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The Parent Factor in ADHD


Autumn 2004 Piloted in Gateshead in partnership with the Child and Family Unit ... Delivered to 30 parents in Sunderland & Gateshead ... – PowerPoint PPT presentation

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Title: The Parent Factor in ADHD

The Parent Factor in ADHD
  • An ADHD specific parenting programme

  • Mary Connor
  • Business Development Manager-ADHD
  • Barnardos
  • Tel 07825699247
  • Email

What is ADHD?
  • ADHD is a heterogeneous behavioural syndrome
    characterised by the core symptoms of
    hyperactivity, impulsivity and inattention.
  • For a person to be diagnosed with ADHD, their
    symptoms should be associated with at least a
    moderate degree of psychological, social and/or
    educational or occupational impairment.
  • (Attention Deficit Hyperactivity Disorder
    Diagnosis and management of ADHD in children,
    young people and adults NICE Sept 2008)

Impact of ADHD
  • Association between hyperactive-impulsive
    symptoms and arrest record
  • Studies suggest high proportion of childhood ADHD
    in youth inmates of prisons and YOIs
  • High proportion of inmates may have current
    symptoms of ADHD
  • ADHD symptoms are linked to reoffending
  • Significant link between ADHD/ODD and adolescent

  • More likely to be prolific offenders
  • Significant cost implications to the judicial
  • More likely to develop a substance misuse
  • More likely to be involved with road traffic
  • Higher medical costs

Why did Barnardos get involved?
  • Increase in referrals where ADHD was a feature
  • Usual parenting programmes too generic and not
    appropriate to the needs of these parents
  • Individual support not effective in reducing the
    feelings of isolation and blame typically

Why a Parenting Programme?
  • Body of Research
  • NICE Guidance on Conduct Disorders
  • Research specific to Parents of children with ADHD

What did we do?
  • 2003 Programme produced by working party of
    Childrens Service Managers in Barnardos North
    East Region
  • Spring 2004 Piloted in Hartlepool
  • Autumn 2004 Piloted in Gateshead in partnership
    with the Child and Family Unit
  • Autumn 2004 to present Programme run with parents
    from Sunderland, Gateshead and Newcastle

Programme Aims
  • To increase parents knowledge of ADHD and its
  • To give parents insight into how it feels to be a
    child with ADHD
  • To give parents advice on how to promote a more
    positive relationship with their child
  • To educate parents on strategies for effective
    behaviour management

Theory Base
  • Solution focused theory
  • Social learning theory
  • Behavioural theory

The Pre Group Meeting
  • To introduce participants to each other and
  • To share personal stories
  • To off load and give vent to stress and
    frustration before the programme starts
  • To agree groundrules
  • To give information about course content
  • To answer questions
  • To confirm arrangements
  • Attendance compulsory

Programme Content Sessions 1 - 4
  • Session 1 Aim To give parents relevant and
  • information about ADHD and how it can be
    treated. To also look at positive aspects of
  • Session 2 Aim To get parents to think about all
    the tasks involved
  • in being a parent and then what extra tasks
    if children are diagnosed as having ADHD.
  • Session 3 Aim To look at different parenting
    styles and to think
  • about which style we predominantly use and
    whether this is always
  • the best way.
  • Session 4 Aim To demonstrate to parents, the
    importance of good
  • communication (talking and listening) and
  • positive behaviour.

Sessions 5 8
  • Session 5 Aim To show how important feelings are
    and to show how they nearly always impact on
  • Session 6 Aim To give parents relevant and
  • information about the education system and
    their rights within it.
  • Session 7 Aim To help parents think about the
    different ways
  • people get attention and how the response
    they get can influence
  • the way they get attention in future.
  • Session 8 Aim To review the programme and
    evaluate the group experience. To give out
    certificates and celebrate achievements.

Working with Fathers
  • Fathers role within family is different
  • Working fathers
  • Gender difference in parents reactions
  • Could offer different viewpoint
  • Can feel out of things
  • Offer support to each other

Feedback from Parents
  • Were your expectations met?
  • Most of them hoped for a solution but there
    isnt one
  • Yes wanted to spend time with other parents
    because I knew that would make me feel better
  • Yes its been worthwhile, I now listen to him a
    lot more
  • It was lovely coming here and knowing it wasnt
    my fault and I wasnt the only one

What did you learn?
  • New strategies
  • To value small successes
  • To ignore negatives and reward positives
  • To have more confidence in my own abilities
  • To believe in myself more and the relationship I
    have with my child
  • To look at things differently i.e. from childs
    point of view
  • Liked the session on different parenting styles

What did you learn?
  • Doing homework was a good idea
  • Liked the box making and the cartoon strips
  • I have learned to pick my battles (with my child)
  • Some things are worth standing your ground on
    some things I just make the point and then leave
  • Now I ask him to do things instead of tell this
    used to result in arguments and me losing my
  • I dont lose my temper now I just leave him.
    He helps me more and enjoys the positive feedback

Some Figures
  • Approximately 5 8 parents invited to each group
  • 100 parents have completed the programme.
  • In each group there have been at least 2 women
    who never missed a session
  • 4 of the groups have been co-facilitated with a
    CAMHS service

Some Figures (ctd)
  • 5 The Parent Factor in ADHD facilitators
  • 45 professionals trained
  • Programmes running or soon to be running in
    Stockton, Sunderland, Newcastle, North Tyneside,
    Hartlepool, Northumberland, Malta
  • 12 month evaluation completed

A Preliminary Independent Evaluation
  • Aim
  • Conduct a preliminary independent evaluation of
    the Parent Factor in ADHD parenting programme
  • Objectives
  • 1) Review the literature
  • 2) Analyse parents feedback
  • 3) Peer review programme materials
  • 4) Analyse childs behaviour pre and post
    parents participation in the programme
  • 5) Identify gaps in the current programme
    evaluation strategy

Parents Feedback
  • End of session questionnaires
  • I found the session interesting and useful
  • I will use some of the things I have learned in
    the session
  • I enjoyed the session
  • I feel that the things I said were welcomed and
    valued by the facilitators
  • The session has made me think about my own

Parents Feedback
  • Perceived benefits
  • Reassurance
  • Practical strategies
  • Information about and understanding of
    ADHD-related issues
  • Positive thinking
  • Self reflection
  • Insight into childs point of view
  • Rights within the education system

Sungate Evaluation
  • Delivered to 30 parents in Sunderland Gateshead
  • Young people identified as at risk of social
    exclusion and/ or being involved in offending
  • Referrals from Youth Offending Teams or Youth
    Inclusion Support Panels

Sungate Evaluation
  • Delivered to
  • 23 mums
  • 3 dads
  • 2 carers
  • 2 not recorded
  • Facilitators assessment
  • 25 very positive
  • 5 positive
  • Parental satisfaction
  • 28 very satisfied
  • 2 satisfied

Sungate Evaluation
  • Being able to speak with other mothers was
    extremely helpful knowing I was not alone with
    my situation participant no. 16
  • I have learnt a lot about how to react to his
    sons needs participant no. 20
  • Everybody was friendly and they all understand
    nobody judged anyone participant no. 21

Peer Review
Senior Lecturer in Forensic Clinical Psychology ?
Community Nurse ? Paediatrician ?
Childs Behaviour Pre Post
  • Outcome measures
  • Strengths and Difficulties questionnaire (SDQ)
  • Little difference at pre and post assessment
  • Child Health and Illness Profile Scale (CHIP)
  • Satisfaction with self, risk avoidance and
    individual risk avoidance better at post


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