Upload
saskia
View
49
Download
0
Tags:
Embed Size (px)
DESCRIPTION
The Incredible Years After 10 years in Norway A prevention and treatment program for children with conduct problems Developed by Carolyn Webster-Stratton, Ph.D. The Incredible Years Training Series. 23.09.2009. De utrolige årenes programserie. Program for personale i skoler og barnehager. - PowerPoint PPT Presentation
Citation preview
The Incredible YearsAfter 10 years in NorwayA prevention and treatment program for children with conduct problems
Developed by Carolyn Webster-Stratton, Ph.D.
The Incredible Years Training Series
23.09.2009
De utrolige årenes programserie
Program forpersonale iskoler og
barnehager
Program for barn 3-8 år:Dinosaurus-
skoleni smågruppe
Program for barn 3-8 år:Dinosaurus-
skoleni klasserommet/
barnehagen
Program forforeldre til
barn i alderen0-3 år
Program forforeldre til
barn i alderen3-6 år (ny!)
Program forforeldre til
barn i alderen4-8 år
”Basic”
Program forforeldre til
barn i alderen6-12 år (ny!)
Program forforeldre til
barn i alderen4-12 år
”Advanced”
Agencies in NorwayNorth Norway: Alta kommune, BUP Alta, Nordreisa
kommune, BUP Tromsø, BUP Midt-Troms (Finnsnes), BUP Nord-Troms (Storslett), Tromsø kommune, Vågan kommune, BUP Gravdal
Mid Norway: Trondheim kommune (alle 4 bydeler), BUPTrondheim, Verdal kommune, Levanger kommune, Melhus kommune, BUP Kristiansund, Kristiansund kommune, Averøy kommune, Frei kommune , Inderøy kommune, Surnadal kommune, Innherred kommune, Verdal kommune
Vest Norway: Bergen kommune, BUP Fana, BUP Sentrum, BUP Nordhordland, Fjell kommune, Sogndal kommune, Odda kommune, Stavanger kommune, BUP Stavanger, Strand kommune, Randaberg kommune, Time kommune, Årstad familiesenter, Bufetat region vest, BUP Sogndal, Odda kommune, Klepp kommune, BUP haugesund, Sandnes kommune, BUP Sandnes
South/East Norway: Holmestrand kommune, BUP Bærum, BUP Søndre Nordstrand, BUP Nydalen/AMT, Forus/Kirkens bymisjon/Nanna Maries hjem, Arendal SSHF, Gjerdrum kommune, Nøtterøy kommune, Nittedal kommune, Ski kommune, Sørum kommune, BUP Elverum, BUP Kongsvinger, Hamar kommune, Lillehammer kommune, Sørum kommune, Ringsaker kommune, Hole kommune, Røyken kommune, Sarpsborg kommune, Skien kommune, Bleiker behandlingssenter
Trainers and Mentors 2010
Trainers: 2 (Incl. one clinical mentor)
Tromsø 1, Trondheim (clinical trainer) 1
Parent mentors: 8
Trondheim: 2
Tromsø: 2
Bergen: 2
Stavanger: 2
Dinosaurmentors: 3 (4)
Trondheim: 1 (2)
Tromsø: 2
Teacher training mentors: 2
Tromsø: 2
IY office. OrganizationAt Center for child and adolescent mental
health
ChairWilly-Tore Mørch
Anne-Kari Johnsen Teacher program
Lin Kristin Bjørk Akselsen(vikar for Andrea Jennerwein)
Parent Program Dinosaur school
Merete AasheimParent programDinosaur school
Ministry of Health
The mentors
Outpatient mental health clinicsParent program and
Small group Dina
Special education centers, Health stations, Family centersTeacher program, parent program, Dinosaur school in the classroom,
Children adolescent and family agencyFamily shelter and family centers)
Parent program and small group Dina
IY programs for parents, school and kindergarten
and children
RBUP NorthCenter for child and adolescent mental healh
IY OfficeChair IY Norway
Professor and trainer Willy-Tore Mørch
Research IYungsinn.uit.no
Budget 2010
2008 – 2010:
Implementation and running costs: £ 660.000 pr year
Research: £ 330.000 pr year
Program fidelity questionnaire 2008How many groups?
Alternativer Prosent Verdi1 1 11,5 % 102 2 23,0 % 203 3 14,9 % 134 4 14,9 % 135 5 4,6 % 4
6 Flere enn fem,31,0 % 27
Program fidelity questionnaire 2008Are you certified?
Prosent Verdi1 Ja 22,7 % 202 Nei 77,3 % 68
Program fidelity undersøkelsen 2008Have you enough time to run groups? (40% position)
Prosent Verdi1 Ja 69,4 % 592 Nei 30,6 % 26
Program fidelity undersøklesen 2008How many percent of your position can you use for IY?
1 20% 25,6 % 22
2 30% 16,3 % 143 40% 46,5 % 404 Mer en 40%, 11,6 % 10
Program fidelity undersøkelsen 2008Do you offer the IY program in full dosage
Alternativer Prosent Verdi 1 Ja 97,6 % 812 Nei 2,4 % 2
Program fidelity undersøkelsen 2008 Do you offer the parent program in full dosage?
Alternativer Prosent Verdi 1 Ja 98,6 % 732 Nei 1,4 % 1
Program fidelity undersøkelsen 2008Do you offer Dinosaur school in full dosage??
Alternativer Prosent Verdi
1 Ja 35,3 % 6 2 Nei 64,7 % 11
Program fidelity undersøkelsen 2008Do you offer the teacher program in full dosage?
Alternativer Prosent Verdi1 Ja 61,5 % 162 Nei 38,5 % 10
Violation of contracts
Increasing tendency of violation of contractsCauses:• The payment system in the specialist services (lower
charge per hour for group treatment, lower charge for work with parents and teachers
• Agency limbo• Resistance against evidens based treatments• IY as a supplement – not as the main selection of
treatment• Psycho-social treatment is not psychotherapy – lower
prestige among psychologists and psychiatrists• Unfamiliar with the demands of quality in evidens based
treatments.
Consequences for the IY in Norway
• Reduced parts of positions for the IY groupleaders • Rejects use of baby sitters, food, transportation (program
fidelity demands)• Groupleaders not allowed to participate in supervision• Certification fails to appear or is postponed• Long pauses in group delivery and slow death of the
program• Pressure for reduction of dosage.• Pressure for including clients outside the target group• Selection of not evidence based treatments
Consequences for children aand families
• Less children access to evidence based treatment
• The quality of the IY belittles
Consequences for the health services in Norway
• The quality of the prevention and treatment services reduces
• Less children get early intervention
• More criminality and substance abuse
I ask questions about the possibility to maintain high quality of mental health servces under the present circumstances
It is essential that the economical framework for the use of evidence based treatment and prevention programs, both in the community settings and specialist services, are analysed and adapted.
BUT IT HAS BEEN FUN
AND IT STILL IS