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Evolution not Revolution!!

Evolution not Revolution!!. An Integrated approach to promoting positive parenting and social and emotional competence in children. The Powys ‘Everybody’s Business’ Model. Integration and alignment of strategic programmes, services and resources; Community focused Schools/SEG/PDG

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Evolution not Revolution!!

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

  2. The Powys ‘Everybody’s 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

  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 People’s interventions • Classroom Dina • Small-group Dina • (KIVA) • (Mindfulness) • (Mental health First Aid) • (Restorative Justice)

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

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

  6. Starting small…….. Nurturing growth.

  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

  8. Ten top tips continued…… 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

  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

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

  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

  12. Supporting Fidelity with IY Programmes

  13. An Integrated Approach

  14. NHS Wales Award - 2012. Powys Health Board worked in partnership with Powys Children and Young People’s Partnership, and Barnardo’s Cymruto 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.”

  15. Some Examples of an Integrated Approach

  16. Ladywell Green Infant School Newtown

  17. 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 school’s 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

  18. Ysgol Golwg Y Cwm, YstradgynlaisA Community Focused School

  19. Ysgol Golwg y Cwm: Supporting Children, Families and teachers using an Integrated IY Approach

  20. 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.

  21. Outcomes? • Challenges?

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

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

  24. 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

  25. 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

  26. 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

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