Europe 2018 Workshop (Pforzheim)
Rationale
Starting in 2005, an important change occurred in Germany whereby targeted policies against child abuse and neglect, together with a change in policies addressing the spectrum of children´s diseases (or a ‘new morbidity’) were developed. A national study by the National Centre on Early Prevention in 2007 showed that earlier intervention could be more cost-effective by a factor of 1:13. Since then, collaborative multi-sector early childhood intervention networks or Netzwerk Frühe Hilfen (Early Support Network, NFH) have been formed in 98.4% of local authorities (over 600) across all 16 federal lands. These networks aim to identify and support at-risk families in a systematic manner. In the city of Pforzheim and the surrounding district of Enzkreis (Pop. 300,000), the NFH network (formed in 2006, one of the oldest and most established in Germany) is successfully serving the area’s large migrant/refugee and family-welfare population. The health sector, in particular obstetricians-gynecologists, pediatricians, midwives and maternity clinics, provide the main entry points of individuals into the network in close cooperation with the youth welfare sector.

In Pforzheim the NFH is a multidisciplinary family perinatal support network promoted by the city’s health and social care professional community that supports Die Pforzheim Studie, an OPERA-affiliated project. The Studie examines the effects of ancestral trauma on pregnancy and newborn risk since Pforzheim was the German city most severely harmed by World War II allied bombings that killed one-third of the population and destroyed 80% of the buildings. Additionally, the population of Pforzheim has one of the largest migrant ratios in Germany. Currently about 53% of the population are migrants or have a migration background beginning with an influx of Turks in the 1960’s and ‘70’s, and more recently individuals from the Middle East. As a consequence, the City of Pforzheim in comparison to the surrounding county of Enzkreis, has slightly higher low birth weight, very low birth weight, and child (age 4-5) overweight. However, the rate of inadequate school entrance language skills at age 5 is double, male suicide rates are triple, joblessness <25 years is double, the debt quotient is double, and 50% more people are receiving welfare. Hence the local population is uniquely suited for a study addressing both risk assessment and interventions to mitigate the risks; both have been established in Die Pforzheim Studie. This workshop is sponsored by the City of Pforzheim, Germany and its NFH with the intention of attracting health researchers internationally to become involved in Die Pforzheim Studie.
Agenda
Tuesday 11 December at 5th floor Floor Conference Room, Helios Hospital, Pforzheim

8:00 – 08:30 Welcoming Addresses
  • Welcome to Pforzheim: Rupert Linder
  • Welcome to Enzkreis: Brigitte Joggerst
  • Purpose of workshop and history of OPERA - David Olson
08:30 – 10:10 Session I – Die Pforzheim Studie
Chair: David Olson
  • Netzwerk Frühe Hilfen early prevention networks in Germany, 2006-2018 – origins and outcomes – Rupert Linder, Pforzheim
  • Contrasting Pforzheim’s public health problems with other German jurisdictions – Brigitte Joggerst, Enzkreis
  • The day-to-day working and role of OB-GYNs and health professionals in a multi-profession, early prevention network in the city of Pforzheim – Thomas Bernar, Pforzheim
  • The Family Centre Au program for integration in Pforzheim – Doris Winter, Pforzheim
Group Discussion
10:10 – 10:30 Coffee Break

10:30 – 12:30 Session II – Transgenerational and migrant stress
Chair: Gerlinde Metz
  • Transgenerational stress – Barbara Verstraeten, Ghent University
  • Natural disasters and abuse – David Olson, University of Alberta
  • Migrants and refugees – Yesim Erim, University of Erlangen-Nurnberg
  • Migration, ethnicity and acculturation - impact on reproductive outcomes – Craig Pennell, University of Newcastle
  • Epigenetic transfer of stress – Richard Saffery, University of Melbourne
Group Discussion
12:30 – 13:30 Lunch

13:30 – 15:10 Session III – Addressing and predicting risk
Chair: Kelycia Leimert
  • Precision medicine in the first 1000 days – trajectories of lifelong health rather than disease – Craig Pennell, University of Newcastle
  • The UCSF-California Preterm Birth Initiative – Larry Rand, University of California, San Francisco
  • Algorithms for predicting preterm birth risk – Laura Jelliffe, UC San Francisco
  • Biomarkers for predicting pre-eclampsia – Robin Tuytten, Cork
Group Discussion
15:10 - 15:40 Coffee Break

15:40 – 17:00 Session V – Environment and lifestyle stresses
Chair: Richard Saffery
  • Obesity and environmental stresses – Angela Vinturache, St. George’s Hospital, London
  • Generational and migrant stress predisposes to gestational diabetes – Bee Tan, University of Leicester
  • Maternal mental health and metabolic disturbances as risk factors for mental disorders in the offspring and the mediating effects of epigenetics
Group Discussion
18:00 Conference Dinner – OPERA restaurant, Stadttheatre
Evening - Pforzheim Christmas Market


Wednesday 12 December at Council Chambers in the New City Hall of Pforzheim

08:20 – 08:30 Greetings from the Mayor for Social Affairs of Pforzheim, the Honourable Frank Fillbrunn.

