find: a video coaching program for parents with ... norman and berry … · • reading and wring...
TRANSCRIPT
FIND:Avideocoachingprogramforparentswithintellectualdisabili<es
Acollabora<onbetweentheSNAPlabandPearlBuckPreschool
WelcomeandIntroduc<ons
MelanieBerry,Psy.D.PostdoctoralResearchAssociate
StressNeurobiologyandPreven<onResearchLaboratoryOregonSocialLearningCenter&UniversityofOregon
ReneeK.VanNorman,Ph.D.DirectorofPearlBuckCenterPreschoolAdjunctInstructoratUniversityofOregonPh.D.inSpecialEduca<onandAppliedBehaviorAnalysis
Acknowledgements
Agenda
• DescribetheFIND‐PBCprojects• ThesciencethatFINDisbuilton
– Threecoreconceptsinearlydevelopment
• OverviewoftheFINDprogram
• Descrip<onofPearlBuckPreschool• Theadapta<onprocess• Implementa<onatPBC
FIND‐PBCprojects
• Developedacollabora<verela<onship• AdaptedtheFINDprogramforparentswithcogni<vedisabili<es
• ImplementedtheFINDprogramwithfamiliesfromthePearlBuckCommunity
• DevelopedaresearchplantoevaluatetheimpactofFIND
THREECORECONCEPTSINEARLYDEVELOPMENT
HarvardCenterontheDevelopingChild
Earlyexperiencebuildsbrainarchitecture.
CoreConcept#1
Earlyexperiencebuildsbrainarchitecture
• Genesaretheblueprintbutexperienceisthecarpenter
• Together,theyestablishaweakorsturdyfounda<on
• Simplecircuitscomefirstandmorecomplexcircuitsbuildonthemlater
• Cogni<ve,emo<onalandsocialcapabili<esarelinked
8
Caregiver‐childinterac<onshapesbraincircuitry.
Coreconcept#2
Serve&Returninterac<onshapesbraincircuitry
• Childrenserve• Caregiversreturntheirserves• Thisbackandforthiskeytowiringthebrain• Worksbestwithinatrus<ngrela<onship
• Occursinsideandoutsidethehome
10
Toxicstressderailshealthybraindevelopment.
CoreConcept#3
Toxicstressderailshealthydevelopment
• Whenwearestressed,ourbodiesac<vatephysiologicalresponse
• Shortlivedstresscanpromotegrowth
• Toxicstresscanweakenthearchitectureofthedevelopingbrain
12
AboutFIND
• FINDisavideocoachingprogramforparentsandothercaregiversofhighriskchildren.
• FINDusesvideotoreinforceandstrengthennaturallyoccurringsuppor<veinterac<onsbetweenyoungchildrenandcaregivers.
• FINDisa10weekprogramalterna<ngbetweenfilmingandcoachingsessions.
FIND
SocialLearningTheory
Neuroscience
AXachmentTheory
TheFINDProcess
Filmingsession
FINDfilmiscreated
CoachingSession
Serve&Return
• CentralthemeofFIND• DevelopedatCenterontheDevelopingChild• Describesthetypeofparent‐childinterac<onthatpromoteshealthybraindevelopment
• Childservesandcaregiverreturns• FINDencouragescaregivertono<cethechild’s“serve”and“return”inawaythatisdevelopmentallysuppor<ve.
5ElementsofFIND
1. SharingtheChild’sFocus2. Suppor;ngandEncouraging3. Naming
4. BackandForth5. EndingsandBeginnings
TheFINDprogramis…
• Simple• Strengthbased• Brief• Flexible• Complementary
• Evidenceinformed
FINDResearch
• Earlymicrotrials– Parentsenrolledindrugtreatmentprograms– Parentsworkingtoregainphysicalcustodyoftheirchildrenfollowingplacementinfostercare
• PilotwithparentsenrolledinEarlyHeadStartprogramsinWashington
• Pilotwithparentswithcogni<vedisabili<esenrolledinservicesatPearlBuckCenter
• Pilotwithproviderandparentsinahomechildcarese^nginWashington
• LargescaleprojectwithparentsenrolledinEarlyHeadStartprogramsinColorado
FINDIncreases
Serve&Return
Supporting and Naming
ServicesatPearlBuckPreschool
• Preschoolforchildrenofparentswithlearningdifficul<es
• ½day;Mon.–Thur.(ToddlersTue.&Thurs.)
