Family links Panel


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Panel Presentation from the Evidence Based Parenting Programmes and Social Inclusion conference held at Middlesex University, 20th September 2012

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  • Parental mental health is one of the main determinants of children’s outcomes. Excellent evidence based strategies or interventions will be ineffective if the parents’ own emotional health is poor, they will be unable to take them on board or use them consistently.
  • Bavolek designed it as a result of work with abused and neglected teenagers. Universal public health model Also, its capacity as a universal public health model, to be a strong prevention work tool as well as an intervention work tool with troubled families. EMPATHY: Bavolek way ahead of his time in stressing the importance of empathy. Empathic, responsive parenting not just the fluffy stuff, it has an effect on how children’s brains develop. Further research just published demonstrates that toddlers who lack empathy are more likely to display antisocial behaviour as teenagers. The programme is influenced by social learning theory, how do toddlers learn empathy, how do parents learn empathy? As professionals as well as parents we need to have empathy as our ace card.
  • RCT came across many of the problems other real world RCT’s experience, some results were inconclusive, happy to discuss this further with anyone. However researchers stated the above.
  • Effectiveness is important but in the real world so is appropriateness, for practitioners and parents e.g. If programme designed to be delivered by those with a minimum bachelors level qualification may not be suitable for family support workers in children’s centres. If programme needs high level of English literacy may not be appropriate for some communities. Feasibility of delivery e.g. Accessiblity of resources, cost etc and roll out.
  • Comment Nurturing Programme is effective with wide range of family types and age groups of children. The Nurturing Programme is designed to be a whole population programme, which means it is designed to have an impact on a wide range of families. Parents whose emotional health is poor may need to complete the programme more than once. Universality reduces stigma This weekend Arifa and I training 20 volunteers from UK Islamic mission, incorporating Islamic values into the programme delivery. FL is a charity, we can do this because Sally has been able to secure funding. PGLs have helped us translate our Parenting Puzzle booklet -> Urdu; Somali; Polish – perhaps Welsh in time. Parent Coordinator Richard trialled NP for Parents & Teens with very challenging groups. Ed. Psych, Ealing – NP for families with children with Aspergers/Autism and other special needs. Prison Handbook trialled by Family Links Directors.
  • Notes: Geographical need –the people we train work in the most deprived neighbourhoods in England We mapped where all the people we trained between 1 January – 31 March 2011 to run parent groups work. The graph below shows that over half our trainees work in the bottom 30% of deprived neighbourhoods in England. This geographical targeting avoids stigma, but ensures that the families who are benefiting from the Programme are among the most needy in the country. A similar look at where our sales of the The Parenting Puzzle goes shows a similar pattern (yet to be quantified in the same way)
  • Also offer Open College Network accreditation for parents who may have no previous qualifications.
  • Family links Panel

