Fear-Less Triple P

Fear-Less Triple can either be completed in six weekly sessions (1-1.5h each) or as an intensive (one-day) group workshop of three sessions delivered in two-hour blocks to individual families or groups of one to eight families. It is usually delivered by a team of two to six therapists. 

Each session of FLTP includes guidance from practitioners, peer support via group discussions, as well as video examples and roleplaying of skills learned. 

The practitioner who delivers this programme is required to have NFQ 6 professional qualifications in a relevant field, such as psychology, psychiatry, paediatrics, medicine, nursing, social work, or counselling.

The practitioners have the following programme training: 3x days of training, 1x pre-accreditation day, 4-6 hours of preparation for accreditation day, 0.5 day accreditation, and 2-3 hours peer support. Total time: 5.5 days

(In Cobham et al., 2017 study) Two therapists (postgraduate clinical psychology interns) ran each group after receiving training in the intervention. A total of 6 therapists were involved in running groups, with all receiving weekly supervision from the first author. 

Typically, a NFQ-9 qualified practitioner would supervise practitioners with 2h supervision time per quarter.

Practitioners learn the Triple P Peer Assisted Supervision and Support Model (PASS), a structured feedback process to promote learning of a complex set of consultation skills. Using the self-regulatory framework, practitioners are both providers and recipients of peer support. PASS sessions are conducted in small groups of 6-8 practitioners and run for 1-2 hours every month. TPUK can provide additional Clinical Support for practitioners as either a 1-day workshop or small group phone consultations with a Triple P Trainer. This support is beneficial for practitioners who do not have access to formalised or peer support.

Programme fidelity is maintained through the following processes: 

• Training manual 
• Video or DVD training 
• Face-to-face training 
• Fidelity monitoring 

A quality assurance checklist is available for organisations to use when planning for quality assurance of Triple P. There are three standard fidelity protocols built into the Triple P Implementation Framework (1) Practitioner Accreditation, (2) Intervention Fidelity using Session Checklists, (3) Supervision and Practitioner Support Standards using the Peer Support Network. 

TPUK offers trainer-facilitated PASS sessions or a Flexibility & Fidelity workshop for professional development.

Yes, there is a licence required to run this programme.

• Providing parents with effective cognitive behavioural strategies for managing anxiety (such as promoting emotional resilience and effective emotion regulation; flexible and realistic thinking; and overcoming avoidance through exposure),  that they are supported to then ‘coach’ their children to use and change parent-related risk factors (e.g., over-protection, excessive reassurance, and ‘rescuing’ behaviours), in relation to how parents respond to their children’s anxiety which supports children in managing their own anxiety effectively. 
• The programme aims to provide parents with psychoeducation about anxiety and how it works, (in terms of both being able to coach their children in cognitive behavioural anxiety management strategies and to respond to their children’s anxiety), thereby targeting parent-related risk factors (e.g., over-protection, excessive reassurance, and ‘rescuing’ behaviours), providing effective cognitive behavioural coping strategies for their child’s anxiety. 
• In the short term, parents replace ineffective parenting strategies with more effective methods for managing their child’s anxiety, by teaching parents new cognitive behavioural strategies for anxiety management, applying these themselves, and encouraging them to teach these strategies (including coaching children in developing a toolbox of strategies for managing anxiety), to all their children (including any siblings), the child’s anxiety symptoms are reduced. 
• In the longer term, parents demonstrate increased confidence in their children’s ability to regulate their own emotions (anxiety and other emotions) as opposed to feeling the need to do this for their children, greater awareness of anxiety management techniques, and more confidence in their abilities to perform these strategies. Children (including siblings of target child) have a toolbox of anxiety management strategies and demonstrate significant reductions in the severity of their anxiety symptoms, as well as reductions in functional impairments and emotional problems which improves family health and functioning and can affect the future life chances of children – including across their health, educational attainment, and social performance. 

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