Slide 1

An Integrated approach to promoting positive parenting and social and emotional competence in children Evolution not Revolution!!

Slide 2

The Powys Everybodys Business Model Integration and alignment of strategic programmes, services and resources; Community focused Schools/SEG/PDG Communities First Families first Flying Start IFST SCDWP Whole System Approach Services and Systems! Progressive universalism Step up/down interface Processes, Pathways and Provision Aligned commissioned services and contracts Multi Agency workforce Development

Slide 3

The Incredible Years Pyramid in Powys Workforce training Interventions Incredible Years group facilitation Coaching Teacher Classroom Management Consultation and supervision (Restorative Justice) (Motivational interviewing) (CBT approaches) Parent interventions Baby Programme Toddler Programme Basic programme School age programme School Readiness 1:1 coaching (Take three) (Solihull) Children and young Peoples interventions Classroom Dina Small-group Dina (KIVA) (Mindfulness) (Mental health First Aid) (Restorative Justice)

Slide 4

Our Evidence Based Intervention Framework Protection Pre school and foundation phase Prevention Remedy KS3 & 4 KS2 Incredible Years Programmes parent, school. child IY Small Group Dina Restorative Justice/Approach Individual CBT Friends Group/individual CBT Restorative justice Solihul programme KIVa programme Motivational Interviewing JAFF training incl information sharing Motivational Interviewing

Slide 5

1:1 services in the home School Foundation Phase Childcare & Early Years Ed Parents CHILD An holistic approach to reinforcing the Incredible Years Message

Slide 6

Starting small.. Nurturing growth.

Slide 7

Ten top tips 1 - Align your strategic programmes and identify shared workforce development requirements and resources. 2 Identify your workforce all agency workers, carers, parents?? 3 Research and chose your key evidence based programmes and stick with them. 4 Develop a single, integrated workforce development programme across all agencies and all tiers of intervention Promotion and communication is key! 5 - Establish strategic level leadership and governance

Slide 8

6 Establish appropriate infrastructure to ensure interventions are delivered with fidelity and efficacy and on going supervision and practice support is available. 7 Ensure you build training capacity locally to ensure efficiency and sustainability (i.e. train the trainer) 8 Embed your interventions and workforce requirements across all your commissioned/contracted services 9 create a centralised training unit for centralised planning, delivery, booking and reporting 10 Performance monitor the delivery of your workforce development programme and maintain open two way communication for feedback and continuous improvement Ten top tips continued

Slide 9

Role within clinical psychology department to work strategically across CYPP Started in 2005 Evidence based programmes to deliver effective outcomes for children and parents (emotional health and well being) Focus on parenting Brief to develop IY and become trainer of trainers to sustain and maintain programmes that have effective outcomes Important to also focus also on contribution of schools and programmes for teachers and children using complementary approaches Link with university and on-going research/international links

Slide 10

Parents and Teachers together make a difference Parents 60-80%Teachers 20-40%

Slide 11

Why choose IY Programmes? Over thirty years of research, including research in Wales High standards of evidence and long term follow-up Effective as clinical and preventive programmes Were identified by the US Office of Juvenile Justice and Delinquency Prevention as a model Blueprint programme for violence prevention. One of only 11 from 600 programmes reviewed that met the stringent criteria for evidence - tools for replication and effective implementation and independent replication One of only two programmes identified by NICE as effective for the treatment of conduct disorder 11

Slide 12

Slide 13

Supporting Fidelity with IY Programmes Mentor Basic Parent, Baby, Teacher, Dina, Home Coaching Peer Coach Accredited leaders Accredited leaders Peer Coach Accredited Leaders

Slide 14

Slide 15

Slide 16

An Integrated Approach Integrating programmes for parents, teachers and children. Multiple agencies involved Strategic link with parenting support primary schools. Training teachers to deliver IY parenting programmes- link with Pupil Deprivation Grant Schools supported by CYPP to deliver a short universal IY parenting programme- Funded through Family Learning

Slide 17

NHS Wales Award - 2012. Powys Health Board worked in partnership with Powys Children and Young Peoples Partnership, and Barnardos Cymru to support families and schools to develop skills that will help with early intervention and prevention of behaviour difficulties in children. Touching the heart of the community and demonstrating a sustained generational impact, the now sustainable programme shows how public service organisations can deliver whole systems improvement. The leadership of this programme has been unwavering and is a credit to the multiple agencies involved.

Slide 18

Some Examples of an Integrated Approach

Slide 19

Ladywell Green Infant School Newtown

Slide 20

A Whole School IY approach: CYPP Strategy Full range of school based programmes School Readiness in collaboration with local early years settings- integrating services In house accredited TCM trainer- trains other schools In house Dina peer coach- coaches other schools In house teacher trained as parent group leader Facility to offer IY parent groups provided by FABSS- integrating services Estyn Inspection Care, support and guidance: A strength of the school is the high level of care, support and guidance given to its pupils. Pupils feel valued and cared for within the schools nurturing environment. The Incredible Years programme promotes pupils respect and consideration for each other very effectively and develops pupils good understanding of how to explore and express their feelings. Partnership working: Visitors are welcomed to the school to observe the Incredible Years programme in action. Staff with expertise deliver training in the programme to a range of other providers

Slide 21

Ysgol Golwg Y Cwm, Ystradgynlais A Community Focused School

Slide 22

Ysgol Golwg y Cwm: Supporting Children, Families and teachers using an Integrated IY Approach IY Teacher Programme Develop expertise -train all staff and offer on-site training to local schools Classroom Dina in Foundation phase, - small group Dina for some pupils School Readiness- collaboration with EY settings Community base for parent programmes FABSS and HVs trained in IY approaches

Slide 23

Estyn Inspection Reports: Well Being and Care Support and Guidance Clearly targeted support for vulnerable pupils has resulted in significant improvements in behaviour, confidence and achievement. Most pupils demonstrate good behaviour and attitudes to learning. They are considerate and courteous and relate well to each other and adults and concentrate well on their tasks during lessons. All pupils behave well, both in the playground and in the classroom. They are polite and courteous, and kind to each other.

Slide 24

Outcomes? Challenges?

Slide 25

Parents report significantly fewer and less intense behavioural problems at home (ECBI) Significant improvements in parental mental health (GHQ) Teachers report reduced stress levels (TSI) and pupils show significant improvements in conduct problems, hyperactivity, emotional symptoms and peer problems (SDQ)

Slide 26

gj eport Parents of babies report significantly improved parenting confidence (KPCS) Significant improvements in parental mental health (GHQ) Two thirds of parents who complete the School Readiness Programme report improvements in their childs behaviour. (SDQ) Parents reporting significant challenges can be sign posted to longer IY groups.

Slide 27

Ongoing challenges Engagement and retention for parent groups, particularly in Flying Start areas Collecting pre and post measures for all participants Ongoing engagement of partner agencies in parenting Building and maintaining a supportive infra-structure to ensure fidelity Resisting attempts to move away from delivery with fidelity Resist attempts to move away from evidence based programmes

Slide 28

KIVa Anti Bullying Programme: An Integrated Approach Strong evidence base with current research in Wales Training delivered through Powys tHB with local trainer Funding for training, materials and start up via CYPP Delivered by schools Parental involvement key (an important issue for parents) Strategic link emotional health and well being strategy Development of a local supportive infrastructure On-going audit and evaluation 28

Slide 29

Please contact us if you need to know more we are happy to share! shelley.davies@powys.gov.uk sue.evans5@wales.nhs.uk s www.cypp.powys.gov.uk/jaff