• ParentMentoring
• BehaviorSupport• CaseManagement
EligibilityCriteria
EITHER:Historicalinforma<ondocumen<ngmarkedacademicdeficiency,mentalretarda<onordevelopmentaldelaysfrom:selfreport,familymember,socialagencyorschoolsystem.
AdaptedfromTheEinsteinParentScreeningInstrument(Kramer&Cohen,1983)
EligibilityCriteria
ORANYFIVEOFTHEFOLLOWING:
• Cannottravelaloneonpublictransporta<on;alwaysaccompaniedbyanotheradult;
• Readingandwri<ngproblemsseenwhenfillingoutapplica<on
• Erra<cappointmentkeeping(early,late,oddexcuses,wrongday);
• Providesvagueornaiveinforma<onaboutbasicfacts;
• Hasproblemsmanagingmoney;
• Overwhelmedbyrou<nedemands;
• Excessivedegreeofchildmanagementdifficultyobservedorreported;
• Usescoveringuptechniquestoconcealdeficit(s);
• Requireshelpinareasnotexpectedforadult;centralroleofa“benefactor.”
Wide Range of Cognitive Abilities and Disabilities
• Challengedbyday‐to‐dayfunc<oning
• Difficul<eswithexecu<vefunc<ons
– Pastexperiencewithcurrentprac<ce
• Lackofawarenessordenialofcogni<velimita<on
• Labelingands<gma<za<on;subsequentsenseofbeing"stupid"
• Requiredifferentwaysoflearning,accessinginforma<onandreceivingsupport
• Needlifelongorongoingsupport
Families
Teachers
Staff
BehaviorSupport
Coordinator
Parent
Navigator
Academic&SocialSupports
BasicNeedsSupports
BehaviorSupport
BasicParenNngNeeds
PearlBuckPreschoolComprehensiveSupportSystemDevelopmentalscreeningKindergartenpreparaNonAcNviNestodowithyourfamilyCommunitysupportsAccesstoaddiNonalservices
FoodboxesUNlityassistanceRentalassistanceHousinginformaNonHealth&Wellness
GeneralbehaviormanagementSocialskilldevelopment
Intensivebehaviorsupport
CommunitysupportsBasichomesafetyDevelopmentalscreeningPreschoolpreparaNon
ProcessforPartnership
• Collabora<onwithUnitedWayofLaneCounty– Introductoryemail
• AXendedconference– ApproachedDr.Fisher,keynotespeaker
• MetwithDr.Fisherandteam– Proposedpoten<alcollabora<on
FundingFINDatPBC
• Ini<alcontracts– DepartmentofHumanServices
• ChildWelfareinvolvedfamilies–InHomeSafetyandReunifica<onServices
– TrilliumCommunityHealthPlan• Pre‐EnrollmentFamilies–ChildAbuseandNeglectPreven<onContract
– Children’sTrustFundofOregon• EnrolledFamilies–ChildAbuseandNeglectPreven<onGrant
TheAdapta<onProcess
• Heldini<almeettoreviewFINDmodelandmaterials
• Reneemaderecommenda<onsbasedonexper<seinadultlearning
• Melanierevisedmaterials
• Mettoreviewprogressandmadeedits
• Testedadapta<onwithfamilies
IconsforCoreConcepts
VisualAids(post‐its!)
Adap<ngSummarySheets
Adap<ngHomePrac<ce
Implementa<onofFINDatPBC
• Ini<altraining• Biweeklystaffing/consulta<on
• Phasesoftraining– Ridealong– Coachingindependently
Nextsteps
• FINDpilot• Largerefficacytrial?
• Moregrantapplica<ons?
