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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    http://youtu.be/VF7i8_sxRtQhttp://youtu.be/j5g20nXqU68http://youtu.be/j5g20nXqU68http://youtu.be/VF7i8_sxRtQ
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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

    Services18

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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