Attentive parenting programme Implementation in Norway Siri Gammelsæter Clinical psychologist/trainer in parent programme

IY in Norway Nationwide implementation Financed by Directory of Health University of Tromsø in charge of implementation Mentors and peer coaches in different parts of the country

Incredible Years parent programme as a universal intervention Charlotte Reedtz Mental health promotion in young children 2010 RCT studying the effect of low ”dosage” IY parent training on risk factors in a non clinical population. Children the age of 4-8 The first six meetings of the old basic programme (play, praise, the use of incentives)

Universal study results Reduction in harsh parenting Reduction in child misbehaviour Strenghtening of positive parenting Strengthening of parent’s sense of competence

Universal study results High percentage of parents signing up to participate had children with severe behaviour problems Low threshold, easy to access programme recruited parents in need of help

Rationale for universal programme Reduction of risk factors related to development of childhood behaviour problems Increase in positive parenting-protective factors Parenting skills are strong predictors of good outcomes for children Recruitment of parents in need of help

Attentive parenting programme Universal programme 6-8 weeks Programme for parents of children 2-6 years of age. Same format as the other parent programmes, with vignettes, discussions , roleplays and home activities. Vignettes are divided into those that are especially good for 2-4 year olds and 5-6 years old.

Attentive parenting programme Child-Directed Play Academic and Persistance Coaching to Promote Children’s Language and School Readiness Emotion Coaching to Strenghten Children’s Emotional Literacy and Empathy

Attentive parenting Social Coaching to Promote Childrens Friendship skills Emotional Regulation Skills Problem Solving and Empathy

Indikert Familiesenter og selektive Barnevern forebygging Behandling (Diagnostiserte BUP barn) Helsestasjon Indikert Familiesenter og selektive Barnevern forebygging Universal Helse Forebygging stasjon Henvisning Klinikk >90% ECBI Kommunale tjenester <90% of ECBI Kommunale tjenester (Normalområdet)

Implementation of Attentive Parenting Programme in Norway Implementation in communities who offer the basic preschool programme Parents who self recruit and have children with severe problems will be offered a full scale programme Experienced group leaders

Implementation ECBI and a short interview before they start Supervision

Recruitment strategies Reetz study: socio-economic advantaged parents signed up Pilot to study other recruitment strategies Recruitment from schools and kindergartens successful Wide range of good role models and risk factors in the groups

Attentive Parent Programme Pilot Recruitment process reached desired families Parent satisfaction was positive Shows promise for large scale roll out