Izazovi implementacije programa prevencije

Slides:



Advertisements
Similar presentations
One Science = Early Childhood Pathway for Healthy Child Development Sentinel Outcomes ALL CHILDREN ARE BORN HEALTHY measured by: rate of infant mortality.
Advertisements

Discuss strategies to build resilience. Resilience programs typically target the promotion of protective factors such as parenting skills, academic tutoring.
SCHOOL PSYCHOLOGISTS Helping children achieve their best. In school. At home. In life. National Association of School Psychologists.
Center for Innovative the Begun Center for Violence Prevention Research and Education 1.
Evidenced Based Programs. Agenda  Review of Programs in Missouri  How to Select Programs of Your Own.
Center for the Study and Prevention of Violence University of Colorado Boulder
Introduction to Strengthening Families: An Effective Approach to Supporting Families Massachusetts Home Visiting Initiative A Department of Public Health.
Key Leader Orientation
Problem Gambling Prevention in Alberta March 28, 2003 Z’Anne Harvey-Jansen Theresa Hermary Ron Beach.
Self-Concept, Self-Esteem, Self-Efficacy, and Resilience
Supporting Educational Opportunities for High School Students Barbara Ferrer, Ph.D., MPH, M.ED Executive Director Boston Public Health Commission.
Statewide Gaps Analysis and Program Recommendations An overview and summary for the Juvenile Justice and Delinquency Prevention Committee February 5, 2015.
1-2 Training of Process FacilitatorsTraining of Coordinators 2-1.
An Introduction to Lions Quest. Mission Statement To improve the lives of young people around the world through the teaching, sharing and expanding of.
Evidence-Based Programs The benefits, uses, and applicability of data driven programming and community collaboration.
Research and Health Utilization Around Conduct Problems Scott T. Ronis, Ph.D. Department of Psychology University of New Brunswick ________________________________________.
Health promotion and drug prevention within the public health system …evidence based approach Darko Roviš, prof. Public Health Institute of Primorsko-goranska.
MPER-CAMHPS School Mental Health Leadership Academy Session II January 15, 2008.
1-5% 5-10% 80-90% Intensive, Individual Interventions (Tertiary Prevention) Individual Students Assessment-based High Intensity Intensive, Individual Interventions.
Modifying Risk and Protective Factors. What can I do as a school-based health provider? In the context of an established relationship with a child/adolescent.
1 Gale Held Intergenerational Substance Abuse & Resiliency SAMHSA Model Programs Women Across the Life Span: A Conference on Women, Addiction and Recovery.
HEALTH PROMOTING SCHOOL IN CONTEXT. HMIe Self Evaluation Series The Health Promoting School - Nov 2004 The characteristics of the Being Well-Doing Well.
Intervention with Adolescents Chapter 4. Adolescence Risks to Health and Well-Being Includes risk taking at earlier time points and in greater amounts.
Welcome Michigan Model for Health: Skills for Health and Life New High School Health Curriculum April 23 and 30, 2013 OAISD “We have something to shout.
SCHOOL COUNSELING "Helping children to become all that they are capable of being." Created by Tammy P. Roth, MEd Licensed School Counselor.
Chapter 10 Counseling At Risk Children and Adolescents.
Key Leaders Orientation 2- Key Leader Orientation 2-1.
Family Advocates Home Visiting Program. Mission Strengthen families and communities so they can be safe, healthy and thriving. We do this by providing.
Loudoun County Public Schools 2010 Communities That Care Survey.
ACT Enhanced Parenting Intervention to Promote At-Risk Adolescents’ School Engagement Larry Dumka, Ph.D. Sanford School of Social and Family Dynamics ARIZONA.
: The National Center at EDC
Promoting Wellness Through Compassionate Treatment and Prevention.
Youth at Risk KNR 270. Who is considered “at risk”?  Children and adolescents who for a variety of reasons are at risk of becoming juvenile offenders.
