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Service Evaluation 6 months and 2 years post Basic Incredible Years

Service Evaluation 6 months and 2 years post Basic Incredible Years. Deborah Roberts Behaviour Practitioner (5 – 11years) Conwy February 2010. Current up-date . Basic Incredible Years 2-4 every term Evening School Age Programme Advanced Programme Toddler and Baby Programme (Flying Start)

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Service Evaluation 6 months and 2 years post Basic Incredible Years

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  1. Service Evaluation6 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 Start 12 • Self 11 • School Nurse 5 • CAMHS 4 • GP 1 • SENCO 1 • Ed Psych 1 • Community Paed 1 • Fostering Team 1

  14. Group data – ages of target child • 2 years 7 • 3 years 5 • 4 years 2 • 5 years 2 • 6 years 5 • 7 years 5 • 8 years 6 • 9 years 2 • 10 years 3

  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 child’s 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? • Play 13 • Praise 22 • Rewards 13 • Limit Setting 3 • Ignoring 13 • Time-out 14 • Consequences 10 • Managing Stress 2 • Problem Solving 2 • Descriptive commenting/distraction 2

  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)

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