Building family health, wellbeing and resilience - The Youth Connect 5 Programme Ellie McCoy, Karina Kinsella, Selina Wallis, Rebecca Harrison & Hannah Timpson, Public Health Institute, Liverpool John Moores University Pat Nicholls & Sheila Woolstencroft, Champs Public Health Collaborative YOUTH CONNECT 5 PILOT Youth Connect 5 (YC5) is a train the trainer programme funded by Champs Public Health Collaborative through Health Education England and delivered by Merseyside Youth Association (MYA). YC5 works with parents to provide them with the knowledge and skills to support the wellbeing and resilience of their children. The programme aims to improve children and young people’s emotional health and wellbeing and to give families the tools to build positive emotional health for their children. The programme was delivered over five weekly sessions. Youth Connect 5 aims to: Build upon parents knowledge, empathy, skills and attributes to promote and strengthen children and young people’s resilience and emotional wellbeing Strengthen parents own levels of resilience Increase confidence and ability to explore different ways to support their children Improve and enhance relationships and communication between parent and their children Link families into information, advice and support services where needed “Working across authorities and agencies, I have been impressed at the enthusiasm and eagerness from not only the Trainers, but also from the Leads. It has been an encouraging process and it would be highly beneficial to hear the many stories on this YC5 journey” (Steering group member) “The way I saw it was if there was anything that would help him, or understand what he’s going through or why he’s doing it then yes I was prepared to do it” (Parent) “It’s good that you’re being talked to by people who’ve got experience either through the training or being with families with additional needs because it’s no good talking to people who have no idea what you’re going through” (Parent) “You feel more likely to be able to control the situation rather than if you said the wrong word it would escalate out of proportion. You’re in control with a small c so it takes the anxiety out of the situation” (Parent) Positive benefits of peer support – parents reported that they benefited greatly from sharing their experiences and learning from other parents in the group, attending YC5 meant they did not feel alone and it improved their confidence in their parenting skills Changes in Knowledge, Techniques and Strategies – parents reported learning new techniques and strategies from the programme and from other parents. Parents gave many examples of strategies and positive approaches that they had effectively tried and embedded Improvements in parents and children's wellbeing - Parents reported improvements in their own and health and wellbeing, which resulted in systemic change in their children’s health and wellbeing. There were improved family relationships and strengthened family resilience “….We were very much a team of people together helping each other out….you looked forward to those two hours because it was in a comfortable environment. It didn’t stop what was going on outside but when you walked out your shoulders would drop slightly and you felt a bit better” (Parent) RESEARCH EVALUATION The Public Health Institute (PHI) at Liverpool John Moores University (LJMU), were commissioned by Champs to undertake an evaluation of the YC5 Programme across Cheshire and Merseyside. The evaluation aimed to determine the impacts of the YC5 Programme for children, young people and their families and to explore whether the train the trainer model is an effective way of delivering YC5. A range of qualitative and quantitative methods were used in triangulation to explore the effectiveness, efficiency and impact of YC5. This included:   Analysis of secondary quantitative data   Focus group with YC5 steering group (n=2 groups) Interviews with the professionals who developed YC5 (n=2) Online survey with Public Health Leads, Trainers and Managers (n=39)   Interviews with parents and carers (n=20) “I never considered that my wellbeing would have an impact on him until we attended there and a lot of the things we spoke about. Unless you feel good about yourself how can you project that and how can he feel good. That’s exactly what it did” (Parent) IMPACTS OF THE YOUTH CONNECT 5 PROGRAMME “It’s gone from everybody fighting to working as a family more because we’ve shared everything with them and used the techniques” (Parent) “A large number of parents/carers engaged significantly with YC5 e.g., a mother who regained access to her children following learning and behaviour change from attending the course (Trainer)” “For me it's a parenting course with a difference. Parents are not being told what to do” (Trainer) “Knowing that I’m not on my own, so when I feel like I’m failing my children I know I’m not now but for a long time I thought it was my fault” (Parent) Attendance on the Programme Youth Connect 5 was piloted over 18 months across nine Local Authorities: Cheshire East, Cheshire West and Chester, Halton, Knowsley, Liverpool, Sefton, St Helens, Warrington and Wirral. MYA trained 249 professionals (trainers). The trainers delivered 103 programmes. 696 parents attended the programme sessions LEARNING FROM THE PILOT The analysis of pre- and post- test data triangulated with findings from the qualitative engagement work with the steering group, public health leads, managers and trainers who delivered and managed the programme, and with parents who attended the programme, demonstrated clear evidence of the impacts of the Youth Connect 5: Parents accessing Youth Connect 5 benefited from implementing parenting strategies and techniques. This was due to an increased knowledge and understanding of family relationships, which they felt enabled them to build and strengthen family resilience. Parents, their children, and the wider family were also seen to benefit from improved relationships and improved health and wellbeing. Improvements in parents wellbeing Parents completed outcome measures before (pre) and after (post) the programme (n=310 pre and n=201 post). These were: A knowledge, confidence and resilience assessment Short Warwick-Edinburgh Mental-Wellbeing Scale. Improvements across the two measures indicated a meaningful improvement in knowledge, confidence, resilience and mental wellbeing for parents attending YC5. The full research evaluation also explored the use of the train the trainer model and the process of implementing and delivering the Youth Connect 5 Programme. The report makes a series of recommendations for improving and maintaining effective multi-agency service delivery. Contacts: - Champs Public Health Collaborative, Email: champscommunications@wirral.gov.uk Tel: 0151 666 5123 - PHI, LJMU: Ellie McCoy, Public Health Institute, Liverpool John Moores University, Faculty of Education, Health & Community, Henry Cotton Campus, 15-21 Webster Street, Liverpool L3 2ET, UK. Email: E.J.McCoy@ljmu.ac.uk Tel: 0151 231 4515 The full evaluation report will be available from: http://www.cph.org.uk/publications/ or http://www.champspublichealth.com/resources