promoting the health, safety, resilience and potential of children … · 2019-08-01 · promoting...
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Promoting the Health, Safety,
Resilience and Potential of Children
by Increasing the Confidence and Skill
of Parents
Carol Markie-Dadds
Triple P International
February, 2019
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?
1
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Parenting has a pervasive impact
across the life-course
Parent-child
relationship
and parenting
practices
Healthy brain development
Language,
communication, literacy
Executive functions
and self regulation
Academic attainment
Conduct problems/
antisocial behavior
Anxiety and stress
Attentional problems
Social skills and
peer relationships
Obesity
Chronic health problems
Pain management
Sedentary behavior
and physical activity
Moral development
Screen time/
Online behavior
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Intensive family intervention
Broad focused parenting support
Level 5
Individual, Group
Breadth of reach
Inte
nsity
of in
terv
en
tion
Narrow focus parenting support
Brief parenting advice
Communication strategy
Level 4
Individual, group, self help, online
Level 3
Individual, group, online
Level 2
Individual, group
Level 1
Universal level
Medium
and high
intensity
Low
intensity or
“light touch”
Very low
intensity
The Triple P system
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4
Self-
management
tools
Self-efficacyPersonal
agencySelf-sufficiency
Self-regulation of behaviour
Minimally sufficient intervention
Re
du
ce
d n
ee
d f
or
su
pp
ort
Promoting self-regulation through parenting programs
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0
200
400
600
800
1000
1200
1400
1600
1800
Year 1 Year 2 Year 3 Year 4 Year 5
Model 1: 4 g
Model 2; 4s, 2 g.40 OL
Model 3: 6s, 2g,5DG, 40OL's
Individual practitioners capacity to make a difference
5
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What can a population approach achieve? N = 1500 on SDQ
6
Clinical rangeM = 8.2
Scores
N = 119
N
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What if we moved the Mean down by 1 SD
7
Clinical range
M = 8.2
Scores
N = 79
N
M = 5.5
M = 2.7
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Percentage reduction
8
Clinical range
M = 8.2
Scores
34% reduction
40 Fewer Cases
A potential saving of
$10,511,960
N
M = 5.5
M = 2.7
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• Sth Carolina – significantly lower rates of substantiated child abuse reports,
foster care placements & child abuse injuries treated at hospitals
• Ireland – population wide benefits across parenting and child social,
emotional and behavior concerns including parents’ mental health
• WA – 15-year follow up, higher levels of literacy & numeracy, better school
attendance (seniors), fewer emergency room visits
• Santa Cruz – rate of substantiated allegations of child abuse & neglect on a
downward trend, now lower than state rate (2010-2015)
Compelling evidence for population approach
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Benefits of positive parenting for parents, children and communities
Education
outcomes
Family
relationships/
violence
prevention
Adult
mental
health
Child
mental and
physical
health
Child social
& emotional
wellbeing
Positive
parenting
– multiple
benefits
Employment
outcomes
Child
maltreatment
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Economic benefits for the community
$13.83
It saves $13.83 for
every $1 spent (Access
Economics, 2010)
$9.17
Washington State institute
of Public Policy (2017)
estimated a $9.17 return
on investment for each $1
spent on Triple P system
£5.05
The UK-based investing in
Children estimates the
Triple P system generates
returns of £5.05 for every
pound invested
$8m
NSW Triple P rollout
leveraged $8m in value in
first 2 years from a $5m
investment (Nexus)
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Taking parenting support to scale
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• Qld Govt policy - free, universal parenting support for families
• $11.9m invested for 5 years including process evaluation
• Full Triple P system available
• 811 practitioners completed training and accreditation
• 134 ’Fast start’ seminars
• Supporting 260,000+ parents and carers
• 45,000+ opting for online access
Supporting Queensland families
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PROFILE TARGET % REACH 1 % REACH 2 %
Low income (Health Care Card) 20.0 26.6 28.6
Aboriginal or Torres Strait Islander 3.6 2.9 3.7
Culturally & linguistically diverse 7.0 14.8 14.9
Single parent 16.1 20.5 23.0
Metropolitan 62.2 77.0 73.6
Regional 34.9 22.1 25.3
Remote 2.9 0.9 1.1
Reaching diverse families in Queensland
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Tailoring approaches to local context
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Going online to support vulnerable families
PROFILE (n=23,382) TARGET (%) REACH (%)
Low income (Health Care Card) 20.0 27.9
Aboriginal or Torres Strait Islander 3.6 3.4
Culturally & linguistically diverse 7.0 12.9
Single parent 16.1 22.0
Metropolitan 62.2 73.9
Regional 34.9 24.8
Remote 2.9 1.3
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8.2 8.15 8.19 8.218.37 8.37 8.36
8.25 8.19 8.16
5.48 5.515.36
5.615.85 5.86 6 5.99
5.8 5.73
Disobedience Tantrums Fighting,
aggression
Whining Interrupting,
demanding
attention
Mealtime
problems
Bedtime
problems
Separation
problemsMisbehavior
while
shopping
Problems
in company
Pre Post
Parent-reported outcomes of online
Parents’ Reported Confidence in Dealing with Main Concerns (1-10)
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A tiered, multilevel system of
parenting support is needed
Participation is
normalised and destigmatised
Evidence- based
parenting support
has multiple
benefits for
children, parent
and communities
Take outs
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Find out more…..
www.triplep-parenting.net
www.triplep.net
+61 07 3236 1212
We acknowledge the Traditional Owners of the Countries
throughout Australia that we work, live and walk and pay
our respects to Elders, both past and present