triple p positive parenting program
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Triple P PositiveParenting ProgramCourtney CheathamSASS 517
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Video Clips
http://youtu.be/VF7i8_sxRtQ
http://youtu.be/j5g20nXqU68
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Triple P is
An internationally acclaimed system or suite of parenting
interventions
Multi-level and organized for population dissemination
Intended for the prevention of social, emotional and
behavioral problems in childhood, the prevention of childmaltreatment, and the strengthening of parenting and
parental confidence
Supported by a strong and growing evidence base
Tailorable to family needs through flexible formats anddelivery
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Triple P is for
Organizations serving families
Governmental agencies and initiatives
Communities
Counties
States
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Positive Parenting Program
A multilevel system or suite of parenting and family support
strategies for families with children from birth-age 12, with
extensions to families with teenagers ages 13-16
Developed for use with families from many cultural groups
Designed to prevent social, emotional, behavioral, anddevelopmental problems in children by enhancing their
parents knowledge skills and confidence
The program, which can be used in early intervention and
treatment, is founded on social learning theory and draws oncognitive, developmental, and public health theories
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The Triple P System
Draws on social learning, cognitive-behavioral anddevelopmental theory, as well as research into risk andprotective factors associated with the development social andbehavioral problems in children
The programs multi-level framework aims to tailor info,advice and professional support to the needs of individualfamilies
It recognizes that parents have differing needs and desiresregarding the type, intensity and mode of assistance they mayrequire
The interventions range from the provision of media onpositive parenting, through to brief information resourcessuch as tip sheets and videos, and brief targeted interventions(for specific behavior problems) 6
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Description of the Intervention
Triple P System is a system of parenting interventions for
families which seeks to strengthen parenting skills and prevent
dysfunctional parenting, so as to prevent child maltreatment
and emotional, behavioral, and developmental problems
The System emphasizes five core principles of positive
parenting: (i) ensuring a safe, engaging environment; (ii)
promoting a positive learning environment; (iii) using assertive
discipline; (iv) maintaining reasonable expectations; and, (v)
taking care of oneself as a parent
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Description, cont.
System services include various combinations of parentingseminars. Parent skills-training sessions and individualconsultations
These services are provided in 1-10+ sessions, with the typeand amount of service (i.e., service levels) tailored to theseverity of the familys dysfunctional and/or childs behavioralproblems
Sessions are delivered by a variety of service providers fromdifferent settings (e.g., healthcare, preschools, elementaryschools, mental health, social services) who have completedTriple Ps 3-5 day training regimen
The System also includes media strategies promoting positiveparenting practices community-wide (e.g., news stories,parenting articles, newsletters, radio announcements) 8
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Triple P Model of Parenting
and Family Support Level of Intervention: LEVEL 1- Media-based parent
information campaign; Universal Triple P
Target Population: All parents interested in information about
promoting their child's development
Intervention Methods: Anticipatory well child care involvingthe provision of brief information on how to solve
developmental and minor behavior problems. May involve
self-directed resources, brief consultation, group
presentations, mass media strategies, and telephone referral
services
Practitioners: Parent support and/or health promotion (e.g. ,
parent aide volunteers linked to agencies routinely providing
Triple P services)9
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Model of Support, cont.
LEVEL 2: Brief selective intervention
Selected Triple P/Selected Teen Triple P
Target Population: Parents with a specific concern/s about
their child's behavior or development
Intervention Methods: Provision of specific advice for a
discrete child problem behavior. May be self-directed or
involve telephone or face-to- face clinician contact or group
sessions
Practitioners: Parent support during routine well- child healthcare (e.g., child and community health, education, allied
health and childcare staff)
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Model of Support, cont. 2
LEVEL 3: Narrow focus parent training
Primary Care Triple P/Primary Care Teen TripleP
Target Population: Parents with a specific concern/s about
their child's behavior or development who require
consultations or active skills training
Intervention Methods: Brief therapy program (1 to 4 clinic
sessions) combining advice, rehearsal and self- evaluation to
teach parents to manage a discrete child problem behaviour.