1 Executive Summary of the Strategic Plan and Proposed Action Steps January 2013 Healthy, Safe, Smart and Strong 1.
1-2 Training of Process Facilitators Training of Process Facilitators To learn how to explain the Communities That Care process and the research.
Resiliency, Protective Processes, Promotion & Community Chapter 7.
FCCLA is here to help members, like yourself, travel beyond their limits. Joining FCCLA will broaden your creative thinking, allow you to experience leadership,
Early & Appropriate Interventions for Child Abuse Prevention Nicole Huff, LCSW Chief Programs Officer ESCAPE Family Resource Center.
A COMPREHENSIVE SYSTEM OF CARE FOR CHILDREN AND FAMILIES Ken Berrick, Founder and Chief Executive Officer Seneca Center for Children and Families
Open Minds, Healthy Minds: Transforming Mental Health & Addictions Services in Ontario 1 Presentation to: Ontario Municipal Social Services Association.
A PLAN TO SUPPORT AT-RIST YOUTH. TEACHERS DOING THEIR PART Teachers work with a variety of students from various backgrounds. Students who come from the.
Office of Global Health and HIV (OGHH) Office of Overseas Programming & Training Support (OPATS) Health The Global Response to Caring for Orphans and Vulnerable.
Does Marriage Really Matter?. or How can a parent’s love life impact a kid’s future?
INTRODUCTIONS AND OVERVIEW 2 Participants will: Understand vision, roles of partners and work to date in Evidence2Success Review the results of the YES.
FCCLA FCCLA is here to help members, like yourself, travel beyond their limits. Joining FCCLA will broaden your creative thinking, allow you to experience.
Pathways Transition Training Partnership
DCF Initiatives to Prevent and Intervene in Youth Homelessness
Resiliency in Army Youth
What is the role of a school psychologist?
Preventing Drug Abuse among Children and Adolescents
Health Promotion We will improve the health and wellbeing of at-risk populations through targeted health promotion initiatives : Develop an approach to.
Welcome Class of 2020 The Freshman Academy
FCCLA Webquest FCCLA is here to help members, like yourself, travel beyond their limits. Joining FCCLA will broaden your creative thinking, allow you.
FCCLA Webquest FCCLA is here to help members, like yourself, travel beyond their limits. Joining FCCLA will broaden your creative thinking, allow you.
Jennifer Barley, MSW School Social Worker Pulaski County Schools  
Livingston County Children’s Network: Community Scorecard
FCCLA FCCLA is here to help members, like yourself, travel beyond their limits. Joining FCCLA will broaden your creative thinking, allow you to experience.
FCCLA FCCLA is here to help members, like yourself, travel beyond their limits. Joining FCCLA will broaden your creative thinking, allow you to experience.
Trening Životnih vještina
Lokalna zajednica i škola u prevenciji poremećaja u ponašanju djece i mladih – primjer Istarske županije – Valentina Kranželić - prezentacija doktorske.
FCCLA Webquest FCCLA is here to help members, like yourself, travel beyond their limits. Joining FCCLA will broaden your creative thinking, allow you.
Mentor Foundation International
FCCLA Webquest FCCLA is here to help members, like yourself, travel beyond their limits. Joining FCCLA will broaden your creative thinking, allow you.
Resiliency in Army Youth
SOCIAL EMOTIONAL AND CHARACTER DEVELOPMENT MODEL STANDARDS
A Shared Developmental Approach: Meeting Well-Being Needs and Addressing Trauma to Promote Healthy Development CLARE ANDERSON, DEPUTY COMMISSIONER ADMINISTRATION.
PARTNERSHIPS THEN and NOW
Health promotion and drug prevention within the public health system
WEL COME TO LIONS QUEST Skills for Adolescence Programme.
FCCLA FCCLA is here to help members, like yourself, travel beyond their limits. Joining FCCLA will broaden your creative thinking, allow you to experience.
Presentation transcript:

