Overview of IY Seattle and Wales

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Overview of IY Seattle and Wales

• IY managers workshop day 2008
• Metropole Llandrindod
• Professor Judy Hutchings,
• Bangor University and North West Wales NHS Trust
• Email j.hutchings_at_bangor.ac.uk
• Websites
• (research) http//incredible-years-wales-research.
  bangor.ac.uk
• (practice) www.incredibleyearswales.co.uk

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Recent/current Government initiatives to support
high risk children are now focusing on early, and
evidence based, programmes for families and in
schools.
Wales has led the way through the Parenting
Action Plan and by specifying the delivery of
evidence based parenting programmes in Flying
Start services. The IY programme has formed part
of this strategy The IY teacher classroom
management programme is now being added to the
parent leader training
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Having supported an evidence based programme
the challenge is making it work in practice
especially with high risk families

• Do the programmes have the tools to enable them
  to be replicated?
• Do the service providers fully equip staff with
  tools, materials, training and supervision?
• The challenge for service providers
• Evidence based programmes only work well if
  delivered with fidelity - most programmes
  delivered in service settings are not faithful
  replications

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The Incredible Years Parent Child and Teacher
programmes Seattle

• Over thirty years of research
• High standards of evidence and long term
  follow-up
• Effective as clinical and preventive programmes
• Identified in every systematic review
• 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 which
  included 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
• Replicated in Canada, Wales, England, Norway,
  Jamaica and being researched in Denmark,
  Australia, New Zealand, Portugal
• Equally effective with different cultural
  groupings, caucasian, african, asian and spanish
  americans

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The Incredible Years Programmes
Teacher Programme 6 full day sessions held
monthly
Child Dinosaur Classroom Programme 2 year
curriculum, 2 sessions per week, 30 weeks
Child Dinosaur treatment Programme 6 children,
18 - 22 weekly sessions
ADVANCED Parent Programme 9 sessions helping
adults communicate and problem solve
Fully revised School Aged BASIC Parent Programme
12 - 14 sessions, 6 - 12 years
Pre-School BASIC Parent Programme 12 - 14 weekly
sessions, 2 6 years
School Readiness Programme 4 pre-school
sessions 2 4 years
Infant (eight sessions) and toddler (12 sessions)
programmes
The School aged programme also has an
additional four session unit on helping your
child to do their best in school
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Welsh Assembly Government funding - Parenting
Action Plan for Wales 2006 - 2009 Training and
ongoing supervision for group leaders across
Wales commenced April 2006 Other funding from
WAG the translation of IY book into Welsh a
contribution to 2007 and 2008 annual conferences
and 2007 newsletter funding research into the
effectiveness of the infant and toddler
programmes in Flying Start areas Also Foster
carer research (WORD funded)
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The Commitment required of CYPs to access training

• Organisation and provision of training venue and
  refreshments
• Agree to provide programme materials for trained
  staff
• Ensure staff have sufficient time to run the
  programme and access supervision
• Support staff in working for leader certification
• Participation in any evaluation
• Ideally to identify a lead person to take the
  work forward and work towards becoming a
  programme mentor

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The WAG IY plan - year one 2006/7

• Training for staff from 15 Authorities across
  Wales
• Supervision - a total of 12 days
• Achieved 160 staff trained on WAG funding, a
  further 143 funded (2006/7 or previously) by
  their own Authorities, supervision accessed by
  100 people
• A survey of trained staff and service managers,
  funded by NWW NHS Research Grants Committee,
  completed Summer 2007

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The WAG IY training plan for year two 2007/8

• Basic leader training for the remaining 7
  Authorities - 75 people trained
• Nineteen days of supervision scheduled, 13
  delivered and 6 booked for February/March 2008.
• Supervision accessed by 131 people from across
  Wales so far this year

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The WAG plan for 2008/9

• 10 days training each in North, Mid and South
  Wales
• Teacher Classroom Management programme leader
  training 3 days
• School Aged Programme one day 1 days
• Two day Infant Toddler training 2 days
• One day Advanced parent programme 1 days
• One supervision day per term 3 days
• Total 10 x 3 days 30 days training
• These days are for people who have completed
  the basic three day leader training

