PURPLE Implementation

Period of PURPLE Crying® Implementation in Florida

This project is sponsored by the State of Florida , Department of Health . The Period of PURPLE Crying ® is a registered trademark and all content is copyright protected . All Rights Reserved , Ronald G . Barr , MDCM , FRCPC and the National Center on Shaken Baby Syndrome ( 2004 – 2026 ).

Introduction

Welcome , PURPLE Partners ! Thank you for helping families and caregivers better understand infant crying and for aiding in the prevention of Abusive Head Trauma ( AHT ), also known as shaken baby syndrome ( SBS ). This guide is designed to help you : See what PURPLE materials are available to partners

Understand how and when to use each item Answer common questions from parents and caregivers Know who to contact for support or reorders

Your role matters . Every time you share PURPLE , you ’ re helping keep babies safe and supporting overwhelmed parents with tools , not judgment .

The Period of PURPLE Crying ® is a registered trademark and all content is copyright protected . All Rights Reserved , Ronald G . Barr , MDCM , FRCPC and the National Center on Shaken Baby Syndrome ( 2004 – 2026 ).

What is PURPLE ? The Period of PURPLE Crying ® is an evidence - based program from the National Center on Shaken Baby Syndrome ( NCSBS ). It helps parents and caregivers : Understand that increased crying in early infancy is normal and temporary Learn coping and soothing strategies Make a plan for what to do when they feel frustrated or overwhelmed Reduce the risk of AHT / SBS PURPLE is an acronym that describes a normal developmental phase of crying :

P – Peak of crying U – Unexpected R – Resists soothing

P – Pain - like face L – Long - lasting E – Evening As a partner , your main goals are to : 1 . Normalize infant crying 2 . Reinforce that it ’ s okay to put the baby in a safe place and take a break 3 . Share PURPLE materials consistently and clearly , w ith fidelity .

Three Dose Approach The National Center on Shaken Baby Syndrome aims to normalize infant crying through their recommended three dose approach to PURPLE . Prevent Child Abuse Florida is proud to partner with organizations across the state of Florida to bring this three dose approach to life . Dose 1 : Staff deliver PURPLE booklet and education to parents / caregivers prenatally - within first few weeks of baby ’ s life before crying increases . PURPLE app is downloaded and videos are viewed . ( Ex . at discharge following birth , at prenatal class ) Dose 2 : Reinforce PURPLE education by having a follow - up conversation in first few months of baby ’ s life . How ? Ask parent / caregiver if they have received the PURPLE booklet . If yes , check in with how parent / caregiver is doing during high crying time , ask about amount of crying baby is doing . If no , provide booklet and continue with Dose one . ( Ex . during home visit with agency , during well baby appointment ) Dose 3 : Prevent Child Abuse Florida records and airs PSAs over radio and TV thanks to Florida Association of Broadcasters . Social media videos and graphics are also available to partners to post , these can be found in the PURPLE partner toolkit . The Period of PURPLE Crying ® is a registered trademark and all content is copyright protected . All Rights Reserved , Ronald G . Barr , MDCM , FRCPC and the National Center on Shaken Baby Syndrome ( 2004 – 2026 ).

How to deliver Dose 1 in 2-3 minutes

1 . Normalize Crying “ All babies cry , some more than others , especially between 2 weeks and 5 months . This is called the Period of PURPLE Crying .” 2 . Explain PURPLE acronym when delivering PURPLE booklet Briefly describe each letter ( Peak , Unexpected , etc .). Emphasize : “ This is a normal , temporary period . It will end .” 3 . Coping Plan “ If the crying becomes too much : Check if baby ’ s basic needs are met ( Fed ? Burped ? Last time diaper was changed ?). Try soothing : holding , rocking , offer pacifier , warm bath . If baby is still crying : Place baby in a safe sleep space on their back .

Walk away , breathe , call someone , squeeze a pillow , take a short break ( checking on baby every 5 - 10 minutes ). Go back and check on baby when you ’ re calmer .”

How to deliver Dose 1 in 2-3 minutes Continued

4 . Show PURPLE videos / encourage app download Show parents / caregiver that each PURPLE booklet has a unique access code for the free PURPLE app . Encourage parents / caregivers to download the app and view PURPLE videos . The PURPLE app contains : Exclusive Period of PURPLE Crying ® program materials , Baby Development Tracker , Articles and Videos related to the topics of Crying , Soothing , Coping , and Sleeping , News Section to update parents on recalls and other new baby information . PURPLE videos may be shown on CCTV ( if desired , please contact Prevent Child Abuse staff ) NCSBS PURPLE App Instructional Video - This video , created by the NCSBS is helpful to review as you prepare to encourage families to download the app .

While PURPLE can be delivered in just a few minutes , there may be questions from parents / caregivers . The following FAQs may be helpful to review .

FREQUENTLY ASKED QUESTIONS

Can my baby really cry for up to 5 hours a day and still be considered healthy ? Yes ! All babies cry , some more than others . PURPLE reminds parents and caregivers that it is always best to ensure you maintain regular appointments with your doctor if you have concerns .

Why do babies cry ? Especially this much for only a few months ?

Crying is a normal part of child development . Babies cry the most in months 1 - 5 , but they will grow out of this .

What can I do to soothe my baby ?

Some strategies that may help include : Holding or rocking baby , swaddling , walking , white noise or soft music , warm bath , offering a pacifier , going for a car ride or stroller walk . Sometimes nothing works ..... and that is still normal .