    1. 1. Evidence Based Parenting, Social Inclusion and the Nurturing Programme Sarah Darton MA BSc DipHV RGN Director Parent Programmes © Family Links 2012
    2. 2. Workbreak Alphabet ArmsA B C D E F G H Il r r l r b l b rJ K L M N O P Q Rr r b l r l b l bS T U V W X Y Zr r l r l r b b 2
    3. 3. The Family Links Nurturing Programme (FLNP)Aims to promote family wellbeing and a healthy society by:√ targeting the root causes of poor emotional health;√ breaking the cycle of ineffective, neglectful or abusive parenting © Family Links 2009 3
    4. 4. The Nurturing Programme iseffective because:It’s a carefully designed eclectic model combiningaffective, cognitive and behaviouralapproaches with the affective principles at itscore. A therapeutic learning model © Family Links 2009 4
    5. 5. Theoretical Modelof the Nurturing Problem Programme TheoryProgramme Nurture parents’ Relationship empathetic insight into the between poor emotional determinants of parental wellbeing their own behaviour and and quality of meeting their own needs parenting Four constructs of positive parenting: • self-esteem and Intergenerational self-awareness transfer of poor • appropriate expectations parenting practices • positive discipline • empathy Impact of Help parents draw on their poor parent-child experiences as children relationships on to reflect on their children’s: relationships with their • physical health children and empower them • mental health to make changes • education • social competence • employability Meet all learning styles • nervous system through structured experiential learning
    6. 6. Proximal Programme Design Future Outcomes Outcomes10 weekly, 2 hour sessions in groups of 6-10 parents Improve Reduced mental parents’ mental health problems in 2 trained wellbeing parents and children Parent Group Leaders Parenting Puzzle Book, CD, and DVD Improve children’s Improve long-term children’s Provide parents with tools to: educational and work behaviour prospects • develop communication and relationship skills • encourage cooperative, responsible behaviours • manage challenging Disrupt behaviours in a positive way Improve family inter-generational • enhance relationship and relationships cycles of poor nurturing skills parenting, violence,• build confidence and empathy and social inequity
    7. 7. The Nurturing Programme is based on4 Constructs, essential to successful family relationships The Parenting Puzzle p. 18 © Family Links 2010 7
    8. 8. Developing the evidence base Independent RCT in Wales 2011- ‘compatible with cost-effectiveness of the FLNP offered on a universal basis to improve wellbeing and parenting in deprived areas’. Internal evaluation 2011- parental wellbeing improved on average from scores better than 18% of the population to scores better than 45% of the population, children improved on average from borderline risk of mental health disorder to normal child behaviour. © Family Links 2012 8
    9. 9. Making Sense of Early Intervention Centre for Social Justice 2011 “Evidence on effectiveness, appropriateness and feasibility provides a sounder base for evaluating healthcare interventions, in that it acknowledges the many factors that can have an impact on success” p10 © Family Links 2012 9
    10. 10. Evaluation of Training Independent evaluation 257 trainees - rated the Nurturing Programme training very highly 80.1% rated it 10 out of 10. The average for all participants was 9.7. Just under three-quarters (72.1%) of trainees expected to run a Nurturing Programme course in the next six months © Family Links 2011 10
    11. 11. The Nurturing Programme and theProfessional/Personal elementsThe Nurturing Programme is designed to: promote emotional and mental health and wellbeing enhance relationship and nurturing skills build self-esteem and confidence encourage positive approaches to behaviour management build empathyin Parents and Practitioners © Family Links 2009 11
    12. 12. A truly Universal ProgrammeThe Nurturing Programme is designed for both INTERVENTIONand PREVENTION and is therefore valuable for all families.A truly universal programme, it is socially inclusive withresources to support work with parents in a wide variety ofcircumstancesParents with:Children with Learning Muslim parentsdisabilities disabilities Teenage parents0-3 yr olds English as a Prisoners second3-12 yr olds language Online withteenagers Netmums © Family Links 2011 12
    13. 13. Universal provision in areas ofgeographical deprivation reduces sense of being judged, targeted failure Trained Practitioners - Areas of Deprivation 60Number of Practitioners 50 40 30 20 10 0 0-9% 10- 20- 30- 40- 50- 60- 70- 80- 90- 19% 29% 39% 49% 59% 69% 79% 89% 100% Deprivation by % © Family Links 2011 13
    14. 14. Nurturing Programme foster parent feedback“A couple who have completed their OCN portfolios have attended a court hearing and are now in a position to receive their 4 children back home. The next stage was going to be adoption for the children, but the FLNP OCN results achieved by the parents was used as evidence and made a huge impact. … many parents undertake various parenting programmes and they merely act as a temporary fix, but FL has made a lasting impact on their attitudes and behaviour and this was recognised by the professionals involved in their court hearing.” Barnardos Hartbeat PGL in Hartlepool working with parents with children in care © Family Links 2011 14
    15. 15. Contact Details Peterley House Peterley Road Horspath Industrial Estate Oxford OX4 2TZ Tel: 01865 401800 Fax: 01865 401820Email: © Family Links 2009 15