Aggression Replacement Training

1. Aggression Replacement Training IMPLEMENTATION PLANNING

2. Goals • High quality, model adherent (high fidelity) and sustainable implementation of ART • Prepare practitioners to be proficient in the use of ART • A prerequisite to (train-the-trainers) training Planning Meeting

3. Supervision • Who will be responsible for insuring that the referrals are made? • Who will be responsible for insuring that the practices are used? • Who will support practitioners in their early efforts to learn the practice? • Will they be involved, given sufficient time, and be supportive of the practice? Planning Meeting

4. Integrating Into Agency Services • Where will the practice fit into the service system? • Who will be referred? • Who will be responsible for making referrals, and under what circumstances? • Will the service be provided independently of, in addition to, or instead of other services? Planning Meeting

5. Fidelity and Evaluation • How will you know if the practice is being used with fidelity? • How will you know if the practice is working (achieving child and family outcomes) Planning Meeting

6. Drift • Insufficient training or supervision • Practitioners have multiple or competing duties • Failure to adhere to practice specific caseload standards • Insufficient intra- and inter-agency coordination around referrals, funding, and so forth Planning Meeting

7. Drift • Little or not attention to fidelity monitoring • The mid-managers/supervisors are wary, too busy, or not supportive of the practice • Staff are not interested in or oppose the practice • Increased scrutiny and accountability (“if it does not work then….”) • Eagerness to expand the use of or adapt the practice before it is well-established Planning Meeting

8. Drift • Attrition of trained practitioners • Delays between training and use (start of the program) • The service system is involved in multiple demanding reform efforts or initiatives • Competing initiatives Planning Meeting

9. Fidelity Management • One fidelity checklist completed after each session by co-facilitators. Each fill out self-evaluation section. Submit to consultant day before each phone call. • One call per month, approximately ½ hr. • Video tape of each component for each facilitator with 2.0 rating. If not proficient then re-submission of tape with fidelity corrections.

10. Fidelity Management • Minimum of 36 sessions with combination of all components for facilitator proficiency. • Train the trainer eligibility includes all of above with exception of 72 sessions instead of 36.

11. General Preparation • Pick 10 skills that you will provide based on need assessment. • Pick 10 dilemma discussions. • Re-read training steps guide from training manual. • Pre-test Overall Functioning Scale (OFS) . Planning Meeting

12. General Preparation • Prior to each session prepare modeling role play for SS and ACT. • Print enough homework sheets for each session form SS book. • Print enough hassle logs form either ART book or training manual.

13. Carve out time to practice protocols for role plays for Skillstreaming and Anger Control prior to first session. • Show training clips of role plays to clients. (demonstrates bubble talk) Planning Meeting

14. Skillstreaming • Read from Skillstreaming book Ch. 1 Implementation pages 14-22. • Establish group rules. • Pre test Skillstreaming Checklist (conduct prior to group if possible) • Review the 10 skills you will teach with group. • Start with first skill & take time to demonstrate bubble talk. Use training video to demo self talk. Planning Meeting

15. Anger Control Training Pre –test Aggression Questionnaire (AQ) (conduct prior to group if possible) Read from ACT book section on implementation concerns pages 11-34. Read Pages 2-7 from training manual. Teach entire Anger Control Chain in session. Print enough hassle logs for session 2 and each subsequent sessions. Planning Meeting

16. Moral Reasoning Read pages 1-14 from Training Manual Pre-test How I Think (HIT) metric Make sure chart is filled out prior to each session. Planning Meeting

17. Use of Videos Skillstreaming: • Training dvd of clients role playing. • When teaching why we bubble talk show Backward Bicycle video Anger Control Training: • Training dvd of clients role playing. • Session 2 Stressful situations video • Session 7 The Conflict Cycle Planning Meeting

18. Moral Reasoning 1. Show training video of clients participating in session. Planning Meeting

19. Infused in Culture • All staff trained (minimally orientated) • Units ART friendly • Posters • How do staff know skill of week and anger control sequence. • Communication within staff structure • Incentivize Planning Meeting

20. SKILL TRANSFER Facilitators as transfer coaches Staff as transfer coaches Environment is ART friendly Homework ART is assimilated into the culture (posters, skill of the week)

21. Who uses: Aggression Replacement Training skill transfer form- P.O.’s, Case Manager’s Homework Sheet –group facilitators. Hassle log 2 – group facilitators, case managers, P.O.’s Planning Meeting

22. ANNUAL SUSTAIN & MAINTAIN Standards: • Ongoing annual booster • 20% observation of each 10 week round • 1 ten week round all facilitators fill out fidelity tools • Agency Trainer recertified every 3 years. • Program Director collaboration through close and direct supervision