SLIDE 1
DEDICATION
“Growing Up in Canada is like race. I don’t mind if
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 - - 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 dont
SLIDE 2
SLIDE 3
INVESTIGATORS
- 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
SLIDE 4
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
SLIDE 5
KEY PRINCIPLES OF THE FAMILY CHECK-UP
Assessment Driven Motivational Family Centered Tailored Strengths Based
Mauricio, A. 2016
SLIDE 6
Mauricio, A. 2016
SLIDE 7
IMPACT
ADOLESCENCE CHILDHOOD
- 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
SLIDE 8
WHY STUDY THE FCU IN CANADA?
SLIDE 9
STUDY OBJECTIVES
1.
To import, adapt and evaluate the FCU as a secondary prevention approach to preventing trajectories of severe and chronic EBP in children
2.
To lay the foundation for a community and health system of prevention and early intervention for Hamilton children and youth of all ages
SLIDE 10
STUDY OVERVIEW
Phase 1: Adapting, Training and Implementation (April 2016) Phase 2: Community Pilot RCT (January 2017) Future goals, Phase 3: Dissemination, and preparation for next steps
INTEGRATED KNOWLEDGE TRANSLATION (IKT) TEAM OF STAKEHOLDERS
SLIDE 11
Screen N=450, Recruit through FHT, CHC, child care, children’s services Baseline Assessment (Questionnaires &
- bservational tasks)
Family Check-Up N=140 Feedback Session Up to 6 EDP sessions “Light” assessment at 6 months Community Control N=140 Care ‘as usual’; offer CES flyer 12 month assessment
STUDY FLOW
SLIDE 12
INCLUSION 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
SLIDE 13
RECRUITMENT
We are seeking a community-based sample,
and will recruit in collaboration with our community partners
RECOMMENDATIONS? THOUGHTS?
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?
SLIDE 14