Program Goals

The goals of Level 3 Triple P Discussion Group are:

• Prevent development, or worsening, of severe behavioral, emotional and developmental problems in children and adolescents by enhancing the knowledge, skills, and confidence of parents
• Increase parents' competence in promoting healthy development and managing common behavior problems and developmental issues
• Reduce parents' use of coercive and punitive methods of disciplining children
• Increase parents' use of positive parenting strategies in managing their children's behavior
• Increase parental confidence in raising their children
• Decrease child behavior problems (for families experiencing difficult child behavior)
• Improve parenting partners' communication about parenting issues
• Reduce parenting stress associated with raising children

Logic Model

View the Logic Model for Triple P - Positive Parenting Program® - Level 3 Discussion Group.

Essential Components

The essential components of Level 3 Triple P Discussion Group include the following:

• A brief pre-post intervention assessment of parenting experiences that covers child behavior, parenting confidence, parent adjustment, and parenting conflicts
• Development of a good working alliance between practitioner and participants
• Provides small group(s) (for 8-12 parents) on commonly encountered problems such as disobedience, fighting and aggression, going shopping with children, and bedtime routines and ways of implementing positive parenting strategies:
• Addresses one common behavior concern per group session
• Actively involves parents throughout the 2-hour small group format discussions
• Allows parents to attend one or all of the different discussion groups depending on their interest and needs
• Offers an optional individual parent follow-up (15-30 minutes in-person or via telephone) 1 to 2 weeks after the discussion group to aid the parent in fine-tuning their parenting plans
• Uses an explicit self-regulatory framework, including principles of and exercises to promote:
• Self-sufficiency
• Self-efficacy
• Self-management
• Problem-solving
• Teaches parents how to monitor their own and their child's behavior, and asks them to set specific and observable goals for change
• Assists parents in applying the principles they have learned to solve problems in a self-sufficient manner that leads to more independence
• Encourages practitioners to use multiple, relevant examples with families and create a flexible teaching environment
• May be offered in a variety of settings (e.g., home, clinic, school, family resource center)

Program Delivery

Parent/Caregiver Services

Triple P - Positive Parenting Program® - Level 3 Discussion Group directly provides services to parents/caregivers and addresses the following:

• Behavioral, social, emotional, or developmental concerns for a child that are either anticipatory or mild to moderate in nature; also parental behavioral, social, and/or emotional concerns including depression, anxiety and stress, parenting confidence, and sense of self-efficacy

Services Involve Family/Support Structures:

This program involves the family or other support systems in the individual's treatment: Parents and caregivers are encouraged to share their parenting plans with other caregivers, family members and/or additional supports as relevant/helpful. In addition, other caretakers or family members may also participate in the direct service delivery when relevant and agreed upon by the family.

Recommended Intensity:

1-4 groups (2 hours each) done in person with optional follow-up either in-person or over the phone; can be offered as standalone (1 session group) or as a series of 2-4 discussion groups, based on parent interest and need

Recommended Duration:

Once or a series of up to 4 groups that can be done within a few weeks or up to a year

Delivery Settings

This program is typically conducted in a(n):

• Adoptive Home
• Birth Family Home
• Community Daily Living Setting
• Foster / Kinship Care
• Hospital
• Outpatient Clinic
• Community-based Agency / Organization / Provider
• Group or Residential Care
• School Setting (Including: Day Care, Day Treatment Programs, etc.)

Homework

Triple P - Positive Parenting Program® - Level 3 Discussion Group includes a homework component:

In Level 3 Triple P Discussion Group, parents identify, select, and apply the strategies they learn in the group. Parent workbooks for the discussion groups are designed to help parents integrate the strategies learned into their daily interactions with their children. Those seeking additional support are encouraged to engage in a follow-up consultation with a Triple P practitioner to further refine their parenting plans and skills.

Languages

Triple P - Positive Parenting Program® - Level 3 Discussion Group has materials available in a language other than English:

Chinese

For information on which materials are available in this language, please check on the program's website or contact the program representative (contact information is listed at the bottom of this page).

Resources Needed to Run Program

The typical resources for implementing the program are:

Audiovisual equipment to deliver a PowerPoint presentation as well as show DVD clips to parents and a white board or large flip pad

Manuals and Training

Prerequisite/Minimum Provider Qualifications

A post-high school degree in health, education, childcare, or social services is preferred. In exceptional circumstances, this requirement is relaxed when the prospective practitioners are actively involved in hands-on roles dealing with the targeted parents, children, and teenagers. These particular practitioners have developed, through their workplace experience, some knowledge of child/adolescent development and/or have experience working with families.

Manual Information

There is a manual that describes how to deliver this program.

Training Information

There is training available for this program.