What if none of these soothing techniques work ?

It is okay to place baby alone , on their back , in their safe sleep space ( crib , bassinet , pack - n - play ) and take a responsible break while checking on baby every 5 - 10 minutes . Taking this time to call your doctor , call a friend / family member , step outside into fresh air , or drink some water are all much safer than attempting to soothe an infant while upset .

Can multiple people access the app through my one code ?

Yes ! Each booklet has a unique code to access the free PURPLE app . Up to five profiles may be created under one access code .

Submitting Monthly Service Report to PCAF

It is crucial for partner organizations to report the number of families educated each month . This is done by filling out Attachment III - Monthly Service Report . The following fields are requested : Site name and location ? PURPLE Champion name ? Does your site need additional booklets ? Number of staff that completed implementation this month ? Number of patients / families that received PURPLE information and materials this month ? ( If agency is tracking doses , you may submit by dose ) Number of ER visits for excessive crying this month ( If applicable )? Number of ER visits for possible head trauma this month ( If applicable )? Technical assistance needs ? Community of Practice attended ? ( Y / N ) Monthly summary of activities related to Period of PURPLE Crying ( ex . community baby shower )? Success Story from this month ? ( Y / N - if Y , please share highlight ) Barriers or obstacles to implementation experienced this month ?

MATERIALS

What is the booklet ? Where can it be ordered from ?

This is the cover of the 10 - page PURPLE booklet . Booklets are provided to PURPLE partners upon receiving their signed service agreement . PURPLE partners indicate they are in need of additional booklets via monthly submission of the Attachment III SurveyMonkey . Booklets are drop shipped to partners .

PROOF PROOF PROOF PROOF PROOF PROOF

What other materials can Prevent Child Abuse Florida provide PURPLE partners ?

Prevent Child Abuse Florida offers : sleep sacks , social media graphics , pacifiers , pacifier holders , bluetooth speakers to play soothing playlists , stress brains , postcards , Zoom / Teams backgrounds , and much more to our PURPLE partners . Physical materials are shipped to partners , digital assets are located on our website .

Do staff need to be trained to distribute these materials ?

Staff must have completed PURPLE implementation training to deliver the PURPLE booklet to parents / caregivers .

TRAINING

What is implementation training ?

All who intend to implement PURPLE must complete implementation training . Implementation training educates and prepares staff to successfully deliver the life saving content provided through PURPLE . PURPLE implementation training can be completed in person or online - each PURPLE partner organization indicates their preference to PCAF staff who will schedule and track completion . This program is Approved by the National Association of Social Workers . Approval # 886545124 - 9552 for 1 continuing education contact hour . Expiration date : 11 / 30 / 2026 . This Nursing Continuing Professional Development activity was approved by Pennsylvania State Nurses Association Approver Unit , an accredited approver by the American Nurses Credentialing Center ' s Commission on Accreditation . PSNA Approval Code 063 - 1 - O - 24 for 1 nursing contact hour . Expiration date : 1 / 12 / 2027 .

Can training be completed online ? Or is it only in person ?

Implementation training is offered in a number of ways , these include : In person training - Prevent Child Abuse Florida staff travel to desired training location . All attendees complete 2 hour training with PCAF trainer . Live virtual training - Organizations attend via PCAF led training via Teams / Zoom . Same content as in person training is provided , lasts 2 hours . 24 / 7 asynchronous training - The National Center on Shaken Baby Syndrome offers a free asynchronous training that is accessible at all times . This is a great asset to utilize when you experience staff turnover , or when staff are in need of a refresher .

What if my organization is not an implementing partner ? What if we want our staff to be trained on PURPLE just for awareness ?

Prevent Child Abuse Florida staff facilitate PURPLE community trainings regularly . To learn more about the research that supports universal infant crying patterns , please contact staff listed below .

Contact

Keller Stout Programs Coordinator kstout @ ounce . org

Shelby Garner Assistant Director sgarner @ ounce . org

Chesley Richardson Executive Director crichardson @ ounce . org

JOHNS HOPKINS ALL CHILDREN ’ S HOSPITAL UF HEALTH JACKSONVILLE LEE HEALTH MEMORIAL HEALTHCARE SYSTEM Join our network of PURPLE partners!

HEALTHY FAMILIES FLORIDA SAFE FAMILIES FOR CHILDREN

PARTNERSHIP FOR STRONG FAMILIES CHILDREN ’ S HOME SOCIETY OF FLORIDA AMIGOS FOR KIDS HEALTHY START COALITION OF HILLSBOROUGH COUNTY THE FLORIDA CENTER FOR EARLY CHILDHOOD FAMILY SUPPORT SERVICES EARLY LEARNING COALITION OF DUVAL WESLEY HOUSE FAMILY SERVICES FAMILIES FIRST OF PALM BEACH COUNTY BROWARD HEALTHY START COALITION PASCO KIDS FIRST CHILDREN ’ S ADVOCACY CENTER HEALTHY START COALITION OF JEFFERSON , MADISON , AND TAYLOR COUNTIES HEALTHY START COALITION OF BREVARD COUNTY GULF COAST CHILDREN ’ S ADVOCACY CENTER

CHAMPIONS FOR CHILDREN SAFE FAMILIES FOR CHILDREN WOLFSON CHILDREN ’ S HOSPITAL BAPTIST HEALTH JACKSONVILLE

THIS PROJECT IS SPONSORED BY THE STATE OF FLORIDA , DEPARTMENT OF HEALTH .

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