Service Evaluation6 months and 2 years post Basic Incredible Years

Deborah RobertsBehaviour 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)

1 New Basic IY a year by education Peer Group Supervision by Liz Phenna-Williams and Deborah Roberts

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

Results

11 groups in total followed up

56 participants out of 81 (69%)

Facilitators – Behaviour Practitioner, Sure Start, Health Visitor, School Nurse, Support Worker

Eyberg Intensity Score

56 participants (69%)

0

20

40

60

80

100

120

140

Pre-group Post-group 3 months 6 months

Mean Average

Eyberg Problem Score

56 participants (69%)

0

2

4

6

8

10

12

14

16

18

Pre-group Post-group 3 months 6 months

Mean Average

General Health Questionnaire

56 participants (69%)

0

1

2

3

4

5

6

7

8

9

10

Pre-group Post-group 3 months 6 months

Mean Average

2 year follow ups

Started in 2007 Original questionnaires – General Health Questionnaire, Eyberg Behaviour Checklist

Short semi-structured interview

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

Eyberg Intensity Score

Eyberg Intensity Score 37 participants (62%)

0

20

40

60

80

100

120

140

Pre-group

Post-group

2 years

Mean Average

Eyberg Problem Score

Eyberg Problem Score 37 participants (62%)

0

2

4

6

8

10

12

14

16

18

Pre-group

Post-group

2 years

Mean Average

General Health Questionnaire

GHQ 37 participants (62%)

0

1

2

3

4

5

6

7

8

9

Pre-group

Post-group

2 years

Mean Average

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

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

Areas groups run

Llandudno Llanrwst Kinmel Bay Dolgarrog Colwyn Bay Penmaenmawr

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

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

Outcomes – General Health Questionnaire

78% remained below clinical cut-off at 2 years for GHQ

Suggests parental mental health remained improved for 78% participants

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.”

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”

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

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

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!

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!

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)