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

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  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  P olicy (including funders, researchers, management) (all levels of “policy” –government, agency leadership, cross sector collaboratives…)  P ractitioners (different disciplines and roles to meet parents where they go for advice/ support)  P arents (rural/ urban, english/french, First Nations, multi-cultural/ faith communities, single, married…)

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  Expressing interest, particularly in support of First Nations communities  Unique needs – geography, transportation, weather  1 practitioner in Northwest Territories

Alberta  Pilot initiative beginning in 2007  Training in Seminars and Primary Care at and Teen age groups, Group, Standard and Primary Care Stepping Stones  Training and media development ongoing

Saskatchewan  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

Ontario  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

Quebec  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  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

Nova Scotia, Newfoundland and Labrador, Prince Edward Island

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

Population/ Practitioner stats Province/ Territory Population (0-19) (2006) Number of Practitioners (2009) “Clients” per practitioner British Columbia 976, Yukon, NWT, Nunavit 33, Alberta 840, Saskatchewan 285, Manitoba 314, Ontario3, 002, New Brunswick 180, Que, NS, PEI, Nfld/Lab 2,145, CANADA7,

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  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  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: