1. Service Evaluation 6 months and 2 years post Basic Incredible Years Deborah Roberts Behaviour Practitioner (5 – 11years) Conwy February 2010

2. Current up-date Basic Incredible Years 2-4 every term Evening School Age Programme Advanced Programme Toddler and Baby Programme (Flying Start) 1 New Basic IY a year by education Peer Group Supervision by Liz Phenna- Williams and Deborah Roberts

3. 6 month follow ups Started 2006 with Support Worker, continued with Becky (current Support Worker) Original questionnaire – General Health Questionnaire and Eyberg Behaviour Checklist Short semi-structured interview

4. Results 11 groups in total followed up 56 participants out of 81 (69%) Facilitators – Behaviour Practitioner, Sure Start, Health Visitor, School Nurse, Support Worker

5. Eyberg Intensity Score

6. Eyberg Problem Score

7. General Health Questionnaire

8. 2 year follow ups Started in 2007 Original questionnaires – General Health Questionnaire, Eyberg Behaviour Checklist Short semi-structured interview

9. Results 8 groups were followed up 37 participants out of 60 (62%) Groups co-facilitated by Behaviour Practitioner, Sure Start, School Nurse, Support Worker 3 groups had been seen at 6 months

10. Eyberg Intensity Score

11. Eyberg Problem Score

12. General Health Questionnaire

13. Group data – Referral source Sure Start12 Self11 School Nurse5 CAMHS4 GP1 SENCO1 Ed Psych1 Community Paed1 Fostering Team1

14. Group data – ages of target child 2 years7 3 years5 4 years2 5 years2 6 years5 7 years5 8 years6 9 years2 10 years3

15. Areas groups run Llandudno Llanrwst Kinmel Bay Dolgarrog Colwyn Bay Penmaenmawr

16. Outcomes – Eyberg Intensity 67% still below clinical cut-off at 2 years. 12 slipped back to above clinical cut-off Of the 12, 5 out of 8 had maintained changes at 6 months (no 6mth data on others) Of the 12, half went on to be diagnosed with ADHD, 2 with attachment disorder, 1 being assessed and 3 just slipped back

17. Outcomes – Eyberg Problem and GHQ 67 % remained below clinical cut-off at 2 years. 12 who slipped back, were mainly the same as for Eyberg Intensity

18. Outcomes – General Health Questionnaire 78% remained below clinical cut-off at 2 years for GHQ Suggests parental mental health remained improved for 78% participants

19. Parents Feedback I went to see the HV about the children recently. Things better after course but things have slipped again. Swearing, disrespectful, cheeky. No problems in school, doing really well. I feel I need to spend more special time with the children.

20. Parents Feedback Speaking to other adults made me feel better within myself, knowing that I was not the only one having problems. Creche facilities were really helpful. Overall a great experience, really helpful I liked doing the course and found it very interesting. Doing the practical stuff and taking it home to practice on the children. Playing with the children was the best thing I learnt

21. What else did they say? Did you find the course useful? Yes 37 Did it help enough to cope with your childs behaviour Yes 28 No 1 Sometimes 8 Would you like further workshops? Yes 17 Advanced group 7 Other group 5 No 8 Would you recommend it to a friend? Yes 37

22. What were they still using? Play13 Praise22 Rewards13 Limit Setting3 Ignoring13 Time-out14 Consequences10 Managing Stress2 Problem Solving2 Descriptive commenting/distraction2

23. Service changes since follow- ups Top-up sessions have been offered due to expressed need, but little success Advanced IY offered as a result and huge demand. Group currently running and waiting list!

24. Ending on a positive note Our local evaluation is demonstrating positive outcomes, similar to other research. Based on draft document from WAG on cost-effectiveness, we only need to have a 1:55 success with conduct problem children to gain long term cost benefits!

25. Our Team Specialist Behaviour Practitioner – Deborah Roberts (5 – 11 years) Liz Phenna-Williams - Specialist Health Visitor (0 – 4 years) Rebecca MacDonald – Support Worker (5 – 11 years)