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Attentive parenting programme Implementation in Norway. Siri Gammelsæter Clinical psychologist/trainer in parent programme. IY in Norway . Nationwide implementation Financed by Directory of Health University of Tromsø in charge of implementation
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AttentiveparentingprogrammeImplementation in Norway Siri Gammelsæter Clinical psychologist/trainer in parent programme
IY in Norway • Nationwide implementation • Financed by Directory of Health • University of Tromsø in charge of implementation • Mentors and peer coaches in different parts of the country
Incredible Yearsparentprogramme as a universal intervention Charlotte Reedtz Mental health promotion in young children 2010 RCT studying the effect of low ”dosage” IY parent training on risk factors in a non clinical population. Children the age of 4-8 The first six meetings of the old basic programme (play, praise, the use of incentives)
Universal studyresults • Reduction in harsh parenting • Reduction in child misbehaviour • Strenghtening of positive parenting • Strengthening of parent’s sense of competence
Universal studyresults • High percentage of parents signing up to participate had children with severe behaviour problems • Low threshold, easy to access programme recruited parents in need of help
Rationale for universal programme Reductionof risk factorsrelated to developmentofchildhoodbehaviourproblems Increase in positive parenting-protectivefactors Parenting skills arestrongpredictorsofgoodoutcomes for children Recruitmentofparents in needofhelp
Attentive parenting programme Universal programme 6-8 weeks Programme for parentsofchildren 2-6 yearsof age. Same format as theotherparentprogrammes, withvignettes, discussions , roleplays and homeactivities. Vignettesaredividedintothosethatareespeciallygood for 2-4 yearolds and 5-6 yearsold.
Attentiveparentingprogramme • Child-Directed Play • Academic and Persistance Coaching to Promote Children’s Language and School • Readiness • Emotion Coaching to Strenghten Children’s Emotional Literacy and Empathy
Attentive parenting • Social Coaching to Promote Childrens Friendship skills • Emotional Regulation Skills • Problem Solving and Empathy
Behandling • (Diagnostiserte BUP • barn) • Helsestasjon • Indikert Familiesenter • og selektive Barnevern • forebygging • Universal • Helse • Forebygging stasjon • Henvisning Klinikk >90% ECBI Kommunale tjenester <90% of ECBI Kommunale tjenester (Normalområdet)
Implementation of Attentive Parenting Programme in Norway • Implementation in communities who offer the basic preschool programme • Parents who self recruit and have children with severe problems will be offered a full scale programme • Experienced group leaders
Implementation • ECBI and a short interview before they start • Supervision
Recruitmentstrategies • Reetz study: socio-economic advantaged parents signed up • Pilot to study other recruitment strategies • Recruitment from schools and kindergartens successful • Wide range of good role models and risk factors in the groups
AttentiveParentProgramme Pilot • Recruitment process reached desired families • Parent satisfaction was positive • Shows promise for large scale roll out