Strongest Family Institute (SFI) is an award-winning, not-for-profit organization that leverages technology and trained staff to deliver evidence-based programs to children, youth, adults and families. SFI’s universal stepped care system offers varying levels of program intensity to address mental health needs, spanning promotion, prevention, and intervention for mild to moderate issues.SFI system is grounded in more than 25 years of social science research and designed to scale, quickly reducing waitlists. Since 2017, SFI programs have been integrated within the Newfoundland & Labrador’s Provincial Stepped Care Model, with tailored programming to fill gaps across the service continuum. Based on the SFI’s telephone coaching model, the Strongest Beginnings program will provide early intervention to equip parents with practical skills and resources to improve their mental health and strengthen the parent-child relationship. By promoting effective attachment and fostering positive parenting practices, the program supports optimal child development during the critical 0-3 age period. Through an evidence-based approach, using a CBT-based intervention and skill-building for stress management and emotional regulation, parents can improve their own mental well-being while nurturing secure attachment and responsive caregiving practices. With the addition of the Strongest Beginnings program, SFI will be equipped to provide support to all ages, across the lifespan, through all phases of life. The scope of this research project is to develop SFI’s Strongest Beginnings Program through a co-design approach, evaluate impacts and satisfaction, revise enhancements where needed and then broadly disseminate. This is a Newfoundland and Labrador-based clinical series. The core components of this six week, weekly coached 0-2 parenting intervention will include: 1. Positive parenting skills; 2. Anxiety, depression and stress-relief skills; and 3. Attachment skills to improve parent-infant/child bonds. Using SFI’s co-design approach, the intervention will build upon SFI’s existing validated skill-based programs (i.e. Parents Empowering Kids positive parenting; MOM postpartum depression; and ICAN adult anxiety, depression and stress) and include additional skills to help foster secure attachment with newborns and/or other children in their care. The Strongest Beginnings program addresses a crucial gap in services by supporting perinatal mental wellness, preventing and intervening in postpartum blues, and fostering early positive parenting practices. Through attachment theory-based skills, it emphasizes the development of stronger parent-child bonds. This pilot project highlights the promising potential of evidence-based, CBT-driven interventions to enhance these bonds and promote healthier family dynamics during the perinatal period. By focusing on this vital stage, the program lays a foundation for stronger beginnings for children and healthier families. We will have co-design information early evaluation findings to report by the 10th Digital Mental Health Global Congress 2025.
Pauline Penney, RN BScN, Government of NL HCS-MH&A

