BVC-ELVIS - A new method for the 18-month visit at Children's Healtcare Centres

Since 2015, a developmental project in Region Stockholm has designed and implemented a new working method for child health centers (BVC) targeting 3- and 4-year-olds, known as BVC-ELVIS. This approach was developed in collaboration with parents at BVC—who shared their parenting support needs through surveys—and a group of experienced BVC nurses, who have created and evaluated new methods for engaging with children. The model consists of three parts: a parent questionnaire completed before the visit and summarized for the nurse, a child-centered meeting focused on play and interaction, and web-based information for parents.

New Methodology Introduced

To better identify and support parents in their parenting journey, a new method is now being introduced for the 18-month visit at BVC. It includes a structured assessment of the child's development, combined with conversations about parenting and the family’s needs.

In 2025, this new methodology will be implemented at all child health centers in Region Stockholm. In socially vulnerable areas, the method will be adapted and delivered as part of the expanded home visiting program, targeting communities with multiple risk factors for children's health. During the implementation phase, BVC staff will receive guidance from experienced child psychologists.

The research project aims to evaluate the long-term effects of this new methodology at 18-month visits at ages 3 and 4, and to investigate how support needs identified during the 18-month visit are connected to later needs. Special attention is given to analyzing how sociodemographic factors influence both the need for support and the impact of the new method.