An Integrated approach to promoting positive parenting and social and emotional competence in

children

Evolution not Revolution!!

The Powys ‘Everybody’s Business’ ModelIntegration 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

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 People’s interventions• Classroom Dina• Small-group Dina• (KIVA)• (Mindfulness)• (Mental health First Aid)• (Restorative Justice)

Our Evidence Based Intervention Framework

Protection

Pre school and foundation phase

Prevention

Remedy

KS3 & 4KS2

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

1:1 services in the home

School – Foundation

Phase

Childcare & Early Years

Ed

Parents

CHILD

An holistic approach to reinforcing the Incredible Years Message

Starting small……..

Nurturing growth.

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

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……

Role within clinical psychology department to work strategically across CYPP

Started in 2005Evidence based programmes to deliver effective

outcomes for children and parents (emotional health and well being)

Focus on parentingBrief 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

Parents and Teachers together make a difference

Parents 60-80% Teachers 20-40%

Why choose IY Programmes?Over thirty years of research, including

research in WalesHigh standards of evidence and long term

follow-upEffective as clinical and preventive

programmesWere 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

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Supporting Fidelity with IY Programmes

MentorBasic Parent, Baby, Teacher, Dina , Home Coaching

Peer Coach

Accredited leaders

Accredited

leaders

Peer Coach

Accredited Leaders

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

NHS Wales Award - 2012.Powys Health Board worked in partnership with Powys

Children and Young People’s Partnership, and Barnardo’s 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.”

Some Examples of an Integrated Approach

Ladywell Green Infant School Newtown

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 school’s 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

Ysgol Golwg Y Cwm, YstradgynlaisA Community Focused School

Ysgol Golwg y Cwm: Supporting Children, Families and teachers using an Integrated IY Approach

IY TeacherProgramme

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

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.

Outcomes?

Challenges?

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)

gj

eportParents 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 child’s behaviour. (SDQ) Parents reporting significant challenges can be sign posted to longer IY groups.

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

KIVa Anti Bullying Programme: An Integrated Approach

Strong evidence base with current research in WalesTraining delivered through Powys tHB with local

trainerFunding for training, materials and start up via CYPPDelivered by schoolsParental involvement key (an important issue for

parents)Strategic link emotional health and well being

strategyDevelopment of a local supportive infrastructureOn-going audit and evaluation

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Please contact us if you need to know more – we are happy to share!

shelley.davies@powys.gov.uksue.evans5@wales.nhs.uk

swww.cypp.powys.gov.uk/jaff