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10 years on: developing and researching the Incredible Years programmes in Wales:

Wednesday 17th March 2010

Village Hotel, Cardiff

Professor Judy HutchingsBangor University and North West Wales NHS Trust

Email: j.hutchings@bangor.ac.uk

Websites:

(research) http://incredible-years-wales-research.bangor.ac.uk

(practice) www.incredibleyearswales.co.uk

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Overview of presentation

Small beginnings

Reasons for choosing IY

Successes

The future

Implementation progress

• 2000 Parent leader training in North Wales• 2002 Classroom Dina training in North Wales• 2003 Funding for the Sure Start research trial• 2005 Parenting Action Plan for Wales• 2006 First WAG funded parent leader training across Wales• 2008/9 Staff from all 22 Authorities in Wales trained in parent programme and delivered in all 22 Authorities• 2010/11 Fifth year of WAG funding includes parent, child and teacher leader training

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Why develop the Incredible Years programmes in Wales

Over thirty years of research with high standards of evidence and long term follow-up

Effective as clinical and preventive programmes Identified in every systematic review and by the US Office of

Juvenile Justice and Delinquency Prevention as a model “Blueprint” programme for violence prevention.

One of only 11 from 600 programmes that met the stringent criteria for evidence including tools for replication and effective implementation and independent replication

One of only two parent programmes identified by NICE as effective for the treatment of conduct disorder

Replications in Canada, Wales, England, Norway, Jamaica and Wales

Parent programme is equally effective with caucasian, african, asian and spanish americans

Research underway in Seattle, Wales, England, Ireland, Norway, Denmark, Portugal, Jamaica, Wales, etc.,

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Teacher Programme

6 full day sessions held monthly

Child Dinosaur treatment Programme: 6 children, 18 - 22 weekly sessions

Child Dinosaur Classroom Programme:3 year curriculum, 2 sessions per week, 30 weeks

Fully revised ADVANCED Programme: 9 sessions helping adults communicate & problem solve

The Incredible Years Programmes

***The School aged programme also has an additional four session unit on helping your child to do their best in school

Fully revised School Aged BASIC Parent Programme:

12 sessions, 6 - 12 years***

Fully revised Pre-School BASIC Parent Programme: 18 weekly sessions, 3 – 6 years

School ReadinessProgramme:4 pre-school sessions 2 – 4 years

Infant (eight sessions) 0 - 12 months toddler 1 - 2 year olds (13 sessions) programmes

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Key specific components of effective interventions that are incorporated into the IY programmes

- new skills must be modelled and rehearsed

- (non-violent) sanctions for negative behaviour and relationship building, praise and rewards

- - practice or ‘homework’

- programmes should emphasise principles rather than prescribe techniques

- must address difficulties in relationships or other problems

- interventions work best when delivered early

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Developmentally based Empirically validated Emphasis on therapeutic relationship:

“collaborative process” Coping (vs. Mastery model) Videotaped modeling Role play & rehearsal Home assignments Group support Explores cognitions, behaviours, feelings

Incredible Years Programme Methods

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Fidelity in Incredible Years programmes

Content – social learning theory

Process – collaboration, individual goals, shared problem solving

Access – transport, meals, child care, timing of groups etc.

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How the IY programmes achieve implementation with fidelity

detailed leader manuals videotapes books and materials for

parents structured leader training, basic 3

day plus consultation days ongoing supervision a leader certification process a network of trainers and mentors

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Replication studies have shown that

the IY programmes do have the tools to enable them to work in practice

if……

service providers fully equip staff with tools, materials, training and supervision the outcomes match those of the research trials

Current/future research

Long term follow-up of Sure Start Nursery staff parenting project Toddler parenting project Evaluation of baby programme Evaluation of school readiness

programme Small scale pull out Dina Lottery project Large scale RCT of Dina programme Birmingham Sure Start replication Economic evaluation of the toddler

programme

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Current IY team Judy Hutchings – Director Dr Tracey Bywater – Research Fellow Dilys Williams – Administrator Kath Chitty – Admin Assistant Nia Griffith – PhD student Kirsty Cooper PhD student Catrin Jones – PhD student Margiad Elen Williams – MRes student Nicole Gridley – Research assistant Joanna Charles – CEPhI PhD student

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2008 WAG funded leader and service manager survey

2008 survey reports on first two years of WAG funding

Responses from 206 group leaders and all 22 Service Managers

All 22 Authorities have delivered the parent programme, 21 in 2007/8

All 22 Authorities are delivering the parent programme in 2008/9

Mean no. of parent groups per Authority in 2008/9 was seven, total 148 parent groups

Gwynedd and Powys among the first in Wales to get started delivered 30 each in 2007/8

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Conclusions from survey

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WAG has had an excellent response to their funding with all Authorities making use of the training by delivering the progrmames

Parents and group leaders are enthusiastic about the programmes

As yet most services are concentrated on early prevention in high risk areas

Further resources are needed to ensure that the work towards accreditation and mentorship continues

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Other WAG support for the programmes

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Provision of parent and teacher programme materials to all Authorities

Welsh translation and provision of copies of IY parent and teacher books for all services

Funding to research the toddler programme across Wales

Support for our Annual conference and newsletter

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Conclusions from Wales

It is possible to roll out an evidence based programme into diverse ‘real world’ services, to deliver it with high quality and good outcomes, and to improve the life chances of some of the most disadvantaged families in Wales

Conclusions from Wales

It is possible to roll out an evidence based programme into diverse ‘real world’ services, to deliver it with high quality and good outcomes, and to improve the life chances of some of the most disadvantaged families in Wales

Why have we been successful

Staff like the programmes and see changes in the children/families with whom they work

We collected evidence to show that the programmes work in Wales

WAG recognised the evidence

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But there is plenty more to do to ensure that children in Wales

get the best start in life

Diolch yn fawrThank you

j.hutchings@bangor.ac.uk