York Region Orientation What is Triple P? Flexible system of - - PowerPoint PPT Presentation

York Region Orientation

What is Triple P?

• Flexible system of parenting and family support
• Evidence-based
• Prevention/early intervention approach
• Five intervention levels of increasing intensity
• Principle of sufficiency
• Multidisciplinary focus

Why Triple P?

• Effective parenting single largest factor for healthy

child development

• All sectors have the opportunity to enhance

parenting capacity within their day to day work

• Provides consistent language and approach across

sectors to enhance parenting capacity

• Provides a framework and resources that enhance

service integration across service providers

Theoretical Foundation of Triple P

• Social learning models of parent-child interaction
• Child and family behaviour therapy research
• Developmental research on parenting in everyday

contexts and social competence

• Social information processing models
• Development psychopathology research
• Public/population health framework

Community Sector Partners

• Early Years
• Child Care
• Education
• Child Protection
• Family Services
• Health
• Developmental Services
• Recreation
• Children's Services
• Cultural Services
• Children's Mental Health

York Region System Capacity for Integrated Triple P Service Provision Triple P is a parenting and family support strategy that aims to prevent severe behavioural, emotional and developmental problems in children by enhancing the knowledge, skills and confidence of parents. Service Providers in York Region provide the following levels of Triple P to clients:

Triple P York Implementation Committee

• Addiction Services of York Region
• Blue Hills Child and Family Services
• Catholic Community Services of York Region
• Early Intervention Services
• Family Services of York Region
• Kinark Child and Family Services
• Ontario Early Years Centres
• Panorama Program for Children and Youth
• Region of York
• Social Enterprise
• York Centre for Children Youth and Families
• York Region District School Board
• York Region Catholic District School Board

Referral Gateways Direct Service access at each agency intake Upcoming Events posted at www.triplepontario.ca Contact Health Connection for Service Providers in area

Principles of Positive Parenting

• Ensuring a safe, engaging environment
• Creating a positive learning environment
• Using assertive discipline
• Having realistic expectations
• Taking care of yourself as a parent

Five Intervention Levels

• 1. Universal Triple P

Media-based parenting information campaign

• 2. Selected Triple P

Tip sheet discussions, seminar presentations

• 3. Primary Care Triple P

Narrow focus parenting skills training

• 4. Standard/Group/Self-Directed Triple P

Broad-focused parenting skills training

• 5. Enhanced Triple P

Behavioural family intervention

• Programs for parents of children 0-12 and teen

17 Core Parenting Skills

Promoting positive relationships Brief quality time, talking to children, affection Encouraging desirable behaviour Praise, positive attention, engaging activities Teaching new skills and behaviours Modelling, incidental teaching, ask-say-do, behaviour charts Managing misbehaviour Ground rules, directed discussion, planned ignoring, clear, calm instructions, logical consequences, quiet time, time-out

Level One – Universal Triple P

• Print – Newspaper editorials/features, positive

parenting column, posters & brochures

• Television – Current affairs stories, 15-30 second

positive parenting community service announcements (CSAs), Families TV series

• Radio – Interviews, 1-2 CSAs, weekly talkback
• Internet – Parent direct websites, e-journals

Level One: Benefits of Universal Intervention

• Normalize
• Destigmatise
• Increase receptivity
• Promote self-sufficiency
• Provide coping models
• Depict solutions to common problems
• Alert parents to availability of services

Level Two: Selected Triple P

Three 90-minute presentations at each age level 0-12

• The power of positive parenting
• Raising confident, competent children
• Raising resilient children

Functions as information session and promotes engagement at more intensive levels Provision of parenting tip sheets summarizing content

• f each seminar

12 – 16

• Raising responsible teenagers
• Raising competent teenagers
• Getting teenagers connected

Level Three – Primary Care Triple P

• Practical advice for discrete behavioural or

developmental issues

• May involve active skills training procedures
• 2 hour topic specific workshop OR
• One – Four consultations
• Nature and history of problem/monitoring
• Formulation/parenting plan/obstacles
• Review/rehearsal/new parenting plan
• Follow-up/trouble shooting

