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Triple P Journey in Canada: Implementation, Engagement, Sustainability

Learn about the Triple P program implementation in Canada, including its journey, engagement system, provincial overviews, and steps for sustainability. Discover how the system supports different practitioners, parents, and regions in Canada with a focus on population health. Explore case studies from British Columbia, Alberta, Saskatchewan, Manitoba, Ontario, Quebec, New Brunswick, Nova Scotia, Newfoundland and Labrador, Prince Edward Island. Understand the importance of reaching the population and practitioners in enhancing family well-being.

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Triple P Journey in Canada: Implementation, Engagement, Sustainability

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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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