FIND: A video coaching program for parents with ... Norman and Berry … · • Reading and wring...
Transcript of FIND: A video coaching program for parents with ... Norman and Berry … · • Reading and wring...
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FIND:Avideocoachingprogramforparentswithintellectualdisabili<es
Acollabora<onbetweentheSNAPlabandPearlBuckPreschool
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WelcomeandIntroduc<ons
MelanieBerry,Psy.D.PostdoctoralResearchAssociate
StressNeurobiologyandPreven<onResearchLaboratoryOregonSocialLearningCenter&UniversityofOregon
ReneeK.VanNorman,Ph.D.DirectorofPearlBuckCenterPreschoolAdjunctInstructoratUniversityofOregonPh.D.inSpecialEduca<onandAppliedBehaviorAnalysis
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Acknowledgements
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Agenda
• DescribetheFIND‐PBCprojects• ThesciencethatFINDisbuilton
– Threecoreconceptsinearlydevelopment
• OverviewoftheFINDprogram
• Descrip<onofPearlBuckPreschool• Theadapta<onprocess• Implementa<onatPBC
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FIND‐PBCprojects
• Developedacollabora<verela<onship• AdaptedtheFINDprogramforparentswithcogni<vedisabili<es
• ImplementedtheFINDprogramwithfamiliesfromthePearlBuckCommunity
• DevelopedaresearchplantoevaluatetheimpactofFIND
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THREECORECONCEPTSINEARLYDEVELOPMENT
HarvardCenterontheDevelopingChild
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Earlyexperiencebuildsbrainarchitecture.
CoreConcept#1
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Earlyexperiencebuildsbrainarchitecture
• Genesaretheblueprintbutexperienceisthecarpenter
• Together,theyestablishaweakorsturdyfounda<on
• Simplecircuitscomefirstandmorecomplexcircuitsbuildonthemlater
• Cogni<ve,emo<onalandsocialcapabili<esarelinked
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Caregiver‐childinterac<onshapesbraincircuitry.
Coreconcept#2
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Serve&Returninterac<onshapesbraincircuitry
• Childrenserve• Caregiversreturntheirserves• Thisbackandforthiskeytowiringthebrain• Worksbestwithinatrus<ngrela<onship
• Occursinsideandoutsidethehome
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Toxicstressderailshealthybraindevelopment.
CoreConcept#3
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Toxicstressderailshealthydevelopment
• Whenwearestressed,ourbodiesac<vatephysiologicalresponse
• Shortlivedstresscanpromotegrowth
• Toxicstresscanweakenthearchitectureofthedevelopingbrain
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AboutFIND
• FINDisavideocoachingprogramforparentsandothercaregiversofhighriskchildren.
• FINDusesvideotoreinforceandstrengthennaturallyoccurringsuppor<veinterac<onsbetweenyoungchildrenandcaregivers.
• FINDisa10weekprogramalterna<ngbetweenfilmingandcoachingsessions.
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FIND
SocialLearningTheory
Neuroscience
AXachmentTheory
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TheFINDProcess
Filmingsession
FINDfilmiscreated
CoachingSession
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Serve&Return
• CentralthemeofFIND• DevelopedatCenterontheDevelopingChild• Describesthetypeofparent‐childinterac<onthatpromoteshealthybraindevelopment
• Childservesandcaregiverreturns• FINDencouragescaregivertono<cethechild’s“serve”and“return”inawaythatisdevelopmentallysuppor<ve.
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5ElementsofFIND
1. SharingtheChild’sFocus2. Suppor;ngandEncouraging3. Naming
4. BackandForth5. EndingsandBeginnings
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TheFINDprogramis…
• Simple• Strengthbased• Brief• Flexible• Complementary
• Evidenceinformed
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FINDResearch
• Earlymicrotrials– Parentsenrolledindrugtreatmentprograms– Parentsworkingtoregainphysicalcustodyoftheirchildrenfollowingplacementinfostercare
• PilotwithparentsenrolledinEarlyHeadStartprogramsinWashington
• Pilotwithparentswithcogni<vedisabili<esenrolledinservicesatPearlBuckCenter
• Pilotwithproviderandparentsinahomechildcarese^nginWashington
• LargescaleprojectwithparentsenrolledinEarlyHeadStartprogramsinColorado
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FINDIncreases
Serve&Return
Supporting and Naming
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ServicesatPearlBuckPreschool
• Preschoolforchildrenofparentswithlearningdifficul<es
• ½day;Mon.–Thur.(ToddlersTue.&Thurs.)
