Triple P Positive Parenting Program

Courtney Cheatham SASS 517

Video Clips
http://youtu.be/VF7i8_sxRtQ

http://youtu.be/j5g20nXqU68

Triple P is
An internationally acclaimed system or suite of parenting interventions Multi-level and organized for population dissemination Intended for the prevention of social, emotional and behavioral problems in childhood, the prevention of child maltreatment, and the strengthening of parenting and parental confidence Supported by a strong and growing evidence base Tailorable to family needs through flexible formats and delivery
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Triple P is for
Organizations serving families Governmental agencies and initiatives Communities Counties

States
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Positive Parenting Program

A multilevel system or suite of parenting and family support strategies for families with children from birth-age 12, with extensions to families with teenagers ages 13-16 Developed for use with families from many cultural groups Designed to prevent social, emotional, behavioral, and developmental problems in children by enhancing their parents knowledge skills and confidence The program, which can be used in early intervention and treatment, is founded on social learning theory and draws on cognitive, developmental, and public health theories
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The Triple P System

Draws on social learning, cognitive-behavioral and developmental theory, as well as research into risk and protective factors associated with the development social and behavioral problems in children The programs multi-level framework aims to tailor info, advice and professional support to the needs of individual families It recognizes that parents have differing needs and desires regarding the type, intensity and mode of assistance they may require The interventions range from the provision of media on positive parenting, through to brief information resources such as tip sheets and videos, and brief targeted interventions (for specific behavior problems)

Description of the Intervention

Triple P System is a system of parenting interventions for families which seeks to strengthen parenting skills and prevent dysfunctional parenting, so as to prevent child maltreatment and emotional, behavioral, and developmental problems

The System emphasizes five core principles of positive parenting: (i) ensuring a safe, engaging environment; (ii) promoting a positive learning environment; (iii) using assertive discipline; (iv) maintaining reasonable expectations; and, (v) taking care of oneself as a parent
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Description, cont.
System services include various combinations of parenting seminars. Parent skills-training sessions and individual consultations These services are provided in 1-10+ sessions, with the type and amount of service (i.e., service levels) tailored to the severity of the familys dysfunctional and/or childs behavioral problems Sessions are delivered by a variety of service providers from different settings (e.g., healthcare, preschools, elementary schools, mental health, social services) who have completed Triple Ps 3-5 day training regimen The System also includes media strategies promoting positive parenting practices community-wide (e.g., news stories, parenting articles, newsletters, radio announcements)

Triple P Model of Parenting and Family Support

Level of Intervention: LEVEL 1- Media-based parent information campaign; Universal Triple P Target Population: All parents interested in information about promoting their child's development Intervention Methods: Anticipatory well child care involving the provision of brief information on how to solve developmental and minor behavior problems. May involve self-directed resources, brief consultation, group presentations, mass media strategies, and telephone referral services Practitioners: Parent support and/or health promotion (e.g. , parent aide volunteers linked to agencies routinely providing Triple P services)

Model of Support, cont.

LEVEL 2: Brief selective intervention Selected Triple P/ Selected Teen Triple P Target Population: Parents with a specific concern/s about their child's behavior or development Intervention Methods: Provision of specific advice for a discrete child problem behavior. May be self-directed or involve telephone or face-to- face clinician contact or group sessions Practitioners: Parent support during routine well- child health care (e.g., child and community health, education, allied health and childcare staff)
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Model of Support, cont. 2

LEVEL 3: Narrow focus parent training Primary Care Triple P/ Primary Care Teen Triple P Target Population: Parents with a specific concern/s about their child's behavior or development who require consultations or active skills training Intervention Methods: Brief therapy program (1 to 4 clinic sessions) combining advice, rehearsal and self- evaluation to teach parents to manage a discrete child problem behaviour. May involve telephone or face-to-face clinician contact or group sessions Practitioners: Parent support during routine well- child health care (e.g., child and community health, education, allied health and childcare staff)

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Model of Support, cont. 3

LEVEL 4: Broad focus parent training Standard Triple P/ Group Triple P/ Group Teen Triple P/ SelfDirected Triple P Target Population: Parents wanting intensive training in positive parenting skills - typically parents of children with more severe behavior problems Intervention Methods: Intensive program focusing on parentchild interaction and the application of parenting skills to a broad range of target behaviors. Includes generalization enhancement strategies. May be self-directed or involve telephone or face-to- face clinician contact or group sessions Practitioners: Intensive parenting interventions (e.g., mental health and welfare staff and other allied health professionals who regularly consult with parents about child behavior)

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Model of Support, cont. 4

Level 4 Stepping Stones Triple P Target Population: Families of preschool children with disabilities who have or are at risk of developing behavioral or emotional disorders Intervention Methods: A parallel 10-session individually tailored program with a focus on disabilities. Sessions typically last 60-90 minutes (with the exception of 3 home practice sessions which last 40 minutes) Practitioners: Intensive parenting interventions (e.g., mental health and welfare staff and other allied health professionals who regularly consult with parents about child behavior)

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Model of Support, cont. 5

LEVEL 5: Behavioral family intervention modules Enhanced Triple P Target Population: Parents of children with concurrent child behavior problems and family dysfunction such as parental depression or stress or conflict between partners Intervention Methods: Intensive individually tailored program with modules including home visits to enhance parenting skills, mood management strategies and stress coping skills, and partner support skills. May involve telephone or face-toface clinician contact or group sessions Practitioners: Intensive family intervention work (e.g., mental health and welfare staff)

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Model of Support, cont. 6

LEVEL 5 Pathways Triple P Target Population: Parents at risk of maltreating their children. Targets anger management problems and other factors associated with abuse Intervention Methods: Modules include attribution retraining and anger management Practitioners: Intensive family intervention work (e.g., mental health and welfare staff)

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Rationale
The rationale for this multi-level strategy is that there are differing levels of dysfunction and behavioral disturbance in children, and parents have different needs and preferences regarding the type, intensity and mode of assistance they may require This tiered approach is designed to maximize efficiency, contain costs, avoid waste and over servicing, and to ensure the program has wide reach in the community Also, the multi-disciplinary nature of the program involves the better utilization of the existing professional workforce in the task of promoting competent parenting
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Rationale, cont.
The program targets 5 different developmental periods: infants, toddlers, preschoolers, primary schoolers and teenagers Within each developmental period the reach of the intervention can vary from being very broad (targeting an entire population) or quite narrow (targeting only high-risk children) This flexibility enables practitioners to determine the scope of the intervention within their own services priorities and funding
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Figure 1. The Triple P Model of Graded Reach and Intensity of Parenting and Family Support Services

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Theoretical Basis of Triple P

Triple P aims to enhance family protective factors and to reduce risk factors associated with severe behavioral and emotional problems in children and adolescents Specifically, the program aims to: 1. Enhance the knowledge, skills, confidence, self-sufficiency and resourcefulness of parents; 2. Promote nurturing, safe, engaging, non-violent and low conflict environments for children; and 3. Promote childrens social, emotional, language, intellectual and behavioral competencies through positive parenting practices

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References
http://www.triplepamerica.com/documents/Theoretical%20Scientific%20and%2 0Clinical%20Foundations%20for%20Triple%20P.pdf www.triplep.net www.nrepp.samhsa.gov www.evidencebasedprograms.org
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