Triple P Presentation for First 5 Santa Cruz County Commission

The Positive Parenting Program (Triple P)
First 5 Santa Cruz County
Commission Meeting
September 22, 2010

Desired Outcomes
Understand the Triple P system and how it is being implemented in Santa Cruz County.
Learn about agencies’ early experiences with implementing Triple P.
Review initial outcome data.
Understand the steps being taken to build service capacity and leverage funding.

What is Triple P?
An evidence-based, public health approach to parenting and family support
Increase parents’ confidence and competence in raising their children
Improve parent-child relationships
De-stigmatize parent education and support
Increase access to parenting information and services

5 Principles of Positive Parenting
Ensuring a safe, engaging environment
Creating a positive learning environment
Using assertive discipline
Having realistic expectations
Taking care of yourself as a parent

An Ecological Approach

Triple P Levels of Intervention
Level 1 – Universal
- Media-based parenting information campaign
Level 2 – Selected Individual & Seminar
- Information or advice for a specific parenting concern
Level 3 – Primary Care
- Narrow-focus parenting skills training
Level 4 – Standard & Group
- Broad-focus parenting skills training
Level 5 – Enhanced & Pathways
- Additional interventions for families with risk factors

Minimal Sufficiency

Self-Regulatory Framework
Practitioner provides information, skills training and support based on what the parent needs or wants….
…which may be different than what the practitioner needs or wants.
Parent uses self-evaluation to set goals and assess progress
Parallel process:
 Practitioner helps Parent build confidence & competence
 Parent helps Child build confidence & competence

17 Core Parenting Skills
Promoting positive relationships
Brief quality time, Talking to children, Affection
Encouraging desirable behavior
Praise, Positive attention, Engaging activities
Teaching new skills and behaviors
Modeling, Incidental teaching, Ask-say-do, Behavior charts
Managing misbehavior
Ground rules, Directed discussion, Planned ignoring, Clear & calm instructions, Logical consequences, Quiet time, Time-out

17 Core Parenting Skills

Santa Cruz County Triple P Pilot
Sponsors: First 5 Santa Cruz County, HSA - Children’s Mental Health, HSD – Family & Children’s Services
Long-term vision = implement all levels
Start small with interested agencies and staff
Implement levels incrementally, starting with Levels 4 & 5
Conduct pilot for a minimum of 2 years

Pilot Plan – Year 1 (FY 2009-10)

Pilot Plan – Year 2 (FY 2010-11)
Trainings
Level 4 Standard/Group (1 training, 20 practitioners)
October 2010
Level 3 Primary Care (1 training, 20 practitioners)
October 2010
Level 2 Seminars (1 training, 20 practitioners that have been accredited in Level 3 or 4)
January 2011
Level 1 Universal
Agencies – TBD

Practitioners’ Experiences
Name & Organization/Affiliation
Level(s) accredited in
How Triple P is being implemented by you and/or your organization
How parents are responding to Triple P services
Successes, challenges and next steps

Evaluation
Measuring outcomes at individual/family and community levels
Extensive set of assessments for Levels 4/5
Briefer set of assessments for Levels 2/3
Preliminary data January – June 2010:
~100 parents served (Levels 3-5)
Informed consent from ~50 parents
Level 4 outcome data for ~30 parents
On average, high levels of client satisfaction

Parent’s Perception of Child Behavior (Intensity)

Parent’s Perception of Child Behavior – (# of Problems)

Parent’s Perception of Child Behavior - % in Clinical Range

Parenting Style

Parenting Style – % in Clinical Range

Parenting Confidence
n = 34

Parenting Confidence – % in Clinical Range

Client Satisfaction – Overall

Building a Sustainable Model for Funding & Service Expansion

Leveraging Funding
Triple P America
Fee-for-Service
Coordination
Contracts with Agencies

Triple P Presentation for First 5 Santa Cruz County Commission

by Optimal Solutions Consulting on May 24, 2011

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Triple P Presentation for First 5 Santa Cruz County Commission — Presentation Transcript