics, Harvard Medical School

 

 

Remembering Berry Brazelton

Dr. J. Kevin Nugent founded the Brazelton Institute in 1995. Building on T. Berry Brazelton's pioneering work with infants and families and based on almost 40 years of research and clinical practice, the Institute has as its goal the development of innovative service delivery models that target the changing health needs of children and families in today's society.  The Brazelton Institute is recognized at local, national and international levels as a leader in developing and providing educational programs for professionals who care for very young children and families in both hospital and clinical settings around the world.  There are NBO training sites in Australia, Japan, Norway, UK and US and NBO training has been provided by the Brazelton Institute in Africa, North and South America, Asia, Australia, and Europe. There are NBAS training sites in Australia, Belgium, France, Italy, Japan, Norway, Portugal, Spain, Switzerland, Thailand, UK and USA.  Click on NBONBASInternational for reports of our activities during 2016 from around the world.


 

Brazelton Institute Highlights: 2019

As we are about to transition to a new year, we are outlining – in chronological order – some of the pivotal events that made 2019 such a significant year in our history. While we continue to expand NBAS and NBO trainings and coordinate research studies in our network sites across the globe, the most significant milestone for the Brazelton Institute in 2019 has undoubtedly been the appointment of Lise Johnson as Associate Director. While Lise and I are working together to foster academic initiatives with a view to refining our understanding of the NBO and the NBAS in both clinical and research settings, Lise also joins me in overseeing administrative activities at the Brazelton Institute, including local and international training, Training of Trainers, mentorship, the universal curriculum and the international network. Above all, Lise’s appointment helps transform the Brazelton Institute sustainability strategy into a reality.

Boston, US: As 2018 came to an end, Lise Johnson and Kevin Nugent presented Grand Rounds at the Brigham and Women’s Hospital, Boston, Department of Pediatric Newborn Medicine, in which they described the newly funded NBO RCT: “The Impact of a Relationship-Based Newborn Intervention on Postpartum Maternal Depression and Anxiety - the BABY AMOR Project”. Lise Johnson is the PI. of this three-year follow-up study, which was Funded by NIH, HRSA R40 (2019). Jessica Bartlett is the PI from Child Trends.

A new paper by Lise Johnson and colleagues was published in Hospital Pediatrics: Johnson LC, Toro M, Vishnja E, Berish A, Mills B, Lu Z, Lieberman E. Age and Other Factors Affecting the Outcome of AABR Screening in Neonates. Hosp Pediatr. 2018 03; 8(3):141-147.

Melbourne, Australia: J. Kevin Nugent presented Grand Rounds at the Royal Women’s Hospital, Melbourne, Australia and he also presented a Clinical Ward Round Master Class at the Center for Women’s Health, Royal Women’s Hospital, Melbourne.
He participated in an NBO conference featuring presentations by NBO practitioners from across Australia, organized by
Susan Nicolson and Campbell Paul at the Royal Women’s Hospital.

Dublin, Ireland: J. Kevin Nugent was the Keynote Speaker at the Faculty of Public Health Medicine Winter Scientific Meeting, Royal College of Physicians, Dublin, Ireland, December 5th, 2018. He was also the keynote speaker at Irish Department of Health at the launch of the National Healthy Childhood Nurture Programme: Infant Health and Wellbeing, Dublin, December 6th, 2018.

January/February

El Salvador, San Salvador: In February, two workshops on the NBO were offered in South America by Alexandra Harrison. The first took place at Hospital Centro Ginecológico en Medicos de El Salvador, San Salvador. Participants consisted mainly of pediatricians and neonatologists.

Lima, Peru: Later in the month, Alex also introduced the NBO to nurses and doctors at the Maternidad in Lima, Peru.

March

Shenzen, China: The First Developmental and Behavioral Pediatrics Symposium was held in Shenzhen, China on March 24th, 2019. Lise Johnson and J. Kevin Nugent were the keynote speakers.