08:30 – 10:10 Session VI – Childhood and brain development
Chair: Rupert Linder
  • Predicting adverse newborn outcomes in an animal model - Gerlinde Metz – University of Lethbridge
  • Environmental factors affecting newborn outcomes – Matthias Schwab – University of Jena
  • Prenatal stress and the developing brain: risk for neurodevelopmental disorders – Bea van den Bergh, Government of Flanders
  • Mental health of parents and infants– Binu Singh, Leuven University
Group Discussion
10:10 – 10:30 Coffee break

10:30 – 12:10 Session VII – Screening and interventions to mitigate stress and improve outcomes
Chair: Barbara Verstraeten
  • Interventions across the reproductive lifecourse – Jonathan Fuchs, UC San Francisco
  • Expressive writing – Ashley Hyde, University of Alberta
  • Perinatal Mental Health Care protocol for early detection and treatment of perinatal mental health disorders – Rita van Damme, University of Ghent
  • Resilient parents – resilient communities – Suzette Bremault-Phillips, University of Alberta
12:10 – 13:00 Lunch

13:00 – 14:00 Session VIII Workshops A1 and B1
14:00 – 15:00 Session IX Workshops A2 and B2


Workshops
A (Council Chambers)
B (Conference Room)
13:00 – 13:50

Predicting Risk – Mothers
L Rand, L Jelliffe
Establishing cohorts
M Lahti-Pulkkinen, C Pennell
14:00 – 14:50

Predicting Risk – Newborns
G Metz, M Schwab
Studying migrant populations
Y Erim, C Pennell, D Winter
Workshops are designed to offer practical information for teams and projects



Workshops
A (Council Chambers)
B (Conference Room)
13:00 – 13:50

Predicting Risk – Mothers
L Rand, L Jelliffe
Establishing cohorts
M Lahti-Pulkkinen, C Pennell
14:00 – 14:50

Predicting Risk – Newborns
G Metz, M Schwab
Studying migrant populations
Y Erim, C Pennell, D Winter
Workshops are designed to offer practical information for teams and projects



Workshops
A (Council Chambers)
B (Conference Room)
13:00 – 13:50

Predicting Risk – Mothers
L Rand, L Jelliffe
Establishing cohorts
M Lahti-Pulkkinen, C Pennell
14:00 – 14:50

Predicting Risk – Newborns
G Metz, M Schwab
Studying migrant populations
Y Erim, C Pennell, D Winter
Workshops are designed to offer practical information for teams and projects



Workshops
A (Council Chambers)
B (Conference Room)
13:00 – 13:50

Predicting Risk – Mothers
L Rand, L Jelliffe
Establishing cohorts
M Lahti-Pulkkinen, C Pennell
14:00 – 14:50

Predicting Risk – Newborns
G Metz, M Schwab
Studying migrant populations
Y Erim, C Pennell, D Winter
Workshops are designed to offer practical information for teams and projects

Workshops
13:00 – 13:50
A (Council Chambers)
Predicting Risk – Mothers
L Rand, L Jelliffe

B (Conference Room)
Establishing cohorts
M Lahti-Pulkkinen, C Pennell


Workshops
14:00 – 14:50
A (Council Chambers)
Predicting Risk – Newborns
G Metz, M Schwab

B (Conference Room)
Studying migrant populations
Y Erim, C Pennell, D Winter

Workshops are designed to offer practical information for teams and projects


15:00 – 15:30 Coffee break
15:30 – 16:20 Session X Establishing interventions workshop – A Hyde, S Bremault-Phillips, B Singh, J Fuchs
Chair: Matthias Schwab
16:20 – 16:40 Wrap-up – Moving forward and next steps – Rupert Linder and Gerlinde Metz
16:40 Conference conclusion – Rupert Linder
Registration
Click here to register
Location
Conference Venue - December 11:
Helios Hospital
Kanzlerstraße 2-6
75175 Pforzheim, Germany




Conference Venue - December 12:
New City Hall of Pforzheim
Marktplatz 1
75175 Pforzheim, Germany




Conference hotel:
Parkhotel Pforzheim
Deimlingstraße 32-36
75175 Pforzheim, Germany




Conference dinner:
Opera restaurant
Am Waisenhausplatz. 5
75172 Pforzheim, Germany




Further questions?
Contact Dr. Kelycia Leimert
kelycia@ualberta.ca
+1-780-492-0029