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The Incredible Years Implementation in England: What did we learn?

The Incredible Years Implementation in England: What did we learn?. Dr Caroline White Consultant Clinical Psychologist Head of CAPS Early Intervention Manchester. Parenting is hard …. … even if you’re a duck!. NICE Guidelines Conduct problems/Parent training. Group based

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The Incredible Years Implementation in England: What did we learn?

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  1. The Incredible Years Implementationin England: What did we learn? Dr Caroline White Consultant Clinical Psychologist Head of CAPS Early Intervention Manchester

  2. Parenting is hard ….

  3. … even if you’re a duck!

  4. NICE GuidelinesConduct problems/Parent training • Group based • Social learning theory • Relationship enhancing strategies • Evidenced based (RCTs) • Manualised programme • Minimum 8-12 sessions

  5. NICE GuidelinesConduct problems/Parent training • Skilled and appropriately trained facilitators • Supervision • Role play • Enable access • Parents’ own goals

  6. National Academy of Parenting Practitioners (NAPP) • Set up in 2007 by Department for Children, Schools and Families (DCSF) • Overall aim to raise standards of parenting practitioners across disciplines • Deliver high quality services to families across England

  7. Not quite Time Out to calm down

  8. NAPP: How? • Train thousands of practitioners free of charge • Train practitioners in evidence based programmes, including Incredible Years • Promote practice that is known to work and which is based on theories that have been rigorously tested and analysed

  9. NICE GuidelinesTreatment of heart failure • Exercise • Smoking cessation • Alcohol reduction • Influenza vaccination • Diuretics • ACE inhibitors • Beta-blockers • Aspirin – 75-150mg per day

  10. NICE GuidelinesConduct problems/Parent training • Group based • Social learning theory • Relationship enhancing strategies • Evidenced based (RCTs) • Manualised programme • Minimum 8-12 sessions

  11. NICE GuidelinesConduct problems/Parent training • Skilled and appropriately trained facilitators • Supervision • Role play • Enable access • Parents’ own goals

  12. Implementation fidelity • “Overwhelming evidence indicates that the fidelity of implementation of the intervention will not be sustained unless the social and political support is strong and the training and mentoring adequate” Kellam & Langevin, 2003

  13. IY Implementation Pyramid

  14. Eight Steps For Successful Implementation

  15. Step One: Adequate resources • Creche, food, transport • DVDs, manuals & handouts • Venue, TV, flip chart • Incentives • Videotape facilities

  16. Step Two: Quality training • Carefully selected group leaders • TIME: Job descriptions • 3 day accredited training

  17. Step Three: Quality supervision • Telephone consultation • Individual video review • Group consultation

  18. Step Four: Develop peer support • Weekly peer support & tape review • Planning sessions • Within agency review

  19. Step Five: Programme fidelity • Dosage • Order • Protocols

  20. Programme fidelity ???

  21. Step Six: Leader accreditation • Accreditation process • Group leader, peer coach, mentor • Internal champions

  22. Role play …

  23. Step Seven: Agency Infrastructure • External supervision IY Trainer • Key strategic leads • Sustainability

  24. Step Eight: Evaluation • Accreditation • Weekly evaluations • Standardised measures • Attendance & achievement

  25. Achievements • Increased awareness of evidence based programmes • Training completed • Improved skills/knowledge of parenting practitioners • Existing practitioners accessed consultation • Some examples of good practice

  26. Recommendations • Training linked to support directly • Infrastructure needs to be established • Slower roll out • More strategic emphasis • Training for strategic leads

  27. It ain’t WHAT you do …. …. and that’s what gets results!!!

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