High-Risk Newborn Behavioral Observations system (NBO) Training Program

December 1, 2021 @ 9:00 am – December 2, 2021 @ 5:00 pm

NBO trainings for professionals working with high-risk infants share the same basic curriculum, theoretical content, and certification process as standard NBO trainings. The faculty for the NBO training for high-risk infants are both pediatric physical therapists with particular expertise in infants in EI and NICU settings. These trainings are therefore especially suited to professionals working specifically with high-risk infants.

The Newborn Behavioral Observations system (NBO) is an infant-focused, family-centered relationship building tool designed to sensitize parents to their baby’s competencies, challenges, and individuality with the goal of fostering the development of a positive parent-infant relationship from the very beginning. The NBO system consists of a set of 18 neurobehavioral observations, which describe the newborn’s capacities and behavioral adaptation from birth to the third month of life. The 18 NBO items include observations of the infant’s:

  • the quality of motor tone and activity level
  • capacity for self-regulation (including crying and consoling)
  • response to stress (indices of the infant’s threshold for stimulation)
  • visual, auditory, and social-interactive capacities (degree of alertness and response to both human and non-human stimuli)

Importantly, the NBO is NOT an assessment but rather a structured set of shared observations designed to help the clinician and parent learn together about the infant’s behavioral capacities and identify the kind of support the infant needs for optimal growth and development. The NBO is therefore inherently interactive and family-centered, so that parents are involved as partners in the NBO session.

Course Format:
Live interactive workshops on December 1 & 2, 2021, 9:00 AM – 5:00 PM ET each day

This course includes 11.5 hours of live online training. Workshops include a combination of lectures, interactive video case study sessions, small-group breakout discussions, and hands-on practice with dolls. Following the workshops, two mentoring sessions will be offered at 1 month and 3 months after the live workshops. To obtain certification in the NBO, trainees submit 5 NBO Recording and Parent Summary Forms for review and critique by their faculty.

# of hours:
NBO training is approved for 11.5 hours CME/CEU credit across many disciplines.

Professionals who work with high-risk infants in the first months of life, including medical staff (i.e., nurses, nurse practitioners, midwives, pediatricians, neonatologists, physical/occupational/feeding therapists, lactation consultants, doulas) as well as mental health workers (i.e., psychologists, psychiatrists, social workers, parenting coaches, home visitors).

Number of participants:
Maximum of 25

$650 for non-physicians
$750 for physicians

Tuition includes:

  • access to pre-training activities and all materials
  • NBO kit
  • two full-day or three partial-day interactive Zoom live online training workshops
  • post-training follow-up reflective practice/mentoring sessions with faculty at 1 and 3 months post-training
  • ongoing access to faculty and other participants through our online discussion forum
  • faculty review and individualized feedback of certification materials
  • NBO training completion certificate
  • CME/CEU credit

Understanding Newborn Behavior and Early Relationships: The Newborn Behavioral Observations (NBO) System Handbook is highly recommended for all trainees. The handbook is readily available through online booksellers or the publisher, Brookes Publishing or can be purchased HERE for an additional $47 (Incl. US shipping!).

Contact us today for more information and additional payment options: institute@childrens.harvard.edu