Izazovi implementacije programa prevencije Što nas čeka i što očekujemo

Izazovi implementacije programa prevencije Programi utemeljeni na znanosti i dokazima Što su to EBP Koji su njihovi dometi Na čemu se temelje - principi učinkovitosti Implementacija program prevencije Što je to implementacija Koje rezultate očekivati Koji su preduvjeti / Na što obratiti pažnju Organizacija i očekivanja Obveze Rokovi Nagrade

Terminologija evidence-based research-based science-based blueprint programs model programs promising programs effective programs

Programi utemeljeni na dokazima / znanosti Testiran u praksi, Metodološki jasno dizajniran, Pokazati značajno smanjenje loših rezultata ili s njima povezanih rizika. Utemeljeni na teorijskoj podlozi Detaljno evaluirani

Evaluacija Kriteriji Eksperimentalni ili quasi-eksperimentalni dizajn Rezultati traju najmanje 1 godinu Dovoljan broj ljudi u uzorku Validni i pouzdani instrumenti Program je bio repliciran Evaluiran od druge stranke Postoje jasne upute kako replicirati program

Program Specifična ciljna skupina Specifični i mjerljivi ciljevi Utemeljeni na teoriji i dokazanim rezultatima Jasno definirana struktura programa, vremenski okvir Definirane potrebne vještine voditelja Definirati i osigurati prostorne i tehničke pretpostavke Ugrađena evaluacija Diseminacija Now that we’ve looked at the general definition, frameworks and themes of evidence-based health promotion, let’s now look at common components of an evidence-based program. Here are seven common components…

Učinkoviti programi prevencije Adolescent Transitions Program AIDS Community Demonstration Projects Al's Pals: Kids Making Healthy Choices ALAS: Achievement for Latinos through Academic Success All Stars Athletes Training and Learning to Avoid Steroids - ATLAS BASICS: Brief Alcohol Screening and Intervention for College Be Proud! Be Responsible! Becoming a Responsible Teen Bicultural Competence Big Brothers Big Sisters of America Brief Strategic Family Therapy Career Academies Caring School Community Program Carolina Abecedarian Project CASASTART Challenging College Alcohol Abuse Check and Connect Children in the Middle Children of Divorce Coca-Cola Valued Youth Program Cognitive Behavioral Intervention for Trauma in Schools (CBITS) Cognitive Behavioral Therapy for Child Sexual Abuse Cognitive Tutor Communities Mobilizing for Change on Alcohol Community Trials Intervention to Reduce High-Risk Drinking Coping Power Program Creating Lasting Family Connections Early Risers "Skills for Success" Families and Schools Together (FAST) Families That Care: Guiding Good Choices ž Family Effectiveness Training Family Matters Fast Track Focus on Families Focus on Kids Friendly PEERsuasion Functional Family Therapy Get Real About AIDS 1992 Good Behavior Game Growing Healthy High/Scope Perry Preschool Houston Parent-Child Development Program I Can Learn Education Systems Incredible Years Series Intensive AIDS Education in Jail Keep a Clear Mind Keepin' it REAL Leadership and Resiliency Program Life Skills Training Linking the Interests of Families and Teachers Lions Quest Skills for Adolescents Metropolitan Area Child Study Michigan Model Midwestern Prevention Project/Project STAR Multidimensional Family Therapy Multidimensional Treatment Foster Care Multisystemic Therapy Nurse-Family Partnership Olweus Bullying Prevention Program Parenting Wisely Parenting With Love and Limits PeaceBuilders Positive Action Project ACHIEVE Project Alert Project EX Project Northland Project SUCCESS Project Toward No Drug Abuse Project Toward No Tobacco Use Prolonged Exposure Therapy Promoting AlternativeThinking Strategies PATHS Quantum Opportunities Program Reconnecting Youth Reducing the Risk Residential Student Assistance Program Resolving Conflict Creatively Program (RCCP) Responding in Peaceful and Positive Ways SAFE Children: Schools and Families Educating Children Safe Dates Saxon Math School Transitional Environmental Program Second Step Skills Opportunities and Recognition (SOAR) aka Seattle Social Development Pr. SNAP/Under 12 Outreach Start Taking Alcohol Risks Seriously StreetSmart Strengthening Families Program Strengthening Families Program: For Parents and Youth 10-14 Students Managing Anger and Resolution Together (SMART) Team Teen Outreach The Expert Mathematician Too Good for Violence Trauma Focused Cognitive Behavioral Therapy Valued Youth Partnerships Woodrock Youth Development Project

Evidence based approach SAMHSA (NREPP) CLEX The Cochrane Collaboration IMHPA

Prevencija ovisnosti u NZJZPGŽ Visoka kvaliteta implementacije najboljih EBP Pažljivo pilotiranje posebno dizajniranih programa utemeljenih na principima učinkovitosti Quasi experimentalni dizajn evaluacije Diseminacija