May involve telephone or face-to-face clinician contact orgroup sessions
Practitioners: Parent support during routine well- child health
care (e.g., child and community health, education, allied
health and childcare staff)11
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Model of Support, cont. 3
LEVEL 4: Broad focus parent training
Standard Triple P/Group Triple P/Group Teen Triple P/Self-Directed Triple P
Target Population: Parents wanting intensive training in
positive parenting skills - typically parents of children withmore severe behavior problems
Intervention Methods: Intensive program focusing on parent-child interaction and the application of parenting skills to abroad range of target behaviors. Includes generalization
enhancement strategies. May be self-directed or involvetelephone or face-to- face clinician contact or group sessions
Practitioners: Intensive parenting interventions (e.g., mentalhealth and welfare staff and other allied health professionalswho regularly consult with parents about child behavior)
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Model of Support, cont. 4
Level 4
Stepping Stones Triple P
Target Population: Families of preschool children with
disabilities who have or are at risk of developing behavioral or
emotional disorders
Intervention Methods: A parallel 10-session individually
tailored program with a focus on disabilities. Sessions typically
last 60-90 minutes (with the exception of 3 home practice
sessions which last 40 minutes) Practitioners: Intensive parenting interventions (e.g., mental
health and welfare staff and other allied health professionals
who regularly consult with parents about child behavior) 13
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Model of Support, cont. 5
LEVEL 5: Behavioral family intervention modules
Enhanced Triple P
Target Population: Parents of children with concurrent child
behavior problems and family dysfunction such as parental
depression or stress or conflict between partners
Intervention Methods: Intensive individually tailored program
with modules including home visits to enhance parenting
skills, mood management strategies and stress coping skills,
and partner support skills. May involve telephone or face-to-face clinician contact or group sessions
Practitioners: Intensive family intervention work (e.g., mental
health and welfare staff) 14
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Model of Support, cont. 6
LEVEL 5
Pathways Triple P
Target Population: Parents at risk of maltreating their
children. Targets anger management problems and other
factors associated with abuse
Intervention Methods: Modules include attribution retraining
and anger management
Practitioners: Intensive family intervention work (e.g., mental
health and welfare staff)
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Rationale
The rationale for this multi-level strategy is that there are
differing levels of dysfunction and behavioral disturbance in
children, and parents have different needs and preferences
regarding the type, intensity and mode of assistance they may
require This tiered approach is designed to maximize efficiency,
contain costs, avoid waste and over servicing, and to ensure
the program has wide reach in the community
Also, the multi-disciplinary nature of the program involves the
better utilization of the existing professional workforce in the
task of promoting competent parenting
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Rationale, cont.
The program targets 5 different developmental periods:
infants, toddlers, preschoolers, primary schoolers and
teenagers
Within each developmental period the reach of the
intervention can vary from being very broad (targeting anentire population) or quite narrow (targeting only high-risk
children)
This flexibility enables practitioners to determine the scope of
the intervention within their own services priorities and
funding
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Figure 1. The Triple P Model of Graded Reach
and Intensity of Parenting and Family Support
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Theoretical Basis of Triple P
Triple P aims to enhance family protective factors and to
reduce risk factors associated with severe behavioral and
emotional problems in children and adolescents
Specifically, the program aims to:
1. Enhance the knowledge, skills, confidence, self-sufficiency
and resourcefulness of parents;
2. Promote nurturing, safe, engaging, non-violent and low
conflict environments for children; and
3. Promote childrens social, emotional, language,
intellectual and behavioral competencies through positive
parenting practices19
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References
http://www.triplep-
america.com/documents/Theoretical%20Scientific%20and%2
0Clinical%20Foundations%20for%20Triple%20P.pdf
www.triplep.net
www.nrepp.samhsa.gov
www.evidencebasedprograms.org
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http://www.triplep-america.com/documents/Theoretical%20Scientific%20and%20Clinical%20Foundations%20for%20Triple%20P.pdfhttp://www.triplep-america.com/documents/Theoretical%20Scientific%20and%20Clinical%20Foundations%20for%20Triple%20P.pdfhttp://www.triplep-america.com/documents/Theoretical%20Scientific%20and%20Clinical%20Foundations%20for%20Triple%20P.pdfhttp://www.triplep.net/http://www.nrepp.samhsa.gov/http://www.evidencebasedprograms.org/http://www.evidencebasedprograms.org/http://www.nrepp.samhsa.gov/http://www.triplep.net/http://www.triplep-america.com/documents/Theoretical%20Scientific%20and%20Clinical%20Foundations%20for%20Triple%20P.pdfhttp://www.triplep-america.com/documents/Theoretical%20Scientific%20and%20Clinical%20Foundations%20for%20Triple%20P.pdfhttp://www.triplep-america.com/documents/Theoretical%20Scientific%20and%20Clinical%20Foundations%20for%20Triple%20P.pdfhttp://www.triplep-america.com/documents/Theoretical%20Scientific%20and%20Clinical%20Foundations%20for%20Triple%20P.pdfhttp://www.triplep-america.com/documents/Theoretical%20Scientific%20and%20Clinical%20Foundations%20for%20Triple%20P.pdfhttp://www.triplep-america.com/documents/Theoretical%20Scientific%20and%20Clinical%20Foundations%20for%20Triple%20P.pdf