2.
Aims
The aim of todays session is:
To explore the objectives of Video
Interaction Guidance
To explore the problem the problem
that we are trying to solve
To share the methods used
To look at what IPIP does to improve
families outcomes.
3. What is Video Interaction Guidance?
Video Interaction Guidance is a strengths based
intervention which uses video with families to improve
parent child relationships by promoting attunement
and attachment.
4. What is VIG?
• The Cycles of film, shared review and traject plan
• Supporting parents to understand attunement
• How the Helping Question provides a person centred
approach with structure to frame the interaction –
gradually reach potential trauma blocks and disclosure
• The Use of a traject plan as a shared assessment and
review tool – re establish progress/ goals
8. What are the Evaluation methods?
• Strengths and Difficulties Questionnaire
• Parenting Scale
• Parent Child Relationship Inventory
• Feedback questionnaires from parents and
practitioners
• Parent interviews
10. What are parents saying?
• “I feel we can cope so much better, see past the
niggly things and concentrate on what actually
affects (child’s name)” (mother)
• “100% better, happy, we are communicating as a
family. We talk to each other when we have a
problem
• Anything else about VIG …“It should be given to any
parent, not just when you get into trouble “(father)
11. • What are children saying?
“Itwas good because Ienjoyed it” (male,13)
What has changed for you? “Everything. Me& mum get on really
good now but have tincy wincy arguments or misunderstandings”
(female,10)
“She helped me understand that mum and Ican be nice to each
other” (female, 10)
12. • What are children saying?
“Itwas good because Ienjoyed it” (male,13)
What has changed for you? “Everything. Me& mum get on really
good now but have tincy wincy arguments or misunderstandings”
(female,10)
“She helped me understand that mum and Ican be nice to each
other” (female, 10)
13. Conclusions
•The VIG population of parents appears to be a ‘high need’
sample
•There are indications of improvement in the self reports of
parents on their parenting strategies and on the behaviour and
emotions of their children
•Parents at the end of the programme are giving positive
feedback
•Interviews with parents are exploring the barriers and
facilitators to effective work with parents where there are
concerns over possible neglect
Priority themes; evaluate all services we deliver;
All compared with baseline measures:
Child’s unmet needs identified at baseline are met to a greater degree
Parental engagement , sensitivity and commitment to child increases
Child behaviour is managed effectively and with greater safety
All the above sustained at follow-up at one year
Parents (includes fathers and male partners):
Parents better understand the needs of their children
Parents are clearer as to what is expected of them for their children
Standard of child care and safety is acceptable or a clear plan based on evidence is recommended
The Parenting Score reports on parents self report of their parenting strategies. It scores an overall score, with high being ineffective and low scores being more effective.
Over reactivity relates to an authoritarian style of parenting and includes items of harsh punitive responses, anger, meanness and irritability.
Verbosity relates to parents engaging in long wordy and ineffective responses which can provide positive reinforcement for negative behaviour.
Laxness is 11 items which relate to permissive discipline such as avoiding the use of control, allowing rules to go unenforced and giving in.
In the 44 VIG cases paired so far, all three subscales show reductions, indicating more effective strategies being used by these parents. There is not a comparison dataset being used here to show that this change is down to the provision of VIG but the reductions are encouraging and indicate a reduction from Time 1 levels approaching clinical cut off scores, towards those of population norms.