Principi učinkovitosti Sveobuhvatnost Različitost metoda poučavanja Dovoljno trajanje programa Bazirani na teoriji Izgradnja snažnih, pozitivni i održivih veza Vrijeme Razvojna psihopatologija Socio-kulturalna prilagođenost Evaluacija Edukacija

Učinkoviti programi prevencije – temeljeni na modelu socijalnih utjecaja – uključuju izgradnju normi i stavova – uključuju vršnjački pritisak i vještine odbijanja – pružaju razvojno primjerene informacije – vršnjačka komponenta – educirani voditelji – interaktivni

NE učinkoviti programi prevencije – Pružanje znanja o štetnosti droga Zastrašivanje Osuđivanje Izgradnja stavova

Cijena Zloupotrebe droga i Ovisnosti UTJECAJ OVISNOSTI Snižena produktivnost Bolovanja (oboljelog i obitelji) Bolesti povezane s korištenjem sredstava ovisnosti (HIV, Hepatitis, ciroza, rak…) Prerana smrt Socijalna skrb Sigurnosni aparat (MUP) Pravosudni aparat (sudovi, zatvori, prihvatne službe) LOKALNA RAZINA izostanci iz škole nasilje u školi i obitelji uništavanje školske imovine uništavanje školskih igrališta sigurnost na ulici sekundarni kriminal narušavanje javnih površina parkovi, igrališta, groblja, pločnici, javna rasvjeta, prometni znakovi, klupice… Nacionalni Centar za ovisnosti i zloupotrebu droga Sveučilišta Columbia, 2001 : 17,9 % budžeta je povezano s zloupotrebom droga i ovisnosti kroz 16 različitih stavki (zatvor, socijalna skrb, ustanove za zlostavljanje, domovi za odgoj, udomiteljstvo…)

Cost-efectivness PP Smanjenje nepoželjnog ponašanja Trošak za brigu i zaštitu od tog ponašanja Računanje ukupnog troška programa po učeniku i koristi za društvo

Cost-efectivness pp VISOKI POVRAT ULOŽENOG Maloljetnička delinkvencija Posjete obitelji i domu Rana edukacija za niske socioekonomeske kategorije Neki programi razvoja maldih SREDNJI POVRAT ULOŽENOG Programi prevencije ovisnosti NISKI POVRAT ULOŽENOG Maloljetničke trudnoće Niz skupih progrma s rel. slabim rezultatima

Cost-effectivness TŽV Estimated Program Cost per participant: $29.00  Estimated net benefit per program participant: $717.00  Estimated total benefit-to-cost ratio: $25.16

Evaluacije uspješnosti TŽV programa smanjenje korištenja inhalata, opojnih droga i halucinogena do 50%; smanjenje višekratnog korištenja droga za 66%; smanjenje konzumacije marihuane za 71%; smanjenje opijanja do granice s trovanjem jednom ili više puta tjedno za 79%; smanjenje konzumacije alkohola za 54%; broj učenika koji počinju pušiti smanjio se za 75%, razvoj otpora na pritisak vršnjaka ka različitim tipovima ovisnosti; razvoj pozitivne slike o sebi, razvoj vještina donošenja odlika i rješavanja problema; uspješno suočavanje mladih s anksioznosti; jačanje kvalitetnije komunikacije; izgradnja zdravih odnosa i jačanje samopouzdanja mladih u socijalnim situacijama

Rizični i zaštitni čimbenici u razvoju ovisničkog ponašanja Rizični faktori Genetski i biološki Rani prvi kontakti s cigaretama, alkoholom i drogom Utjecaj vršnjaka Školski neuspjeh Problemi u obitelji, konflikti Obiteljske povijest zloporabe droga Neadekvatni obiteljski modeli Kronično nasilje zajednici Tolerancija konzumiranja alkohola i droga Siromaštvo i deprivacija Preventivni faktori Jaka povezanost s roditeljima Dogovori u obitelji, obiteljska klima Jaki vanjski sustav podrške za sučeljavanje sa stresom Visoko samopoštovanje, Razvoj socijalnih i komunikacijskih vještina, Razvoj vještina odlučivanja, rješavanja problema, asertivnosti Otpor vršnjačkom pritisku Prosocijalne grupe vršnjaka

