Triple P:The Canadian Perspective

Debbie Easton

Program Implementation Consultant –Canada Triple P International

Outline

Triple P journey in Canada “System” of Implementation “System” of Engagement Provincial/ Territorial overviews “System” of Sustainability Next steps

How it all began: Triple P in Canada

Banff Conference, March 2003Initial funding requests and training, Fall 2004Establishment of Canadian Network of

Implementation sites, 2005Participation at Helping Families Change

Conference, Brisbane Australia, 2006Attendance at HFC Conference, Charleston, SC,

2007Announcement at HFC Conference, Braunschweig,

Germany, 2008Host – HFC Conference, Toronto, Ontario, 2009TPI recognition of growing interest in Canada

“System” of Implementation

Population Health Framework (applicable to all families)

Starting points vary – individual agency, multiple agencies, multiple sectors

- multiple level delivery, core program Foundational service for “complex” families –

to increase parental confidence and competence (supports readiness to address other mental health issues)

Stages of Implementation

“System” of Engagement

Policy (including funders, researchers, management) (all levels of “policy” –government, agency leadership, cross sector collaboratives…)

Practitioners (different disciplines and roles to meet parents where they go for advice/ support)

Parents (rural/ urban, english/french, First Nations, multi-cultural/ faith communities, single, married…)

British Columbia

Vancouver Island Health Authority – in collaboration with Ministry of Children and Family Development and School Districts

About 500 practitioners on Vancouver Island

Some training on mainland – Prince George, Surrey (Levels 4, 5)

Yukon, Northwest Territories, Nunavut

Expressing interest, particularly in support of First Nations communities

Unique needs – geography, transportation, weather

1 practitioner in Northwest Territories

Alberta

Pilot initiative beginning in 2007

Training in Seminars and Primary Care at 0-12 and Teen age groups, Group, Standard and Primary Care Stepping Stones

Training and media development ongoing

Saskatchewan

La Ronge Indian Child and Family Services – northern Saskatchewan

Supporting training across sectors for 80 practitioners

Training in Indigenous Triple P – Primary Care and Group

Upcoming training – Teen Group and Level 5

Manitoba ***

2000 – Premier established Healthy Child Cabinet committee (multi-sector)

2005 – mandate for public health, province-wide initiative to strengthen parenting skills

200 agencies participating (voluntary)

985 practitioners, 1320 training spaces

Ontario

30 + communities across province

Communication among sites supported through Ontario Network portal – Provincial Centre of Excellence for Child & Youth Mental Health

Recent approval of a provincial funding grant (M of Health Promotion) for a coordinated Level 1 Communications Strategy

Research Working Group (of the Ontario Network) working on inventory of agencies

Quebec

interest expressed in the research from universities, and in training

June 2009, hosted Canadian Psychological Association annual conference (Matt Sanders – one of the keynote speakers)

Materials undergoing translation into French – review by Manitoba Government Translation Services

New Brunswick

24 practitioners – Group Triple P (2008) Provincial – Department of Social

Development – programs: early intervention services, family resource centres, early childhood social workers

Evaluation of program effectiveness Results attested to the merits of the program

with existing clients

Nova Scotia, Newfoundland and Labrador, Prince Edward Island

Population Reach - Status

Canada: 33.5 Million (25 Million adults 19+)

Practitioners (2009): over 4300 (many trained at more than one level of Triple P)

What is a “population reach” target to aim for?

Stats Canada 2006 census data

Population/ Practitioner stats

Province/ Territory

Population

(0-19) (2006)

Number of Practitioners (2009)

“Clients” per practitioner

British Columbia 976,350.00 692 1410

Yukon, NWT, Nunavit

33,830.00 1

Alberta 840,550.00 203 4140

Saskatchewan 285,540.00 20

Manitoba 314,140.00 1578 199

Ontario 3, 002,165.00 1806 1662

New Brunswick 180,770.00 28

Que, NS, PEI, Nfld/Lab

2,145, 520.00 0

CANADA 7,738.865.00 4328 1788

Country as a whole

Strong clinical base (Levels 4, 5)

Recognising value of Primary Care

- Engagement of family (part of assessment)

- Quick success for more complex families

- Waitlist strategy - minimal sufficiency

Expansion of Level 1

“System” of Sustainability

Triple P – Quality Assurance system Government/ Funders Agency/ Collaboratives: Pre-training – engagement of practitioners

Supportive learning phase

Flexible process – service delivery

Integration of self-regulation / minimal sufficiency

Practitioner satisfaction

Next Steps

Aiming to connect all sites through one or more of the following;

- Peer networks (practitioners, managers, sector partners)

- Community collaboratives/ planning tables

- Provincial / territorial networks

- Link to Canada Network

Anyone I missed? Contact me: debbie@triplep.net