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Triple P Presentation for First 5 Santa Cruz County Commission

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Presentation on the status of implementing the Positive Parenting Program (Triple P) in Santa Cruz County. Triple P is an evidence-based, public health approach to parent education and support. Implementation in Santa Cruz County is a multi-year project involving public agencies, nonprofits and independent practitioners.

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Triple P Presentation for First 5 Santa Cruz County Commission

  1. 1. The Positive Parenting Program (Triple P)<br />First 5 Santa Cruz County <br />Commission Meeting<br />September 22, 2010<br />
  2. 2. Desired Outcomes<br />Understand the Triple P system and how it is being implemented in Santa Cruz County.<br />Learn about agencies’ early experiences with implementing Triple P.<br />Review initial outcome data.<br />Understand the steps being taken to build service capacity and leverage funding.<br />
  3. 3. What is Triple P?<br />An evidence-based, public health approach to parenting and family support<br />Increase parents’ confidence and competence in raising their children<br />Improve parent-child relationships<br />De-stigmatize parent education and support<br />Increase access to parenting information and services<br />
  4. 4. 5 Principles of Positive Parenting<br />Ensuring a safe, engaging environment<br />Creating a positive learning environment<br />Using assertive discipline<br />Having realistic expectations<br />Taking care of yourself as a parent<br />
  5. 5. An Ecological Approach<br />
  6. 6. Triple P Levels of Intervention<br />Level 1 – Universal <br />- Media-based parenting information campaign<br />Level 2 – Selected Individual & Seminar<br />- Information or advice for a specific parenting concern<br />Level 3 – Primary Care <br />- Narrow-focus parenting skills training<br />Level 4 – Standard & Group<br />- Broad-focus parenting skills training<br />Level 5 – Enhanced & Pathways<br />- Additional interventions for families with risk factors<br />
  7. 7. Minimal Sufficiency<br />
  8. 8. Self-Regulatory Framework<br />Practitioner provides information, skills training and support based on what the parent needs or wants….<br />…which may be different than what the practitioner needs or wants.<br />Parent uses self-evaluation to set goals and assess progress<br />Parallel process: <br /> Practitioner helps Parent build confidence & competence<br /> Parent helps Child build confidence & competence<br />
  9. 9. 17 Core Parenting Skills<br />Promoting positive relationships<br />Brief quality time, Talking to children, Affection<br />Encouraging desirable behavior<br />Praise, Positive attention, Engaging activities<br />Teaching new skills and behaviors<br />Modeling, Incidental teaching, Ask-say-do, Behavior charts<br />Managing misbehavior<br />Ground rules, Directed discussion, Planned ignoring, Clear & calm instructions, Logical consequences, Quiet time, Time-out<br />
  10. 10. 17 Core Parenting Skills<br />
  11. 11. Santa Cruz County Triple P Pilot<br />Sponsors: First 5 Santa Cruz County, HSA - Children’s Mental Health, HSD – Family & Children’s Services<br />Long-term vision = implement all levels<br />Start small with interested agencies and staff <br />Implement levels incrementally, starting with Levels 4 & 5<br />Conduct pilot for a minimum of 2 years<br />
  12. 12. Pilot Plan – Year 1 (FY 2009-10)<br />
  13. 13. Pilot Plan – Year 2 (FY 2010-11)<br />Trainings<br />Level 4 Standard/Group (1 training, 20 practitioners)<br />October 2010 <br />Level 3 Primary Care (1 training, 20 practitioners)<br />October 2010 <br />Level 2 Seminars (1 training, 20 practitioners that have been accredited in Level 3 or 4)<br />January 2011 <br />Level 1 Universal<br />Agencies – TBD <br />
  14. 14. Practitioners’ Experiences<br />Name & Organization/Affiliation<br />Level(s) accredited in<br />How Triple P is being implemented by you and/or your organization<br />How parents are responding to Triple P services<br />Successes, challenges and next steps<br />
  15. 15. Evaluation<br />Measuring outcomes at individual/family and community levels<br />Extensive set of assessments for Levels 4/5<br />Briefer set of assessments for Levels 2/3<br />Preliminary data January – June 2010:<br />~100 parents served (Levels 3-5)<br />Informed consent from ~50 parents<br />Level 4 outcome data for ~30 parents<br />On average, high levels of client satisfaction<br />
  16. 16. Parent’s Perception of Child Behavior (Intensity)<br />
  17. 17. Parent’s Perception of Child Behavior – (# of Problems)<br />
  18. 18. Parent’s Perception of Child Behavior - % in Clinical Range<br />
  19. 19. Parenting Style <br />
  20. 20. Parenting Style – % in Clinical Range<br />
  21. 21. Parenting Confidence<br />n = 34<br />
  22. 22. Parenting Confidence – % in Clinical Range<br />
  23. 23. Client Satisfaction – Overall <br />
  24. 24. Building a Sustainable Model for Funding & Service Expansion<br />
  25. 25. Leveraging Funding<br />Triple P America<br />Fee-for-Service<br />Coordination<br />Contracts with Agencies<br />

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