Evidence-Based Parenting
Programs supported by Children’s
Administration in Region 2 North
July 28, 2011
Michael Tyers, MA and;
Jennifer Paddock, MA,MAC
Region 2 North, Children’s Administration
(425) 339- 1830
What constitutes an EvidenceBased Program?
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In Washington State we follow the
California Evidence-Based Clearinghouse
for Child Welfare (CEBC)
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CEBC rating scale is to evaluate each
practice based on the:
Best research evidence
Best clinical experience
Consistency with patient (family/client)
values.
Programs covered in this
presentation:
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NCAST Assessments
Promoting First Relationships
Project SafeCare
Incredible Years
Triple P- Positive Parenting
Program
Homebuilders-Intensive
Family Preservation Services
Wrap-Around High-Fidelity
Parent Child Interaction
Training (PCIT)
Functional Family Therapy
Nursing Child Assessment
Satellite Training
(NCAST)
Valid and reliable measure for
assessing parent-child interaction
Describes observable behavior
brought to the interaction by caregiver
and child
Easily identifies strengths as well as
areas needing improvement
The most widely used scales for
measuring parent-child interaction
today, birth to age 3.
PCI Subscales
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Assesses Child and Parent in the
1.
Feeding Element for up to age 1
2.
Teaching Element for up to 3 years of
age
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Four subscales describe the parent's
responsibilities to the interaction.
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Two subscales describe the child's
responsibilities.
Parent Subscales
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Sensitivity to Cues
Response to Distress
Social-Emotional Growth Fostering
Cognitive Growth Fostering
Child Subscales
Clarity of Cues
Responsiveness to Caregiver
Typical cases referred
for NCAST
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To evaluate the adequacy of the caregiver-child
interaction, of the caregiver style, ability or the
environment
Failure to thrive?
Determine the need for an intervention plan for
the caregiver-child pair
Drug positive baby at birth
Assess responsivity between caregiver and
child
Promoting First Relationships
(PFR)
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Promoting First Relationships is a
prevention program dedicated to
promoting children's socialemotional development through
responsive, nurturing caregiverchild relationships.
Appropriate for ages
birth to 3.
Features of the PFR training program
include:
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Videotaping caregiver-child
interactions to provide insight into
real-life situations.
Giving positive feedback that builds
caregivers' competence with and
commitment to their children.
Focusing on the deeper emotional
needs underlying children's
challenging behaviors.
What happens during the 10
sessions?
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Caregivers learn about 10 basic social and emotional
needs infants/toddlers have.
Caregivers learn behaviors that help create healthy
attachments
Staying connected with infants and toddlers during
difficult times is also discussed
Where challenging behaviors come from in infants
and toddlers
How to reach out and get support
Building reflective capacity through video taping
parent-child interactions
Project SafeCare
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Project SafeCare is a parent-training curriculum for
parents who are at-risk or have been reported for child
maltreatment.
The program is appropriate for children birth to 5.
Through SafeCare, trained
professionals work with at-risk
families in their home
environments to improve
parents’ skills in several
domains.
The Project SafeCare Modules
1. Parent-child or parent-infant
interaction
2. Child Health
3. Home Safety
and cleanliness
4. Problem Solving
worksheet
Common Elements of each PSC
module:
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Describe desired target behaviors
Explain the rationale or reason for each behavior
Model each behavior (demonstrate desired behavior)
Ask parent to practice behavior
Provide positive feedback (point out positive aspects
of performance)
Provide constructive feedback (point out aspects of
performance needing improvement)
Review parent's performance, have them practice
areas that need improvement, and set goals for the
week.
Incredible Years
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Appropriate for ages birth – seven
Families have a need to learn appropriate
parenting skills & discipline or improve
bonding
Short Term Objectives
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To prevent and reduce aggression and behavior
problems in young children.
To promote social, emotional and academic
competence in young children.
Long Term Objectives
To prevent delinquency, substance abuse and
violence in adolescence.
