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Positive parenting and building respect. Claire Halsey Consultant Clinical Psychologist North Staffordshire Combined Healthcare NHS Trust www.firststepsstoke.co.uk www.triplep.net. What’s the problem?.
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Positive parenting and building respect Claire Halsey Consultant Clinical Psychologist North Staffordshire Combined Healthcare NHS Trust www.firststepsstoke.co.uk www.triplep.net
What’s the problem? • The Public say that low level crime, anti social behaviour and disrespect are big concerns. • Anti social behaviour is expensive – emotionally and financially at £3.4 billion a year. • We can predict those children who are likely to go on to engage in crime and anti social behaviour. • We know how to do something about it.
Good parenting is the key • Foundations for children’s social and emotional skills and relationships are laid in the early years • Parents teach by example a child’s values, skills and behaviours • Parenting practices influence whether children: • develop confidence • reach their potential • get on well with others
Longer term consequences of not intervening early • Poor relationships with others (few friends, failed love relationships) • Low resilience • Poor qualifications and work history • Low frustration tolerance • Easily upset and see “threat” everywhere • Greater involvement in antisocial behaviour and drug misuse • Families who feel let down, upset, angry or powerless.
Financial costs of of not intervening early Costs to age 28
Can you teach good parenting? An example Program The Triple P-Positive Parenting Program
Long term change after Triple P All have moved from the clinical to normal range
Getting more parents involved - who? A The worried well B Easy to reach C Do not approach for a service and have no need for a service D “Hard to reach / Left out”, those who need, but do not wish to access a service. (from Eisenstadt 2002)
Getting more parents involved - how? • Be inclusive, normalize and destigmatize parenting programs • Use multiple access points and delivery modalities (not just parenting groups) • Listen to what parents say they want
Trying harder to make parenting support accessible • Reminder letters 23% • Text message alerts • Reminder telephone calls 22% • Contracting with the client a formal agreement to attend 14% • Orientation video 34% • Transport to services ~ an offer to help sort out logistics • 22% • Active problem solving 17% • Local venues, home visiting and out of hours services.
Key messages A successful parenting program needs to : • Be chosen from those that really work. • Be delivered by well trained, skilled staff who have ongoing support. • Use engagement strategies and enforcement if needed. • Have good links to universal services who are not afraid to refer.
Conclusions • Parenting interventions are amongst the most powerful and cost effective interventions available • Good parenting should be the centre piece of efforts to improve developmental outcomes for children