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Triple P: The Canadian Perspective Debbie Easton

Triple P: The Canadian Perspective Debbie Easton Program Implementation Consultant –Canada Triple P International. Outline. Triple P journey in Canada “System” of Implementation “System” of Engagement Provincial/ Territorial overviews “System” of Sustainability Next steps.

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Triple P: The Canadian Perspective Debbie Easton

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  1. Triple P: The Canadian Perspective Debbie Easton Program Implementation Consultant –Canada Triple P International

  2. Outline • Triple P journey in Canada • “System” of Implementation • “System” of Engagement • Provincial/ Territorial overviews • “System” of Sustainability • Next steps

  3. How it all began: Triple P in Canada • Banff Conference, March 2003 • Initial funding requests and training, Fall 2004 • Establishment of Canadian Network of Implementation sites, 2005 • Participation at Helping Families Change Conference, Brisbane Australia, 2006 • Attendance at HFC Conference, Charleston, SC, 2007 • Announcement at HFC Conference, Braunschweig, Germany, 2008 • Host – HFC Conference, Toronto, Ontario, 2009 • TPI recognition of growing interest in Canada

  4. “System” of Implementation • Population Health Framework (applicable to all families) • Starting points vary – individual agency, multiple agencies, multiple sectors - multiple level delivery, core program • Foundational service for “complex” families – to increase parental confidence and competence (supports readiness to address other mental health issues) • Stages of Implementation

  5. “System” of Engagement • Policy (including funders, researchers, management) (all levels of “policy” –government, agency leadership, cross sector collaboratives…) • Practitioners (different disciplines and roles to meet parents where they go for advice/ support) • Parents (rural/ urban, english/french, First Nations, multi-cultural/ faith communities, single, married…)

  6. British Columbia • Vancouver Island Health Authority – in collaboration with Ministry of Children and Family Development and School Districts • About 500 practitioners on Vancouver Island • Some training on mainland – Prince George, Surrey (Levels 4, 5)

  7. Yukon, Northwest Territories, Nunavut • Expressing interest, particularly in support of First Nations communities • Unique needs – geography, transportation, weather • 1 practitioner in Northwest Territories

  8. Alberta • Pilot initiative beginning in 2007 • Training in Seminars and Primary Care at 0-12 and Teen age groups, Group, Standard and Primary Care Stepping Stones • Training and media development ongoing

  9. Saskatchewan • La Ronge Indian Child and Family Services – northern Saskatchewan • Supporting training across sectors for 80 practitioners • Training in Indigenous Triple P – Primary Care and Group • Upcoming training – Teen Group and Level 5

  10. Manitoba *** • 2000 – Premier established Healthy Child Cabinet committee (multi-sector) • 2005 – mandate for public health, province-wide initiative to strengthen parenting skills • 200 agencies participating (voluntary) • 985 practitioners, 1320 training spaces

  11. Ontario • 30 + communities across province • Communication among sites supported through Ontario Network portal – Provincial Centre of Excellence for Child & Youth Mental Health • Recent approval of a provincial funding grant (M of Health Promotion) for a coordinated Level 1 Communications Strategy • Research Working Group (of the Ontario Network) working on inventory of agencies

  12. Quebec • interest expressed in the research from universities, and in training • June 2009, hosted Canadian Psychological Association annual conference (Matt Sanders – one of the keynote speakers) • Materials undergoing translation into French – review by Manitoba Government Translation Services

  13. New Brunswick • 24 practitioners – Group Triple P (2008) • Provincial – Department of Social Development – programs: early intervention services, family resource centres, early childhood social workers • Evaluation of program effectiveness • Results attested to the merits of the program with existing clients

  14. Nova Scotia, Newfoundland and Labrador, Prince Edward Island

  15. Population Reach - Status Canada: 33.5 Million (25 Million adults 19+) Practitioners (2009): over 4300 (many trained at more than one level of Triple P) What is a “population reach” target to aim for? Stats Canada 2006 census data

  16. Population/ Practitioner stats

  17. Country as a whole • Strong clinical base (Levels 4, 5) • Recognising value of Primary Care • Engagement of family (part of assessment) • Quick success for more complex families • Waitlist strategy - minimal sufficiency • Expansion of Level 1

  18. “System” of Sustainability • Triple P – Quality Assurance system • Government/ Funders • Agency/ Collaboratives: Pre-training – engagement of practitioners Supportive learning phase Flexible process – service delivery Integration of self-regulation / minimal sufficiency Practitioner satisfaction

  19. Next Steps • Aiming to connect all sites through one or more of the following; • Peer networks (practitioners, managers, sector partners) • Community collaboratives/ planning tables • Provincial / territorial networks • Link to Canada Network • Anyone I missed? Contact me: debbie@triplep.net

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