Jiaotong University, Shanghai: Lise Johnson and J. Kevin Nugent presented an introduction to the NBO at the Department of Child and Adolescent Psychiatry, Shanghai Mental Health Center, Medical School of Shang Hai, Jiaotong University, Shanghai. An RCT, “The Efficacy of NBO Intervention on infants with high-risk depression mothers in Shanghai”, will be conducted by Wenhong Cheng, Deputy Director of the Shanghai Mental Health Centre and colleagues.

Shanghai, China: NBO training, in association with the Shanghai ROOT Medical Research and Development Stock Corporation was presented by Lise Johnson and J. Kevin Nugent at Shanghai First Hospital, March 25-27th, 2019.

Boston, US: Jayne Singer and Constance H. Keefer presented NBO training at Harvard Medical School, Boston, Mass. March 4-5th, 2019.

Johannesburg, South Africa: Campbell Paul and Susan Nicolson delivered NBO training at the Ububele Educational and Psychotherapy Trust, Kew, Johannesburg, and set the stage for the establishment of an NBO training site in South Africa, with Katherine Frost and Nicki Dawson as NBO trainers. About 1000 NBO sessions were conducted at Ububele in 2019.

Boston, US: Alex Harrison presented Grand Rounds at the Cambridge Health Alliance Women’s Health, Cambridge Hospital, Cambridge, Mass.

April

Baltimore, US: At the Pediatric Academic Societies Meeting (PAS), Baltimore, Maryland, April 29th 2019, Jayme L. Congdon presented a paper on the NBO: Jayme L. Congdon J. Kevin Nugent, Beth M. McManus, Michael Coccia and Nicole R. Bush. The Newborn Behavioral Observations (NBO) system for Research: Associations with Salivary Cortisol and Maternal Report of Temperament.

Boston, US: Constance Keefer and Aditi Subramaniam presented Newborn Behavioral Observation (NBO) system training at Harvard Medical School, April 17-18th, 2019.

May

Oslo, Norway: J. Kevin Nugent presented the Keynote address at the NBO National Seminar at the Centre for Child and Adolescent Mental Health, Nydalen, Oslo, Norway, May 22, 2019. The Forum was organized by Master Trainers Unni Tranaas Vannebo and Kari Slinning, who were joined by Norway NBO Trainers Rakel Greve, Hege Sandtrø and Inger-Pauline Landsem. Over 100 Norway NBO trainees attended the meeting, which featured presentations by NBO practitioners from all over Norway and by participants from Iceland and Denmark. Since 2012, when the Norway NBO Centre was established, 1500 health care professionals have been trained in the NBO

Tipperary, Ireland: J. Kevin Nugent presented the Keynote address at the Tipperary Infant Mental Health National Symposium: Building an Infant Mental Health Community, at Clonmel, Co. Tipperary, Ireland, May 27th, 2019. The conference was organized by Katherine O’Daly, coordinator of the Tipperary Infant Mental Health Project.

Beverly, MASS. US: Jayne Singer and Beril Bayrak presented Newborn Behavioral Observation (NBO) system training to members of the Integrative Care Program/HPC

Berry Brazelton is remembered around the world on the 13th of March. https://newborninfantnetwork.org/remembering-dr-brazeltonat Beverly Hospital, Beverly, Massachusetts,

May 1-2, 2019.

Greenfield, MASS, US: Jayne Singer and Claudia Gold presented Newborn Behavioral Observation (NBO) system training at First Steps, Greenfield, Mass on May 22-23, 2019. This training is being offered

Tipperary, Ireland: Deanna Gibbs, Emily Hills and J. Kevin Nugent presented Newborn Behavioral Observation (NBO) system training at the Tipperary Infant Mental Health Project, Clonmel, Co. Tipperary, Ireland, May 28-29th, 2019.