Level Three – Benefits of Primary Care

• Early detection of significant deviations from normal

development

• Provision of advice to parents seeking information

about developmental issues

• Provision of brief behavioural counseling for child

behavioural problems

• Referral of moderate to severe child behaviour

problems to specialized services

Level Four: Standard Triple P

• Broad focus parent skills training
• Active skills training
• Generalization enhancement strategies
• 10 sessions
• Assessment and feedback
• Causes of children’s behaviour problems
• Positive parenting strategies
• Practice
• Planned activities for high-risk settings
• Maintenance

Level Four: Group Triple P

• Groups of 10-12 parents
• Active skills training in small groups
• 8 session group program
• 4x2 hour group sessions
• 3x15-30 minute telephone sessions
• Final group/telephone session
• Supportive environment
• Normalize parenting experiences

Level Four: Benefits

variety of modalities available – individual, group, self directed

• parents learn to apply parenting skills to a broad

range of behaviours in both home and community settings with the identified child as well as siblings – self-regulatory framework

• benefits of group include support, friendship and

constructive feedback from other parents as well as

• pportunities for parents to normalise their parenting

experience through peer interactions.

Stepping Stones Triple P

• For parents with a child who has a disability who

has or is at risk of developing behavioural or emotional problems

• Variation of
• Primary Care Triple P (1 – 4 individual sessions)
• Group Triple P (8 group sessions)
• Standard Triple P (10 individual sessions)

Level Five – Family Transitions Triple P

• Adjunct to other intervention levels

For parents who are experiencing personal distress from separation or divorce, which is impacting on, or complicating, the task of parenting.

• 9 individual or group sessions and 3 individual

telephone consultations

• Assist with
• managing conflict with former partners
• Coping with distressing emotions
• Managing the transition from being a two

parent family to a single parent family

Level Five – Enhanced Triple P

• Adjunct to other intervention levels
• Review and feedback
• Negotiation of additional modules tailored to

family’s needs

• Practice Module
• Coping Skills Module
• Partner Support
• Maintenance and closure

Level Five – Practice Module

• Conducted in the family home or community setting

if possible

• Practice task negotiated
• Practitioner observes
• Parent self-evaluates (practitioner provides

feedback as appropriate)

• Parents sets goals for change
• Parents sets homework tasks

Level Five – Coping Skills Module

• Education about mood
• Relaxation/stress management
• Managing dysfunctional thoughts
• Coping statements
• Challenging unhelpful thoughts
• Coping plans for high-risk times

Level Five – Partner Support Module

• Use of casual conversation
• Effective partner support
• Problem solving discussions

Level Five – Pathways Triple P

• Extra level 5 modules
• For parents at risk of maltreating their children,

parents with prior abuse notification, or parents with anger management problems

• Attribution Retraining Module (re: child’s and own

behaviour)

• Anger Management Module

Level Five – Benefits

• Individually tailored – can do 1 or more module

related to parents goals

• Parents learn about managing their own emotions

and behaviours along with those of their children

• Overall programs work toward enhancing parents

self-management skills – reducing reliance on clinician

Fidelity (Quality Assurance)

• Session checklists (review in supervision, element
• f Performance Appraisal system)
• Peer support networks and coaches
• Service delivery targets and measures
• Practice Leader

Other programs

• Lifestyles Triple P

Parents or caregivers of overweight or obese children who are concerned about their child’s weight and are willing to make changes in their family’s lifestyle.

Indigenous Triple P

Variations specifically designed for Indigenous populations

Online Triple P

• Self Help Triple P

Designed for families in rural or remote areas and families

wanting a self-help program that they can work through at

• home. Telephone consultations may be included to support

personal goal setting and self-evaluation.

Fidelity (Quality Assurance)

• Session checklists (review in supervision, element
• f Performance Appraisal system)
• Peer support networks and coaches
• Service delivery targets and measures
• Practice Leader

For Further Information

• York Region Specific information

Shawna Lee – Regional Coordinator Shawna.lee@kinark.on.ca 905-713-3509 ext. 3618

• Training and materials
• www.triplep.net
• training@triple.net
• Research

www.pfsc.uq.edu.au triplep@pdfsc.uq.edu.au