The BASIC IY program
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Incredible Years Basic Preschool Program
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18 group sessions (for high risk populations)
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Increase developmentally appropriate
& nurturing parenting practices
Persistence, academic, social and
emotional coaching & child
directed play
Praising and Motivating Children
The BASIC IY program continued…
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Predictable routines &
schedules
Using non-punitive and more
consistent discipline approaches
for misbehavior
Learning how to help children self-regulate,
use appropriate social skills, problem solve &
develop imaginary play
Promoting parent-teacher collaboration
Incredible Years Parenting Program Group
Methods & Process
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Developmentally based
Culturally sensitive
Emphasizes the therapeutic relationship:
“collaborative process”
Coping (vs. Mastery model)
Video modeling/DVDs
Role play practice & rehearsal
Home assignments
Group support
Sensitive to socioeconomic barriers
Research tells us:
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Parent training remains the
single most effective strategy
for preventing behavior
problems and promoting social
and emotional competence in
young children!
Triple P- Positive Parenting Program
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Appropriate for birth to 12.
The program is based on self-regulation.
The goals are for children to develop
emotional self-regulation and for parents
to become resourceful, independent
problem-solvers.
As families determine their own particular
goals, the program is tailored to suit their
aspirations.
Practitioners consult and guide through
active skills training.
Parents decide what they wish to take on.
Triple P levels for Child Welfare
involved Families.
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Standard Triple P
This 10-session program incorporates sessions on causes of children’s
behavior problems, strategies for encouraging children’s development
and strategies for managing misbehavior.
Skills training includes:
modeling
rehearsal
self-evaluation
homework tasks
Home or clinic practice sessions are also conducted in which parents
self-select goals to practice.
They are then are observed interacting with their child and
implementing parenting skills, and subsequently encouraged to selfevaluate their progress toward meeting their goals.
Homebuilders-Intensive Family
Preservation Services
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Appropriate for birth to 18
One of the oldest and best
documented programs in the U.S.
Intensive in-home crisis intervention,
counseling and life skills education.
Homebuilders Elements
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One or more children is in imminent danger
of being placed out of home or is returning
home from placement.
Client seen within 24 hours of referral
Treatment is in home and therapists are
responsive 24/7.
Targeted 4 week concentrated service.
Therapist are flexible and carry only 2-3
cases at a time.
Service is in-home and averages 40-50
hours of direct service.
Homebuilders continued…
Therapist has flexibility to address
crisis in variety of ways:
1. Food, clothing, gas
2. Shelter
3. Transportation
4. Parent skill training
5. Counseling (Financial, Anger,
Development, Communication etc.)
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Parent Child Interaction Training (PCIT)
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PCIT is appropriate for ages 2-7.
PCIT is a parent training program
that:
helps parents improve parenting skills
helps establish a warm and responsive relationship with
their child
helps to decrease child behavior problems
PCIT continued:
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The service includes:
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20 weeks of individualized, one-hour parent-child
sessions
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Trained therapists coach the parents:
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use of a one way mirror in which therapist uses a
microphone device from another room in clinic
completed in family’s home
Child management techniques include:
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praising appropriate behavior
ignore undesirable behavior
give clear age-appropriate instructions
appropriate discipline methods
High Fidelity Wraparound Program
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Currently a Promising Practice
moving towards becoming
Evidence-Based.
Appropriate for ages 3 to 17.
Provides a community-based team
that focuses on the “voice and
choice” of the family.
Wraparound Program continued…
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Family focused approach that
assesses family and individual
strengths, natural supports and
cultural importance's.
Wraparound Principles
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Family and Youth Voice
Unconditional/Persistent
Strength Based
Culturally/Linguistically Competent
Community Based
Individualized
Natural Supports
Collaboration
Team based
Outcome based
Phases of Wraparound Program
1.
2.
3.
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Phase One; Engagement and Team
Preparation
Initial Plan Development
Plan Implementation
Transition
Services and support are offered
through multiple community
agencies
Functional Family Therapy (FFT)
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Appropriate for ages 11-18.
FFT is a family therapy that is provided
usually in a family home.
FFT focuses reducing conflict in the
family, improving communication,
increasing use of age appropriate
parenting skills, and improving parent
supervision of children.
The program lasts an average of 4
months.
The entire family participates in FFT.
FFT Service Steps
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Step 1- Case Processing
Gather client information, establish
appointment times with the family
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Step 2- Engagement and Motivation
Initial face to face meeting, increase
family’s interest and motivation for change
Conduct assessments
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Step 3- Behavioral Change, Generalization
and Closure
Individualized change plans that reduce risks
and increase protective factors, relapse plan
developed and family/community connections
established to sustain treatment gains.
Thank you for attending
Evidence-Based Parenting Programs
supported by Children’s Administration
in WA State