M AKING THE R ACE F AIR FOR Y OUNG C HILDREN AT R ISK : A T ARGETED P - PowerPoint PPT Presentation

“M AKING THE R ACE F AIR FOR Y OUNG C HILDREN AT R ISK ”: A T ARGETED P REVENTION A PPROACH TO R EDUCING C HILD E MOTIONAL AND B EHAVIOUR P ROBLEMS Terry Bennett, MD, FRCPC, PhD

D EDICATION  “Growing Up in Canada is like race. I don’t mind if my own children are in a race, as long as the race is fair.”

I NVESTIGATORS Dr. Terry Bennett Dr. Stelios Georgiades Dr. Paulo Pires Dr. Nick Kates Dr. Kathy Georgiades Dr. Jim Dunn Dr. Ellen Lipman Dr. Khrista Boylan Dr. Magdalena Janus Dr. Roberto Sassi Dr. Andrea Gonzalez Dr. Eric Duku Dr. Charlotte Waddell Dr. John McLennan Dr. Kathryn MacDonald Dr. John Cairney Dr. Alison Niccols

CONTEXT  Childhood emotional and behaviour problems are the strongest predictors of adult mental illness  The prevalence of emotional and behaviour problems amongst preschoolers is estimated as high as 26%  The ability to change behaviour and brain plasticity decreases over time – need to intervene early

K EY P RINCIPLES OF THE F AMILY C HECK - UP Strengths Assessment Driven Based Tailored Motivational Family Centered Mauricio, A. 2016

Mauricio, A. 2016

I MPACT CHILDHOOD ADOLESCENCE • Fewer behavior and emotional symptoms and problems • Better emotion regulation • Increased school readiness and improved academic performance • Decreased risk for obesity • Decreases in child neglect Mauricio, A. 2016

W HY STUDY THE FCU IN C ANADA ?

S TUDY O BJECTIVES To import, adapt and evaluate the FCU 1. as a secondary prevention approach to preventing trajectories of severe and chronic EBP in children To lay the foundation for a community 2. and health system of prevention and early intervention for Hamilton children and youth of all ages

S TUDY O VERVIEW Phase 1: Future goals, Phase 2: Adapting, Phase 3: Community Training and Dissemination, Pilot RCT Implementation and preparation (January 2017) (April 2016) for next steps INTEGRATED KNOWLEDGE TRANSLATION (IKT) TEAM OF STAKEHOLDERS

Screen N=450, Recruit through FHT, CHC, child S TUDY FLOW care, children’s services Baseline Assessment (Questionnaires & observational tasks) Family Check-Up N=140 Community Control N=140 Feedback Session Care ‘as usual’; offer CES flyer Up to 6 EDP sessions “Light” assessment at 6 months 12 month assessment

I NCLUSION CRITERIA  Children aged 2-4 years and primary caregiver  Family with sufficient knowledge of English to complete assessment  Children have high levels of emotional and behaviour problems (according to parent report) OR  Children have above average levels of emotional and behaviour problems plus one of the following risk factors:  Low SES  Single parent or young parent  Parental depression  Parent(s) with less than grade 12 education

R ECRUITMENT  We are seeking a community-based sample, and will recruit in collaboration with our community partners R ECOMMENDATIONS ? T HOUGHTS ?  Meeting recruitment goals  Creating “real - world” referral processes that work for families, agencies and care providers  How can we optimize outreach and family engagement while minimizing stigma?

THANK YOU! Questions?