An Integrated approach to promoting positive parenting and
social and emotional competence in children Evolution not
Revolution!!
Slide 2
The Powys Everybodys Business Model Integration and alignment
of strategic programmes, services and resources; Community focused
Schools/SEG/PDG Communities First Families first Flying Start IFST
SCDWP Whole System Approach Services and Systems! Progressive
universalism Step up/down interface Processes, Pathways and
Provision Aligned commissioned services and contracts Multi Agency
workforce Development
Slide 3
The Incredible Years Pyramid in Powys Workforce training
Interventions Incredible Years group facilitation Coaching Teacher
Classroom Management Consultation and supervision (Restorative
Justice) (Motivational interviewing) (CBT approaches) Parent
interventions Baby Programme Toddler Programme Basic programme
School age programme School Readiness 1:1 coaching (Take three)
(Solihull) Children and young Peoples interventions Classroom Dina
Small-group Dina (KIVA) (Mindfulness) (Mental health First Aid)
(Restorative Justice)
Slide 4
Our Evidence Based Intervention Framework Protection Pre school
and foundation phase Prevention Remedy KS3 & 4 KS2 Incredible
Years Programmes parent, school. child IY Small Group Dina
Restorative Justice/Approach Individual CBT Friends
Group/individual CBT Restorative justice Solihul programme KIVa
programme Motivational Interviewing JAFF training incl information
sharing Motivational Interviewing
Slide 5
1:1 services in the home School Foundation Phase Childcare
& Early Years Ed Parents CHILD An holistic approach to
reinforcing the Incredible Years Message
Slide 6
Starting small.. Nurturing growth.
Slide 7
Ten top tips 1 - Align your strategic programmes and identify
shared workforce development requirements and resources. 2 Identify
your workforce all agency workers, carers, parents?? 3 Research and
chose your key evidence based programmes and stick with them. 4
Develop a single, integrated workforce development programme across
all agencies and all tiers of intervention Promotion and
communication is key! 5 - Establish strategic level leadership and
governance
Slide 8
6 Establish appropriate infrastructure to ensure interventions
are delivered with fidelity and efficacy and on going supervision
and practice support is available. 7 Ensure you build training
capacity locally to ensure efficiency and sustainability (i.e.
train the trainer) 8 Embed your interventions and workforce
requirements across all your commissioned/contracted services 9
create a centralised training unit for centralised planning,
delivery, booking and reporting 10 Performance monitor the delivery
of your workforce development programme and maintain open two way
communication for feedback and continuous improvement Ten top tips
continued
Slide 9
Role within clinical psychology department to work
strategically across CYPP Started in 2005 Evidence based programmes
to deliver effective outcomes for children and parents (emotional
health and well being) Focus on parenting Brief to develop IY and
become trainer of trainers to sustain and maintain programmes that
have effective outcomes Important to also focus also on
contribution of schools and programmes for teachers and children
using complementary approaches Link with university and on-going
research/international links
Slide 10
Parents and Teachers together make a difference Parents
60-80%Teachers 20-40%
Slide 11
Why choose IY Programmes? Over thirty years of research,
including research in Wales High standards of evidence and long
term follow-up Effective as clinical and preventive programmes Were
identified by the US Office of Juvenile Justice and Delinquency
Prevention as a model Blueprint programme for violence prevention.
One of only 11 from 600 programmes reviewed that met the stringent
criteria for evidence - tools for replication and effective
implementation and independent replication One of only two
programmes identified by NICE as effective for the treatment of
conduct disorder 11
An Integrated Approach Integrating programmes for parents,
teachers and children. Multiple agencies involved Strategic link
with parenting support primary schools. Training teachers to
deliver IY parenting programmes- link with Pupil Deprivation Grant
Schools supported by CYPP to deliver a short universal IY parenting
programme- Funded through Family Learning
Slide 17
NHS Wales Award - 2012. Powys Health Board worked in
partnership with Powys Children and Young Peoples Partnership, and
Barnardos Cymru to support families and schools to develop skills
that will help with early intervention and prevention of behaviour
difficulties in children. Touching the heart of the community and
demonstrating a sustained generational impact, the now sustainable
programme shows how public service organisations can deliver whole
systems improvement. The leadership of this programme has been
unwavering and is a credit to the multiple agencies involved.
Slide 18
Some Examples of an Integrated Approach
Slide 19
Ladywell Green Infant School Newtown
Slide 20
A Whole School IY approach: CYPP Strategy Full range of school
based programmes School Readiness in collaboration with local early
years settings- integrating services In house accredited TCM
trainer- trains other schools In house Dina peer coach- coaches
other schools In house teacher trained as parent group leader
Facility to offer IY parent groups provided by FABSS- integrating
services Estyn Inspection Care, support and guidance: A strength of
the school is the high level of care, support and guidance given to
its pupils. Pupils feel valued and cared for within the schools
nurturing environment. The Incredible Years programme promotes
pupils respect and consideration for each other very effectively
and develops pupils good understanding of how to explore and
express their feelings. Partnership working: Visitors are welcomed
to the school to observe the Incredible Years programme in action.
Staff with expertise deliver training in the programme to a range
of other providers
Slide 21
Ysgol Golwg Y Cwm, Ystradgynlais A Community Focused
School
Slide 22
Ysgol Golwg y Cwm: Supporting Children, Families and teachers
using an Integrated IY Approach IY Teacher Programme Develop
expertise -train all staff and offer on-site training to local
schools Classroom Dina in Foundation phase, - small group Dina for
some pupils School Readiness- collaboration with EY settings
Community base for parent programmes FABSS and HVs trained in IY
approaches
Slide 23
Estyn Inspection Reports: Well Being and Care Support and
Guidance Clearly targeted support for vulnerable pupils has
resulted in significant improvements in behaviour, confidence and
achievement. Most pupils demonstrate good behaviour and attitudes
to learning. They are considerate and courteous and relate well to
each other and adults and concentrate well on their tasks during
lessons. All pupils behave well, both in the playground and in the
classroom. They are polite and courteous, and kind to each
other.
Slide 24
Outcomes? Challenges?
Slide 25
Parents report significantly fewer and less intense behavioural
problems at home (ECBI) Significant improvements in parental mental
health (GHQ) Teachers report reduced stress levels (TSI) and pupils
show significant improvements in conduct problems, hyperactivity,
emotional symptoms and peer problems (SDQ)
Slide 26
gj eport Parents of babies report significantly improved
parenting confidence (KPCS) Significant improvements in parental
mental health (GHQ) Two thirds of parents who complete the School
Readiness Programme report improvements in their childs behaviour.
(SDQ) Parents reporting significant challenges can be sign posted
to longer IY groups.
Slide 27
Ongoing challenges Engagement and retention for parent groups,
particularly in Flying Start areas Collecting pre and post measures
for all participants Ongoing engagement of partner agencies in
parenting Building and maintaining a supportive infra-structure to
ensure fidelity Resisting attempts to move away from delivery with
fidelity Resist attempts to move away from evidence based
programmes
Slide 28
KIVa Anti Bullying Programme: An Integrated Approach Strong
evidence base with current research in Wales Training delivered
through Powys tHB with local trainer Funding for training,
materials and start up via CYPP Delivered by schools Parental
involvement key (an important issue for parents) Strategic link
emotional health and well being strategy Development of a local
supportive infrastructure On-going audit and evaluation 28