Incredible Years

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

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Incredible Years

  1. 1. “The Incredible Years Parent, programmes:background and lessons from Wales” Professor Judy Hutchings Centre for Evidence Based Early Intervention, Bangor University 1
  2. 2. Essential components of effective parent programmes Specific factors (the social learning theory that underpins effective child management) Common factors (relationship and counselling skills that respect parents goals and views and seek to help them find solutions) Access issues for challenged families addressed, transport, meals, creche, time to build a relationship with them 2
  3. 3. Key specific components of effective parenting interventions- new parenting skills must be modelled and rehearsed- (non-violent) sanctions for negative behaviour and relationship building, praise and rewards-- home-based practice or ‘homework’- parenting programmes should emphasise principles rather than prescribe techniques- must address difficulties in adult relationships or other family problems- interventions work best when delivered early 33
  4. 4. Teacher The Incredible Years Programme Programmes 6 full day sessions held monthly Child Dinosaur Classroom Child Dinosaur Programme:3 treatment year Programme: 6 curriculum, 2 children, 18 - 22 sessions per weekly sessions week, 30 weeks Fully revised Fully revised ADVANCEDInfant (eight School Fully revised Pre- School Aged Programme: 9sessions) 0 - 12 Readiness School BASIC BASIC Parent sessions helpingmonths toddler Programme: Parent Programme: adults1 - 3 year olds 4 pre-school Programme 14-18 10 - 12 sessions, communicate &(13 sessions) sessions weekly sessions, 2 – 4 years 6 - 12 years*** problem solveprogrammes 3 – 6 years ***The School aged programme also has an additional four session unit on helping your child to do their best in school 4
  5. 5. IY Parent Child and Teacher programmes• Over thirty years of research with high standards of evidence and long term follow-up• Effective as clinical and preventive programmes• Identified in every systematic review and by the US Office of Juvenile Justice and Delinquency Prevention as a model “Blueprint” programme for violence prevention.•• Parenting programme is one of only two programmes identified by NICE as effective for the treatment of conduct disorder• Replication of parent programme in Canada, Wales, England, Norway, Portugal, Ireland , teacher programme in Jamaica and Wales• Parent programme is equally effective with caucasian, african, asian and spanish americans• Research underway in Seattle, Wales, England, Ireland, Norway, Denmark , Portugal, Jamaica, etc.,
  6. 6. What does it mean to be a Blueprint for Violence Prevention• US OJJDP funded the Center for Violence Prevention, University of Colorado, to identify programmes with real evidence for prevention or reduction of violence, they needed:• RCT evidence• Independent replication• Long term follow-up• Replication in service settings• Tools for fidelity• Only 11 of the 900 reviewed were identified as “Blueprints for Violence Prevention”, 6 including IY 6 6
  7. 7. IY tools for effective replication:• Books and manuals for leaders/therapists• Standardised training for leaders/therapists• Supervision/consultation for therapists• Materials for parents/participants• An effective accreditation/fidelity assessment process (to ensure that people are receiving the evidence based programme in the evidence based way)• All essential components from parenting research 7
  8. 8. Development of the IY programmes in the UK Mainly parent programme established Researched in Oxford (targeted) London (CAMHS and universal),Wales and Birmingham (targeted early intervention) Fourteen mentors approved to deliver local training across UK, three trainers Westminster Government funded training activity through the Pathfinder Early Intervention and Family Intervention Projects 8
  9. 9. Wales Population 3 million, majority in Sth Wales Economically poor, loss of coal and steel industries in Welsh Valley communities in South Wales 200,000 children live in poverty* (1/3rd of all children aged 0 - 16) Significantly lower incomes than England or Scotland Highest unemployment levels among UK countries and rising*poverty defined as income after housing costs below 60% of the medianincome’ for families. This equates to £78/child and £86/adult per week
  10. 10. Child and Family policy developments in Wales IY parent programme used since 1999 Early Welsh Sure Start (2000) like England funded without direction re: programmes 2005 Welsh Government (WG) Parenting Action Plan for Wales and based on results from my Sure Start RCT, WG approved funding for IY parent leader training for all 22 Authorities across Wales WG funded leader training since 2006 now in the seventh year of funding training, materials etc. for IY parenting work across Wales 10
  11. 11. How we developed the strategy Annual conferences in North and South Wales with research and practice focus Publications, annual newsletters and academic articles Wales wide surveys of leaders and programme dissemination Responses to Welsh Government policy papers on health, education, poverty, etc Research programme extended and Research Centre created
  12. 12.  Annual reports to Welsh Government Managers workshops developed on evaluation and fidelity Evidence to WG Children and Young People’s Committee reviewing the Parenting Action Plan Contribution to NICE, Westminster Government strategy, referenced twice in Hansard International recognition of the work in Wales in Ireland, Portugal, Australia, Poland, Denmark, Czech Republic etc.
  13. 13. Things we did The leader surveys to identify problems Developed workshops for managers on evaluation and fidelity Obtained further funding to evaluate other IY programmes Developed a 25 year strategy Supported infrastructure development - mentor support in three Authorities, peer coaches in six Authorities
  14. 14. Welsh Government developments Monitored the results of our research Continued funding parent leader training Translated IY parent and teacher books into Welsh Developed Flying Start (FS) programme Commissioned review of suitable parenting programmes (IY included) Funded research on IY toddler programme in FS areas across Wales 14
  15. 15. Other activities Developed workshops for managers on evaluation and fidelity Obtained further funding to evaluate other IY programmes Developed a 25 year strategy Continued to research the programmes
  16. 16. Parenting Programme: research completed •Welsh Sure Start study: short- and long-term outcomes, outcomes for children at risk of adhd, mediators and moderators of change, maternal depression outcomes, key group leader behaviours •Pathfinder project: parenting 8 – 13 year olds outcomes •Toddler Programme: 1 – 2 yos, outcomes •Nursery Staff Programme: outcomes •Foster Carer: outcomes
  17. 17. Current Studies• Assessing whether toddler programmeattendance increases parental language use• IY School Readiness Programme for parents ofchildren as they enrol in school delivered byschool staff to build the home-school link• IY Baby Programme for parents and babiesduring their first year of life delivered by healthcare staff
  18. 18. Thank youFor further information please visit our research website www.incredible-years-wales- research.bangor.ac.uk or Email j.hutchings@bangor.ac.uk

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