find: a video coaching program for parents with ... norman and berry … · • reading and wring...

FIND:Avideocoachingprogramforparentswithintellectualdisabili<es

Acollabora<onbetweentheSNAPlabandPearlBuckPreschool

WelcomeandIntroduc<ons

MelanieBerry,Psy.D.PostdoctoralResearchAssociate

StressNeurobiologyandPreven<onResearchLaboratoryOregonSocialLearningCenter&UniversityofOregon

ReneeK.VanNorman,Ph.D.DirectorofPearlBuckCenterPreschoolAdjunctInstructoratUniversityofOregonPh.D.inSpecialEduca<onandAppliedBehaviorAnalysis

Acknowledgements

Agenda

•  DescribetheFIND‐PBCprojects•  ThesciencethatFINDisbuilton

– Threecoreconceptsinearlydevelopment

•  OverviewoftheFINDprogram

•  Descrip<onofPearlBuckPreschool•  Theadapta<onprocess•  Implementa<onatPBC

FIND‐PBCprojects

•  Developedacollabora<verela<onship•  AdaptedtheFINDprogramforparentswithcogni<vedisabili<es

•  ImplementedtheFINDprogramwithfamiliesfromthePearlBuckCommunity

•  DevelopedaresearchplantoevaluatetheimpactofFIND

THREECORECONCEPTSINEARLYDEVELOPMENT

HarvardCenterontheDevelopingChild

Earlyexperiencebuildsbrainarchitecture.

CoreConcept#1

Earlyexperiencebuildsbrainarchitecture

•  Genesaretheblueprintbutexperienceisthecarpenter

•  Together,theyestablishaweakorsturdyfounda<on

•  Simplecircuitscomefirstandmorecomplexcircuitsbuildonthemlater

•  Cogni<ve,emo<onalandsocialcapabili<esarelinked

8

Caregiver‐childinterac<onshapesbraincircuitry.

Coreconcept#2

Serve&Returninterac<onshapesbraincircuitry

•  Childrenserve•  Caregiversreturntheirserves•  Thisbackandforthiskeytowiringthebrain•  Worksbestwithinatrus<ngrela<onship

•  Occursinsideandoutsidethehome

10

Toxicstressderailshealthybraindevelopment.

CoreConcept#3

Toxicstressderailshealthydevelopment

•  Whenwearestressed,ourbodiesac<vatephysiologicalresponse

•  Shortlivedstresscanpromotegrowth

•  Toxicstresscanweakenthearchitectureofthedevelopingbrain

12

AboutFIND

•  FINDisavideocoachingprogramforparentsandothercaregiversofhighriskchildren.

•  FINDusesvideotoreinforceandstrengthennaturallyoccurringsuppor<veinterac<onsbetweenyoungchildrenandcaregivers.

•  FINDisa10weekprogramalterna<ngbetweenfilmingandcoachingsessions.

FIND

SocialLearningTheory

Neuroscience

AXachmentTheory

TheFINDProcess

Filmingsession

FINDfilmiscreated

CoachingSession

Serve&Return

•  CentralthemeofFIND•  DevelopedatCenterontheDevelopingChild•  Describesthetypeofparent‐childinterac<onthatpromoteshealthybraindevelopment

•  Childservesandcaregiverreturns•  FINDencouragescaregivertono<cethechild’s“serve”and“return”inawaythatisdevelopmentallysuppor<ve.

5ElementsofFIND

1. SharingtheChild’sFocus2. Suppor;ngandEncouraging3. Naming

4. BackandForth5. EndingsandBeginnings

TheFINDprogramis…

•  Simple•  Strengthbased•  Brief•  Flexible•  Complementary

•  Evidenceinformed

FINDResearch

•  Earlymicrotrials–  Parentsenrolledindrugtreatmentprograms–  Parentsworkingtoregainphysicalcustodyoftheirchildrenfollowingplacementinfostercare

•  PilotwithparentsenrolledinEarlyHeadStartprogramsinWashington

•  Pilotwithparentswithcogni<vedisabili<esenrolledinservicesatPearlBuckCenter

•  Pilotwithproviderandparentsinahomechildcarese^nginWashington

•  LargescaleprojectwithparentsenrolledinEarlyHeadStartprogramsinColorado

FINDIncreases

Serve&Return

Supporting and Naming

ServicesatPearlBuckPreschool

•  Preschoolforchildrenofparentswithlearningdifficul<es

•  ½day;Mon.–Thur.(ToddlersTue.&Thurs.)

