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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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Presentation Transcript
Triple P:

The Canadian Perspective

Debbie Easton

Program Implementation Consultant –Canada Triple P International

  • 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
  • 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
  • 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
  • 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
  • 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

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
  • 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
  • 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
  • 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: