Rationale
for the program
Emotional and behavioural
problems of childhood are often evident by three years of age and can
cause long-term difficulties for children and families. Problems may take
the form of externalising (acting out) behaviours (eg. aggression, oppositionality)
and/or internalising (acting in) behaviours (eg. withdrawal and anxiety).
It is now recognised that early identification of children at risk of
developing emotional and behavioural disorders, followed by early intervention,
is necessary if the health of these children is to be protected and the
risk of them developing long-term emotional and behavioural disorders
is to be reduced.
The preschool period
has been selected as an opportune time for early intervention because
as families prepare their child to begin formal schooling, they are generally
open to advice and assistance. Parents also have more influence early
in childhood in managing and shaping their children's behaviour. The earlier
the intervention the more positive the outcome is likely to be for the
whole family.
The Exploring Together
Preschool Program is a short-term, community based, multifaceted group
treatment program for children in their preschool or early primary school
years (3 - 7 years old) who have externalising and/or internalising behaviour
problems, and for their parents and preschool teachers. The Preschool
Program is based upon the Exploring Together Primary School Program, which
is a well researched, empirically validated, and proven effective program
for families with children aged 5-14 years whose long-term mental health
is at risk.
The Exploring Together
Preschool Program focuses on supporting parents, enhancing parenting practices,
strengthening family units, reducing children's problematic behaviour,
developing children's social skills and enhancing their self esteem.
The Program involves
combined parent-child interaction groups and separate, concurrent groups
for parents and children. Meetings for partners or support persons and
for preschool teachers are held regularly throughout the program. Thus
the program is multi-faceted and involves all the significant people in
the child's life to enhance change across contexts. It also promotes family
and preschool communication and connectedness, which are known protective
factors that help prevent the development of emotional and behavioural
disorders.
Families
and children who may be helped
This program is designed
for families with children aged 3 - 7 years, in their preschool or early
primary school years, and who have emotional and behavioural problems.
These problems include:
- aggression
- hyperactivity/impulsivity
- anxiety
- depression
- separation anxiety
- problematic peer relationships
- oppositional behaviour
- distractible/inattentive behaviour
- phobias
- social withdrawal
- sibling rivalry
- difficult parent-child relationships.
One parent must be
able to attend a ten-week program during the day, at the same time as
the child. One parent and an adult significant in the parenting process
(eg. partner) should be able to attend two evening sessions during the
course of the group. Each program involves 5-6 children and their families.
The
program for children and their families aims to
- enhance self-esteem and decrease problematic behaviour
- enhance interpersonal and social skills
- provide training in problem solving and behaviour management
- improve communication and understanding between family members
- empower families to use their own resources more effectively so that
relationships between family members can improve.
Program
outlines
1. first parent-child
interactive group
The first parent-child
interactive group uses direct dyad work. This group aims to help parents
and children:
- develop age appropriate expectations of children's behaviour
- enhance communication
- develop emotion regulation skills
- manage separation issues
- develop strategies to deal with difficult behaviour
- facilitate cooperative relationships
- improve problem solving
- experience play and mutual enjoyment
- work on relationship issues as they arise.
2. parents' group
The parents' group uses
discussion and modelling to:
- develop parents' understanding of factors underlying their children's
behaviour
- challenge parents' unhelpful beliefs about their children's behaviour
and about parenting
- teach behaviour management principles and techniques, and put these
into practice
- teach emotion regulation principles and techniques, and put these
into practice
- deal with parenting issues and relationship issues
- confront some of the parents' erroneous perceptions of their children
and themselves
- assist parents to get more in touch with and manage their strong emotions
- deal with parents' isolation, depression, lack of assertiveness and
poor self-esteem
- deal with current family issues and, if necessary, those from families
of origin
- recognise parents' strengths and foster use of their own resources.
3. children's
group
This group aims to reduce
children's antisocial behaviour problems while at the same time develop
their emotion regulation skills and improve their peer interactions. This
group focuses on teaching the children:
- prosocial skills
- how to negotiate friendships
- sharing and turn taking
- affect recognition
- how to cope with frustration
- management of strong emotions (eg anger, anxiety)
- the basics of problem solving and decision making.
4. second parent-child
interactive group
The second parent-child
interactive group focuses around joint activities and continues to use
direct dyad work. In addition to all the benefits of the first interactive
group, this group aims to help parents and children:
- handle reunion after separation
- focus on major issues for this age group, eg. handling daily tasks
- deal with sharing and other behaviour problems
- observe other families and the way others resolve issues
- normalise their own difficulties/recognise their strengths.
Morning/afternoon tea is included as a core component of this session to
elicit issues around sharing and eating together so that these can be worked
on in the context of the group
5. partners' evenings
These are attended
either by both parents, or by the parent attending the group and a support
person. The focus is on adults working together and supporting each other
in providing an appropriate environment for their child's development.
6. preschool teacher
meetings
The aim of these meetings
is to promote a consistent approach in the management of the child across
the different systems in the child's life. The meetings also provide the
opportunity for two-way feedback between preschool teachers and group
leaders as well as offering support for dealing with the child in the
preschool setting.
Structure
and content of the 'Exploring Together Preschool Program'
The Exploring Together
Preschool Program involves 5 - 6 families participating in group work
over 10 consecutive weeks, plus pre-group and post-group family interviews
for assessment, evaluation and feedback. Group work consists of interactive
parent-child groups plus separate concurrent groups for children and parents.
Meetings with the partners of the parent attending the group take place
twice during the 10-week program. Leaders also meet with the children's
preschool teachers on two occasions during this period. Four leaders are
required to run each program (two for the children's group and two for
the parents' group). At least two of the leaders must have attended Exploring
Together Training. The time commitment for each leader is at least 3 hours
per week. This includes preparation time, group time, post-group debriefing
and planning.
First parent-child
interactive group - 4 leaders / 40 minutes
Children's group - 2 leaders / 1 hour
Parents' group - 2 leaders / 1 hour
Second parent-child interactive group - 4 leaders / 20 minutes
(pre group) Initial
interviews
Week 1 - First meeting
Week 2 - meeting
Preschool teacher's meeting
Partner's evening
Weeks 3 - 9 - meetings
Preschool teacher's meeting
Partner's evening
Week 10 - Last meeting
(post group) Feedback interviews
What
does exploring together achieve?
The Exploring Together
Program has been conducted in community settings, clinics, schools and
preschools with considerable success. A comprehensive evaluation of the
Primary School Program has been undertaken by La Trobe University. After
the children and their parents participated in the 10-week Exploring Together
Program, 74% of the children were rated by both parents and teachers as
having decreased their aggressive behaviour, while 79% of the children
showed an improvement in their attention. Sixty-seven percent of the children
showed a decrease in their anxious-depressed behaviour, 64% improved their
social skills, and 61% of children decreased their withdrawn behaviour.
Many of the families involved came from disadvantaged groups in the community
who would not normally access this type of assistance.
The Exploring Together
Program for primary school children has won three National Awards in recognition
of its achievements:
- An Australian and New Zealand Mental Health Services Achievement
Award - for 'excellence and innovation'
- An Australian Violence Prevention Award (Commendation), awarded
by Australian Heads of Government
- The Robin Winkler Award for excellence in a Community Psychology
Project awarded by the Australian Psychological Society to Dr Lyn Littlefield.
The Exploring Together
Preschool Program was supported by the William Buckland Foundation.
Training for professionals
is available on request for this program.
|