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Updated: Aug 9, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
The benefits of using the Neonatal Behavioural Assessment Scale in health visiting practice
Insights
Health visitors can improve infant mental health outcomes by using the Neonatal Behavioural Assessment Scale (NBAS). This tool enhances the infant-caregiver relationship, identifies infant needs, and builds trust with families.
Area of Science:
- Public Health
- Child Development
- Infant Mental Health
Background:
- Health visitors play a crucial role in public health strategies, particularly in identifying vulnerable children early.
- A loving early relationship between an infant and caregiver is vital for healthy child development.
- Infant mental health is a key public health priority requiring effective assessment tools.
Purpose of the Study:
- To highlight infant mental health as a public health priority.
- To introduce the Neonatal Behavioural Assessment Scale (NBAS) as a valuable tool for health visitors.
- To demonstrate how the NBAS can enhance infant-caregiver relationships and improve developmental outcomes.
Main Methods:
- The paper describes the Neonatal Behavioural Assessment Scale (NBAS).
- It discusses the appropriateness of NBAS use by health visitors in the UK.
- It references the use of NBAS in clinical practice and research internationally, particularly in the USA.
Main Results:
- The NBAS can add value to existing health visitor assessments.
- It facilitates partnership working with parents by observing infant interaction and organization.
- The NBAS helps health visitors demonstrate infant strengths, abilities, and care needs to parents.
Conclusions:
- The NBAS assessment has been shown to improve developmental outcomes.
- It enhances the infant-caregiver relationship, fostering healthy infant development.
- Utilizing the NBAS provides health visitors opportunities to strengthen trust with families.
Abstract:
Health visitors have a key role to play in the government's public health strategy with its emphasis on early identification of vulnerable children. This paper raises the profile of infant mental health as a public health priority and outlines the vital importance of a loving early relationship between an infant and primary caregiver for a child's healthy development. It describes the Neonatal Behavioural Assessment Scale (NBAS) and the appropriateness of its use by health visitors. This tool has been underused in the UK, but is being used in clinical practice and research in many other countries, such as the USA. It can add value to the assessments already being carried out by health visitors and can contribute to partnership working with parents as together they observe how the infant interacts with and organises his/her world. The NBAS enables health visitors to demonstrate to parents an infant's strengths and abilities, together with any needs for extra care giving. This assessment has been shown to improve developmental outcomes by enhancing the infant-caregiver relationship, and provides health visitors with the opportunity to consolidate their relationship of trust with families.
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