June

Plymouth, MA. US: Jayne Singer and Constance Keefer presented Newborn Behavioral Observation (NBO) system training to First Steps Providers in Plymouth, Mass, June, 20th, 2019. This training is being offered

Boston, MA. US: On May 30th, 2019, Jane Singer and J. Kevin Nugent were recognized by the Center for Early Relationship Support, Jewish Family & Children’s Service, as members of the Circle of Ambassadors, a group of “recognized clinical, academic and thought leaders who share a demonstrated commitment to parent-child relationship development. These individuals have played an important role in CERS over its 30 years, enhancing the earliest parent-child relationships and supporting programs with an ongoing, local, regional and national impact”.

July

Moms Do Care: The program provides treatment for pregnant and postpartum women with substance use disorder, including women currently using opiates as well as those in recovery. in response to an invitation from the Perinatal Substance Use Initiative, Division of Pregnancy, Infancy, and Early Childhood, Bureau of Family Health and Nutrition, Massachusetts Department of Public Health.

Brest, France: The France Newborn Behavioral Observations system (NBO) training site was inaugurated at the Universite de Bretagne Occidentale, Brest, on June 3-4, 2019. NBO Master Trainer, Yvette Blanchard directed the NBO training. The new training site is under the direction of Jacques Sizun, Universite de Bretagne Occidentale (UBO), assisted by Isabelle Olivard. in response to an invitation from the Perinatal Substance Use Initiative, Division of Pregnancy, Infancy, and Early Childhood, Bureau of Family Health and Nutrition, Massachusetts Department of Public Health.

Dublin, Ireland: In the Irish Times, July 2nd 2019, Sheila Wayman describes the introduction of the Newborn Behavioral Observations (NBO) system to Ireland in an article entitled, Baby talk: learning to understand newborn behavior. The introduction of the NBO to Ireland, she writes, is important at a policy level, because of the growing recognition of the crucial importance of the perinatal period and the early months in the life of the child and family. Because the NBO puts the spotlight on the first three months, there is potential for linking the NBO with the maternity services throughout the country.

August/September

The Brazelton Institute: a New Milestone

Lise Johnson, MD became the Associate Director of the Brazelton Institute. Dr. Johnson brings over 30 years of experience in general pediatrics to her new role, 19 of which have been devoted to newborn care as Medical Director for Well Newborn Care at Boston’s Brigham and Women’s Hospital. Dr. Johnson earned her undergraduate degree in Health and Society from Brown University, and her medical degree from Harvard Medical School, where she is an Assistant Professor of Pediatrics teaching and supervising both students and residents. She is an author of the Newborn Behavioral Observations (NBO) system Handbook and currently serves as the Principal Investigator for a Health Resources and Services Administration-funded randomized controlled trial examining the use of the NBO to support first time mothers of late preterm

newborns. Lise also works with the Zambian Ministries of Health and Education and is chair of the board of Health Learners,

New Orleans, US: Jayne Singer presented Newborn Behavioral Observation (NBO) system training to participants from the Departments of Pediatrics and Psychiatry, LSU Health Sciences Center, New Orleans, LA, on September 11-12, 2019.

Pittsfield, MA. US: Claudia Gold and Aditi Subramaniam presented Newborn Behavioral Observation (NBO) system training at the “Hello it’s Me” Project, Pittsfield Mass on September 14-15th 2019. This training was offered a nonprofit organization that provides a novel model of school-based health care for primary school children in the slums of Lusaka, Zambia. Perinatal Substance Use Initiative, Division of Pregnancy, Infancy, and Early Childhood, in response to an invitation from the Bureau of Family Health and Nutrition, Massachusetts Department of Public Health.

Aarhus, Denmark: Ingeborg H. Kristensen, Merethe Vinter, Inge K. Nickell and Hanne Kronborg published a new paper on the NBO: Health visitors’ competences before and after implementing the Newborn Behavioral Observations (NBO) system in a community setting: A cluster randomized study, Public Health Nursing. 1–7.