Training Contact:

• Triple P America
  www.triplep.net
  contact.us@triplep.net
  phone: (803) 451-2278
  fax: (803) 451-2277

Training Type/Location:

Most commonly training is provided onsite with an agency or organization hosting the training. However, Triple P also hosts and provides trainings in an Open Enrollment format several times a year for agencies and organizations that do not have a large enough group for an agency-based training. Open Enrollment trainings are conducted in major cities around the U.S., depending on regional demand, and will be posted on the Triple P website at www.triplep.net

Number of days/hours:

2 full training days. Depending on prior training, there may be an option for this course to be provided as a one-day extension course. Following the initial training, practitioners complete 1 full-day of Pre-Accreditation (about 4-6 weeks later), and a 1/2 day accreditation (per trainee) held 6-8 weeks post-training. Training and Pre-Accreditation cohorts are comprised of 20 trainees with one Triple P trainer. These cohorts are divided into smaller groups during the final accreditation procedures. The actual training hours for each training day are 9:00 am - 4:30 pm, including two 20-minute breaks and a 45-minute lunch break, most often catered onsite by the hosting agency.

Implementation Information

Pre-Implementation Materials

There are pre-implementation materials to measure organizational or provider readiness for Triple P - Positive Parenting Program® - Level 3 Discussion Group as listed below:

Support using the Implementation Framework is inclusive of several tools designed to support agencies in the successful adoption of Triple P. Examples of these documents include:

• Organizational Readiness Checklist
• Organizational Selection/Fit Form
• Practitioner Selection/Fit Form
• Community Assessment/Implementation Milestones Checklist
• Quality Assurance Checklist
• Evaluation Checklist
• Shared Learning Network Planning

The Triple P Implementation Tools are provided with support from an Implementation Consultant at no cost for agencies planning to adopt Triple P. Please email contact.us@triplep.net for more information related to the Triple P Implementation Framework.

Formal Support for Implementation

There is formal support available for implementation of Triple P - Positive Parenting Program® - Level 3 Discussion Group as listed below:

Triple P America employs Implementation Consultants who are available from the first point of interest through the implementation process. They provide technical support, coaching, and consultation. This includes supporting organizations in the implementation planning process and the sharing of Triple P implementation tools for agencies/jurisdictions adopting Triple P. For complex initiatives, organizations without experience in implementing manualized practices, or organizations without the capacity to support multi-organizational implementation, Triple P America can provide additional implementation support at an additional cost.

Triple P America utilizes the Triple P Implementation Framework. The Framework is flexible and follows the key principles of Triple P – self-regulation and minimal sufficiency (i.e., it is a guiding framework for support of those implementing Triple P and the level of support may be decreased or increased to match the needs and available resources for a given agency or community).

Fidelity Measures

There are fidelity measures for Triple P - Positive Parenting Program® - Level 3 Discussion Group as listed below:

• Session Checklists – These checklists assist practitioners in implementing the service as intended. Organizations have the flexibility to utilize these instruments as self-assessments or in more formal quality assurance procedures. These can be provided for agencies interested in adopting Triple P Level 3.
• Accreditation of Practitioners – Completed within the context of a Triple P Provider Training Course, this establishes baseline competence of all practitioners and certifies them as being able to implement the program as intended. The accreditation process has two steps: obtaining a passing score on a written exam and displaying competence in parent consultation skills as scored by an accredited Triple P trainer through direct observation or DVD submission. Procedures are in place to help and "recycle" practitioners to master the intervention when they do not pass accreditation.
• Peer Support Networks - The Peer Assisted Support and Supervision (PASS) is a model of quality assurance. During PASS sessions, practitioners are expected to present cases, obtain feedback from other qualified practitioners, and continue to supplement their skills with continuing education. The PASS manual and checklist are available to trained practitioners through the Triple P Provider Network.

Other quality assurance and fidelity checks are possible to implement and Triple P America implementation consultants will work with local agencies to craft a plan that is consistent with local oversight agency procedures. Please email contact.us@triplep.net for further information on measures of fidelity.

Implementation Guides or Manuals

There are implementation guides or manuals for Triple P - Positive Parenting Program® - Level 3 Discussion Group as listed below:

The relevant Triple P Practitioner Manual is provided to practitioners when they attend a Triple P Provider Training Course. For the direct service provider, each level of Triple P includes a Practitioner Manual with step-by-step guidelines for successful delivery of Triple P.

Implementation Consultants can provide support to organizations to develop their own handbook of implementing Triple P, using the tools and processes in the Implementation Framework to provide a context specific guide for those responsible for coordinating the implementation of Triple P at that organization or region.

Please email contact.us@triplep.net

Research on How to Implement the Program

Research has been conducted on how to implement Triple P - Positive Parenting Program® - Level 3 Discussion Group as listed below:

While there is not implementation research currently available on the Level 3 Triple P Discussion Group version, implementation research is available for Triple P - Positive Parenting Program® System (System Triple P). This research can be accessed in the System Triple P program entry.

Relevant Published, Peer-Reviewed Research

Child Welfare Outcome: Child/Family Well-Being

Additional References