Incredible Years® - Child Treatment
Blueprints Program Rating: Promising
A child treatment program used by counselors and therapists in a small group setting to treat children ages 3-8 years with conduct problems, ADHD, and internalizing problems by enhancing social competence, positive peer interactions, conflict management strategies, emotional literacy, and anger management. The small group treatment program is delivered in 18-22 weekly 2-hour sessions.
Initial Training and Technical Assistance
Initial workshop training costs typically include a three-day training for group leaders by accredited IY mentors or trainers, delivered either in Seattle for approximately $1,100-$1,500 per leader (including travel) or delivered at the program implementation site (which can be cost effective for groups of more than 10-15 leaders). On-site training costs are $1,500-$2,000 per day plus travel costs for trainers.
Curriculum and Materials
A set of program DVDs and materials costs $1,150 for the Small Group Treatment version of the Dina Dinosaur Child program (includes leader manual, home activities handouts for copying, teacher book, DVDs and other accessory materials). It can be useful for co-leaders to have their own manuals; additional leader manuals cost $90 each.
Materials Available in Other Language: Various supplemental materials are available in Spanish, at the same price as the English versions.
Other Start-Up Costs
Equipment to play DVDs, puppets and toys for role play practices, and video equipment to film sessions - if not already part of staff equipment.
Intervention Implementation Costs
Ongoing Curriculum and Materials
Group leader/teacher books cost $27.95; if parents are not enrolled in the parenting group at the same time as child groups, parent books should be provided -- cost is $17.95 each. Program leaders should budget for handouts and some materials for small group activities (e.g., laminating solution and feeling cards, snacks, art supplies) and small rewards for children (for meeting targeted behavior goals) at approximately $20/child.
Qualifications: Group leaders for small group treatment program may come from a variety of helping professions such as social work, psychology, nursing, and education. It is required that they have taken a course in child development, have had experience with young children and it is recommended that they have had training in cognitive social learning theory. The purveyor recommends that at least one of the two leaders running a group has a master’s degree or higher.
Ratios: Two group leaders lead a group with 5-6 children for small group treatment. For the treatment program for children with ODD/CD it is recommended that a back-up person be available in case a child needs to be taken to the bathroom or when using a supervised Time Out calm down procedure.
Time to Deliver Intervention: Child groups are held weekly for 18 – 22 weeks for 2 to 2.5 hours for small group treatment. Program developers recommend budgeting 5 hours per group per group leader initially to account for lesson and activity preparation time, peer review of videos of group sessions and weekly calls to parents and teachers. This prep time will be reduced after the group leaders have experience delivering the program and are certified in intervention delivery.
Room rental if a space is not already available.
Implementation Support and Fidelity Monitoring Costs
Ongoing Training and Technical Assistance
Ongoing consultation and supervision by accredited IY program mentors and trainers is recommended for an hourly rate ($150), with a suggested two hours per month, as well as a daily rate of $1,500 - $2,000 plus travel for a 1-day on-site consultation with group leaders, with a minimum of one on-site consultation per year suggested by the purveyor.
Fidelity Monitoring and Evaluation
The purveyor suggests video review and certification/accreditation at a cost of $450 per program leader (video review, submission of lesson or session protocols, and additional paperwork are required for group leaders to become accredited). Other video reviews can be arranged for $75/hour and are recommended for the treatment version of the program in particular, as are phone consultations – recommended 2 per month – 10 per year at $150 per hour (group leaders can have the consultation calls in pairs or groups so the cost per person is less). The purveyor suggests that programs budget $1,200–$1,425 per leader for the first year or first 2-3 groups for video reviews, consultation calls and accreditation/certification. Once group leaders receive certification they are eligible to receive training to become accredited coaches. Accredited coaches within agencies or schools can provide ongoing support, coaching, live observations and/or video feedback, which promote group leader eventual accreditation. Once coaches are accredited they are eligible to receive training to become mentors, which permits them to provide authorized training workshops and coaching support to others. Workshops and consultations can only be done by accredited mentors or trainers.
Ongoing License Fees
Other Cost Considerations
Year One Cost Example
This example assumes that a community-based organization would offer the Incredible Years child treatment program to three groups of 6 children, each with 2 program leaders, for 20 sessions – total is 6 group leaders and 18 children in one year. Costs assume 6 different group leaders or teachers; however, 2 group leaders could do 2-3 groups a week, which would reduce costs. Fees for rental space, if needed, are not included in this example.
With 18 children participating, the initial cost of the program is approximately $2,150.60/child for small group treatment version; however, after one-time upfront costs have been spent, subsequent groups in future years will cost less: $1,117.95, assuming no additional group leader or teacher training and re-using program DVDs and manuals. Also, if the same two group leaders lead all three groups and share one set of program DVDs then costs will be reduced even further.