Lisboa, Portugal:

October

Seoul, Korea: J. Kevin Nugent was the Keynote Speaker at the International Conference on Premature Babies and Families, Seoul National University of Education, Eduwell Convention Center, Seoul, Korea, October 26, 2019. Among the speakers was NBO trainee Dr. Jinhee Kang, President of the Korea Interdisciplinary Council of Early Intervention.

Boston, US: Constance Keefer and Alex Harrison presented Newborn Behavioral Observation (NBO) system training at Harvard Medical School, October 7-8th 2019. Yvette Blanchard presented Neonatal Behavioral Assessment Training at the Brazelton Institute, October 9-10th, 2019.

Barcelona, Spain: A new NBAS study was presented at the XXVII Congress of Neonatology and Perinatal Medicine, Madrid, Spain: Sara Lera-Miguel, S., Gómez- Sánchez, L., Andrés-Perpiña, S., Solé, E., Imaz, M.L., Roca, A. Effects of the anxious- depressive symptomatology and psychopharmacologic treatment on regulation and orientation response of newborns.

A second NBAS study was presented at the 5th International Congress of Clinical and Health Psychology on Children and Adolescents, Oviedo, Spain: Lera-Miguel, S., Gómez- Sánchez, L., Sureda, B., Roca, A., Solé E., Andrés, S., Torres, A., Lázaro, L., García-Esteve, L. Neonatal behavior in a cohort of 64 newborn babies from mothers with mental pathology perinatal.

November/December

US: J. Kevin Nugent was invited by the American Academy of Pediatrics journal,

NewReviews, to contribute an article on Berry Brazelton to the Historical Perspectives

Post Graduate Education Workshops were offered on Understanding

Baby’s Crying - The Period of Purple Crying; Let ́s Play through Touchpoints inspiration and the 4th Touchpoints Individual level training was offered by Jayne Singer Edition of Post Graduate Course for Baby ́s and Family Sciences was also presented in Lisbon.

 

section: Nugent, J. Kevin (2019). Historical Perspectives: Berry Brazelton: Le Magnifique. NeoReviews, 20 (11) e615-e621; DOI: https://doi.org/10.1542/neo.20-11-e615

Montreal, Canada: J. Kevin Nugent was the Keynote Speaker at the McGill University Division of Child Psychiatry, Infant Mental Health Day, Institute of Community and Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada, November 8th, 2019. The address was entitled: “Mentalizing Networks Using NBO During the Transition to Parenthood”.

California, US: Yvette Blanchard presented a paper on the NBO at the American Physical Therapy Association’s Academy of Pediatric Physical Therapy Annual Conference: Blanchard, Y., McManus, B., Murphy, N., Nugent, J. K. The Effect of a Newborn Behavioral Observation System (NBO) Model of Care in Early Intervention (EI). Presented at the American Physical Therapy Association’s Academy of Pediatric Physical Therapy Annual Conference (APPTAC), Disneyland, CA., November 15-17, 2019.

Montreal, Canada: J. Kevin Nugent delivered an invited lecture, “The Perinatal Period – could it be the preventive intervention point par excellence?” at the McGill University Division of Child Psychiatry, Infant Mental Health Day, Jewish General Hospital, Montreal, Quebec, Canada, Friday, November 8th, 2019.

Boston, US: J. Kevin Nugent was the keynote Speaker at the 11th Annual Campus Child Care Professional Day of Learning, Harvard University, Nov 11, 2019.

Looking forward to 2020

Vermont, US: NBO Training for Vermont Dulce Family Specialists and Strong Families Vermont and other Vermont practitioners will take place in Montpelier on Feb. 6-7th. Training to be conducted by Lise Johnson and Jayne Singer.

Azienda Ospedaliero-Universitaria Meyer, Florence, March 1011, 2020. The NBO training faculty consists of Gherardo Rapisardi, Maria Luce Cioni, and Viola Fortini.

Boston, US: A Mini-retreat (reviewing NBO training) was held in December and January

for Boston-based NBO trainers.

The first 2020 NBO Trainings will take place at Harvard Medical School, Feb 3-4 and April

2-3, 2020.

Florence, Italy: The new Italy NBO training site will be inaugurated by J. Kevin Nugent at

the

Berkshires, US: The 2nd annual “Hello It's Me Project” NBO training will take place in the Berkshires, to be led by Claudia Gold, April, 2020.

Ohio Department of Developmental Disabilities

Boston, US: NBO training will be presented at the University of Massachusetts 2020- 2022 Infant-Parent Mental Health Fellowship Program, UMASS, Boston, May, 2020.

Ohio, US: The State of Ohio will again host three NBO Training programs in May and June, to be led by Yvette Blanchard and Beth McManus.

Brisbane, Australia: While the last Biennial NBAS and NBO International Trainers Network meeting took place in Florence in 2018 and was graciously hosted by, the city of Brisbane will host the next on June 5-6th, 2020. pre-WAIMH Congress network meeting Lise Johnson and Kevin Nugent will work alongside Susanne Nicolson and Campbell Paul in organizing the meeting. Rapisardi Gherardo

The Biennial meeting will take place at the Mater Research Institute at The University of Queensland, made possible

courtesy of Associate Professor Samudragupta Bora.


 

THE BRAZELTON INSTITUTE WELCOMES LISE JOHNSON AS ASSOCIATE DIRECTOR.

The Brazelton Institute, which provides research and training programs for people who care for children and families in the first years of life, welcomed Lise Johnson, MD, as Associate Director on Tuesday, September 4, 2019. Dr. Johnson’s duties at the Brazelton Institute will include overseeing local and international training, providing mentorship and coaching, training of trainers, curriculum development, and cultivating the international network.

 Dr. Johnson brings over 30 years of experience in general pediatrics to her new role as Associate Director, 19 of which have been devoted to newborn care as Medical Director for Well Newborn Care at Boston’s Brigham and Women’s Hospital. Dr. Johnson earned her undergraduate degree in Health and Society from Brown University, and her medical degree from Harvard Medical School, where she is an Assistant Professor of Pediatrics teaching and supervising both students and residents. She is an author of the Newborn Behavioral Observations (NBO) system Handbook and has been trained on the NBAS. Currently, Dr. Johnson serves as the Principal Investigator for a Health Resources and Services Administration-funded randomized controlled trial examining the use of the NBO to support first time mothers of late preterm newborns.


Newborn Infant Network biennial NBAS and NBO trainers international meeting at Meyer Children's Hospital, Florence. May 24-25, 2018
 

See International, In the News  for more information.   


For further information on the Neonatal Behavioral Assessment Scale (NBAS) (Brazelton, 1973; Brazelton, 1984; Brazelton and Nugent, 1995; 2011) and of the Newborn Behavioral Observations (NBO) system™ (Nugent, Keefer, O'Brien, Johnson, Blanchard, 2007; Nugent, Keefer, Minear, Johnson, Blanchard, 2010) click here. 

 

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NBO and NBAS Training Centers Around the World

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UK: Brazelton Centre UK: http://www.brazelton.co.uk

Norway, RBUP: http://www.r-bup.no/pages/newborn-behavioral-observation-nbo

Switzerland: Centre Brazelton Suisse:  http://www.brazelton.ch

NBO Australia: https://www.thewomens.org.au/health-professionals/clinical-education-training/nbo-australia/nbo-training/

Italy: Il Centro di formazione Brazelton di Firenze:http://www.meyer.it/didattica-e-formazione/formazione/16-brazelton

Japan: https://www.nbo-japan.com/

Portugal: Fundação Brazelton Gomes-Pedro para as Ciências do Bebé e da Família: http://fundacaobgp.com/pt

 

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If you are seeking information on the Brazelton Touchpoints Center in the US, please click here: https://www.brazeltontouchpoints.org