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Key features of effective parenting programmes: what works and why Claire Halsey, Consultant Clinical Psychologist North Staffordshire Combined Healthcare.

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Presentation on theme: "Key features of effective parenting programmes: what works and why Claire Halsey, Consultant Clinical Psychologist North Staffordshire Combined Healthcare."— Presentation transcript:

1 Key features of effective parenting programmes: what works and why Claire Halsey, Consultant Clinical Psychologist North Staffordshire Combined Healthcare NHS Trust First Steps Psychological Service

2 Overview The scale of the problem Why intervene early? Key features of effective parenting programmes Which programmes when Outcomes

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4 The scale of the problem Child and Adolescent Difficulties % of children and young people show a clinical level of conduct disorder or oppositional defiant disorder, these make up 50% of referrals for psychological help 60% of children with untreated conduct disorder go on to later difficulties –Poor educational attainment, difficulties with friendships and relationships, anti-social behaviour and offending In Stoke-on-Trent, our service alone sees 425 children with conduct disorder annually. Age 2-12 our figures show 3622 children with conduct difficulty at a clinical level

5 Financial costs of of not intervening early Costs to age 28

6 Key features of effective parenting programmes National Institute for Health and Clinical Excellence and Social Care Institute for Excellence: technologies appraisal for the treatment of conduct disorder say programmes must be: Evidence based to random controlled trial level Based on social learning theory Have 8-12 sessions Include role play and homework Be provided by suitably trained staff Follow the programme manual (no cherry picking)

7 Which parenting programme? Three parenting programmes have been selected by government as meeting the criteria for best practice: Triple P – positive parenting program Webster-Stratton Incredible Years Strengthening Families, Strengthening Communities There is no evidence at present that these differ in efficacy for different populations or difficulties.

8 What is Triple P? Evidence based Multi level parenting program Strong theoretical basis It can be brief or intensive Can be delivered in group or 1:1 formats Reliable and valid assessment package Delivery is not profession specific Versions for ages 0–16 Cost effective

9 Core characteristics of Triple P Respectful - not prescriptive -An options model not an advisory model Principle of sufficiency Self regulatory Framework -Self-sufficiency: independence, support -Self-efficacy: parents can create change -Self-management: goals, self evaluation -Personal agency: changes are as a result of parents’ efforts rather than chance -Problem solving: skills generalisation

10 Do parenting programmes work?

11 Teen conduct and emotional outcomes Stoke on Trent n=55

12 Parenting Style pre-post Triple P Stoke on Trent n=56

13 Parent-adolescent conflict pre-post Triple P n=55 (parents) n=11 (teens)

14 Parental mental health outcome data Stoke on Trent – teen data n=54

15 RESPECT Parenting Practitioner outcomes n=25

16 Triple P Lessons from Stoke on Trent April 2008 “What a relief to know we’re not alone” Parents comments after first group session “I’m not shouting at the kids, I’m a lot calmer, everything has changed. You can see a completely different side to the kids.” Father after group session 2 “Having something to follow, I can refresh my memory by using the work book, I forget, so lots is there for you in black and white” Mother after group session 4 “Finding out about praise made the biggest difference to our family” Father after group session 4 “I think every parent should be able to do this course.” Mother in group

17 Resources For more info about Triple P research contact For more information about Triple P training and resources contact For more information about Triple P in Stoke on Trent contact

18 Your response and questions


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