Parent Training

1
Parent Training What Works?

• Dr. Caroline White
• Consultant Clinical Psychologist
• Booth Hall Childrens Hospital
• Manchester

2
Parenthood
3
Little Hulton Project(White, Agnew Verduyn,
2000)

• Community based clinical psychology
• service for pre-school children families
• Parent training groups
• Training to Tier 1
• Consultation liaison to Tier 1

4
Little Hulton Outcome measures
Scores moved from clinical to non-clinical ranges
5
Children Parents Service (CAPS)

• Citywide service in Manchester
• Multi-agency partnership
• Health
• Early Years Play (City Council)
• Educational Psychology Service
• Voluntary Family Welfare Association
• Funding
• Health mainstream
• Sure Start
• Extended Schools
• RESPECT Agenda Pathfinder (18 month pilot)

6
CAPS Early Intervention Team
4.0 wte Consultant Clinical Psychologist 6.0 wte
Clinical Psychologist 3.0 wte CPN/MH
Practitioner 6.0 wte Family Support Worker 3.5
wte Secretary 4.0 wte Assistant Psychologist 6.0
wte CAPSTIP Co-ordinator 0.5 wte Educational
Psychologist
7
CAPS Interventions

• Parent Survival Courses
• 10 to 12 week Incredible Years course
• High quality supervision
• Commitment to accredited group leaders

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CAPS Interventions

• Tier 1 training and consultation
• Health visitors, community paediatric nurses,
  community nursery nurses, children centre staff
• Pilot of new initiatives

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CAPS Interventions

• Under 2s interventions
• CARE Index model (Cues Clues)
• Baby Survival Course
• Baby Blues Busters

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CAPS Interventions

• Pre-school psychology clinics
• Individual follow up work

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CAPS Interventions

• Family Partnership Model
• When a client presents with a problem I dont
  automatically come out with an answer I find
  myself reflecting back to the client and
  considering all options. - Health Visitor

12
NICE GuidelinesParent Training for Conduct
Disorders

• Group based

• Social learning theory

• 8 to 12 sessions

• Role play

• Supervision

• Manualised

• Evidence based

• Remove access barriers

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Barriers to attending groups

• Practical
• Venue
• Time of day
• Language
• Cost
• Transport

• Literacy
• Life events
• Work/college
• Child care

• Wider context
• Stigma
• Perceptions
• Cultural beliefs
• Mental health

14
Barriers to running groups
Deborah
Claudia
Martin
Elaine
15
Recruitment
Posters
3 months before
Leaflets
3 months before
Face-to-face sign up
1-2 month before
Phone call
1 month before
Assessment at venue
Phone call
1 month before
Home visits Questionnaires
Phone call
2-4 weeks before
Invitation
1 week before
Phone call
1 day before
16
Collaboration

• Working with the community
• not just in the community

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Collaboration

• Requires commitment
• resources

18
Funding
19
Barriers to running groups

• Practical
• Venue
• Time of day
• Language
• Cost

• Life events
• Role
• Child care
• Transport

• Professional Resistance
• Perceptions/low expectations
• Cultural beliefs
• Job stress
• Lack of management support
• Initiative overload

20
Barriers to running groups
21
Barriers to running groups
Deborah
Claudia
Martin
Elaine
22
Why do you run parent groups?

• Teachers
• Own professional development
• Head Teachers
• Improve parental involvement

23
Which whose agenda?
Commissioners Fundholders
D I Manager
Headteacher
Nursery Manager
Crèche Worker
Group leader 2 Learning Mentor
Group leader 1 D I
PFW
HV
Parent
Child
Baby
24
Which whose agenda?
Commissioners Fundholders
D I Manager
Headteacher
Nursery Manager
Crèche Worker
Group leader 2 Learning Mentor
Group leader 1 D I
PFW
HV
Parent
Child
Baby
25
Which whose agenda?
Commissioners Fundholders
D I Manager
Headteacher
Nursery Manager
Crèche Worker
Group leader 2 Learning Mentor
Group leader 1 D I
PFW
HV
Parent
Child
Baby
26
Reasons for success

• Evaluation
• Quality control, annual reports
• Steering group
• Partnership working, joint bid
• Supervision
• Treatment fidelity
• Positive expectations
• Optimistic outlook
• Team meetings
• Relationship building, good communication

27
Parent Training What makes it work?
Evidence based

• Evaluation
• Steering group
• Supervision
• Positive expectations
• Team meetings

Collaborative model
Role play/practice
Modelling
Group support
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• .. and thats what gets results!