•  ParentMentoring

•  BehaviorSupport•  CaseManagement

EligibilityCriteria

EITHER:Historicalinforma<ondocumen<ngmarkedacademicdeficiency,mentalretarda<onordevelopmentaldelaysfrom:selfreport,familymember,socialagencyorschoolsystem.

AdaptedfromTheEinsteinParentScreeningInstrument(Kramer&Cohen,1983)

EligibilityCriteria

ORANYFIVEOFTHEFOLLOWING:

•  Cannottravelaloneonpublictransporta<on;alwaysaccompaniedbyanotheradult;

•  Readingandwri<ngproblemsseenwhenfillingoutapplica<on

•  Erra<cappointmentkeeping(early,late,oddexcuses,wrongday);

•  Providesvagueornaiveinforma<onaboutbasicfacts;

•  Hasproblemsmanagingmoney;

•  Overwhelmedbyrou<nedemands;

•  Excessivedegreeofchildmanagementdifficultyobservedorreported;

•  Usescoveringuptechniquestoconcealdeficit(s);

•  Requireshelpinareasnotexpectedforadult;centralroleofa“benefactor.”

Wide Range of Cognitive Abilities and Disabilities

•  Challengedbyday‐to‐dayfunc<oning

•  Difficul<eswithexecu<vefunc<ons

–  Pastexperiencewithcurrentprac<ce

•  Lackofawarenessordenialofcogni<velimita<on

•  Labelingands<gma<za<on;subsequentsenseofbeing"stupid"

•  Requiredifferentwaysoflearning,accessinginforma<onandreceivingsupport

•  Needlifelongorongoingsupport

Families

Teachers

Staff

BehaviorSupport

Coordinator

Parent

Navigator

Academic&SocialSupports

BasicNeedsSupports

BehaviorSupport

BasicParenNngNeeds

PearlBuckPreschoolComprehensiveSupportSystemDevelopmentalscreeningKindergartenpreparaNonAcNviNestodowithyourfamilyCommunitysupportsAccesstoaddiNonalservices

FoodboxesUNlityassistanceRentalassistanceHousinginformaNonHealth&Wellness

GeneralbehaviormanagementSocialskilldevelopment

Intensivebehaviorsupport

CommunitysupportsBasichomesafetyDevelopmentalscreeningPreschoolpreparaNon

ProcessforPartnership

•  Collabora<onwithUnitedWayofLaneCounty–  Introductoryemail

•  AXendedconference– ApproachedDr.Fisher,keynotespeaker

•  MetwithDr.Fisherandteam– Proposedpoten<alcollabora<on

FundingFINDatPBC

•  Ini<alcontracts– DepartmentofHumanServices

•  ChildWelfareinvolvedfamilies–InHomeSafetyandReunifica<onServices

– TrilliumCommunityHealthPlan•  Pre‐EnrollmentFamilies–ChildAbuseandNeglectPreven<onContract

– Children’sTrustFundofOregon•  EnrolledFamilies–ChildAbuseandNeglectPreven<onGrant

TheAdapta<onProcess

•  Heldini<almeettoreviewFINDmodelandmaterials

•  Reneemaderecommenda<onsbasedonexper<seinadultlearning

•  Melanierevisedmaterials

•  Mettoreviewprogressandmadeedits

•  Testedadapta<onwithfamilies

IconsforCoreConcepts

VisualAids(post‐its!)

Adap<ngSummarySheets

Adap<ngHomePrac<ce

Implementa<onofFINDatPBC

•  Ini<altraining•  Biweeklystaffing/consulta<on

•  Phasesoftraining– Ridealong– Coachingindependently

Nextsteps

•  FINDpilot•  Largerefficacytrial?

•  Moregrantapplica<ons?

Thankyou

melanieb@oslc.orgRenee.VanNorman@pearlbuckcenter.com