In 2012, the Division of Behavioral Health and Recovery (DBHR) utilized Mental Health Block Grant funds to partner with the University of Washington Division of Public Behavioral Health and Justice Policy (UW PBHJP) and Seattle Children’s Research Institute (SCRI) to implement the Positive Parenting Program (Triple P) in three rural communities and the Tacoma-Metro in Washington State. The Washington State Triple P Initiative is intended to support the implementation of a population-level approach to delivering evidence-based parenting supports for parents of children 0-12 years old with mild to moderate behavior problems. The project’s implementation framework has been driven by Fixen’s et al (2005) model.
All communities targeted providers from diverse services settings to create a universal reach through primary care clinics, day care/school systems, as well as providers working with target populations through social and mental health services (public health nurses, home visitors, and mental health practitioners).The three rural communities provided training to practitioners in Level 3 Primary Care (inclusive of Level 2- Brief Primary Care), Level 4 Standard, Level 4 Group and Level 2 Selected Seminars. The Tacoma-Metro area provided training to practitioners in Level 2 Brief Primary Care, Level 2 Seminar, Level 4 Group , and Level 4 Standard, emphasizing primary care clinic engagement and studying the impact of Triple P in a primary care setting. The project has sponsored trainings each year to fill provider gaps and address community need as identified by community coordinators, coalitions and members. Each community continues to develop Triple P capacity and infrastructure to support Triple P services to deliver “light-touch” to more intensive parenting interventions to families in the identified communities. Medical provider involvement remains a major focus of the initiative. When accredited, billable medical providers receive Triple P billing instructions for their Medicaid-eligible patients from Washington’s Healthcare Authority. Across both initiatives, over 160 practitioners have been trained in Triple P within the state of Washington.
The UW PBHJP and SCRI continue to provide technical assistance around Triple P training and implementation to local communities. The project staff is responsible for conducting a process evaluation to assess factors associated with successful implementation and uptake of the Triple P Program.
Child maltreatment is a significant public health problem in the United States due to the high costs associated with family involvement in costly state systems as well as the resulting long-term psychological and health sequelae. Creating strong families is an important component of building resilient and healthy communities. This initiative engages providers across multiple service settings, equipping them with the skills and tools to deliver targeted evidence-based parenting services for families as needed and to properly identify and refer distressed families to more intensive services. Triple P has over 20 years of research proving its effectiveness in strengthening parenting and reducing conduct problems in children.