Developments at CEBEI

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Developments at CEBEI

Bangor University, 20th January 2012

Professor Judy Hutchings, Director, Centre for Evidence Based Early Intervention,

Bangor University

Hot News We are delighted that Dr Helen

Henningham has joined us as a Senior Lecturer in the School of Psychology and as co-director of CEBEI

We would like to thank the Children’s Early Intervention Trust Charity (formerly Incredible Years Cymru) for co-funding this post to support the long term development of the Centre

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Summary of presentationIncredible Years work• History of WG funding for IY programmes• Review of WG IY funding for 2011/12• Future proposals to WG• Leader survey summary of outcomes• Research on the IY programmes

Other work• (Helen’s work in Jamaica)• Africa• Lesotho• KiVa• PREPARE• Other activities supported by the Centre

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Teacher Programme6 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: 10 - 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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IY SERVICE DELIVERY IN

WALES, HISTORY AND UPDATE

Development of the programmes in Wales

• Initial delivery of parent programme in CAMHS 2000

• Early intervention staff trained 2001• Teacher and child programmes

introduced 2002• RCT Sure Start research started 2003• WAG funded support across Wales for the

programmes from 2006 following 2005 Parenting Action Plan for Wales recommendation based on early Sure Start findings

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Welsh Government IY funding history

WG funding started in 2006/7 Basic parent leader training for all 22

Ays and supervision 2006/7 & 07/8 Resources purchased for each

Authority All Authorities accessed the training Now in its 6th year with a further two

years planned

Current situation – Welsh Gov

Funds now provide training in all parent programmes, baby, toddler, pre-school, school aged, school readiness, advanced

Manager and evaluation workshops funded Parent and teacher books translated Further resources purchased Education funded training now includes child

and teacher programmes Conference and newsletter part-funded Evaluation and research funded

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All 22 Authorities in Wales now delivering the parent programme

Staff from 21 Authorities trained in TCM and 19 Authorities in Classroom Dino

Baby and toddler parent programmes seen as highly relevant to early intervention Flying Start projects

School readiness parent programme becoming established, potentially a universal programme

WG funding proposal 2012 - 2014

Parenting – continue basic, school readiness and baby programme leader training

School based work – continue with child and teacher programme training

Supervision - parent, child and teacher work Support for certification and development of

peer coaches Support for managers and advice on

evaluation Conference and newsletter support

Leader surveys 2004, 2008, 2010

Enthusiasm from trained people Good use of training translating into

service delivery All 22 Ays delivering the parent

programme (300+/annum, across Wales) maybe 3,000 per annum? but this is still small in relation to the need

Mainly in early intervention services Leaders still short of resources and time

but manager fidelity workshops helping

Parenting Programme: research

completed• Welsh Sure Start study: short- and long-term outcomes, outcomes for children at risk

of adhd, mediators and moderators of change, maternal depression outcomes, key

group leader behaviours• Pathfinder project: parenting 8 – 13 year

olds outcomes from six Authorities in England

• Toddler Programme: 1 – 2 yos, outcomes• Nursery Staff Toddler Programme:

outcomes• Foster Carer: outcomes

Other research studies completed

Pilot Small group Dina therapeutic programme

Pilot classroom Dina in KS1 with 4 – 7 year olds

Pilot TCM with teachers of 4 – 7 yo’s RCT of TCM with teachers of reception

class children 4 – 6 yo’s Evaluation of a scoring method for the

Schedule of Growing Skills (SoGSII) 13

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CURRENT STUDIES• IY Therapeutic Dino School for children in 23 schools• Development of a measure of peer interactions• Analysis of impact of parental language on

emerging child language• IY School Readiness Programme for parents of

children as they enrol in school delivered by school staff to build the home-school link• IY Baby Programme for parents and babies• IY parent programme with foster carers• Analysis of data on sex differences in parent

report and observation from SS study sample

THe COPPI trial Partnered with Edmund Sonuga-Barke

and colleagues from Southampton University in a head to head trial of IY and New Forest parenting programme with children at risk of ADHD in Nottingham, Stoke, Southampton and Dundee

Other developments at CEBEI

• (Helen’s work in Jamaica)• Africa• Lesotho• KiVa• PREPARE• Other activities supported by the Centre

Lesotho Four visits to Lesotho to support

teachers (in alternatives to caning) Plans to expand this work, preparing

an application for lottery funding to bring two teachers to Wales to learn TCM and classroom Dina curriculum

Link with a Lesotho researcher in Capetown university

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Southern Africa Co-applicant with Drs Frances Gardner

and Lucie Cluver (Oxford) and Dr Cathy Ward Capetown University for funds to develop a parenting programme for use with carers of HIV affected children to reduce child maltreatment

KiVa bullying prevention programme

Developed by Prof Christina Salmivalli University of Turku, Finland

Funded by Finnish Government RCT trial 2006-2009 Ntional roll out since 2009 Approved for WG funding Training in May for class teachers and

KiVa team Application for KESS MRes funding to

evaluate pilot trials

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defenders of the victim

outsiders

assistants of the bully

victim

reinforcers of the bully

12%

8%

20%

7%17%

24%bully

Participant roles in bullying (Salmivalli et al., 1996)

Background of KiVa: The social architecture of bullying

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In order to reduce bullying... We do not necessarily need to change the victims,

making them ”less vulnerable”UNIVERSAL

Influencing the behavior of classmates can reduce the rewards gained by the bullies and consequently, their motivation to bully in the first place

INDICATEDHowever, the victims need to feel that they are heard and helped by the adults at schoolThe bullies need to be confronted for their unacceptable behavior

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Repeating & testing of what has been learnt – ”I KNOW”

Learning to take action – ”I CAN”

Motivation – ”I DO”

KiVa games and KiVa Street are closely connected to student lessons

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RCT: Success of the indicated actions

The proportion of cases handled by the school team in which bullying... Stopped completely 79.4% Decreased 18.5% Remained the same 1.9% Increased 0.3%

Garandeau et al., Tackling acute cases of bullying: Comparison of two methods in the context of the KiVa antibullying program.

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Scaling up

2009: 1450 schools 2010: + 810 schools 2011: + 200 schools + Åland Island

82% of comprehensive schools in the country have adopted KIVa

About 7500-8000 teachers and other school personnel trained face-to-face

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Main conclusions (broad rollout) Effects weaker than in RCT, but still

significant (for victimization, OR= 1.21, 95% CI=1.12-1.31), with much variation across grade levels

Again, strongest effects in grade 4 and weakest in secondary school (grades 7-9)

Generalized to Finnish population of 500,000 students, the effects of this size would mean a reduction of 12000 victims and 8000 bullies after nine months of KiVa implementation 26

Other Centre activity Master’s projects Go Wales undergraduate and graduate

placements Small scale research projects for

DClinPsych students Advice to services across Wales on

evaluation tools Birmingham Brighter Futures project Archways Ireland research and service

roll out

PREPARE PhD funding from a philanthropic

former student to commence in October 2012

A web based interactive universal programme to encourage school readiness

Play Read Encourage Praise Attend or maybe Acknowledge Reward Educate

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• Early Intervention is now better understood

• We are making a difference to the lives of children in Wales

• The Welsh Government responded because we chose an evidence based programme

• We demonstrated how to make it work in Wales

• Our new Centre for Evidence Based Early Intervention enables us to expand our interest and support other programmes with evidence of effectiveness across Wales e.g. KiVa, PATHS

Thank youFor further information please

[email protected]