Building Systems for Effective Early Intervention and Support for Parents: Extending the Lets Start Program to Aboriginal Families & communities Gary Robinson, Yomei Jones, Anita D’Aprano, Kate McGuinness, Roger Tipungwuti, Sven Silburn, Steve Zubrick, Bill Tyler, Carolin Stock, Carmen Cubillo. Menzies School of Health Research
Building Systems for Effective Early Intervention and Support for Parents: Extending the Lets Start Program to Aboriginal Families & communities. Gary Robinson, Yomei Jones, Anita D’Aprano, Kate McGuinness, Roger Tipungwuti, Sven Silburn, Steve Zubrick, Bill Tyler, Carolin Stock, Carmen Cubillo. - PowerPoint PPT Presentation
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Building Systems for Effective Early Intervention and Support for Parents:Extending the Lets Start Program to Aboriginal Families & communities
Gary Robinson, Yomei Jones, Anita D’Aprano, Kate McGuinness, Roger
Tipungwuti, Sven Silburn, Steve Zubrick, Bill Tyler, Carolin Stock, Carmen Cubillo.
Menzies School of Health Research
What is Let’s Start?
• Trial of a targetted intervention for Indigenous parents and 4-6 y.o. children at risk
o Funded by FaHCSIA, CRCAH, NTG, ARC
• Funding extended to 2012 by FaHCSIA under FSP & NT Emergency Response
• Engagement strategies need to be tailored for different contexts to improve participation and retention
• Important differences: urban Aboriginal kids• Improved parenting & reduced stress: large effect size K6
measure of parents’ psychological distress• Reduced behavioural problems in primary and preschool children:
o Moderate-large effect sizes at program end, larger effects at 6 months, program outcomes not only sustained but increase
• Dose-response effect: the more people attend the better the outcomes
• Variable response to treatment according to gender and Aboriginality: need to revise aspects of intervention strategy
• The challenge of developing the evidence base is to contextualize process and research strategies while retaining fidelity: structure, intensity & quality
Service learning
• Evidence-based programs for remote centres, “hubs”:o It is possible to support evidence-based
interventions in diverse contextso By developing local partnerships,
“integration” with health & education services
o With centrally provided professional training, support & supervision
Interact: a focus of parent mental health and parent-child interaction for 4-8s
• Imagining my child: early years intervention to strengthen attachment for 0-4s
• Parenting support from birth to young adulthood
Building systems for delivery of professionally supported programs
Training & capacity-building
Research & evaluation Program delivery
Assesment, referral & intake;datagathering & analysis;verification of quality, feedback.
Community setup: leadership; capacity assessments; agreement between agencies; teambuilding; training; location & resources
Ongoing professional support for community team to guide practices of engagement with families and maintain practice standards
Models for integration: CQI & systems of practice
Wellbeing and early intervention program
1. Imagining my child 0-4 year olds
2. Let’s Start 4-8 y.o.
3. Adult and child wellbeing services
Program intake &/or ffurther referral.
Community child health care
Well child checks, healthy under 5s: audit of services according to CQI cycle developed for SEWB, behavioural development & parenting
Menzies CRCATSIHOne21Seventy
1. Review and trial of audit protocols and guidelines: queries about behaviour, social-emotional development & family support.
2. Pilot of assessment and referral to early intervention programs.
Evaluation, feedback & practice supportOne21seventy: Continuous quality improvement audit and feedback cycle
Let’s Start evaluation program: evaluation and clinical supportDevelopmental screening and assessment pilotsImagining my child: An early intervention to assess and to support early mother-child attachment AEDI:: community level developmental status data on NT children
Research and evaluation outputs
• Evaluation Report: Robinson, G., Zubrick, S. R., Silburn, S., Tyler, W., Jones, Y., D’Aprano, A., Cubillo, C., McGuinness, K., Bell, M., Stock, C., 2009, “Let’s Start: Exploring Together. An Early Intervention program for Northern Territory Children and Families. Final Evaluation Report”, Darwin: School for Social and Policy Research, Institute of Advanced Studies, Charles Darwin University.