Izazovi implementacije EBP Uobičajeni problemi Mjesto u rasporedu Podrška ključnih ljudi (kordinatori, ravnatelji, TŽV nastavnici) Osiguravanje prisustva na edukaciji Problemi u disciplini Implementing the LifeSkills Training drug prevention program: factors related to implementation fidelity (Sharon F Mihalic, Abigail A Fagan and Susanne Argamas) 432 škole; 105 gradova

Ključevi uspjeha… KIKI … ili kako implementirati EBP Količina (71 % odradili su sve vježbe) Integritet (86 % zadataka i aktivnosti) Kvaliteta provedbe Interes/Odaziv učenika

Vjerna Implementacija Izvornika Druga iskustva Studija programa prevencije delinkvencije 25 – 50 % programa Neke američke studije 19 % LST - Botvin 1990 68% programskih zadataka

Ključevi uspjeha 2… … ili kako osigurati KIKI Trening za provoditelje programa Jaka podrška provoditelja programa (od ravnatelja, kordinatora) Karakteristike programa (jasni ciljevi i aktivnost / aktivnosti se doživljava kao relevantne, atraktivne i lakoća u primjeni ) Sveobuhvatni monitoring implementacije

Kako postići KIKI Dubinski trening za provoditelje Vještine za provođenje programa Booster edukacije– jačaju privrženost 2 dana 1 godina 1 ili 2 dan druga godina Nastavnici, kordinatrori, administracija Pozitivna povezanost edukacije i sigurnosti implementacije te rezultata učenika

Jaka podrška provoditelja programa Kako postići KIKI Jaka podrška provoditelja programa demostrirana podrška kordinatora (zalaže se za program, rješava probleme u provedbi) Podrška administracije – nabavka opreme resursa, pritisak na obavljanje programa Podrška ravnatelja - pismo podrške Grada Rijeka / PGŽ

Karakteristike programa Kako postići KIKI Karakteristike programa Jasni ciljevi i procedure (akcije-aktivnosti) Percepcija ciljeva, curriculuma, aktivnosti kao relevantni, atraktivni i laki za povedbu Redoviti sat za održavanje programa

Monitoring programa Kako postići KIKI Early Aliance : Edukacija ljudi Self report –svaka redionica Tjedne supervizije Tehnička podrška LST Kentucky– 50 % nastavnika koji su prošli edukaciju provelo program u cijelosti- manjka supervizije Supervizijski susret u siječnju Posjet školama na terenu

Izbor škola Kako postići KIKI Uključivanje u program Predmet Veličina razreda Imena instruktora Vremenski okvir Pismo podrške ravnatelja Izbor Kordinatora (monitoring, za probleme, komunikacija s uredom)

Tehnička podrška Kako postići KIKI Posjet i razgovor s koordinatorom, ravnateljem, nastavnicima Posjet radionicama Telefonska podrška Izvještaj svakoj školi svake godine (implementacija, prepreke, preporuke)

Koje rezultate očekivati Ocjena edukacije Ocjena programa Karakteristike škole Administrativna podrška, Upoznatost roditelja Kvaliteta koordinatora Ponašanje učenika

Plan provedbe programa 2009/2010. 1. Edukacija provoditelja programa – listopad 2008 2. Provođenje anketnog upitnika s učenicima – do 30. listopada 3. Sastanak kordinatora 3 studeni 4. Provedba radionica 5. Sastanci s koordinatorima 6. Edukacija i supervizija - siječanj/veljača 2010 7. Provedba radionica 8. Provođenje završnog anketnog upitnika s učenicima 3. razredi 1. ožujak 2010 6 i 7. razredi 1. svibanj 2010 8. Promocija kraja programa – 28. svibanj 2010 9. Evaluacija programa

Ugovori o autorskom honoraru samo za one koji izvrše SVE obaveze u PREDVIĐENOM roku Obaveze: Početno i završno anketiranje učenika Evaluacijski listovi za svaku radionicu Pisani esej : “Procjena jakih i slabih strana programa TŽV i njegove implementacije u školskom okruženju” (1-2 stranice) Rokovi: 3. razred 1. ožujak 2010 6 i 7. razred 1. svibanj 2010 Ugovoreni netto iznos 1.000,00 kn