triple p: the canadian perspective debbie easton program implementation consultant –canada triple...
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Triple P:The Canadian Perspective
Debbie Easton
Program Implementation Consultant –Canada Triple P International
Outline
Triple P journey in Canada “System” of Implementation “System” of Engagement Provincial/ Territorial overviews “System” of Sustainability Next steps
How it all began: Triple P in Canada
Banff Conference, March 2003Initial funding requests and training, Fall 2004Establishment of Canadian Network of
Implementation sites, 2005Participation at Helping Families Change
Conference, Brisbane Australia, 2006Attendance at HFC Conference, Charleston, SC,
2007Announcement at HFC Conference, Braunschweig,
Germany, 2008Host – HFC Conference, Toronto, Ontario, 2009TPI recognition of growing interest in Canada
“System” of Implementation
Population Health Framework (applicable to all families)
Starting points vary – individual agency, multiple agencies, multiple sectors
- multiple level delivery, core program Foundational service for “complex” families –
to increase parental confidence and competence (supports readiness to address other mental health issues)
Stages of Implementation
“System” of Engagement
Policy (including funders, researchers, management) (all levels of “policy” –government, agency leadership, cross sector collaboratives…)
Practitioners (different disciplines and roles to meet parents where they go for advice/ support)
Parents (rural/ urban, english/french, First Nations, multi-cultural/ faith communities, single, married…)
British Columbia
Vancouver Island Health Authority – in collaboration with Ministry of Children and Family Development and School Districts
About 500 practitioners on Vancouver Island
Some training on mainland – Prince George, Surrey (Levels 4, 5)
Yukon, Northwest Territories, Nunavut
Expressing interest, particularly in support of First Nations communities
Unique needs – geography, transportation, weather
1 practitioner in Northwest Territories
Alberta
Pilot initiative beginning in 2007
Training in Seminars and Primary Care at 0-12 and Teen age groups, Group, Standard and Primary Care Stepping Stones
Training and media development ongoing
Saskatchewan
La Ronge Indian Child and Family Services – northern Saskatchewan
Supporting training across sectors for 80 practitioners
Training in Indigenous Triple P – Primary Care and Group
Upcoming training – Teen Group and Level 5
Manitoba ***
2000 – Premier established Healthy Child Cabinet committee (multi-sector)
2005 – mandate for public health, province-wide initiative to strengthen parenting skills
200 agencies participating (voluntary)
985 practitioners, 1320 training spaces
Ontario
30 + communities across province
Communication among sites supported through Ontario Network portal – Provincial Centre of Excellence for Child & Youth Mental Health
Recent approval of a provincial funding grant (M of Health Promotion) for a coordinated Level 1 Communications Strategy
Research Working Group (of the Ontario Network) working on inventory of agencies
Quebec
interest expressed in the research from universities, and in training
June 2009, hosted Canadian Psychological Association annual conference (Matt Sanders – one of the keynote speakers)
Materials undergoing translation into French – review by Manitoba Government Translation Services
New Brunswick
24 practitioners – Group Triple P (2008) Provincial – Department of Social
Development – programs: early intervention services, family resource centres, early childhood social workers
Evaluation of program effectiveness Results attested to the merits of the program
with existing clients
Nova Scotia, Newfoundland and Labrador, Prince Edward Island
Population Reach - Status
Canada: 33.5 Million (25 Million adults 19+)
Practitioners (2009): over 4300 (many trained at more than one level of Triple P)
What is a “population reach” target to aim for?
Stats Canada 2006 census data
Population/ Practitioner stats
Province/ Territory
Population
(0-19) (2006)
Number of Practitioners (2009)
“Clients” per practitioner
British Columbia 976,350.00 692 1410
Yukon, NWT, Nunavit
33,830.00 1
Alberta 840,550.00 203 4140
Saskatchewan 285,540.00 20
Manitoba 314,140.00 1578 199
Ontario 3, 002,165.00 1806 1662
New Brunswick 180,770.00 28
Que, NS, PEI, Nfld/Lab
2,145, 520.00 0
CANADA 7,738.865.00 4328 1788
Country as a whole
Strong clinical base (Levels 4, 5)
Recognising value of Primary Care
- Engagement of family (part of assessment)
- Quick success for more complex families
- Waitlist strategy - minimal sufficiency
Expansion of Level 1
“System” of Sustainability
Triple P – Quality Assurance system Government/ Funders Agency/ Collaboratives: Pre-training – engagement of practitioners
Supportive learning phase
Flexible process – service delivery
Integration of self-regulation / minimal sufficiency
Practitioner satisfaction
Next Steps
Aiming to connect all sites through one or more of the following;
- Peer networks (practitioners, managers, sector partners)
- Community collaboratives/ planning tables
- Provincial / territorial networks
- Link to Canada Network
Anyone I missed? Contact me: [email protected]