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Findings from the Survey of staff trained in year
one

• All leaders trained during 2006/7 and 15 service
  managers whose services received training were
  surveyed.
• 102 leaders (53) and 14 service managers (93)
  responded

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Service manager responses

• All 14 service managers were positive about the
  benefits of the training or their staff
• 13 (93) said that their service had delivered
  the programme
• All 14 (100) said that the programme would be
  delivered during the coming year
• 12 (86) also had previously trained staff
• 10 (71) trained additional staff during the year
• 5 (36) had evaluated the programme and received
  positive feedback from staff and parents
• 3 (21) have identified a lead clinician/staff
  member to work for leader certification
• 12 (86) report having plans in place to ensure
  that the programme is delivered well

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Responses from trained staff

• Trained staff had a mean of 12 years practice
  experience prior to the training
• They had experience of 27 other parenting
  programmes (only one well evidence based)
• Staff came from a variety of agencies, health,
  education, social care, voluntary agencies,
  accessed training across CYP partnerships
• 88 reported the training as useful/very useful
• 93 found the content relevant to local service
  needs and useful in their one to one work with
  families and their own lives
• 59 felt the need for further supervision in
  order to run the programme
• 33 had run the programme since training and 67
  had plans to run future groups

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Responses from staff that had delivered the
programme

• Services delivered were to mixed groups
  universal preventive (62) targeted preventive
  (71) clinical (19) and other (9)
• 86 of groups accepted referred parents
• 31 included self referred parents
• Mean age of children was 4.5, range 2 - 6.6
  years, so focus was on early years
• Mean number of parents enrolled was 11 and mean
  completers 10 parents (an excellent outcome
  probably reflecting leader prior experience)

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• Supervision was available for 86 and 45 were
  considering leader certification.
• Leaders used a wide range of strategies to
  encourage home activities, giving feedback on
  weekly homework (56), raffles, praise, making
  weekly phone calls (71), etc..
• 29 did not have enough time to make weekly phone
  calls but recognised their value and planned to
  do them in their next groups
• Mean time allocated for preparation was 1/2 day
  per week, ranging from nothing to one day per
  week
• The main staff concern was some lack of
  recognition of the time and skills involved in
  delivering the programme effectively to high risk
  families

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Overall conclusions

• The training was well received
• There was good uptake and high planned uptake of
  delivery of the programme
• Staff and parents rated the programme well
• Some services had identified a lead staff member
  to support staff
• Service managers are developing plans to ensure
  high quality delivery of the programme
• Staff still feel the need for additional
  supervision and resources to support effective
  delivery of the programme

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• The scheme has met its objectives to date and
  represents a good investment for WAG in
  supporting the most vulnerable children in Wales.
  
• the addition of the teacher programme and the add
  on training for the extended range of parent
  programmes are exciting developments.
• We will continue to monitor and provide feedback
  on the progress of the scheme.

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Establishing the IY programmes in Wales
1998 First parent leader training in North
Wales Initially delivered in North Wales CAMHS
services 1999 Training in therapeutic and
classroom Dino school 2000 onwards, demonstration
projects of all programmes in North Wales and
ongoing training and consultation 2002 Research
funding for Sure Start study 11 Centres 2003 IY
Wales Centre opened by Jane Hutt 2004 PhD and
other research funding acquired 2006/7 Parenting
Action Plan funded leader training across Wales
2007 Looked after children project started with 3
Las (WORD). 2007 two mentors join JH in training
activity 2008 WAG funded research into the Infant
and Toddler progs 2008 WAG funded training TCM
and new parent progs 2008 Wales self sufficient
in training for all programmes but more mentors
needed across Wales
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Current research activity in Wales

• How the inattentive children in the Sure Start
  sample fared
• What leader behaviours make a difference
• Infant/toddler programme research plan
• Foster carer research
• Teacher classroom management programme research
• Funding currently being sought for
• Long term follow-up of the Sure Start sample
• Delivery of the parent programme as a diy
  intervention
• Using the parent programme with nursery nurses
• Evaluation of the school aged programme for
  parents of 9 - 12 year old children