• ParentMentoring
• BehaviorSupport• CaseManagement
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EligibilityCriteria
EITHER:Historicalinforma<ondocumen<ngmarkedacademicdeficiency,mentalretarda<onordevelopmentaldelaysfrom:selfreport,familymember,socialagencyorschoolsystem.
AdaptedfromTheEinsteinParentScreeningInstrument(Kramer&Cohen,1983)
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EligibilityCriteria
ORANYFIVEOFTHEFOLLOWING:
• Cannottravelaloneonpublictransporta<on;alwaysaccompaniedbyanotheradult;
• Readingandwri<ngproblemsseenwhenfillingoutapplica<on
• Erra<cappointmentkeeping(early,late,oddexcuses,wrongday);
• Providesvagueornaiveinforma<onaboutbasicfacts;
• Hasproblemsmanagingmoney;
• Overwhelmedbyrou<nedemands;
• Excessivedegreeofchildmanagementdifficultyobservedorreported;
• Usescoveringuptechniquestoconcealdeficit(s);
• Requireshelpinareasnotexpectedforadult;centralroleofa“benefactor.”
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Wide Range of Cognitive Abilities and Disabilities
• Challengedbyday‐to‐dayfunc<oning
• Difficul<eswithexecu<vefunc<ons
– Pastexperiencewithcurrentprac<ce
• Lackofawarenessordenialofcogni<velimita<on
• Labelingands<gma<za<on;subsequentsenseofbeing"stupid"
• Requiredifferentwaysoflearning,accessinginforma<onandreceivingsupport
• Needlifelongorongoingsupport
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Families
Teachers
Staff
BehaviorSupport
Coordinator
Parent
Navigator
Academic&SocialSupports
BasicNeedsSupports
BehaviorSupport
BasicParenNngNeeds
PearlBuckPreschoolComprehensiveSupportSystemDevelopmentalscreeningKindergartenpreparaNonAcNviNestodowithyourfamilyCommunitysupportsAccesstoaddiNonalservices
FoodboxesUNlityassistanceRentalassistanceHousinginformaNonHealth&Wellness
GeneralbehaviormanagementSocialskilldevelopment
Intensivebehaviorsupport
CommunitysupportsBasichomesafetyDevelopmentalscreeningPreschoolpreparaNon
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ProcessforPartnership
• Collabora<onwithUnitedWayofLaneCounty– Introductoryemail
• AXendedconference– ApproachedDr.Fisher,keynotespeaker
• MetwithDr.Fisherandteam– Proposedpoten<alcollabora<on
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FundingFINDatPBC
• Ini<alcontracts– DepartmentofHumanServices
• ChildWelfareinvolvedfamilies–InHomeSafetyandReunifica<onServices
– TrilliumCommunityHealthPlan• Pre‐EnrollmentFamilies–ChildAbuseandNeglectPreven<onContract
– Children’sTrustFundofOregon• EnrolledFamilies–ChildAbuseandNeglectPreven<onGrant
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TheAdapta<onProcess
• Heldini<almeettoreviewFINDmodelandmaterials
• Reneemaderecommenda<onsbasedonexper<seinadultlearning
• Melanierevisedmaterials
• Mettoreviewprogressandmadeedits
• Testedadapta<onwithfamilies
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IconsforCoreConcepts
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VisualAids(post‐its!)
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Adap<ngSummarySheets
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Adap<ngHomePrac<ce
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Implementa<onofFINDatPBC
• Ini<altraining• Biweeklystaffing/consulta<on
• Phasesoftraining– Ridealong– Coachingindependently
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Nextsteps
• FINDpilot• Largerefficacytrial?
• Moregrantapplica<ons?