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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.

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Triple P:

The Canadian Perspective

Debbie Easton

Program Implementation Consultant –Canada Triple P International


Outline
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
How it all began: Triple P in Canada

  • Banff Conference, March 2003

  • Initial funding requests and training, Fall 2004

  • Establishment of Canadian Network of Implementation sites, 2005

  • Participation at Helping Families Change Conference, Brisbane Australia, 2006

  • Attendance at HFC Conference, Charleston, SC, 2007

  • Announcement at HFC Conference, Braunschweig, Germany, 2008

  • Host – HFC Conference, Toronto, Ontario, 2009

  • TPI recognition of growing interest in Canada


System of implementation
“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
“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
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
Yukon, Northwest Territories, Nunavut

  • Expressing interest, particularly in support of First Nations communities

  • Unique needs – geography, transportation, weather

  • 1 practitioner in Northwest Territories


Alberta
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
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
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
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
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
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



Population reach status
Population Reach - Status Island

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



Country as a whole
Country as a whole Island

  • 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
“System” of Sustainability Island

  • 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
Next Steps Island

  • 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: [email protected]


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