Our flagship ENRICH programme (EvaluatioN of wRaparound in Ireland for CHildren and families) is a five year, multi-component research programme designed to help promote child health and family wellbeing early in life.
ENRICH is funded by the Health Research Board and is being conducted by a team of researchers from Maynooth University and senior academics from Queen’s University Belfast, York University and the University of Ulster. The research team, led by Professor Sinead McGilloway, is working in close collaboration with a number of community-based organisations and stakeholders involved in programme development, delivery and implementation. This brings together researchers and service providers from across child and family services, including social workers, Public Health Nurses, family support workers and community-based health and social care practitioners.
The research programme involves two in-depth evaluations designed to inform the development, implementation and evaluation of two new and innovative ‘wraparound-inspired’ models of care: the Parent and Infant (PIN) (also known as the Up to 2) Programme and the Children At Risk Model (ChARM).
The PIN/Up to 2 programme is being evaluated using a controlled trial, while a Randomised Controlled Trial is being conducted to examine the effectiveness of the ChARM. Two in-depth process evaluations are also being undertaken in parallel to explore the development and implementation of both models. In addition, the research will explore the cost-effectiveness of each programme and whether or not they represent value for money.
Research demonstrates that prevention and early intervention programmes can help to improve child well-being and family adjustment, and reduce the risks of long term maladaptive outcomes (NICE, 2007). However, individual programme interventions and stand-alone evidence-based treatments do not always meet the complex needs of many disadvantaged and marginalised children and families.
The wraparound process offers a team-based approach in order to meet the specific needs of the family. Wraparound brings together parents, families and service providers to provide a comprehensive system of services and supports in order to improve child development and family wellbeing. In particular, the wraparound-inspired service models that are being investigated by the ENRICH research team, incorporate existing evidence-based parenting and child interventions, such as the Incredible Years programmes (www.incredibleyears.com), and provide parents with additional community supports to best support them and their children in the early years.
To date, little evidence exists as to the effectiveness of these kinds of wraparound models of care. The ENRICH research programme will identify what community-based treatment options are of most benefit in improving child and family outcomes over the longer-term.
What are the aims of the research?
- To assess the implementation of two new early intervention/prevention wraparound-inspired service models (the Parent and Infant (or UpTo2) Model and the Children At Risk Model);
- To evaluate the effectiveness and cost-effectiveness of each model; and
- To explore the use of research evidence in child health and social care in Ireland and the translation of evidence by managers and practitioners in routine service delivery.
Some of the kinds of research questions which we hope to answer are:
- Do the new models lead to improved parent and child outcomes when compared to parents who receive usual care or services?
- To what extent do the new Incredible Years programmes (Baby & Toddler) lead to positive parent and child outcomes when compared to the other model components and services as usual?
- To what extent are improvements (if any) maintained over time?
- What are the experiences of participants and service providers and what are the key barriers/challenges to successful implementation?
- How cost-effective are the models?
The Project Team (Maynooth University)
Other Academic Team Members
Senior academics from other institutions who are supporting the project team include:
- Professor Michael Donnelly (Queen’s University, Belfast)
- Professor Tracey Bywater (University of York, England)
- Dr Chris Cardwell (Queen’s University, Belfast)
- Professor Ciaran O’Neill (Queen’s University Belfast)
- Professor Brian Taylor (University of Ulster)
- Dr Evie Gardner (The Northern Ireland Clinical Trials Unit)
- Dr Melanie Barwick (SickKids Hospital, Toronto)
Current and recent community-based collaborators/partners include:
- Archways, Dublin and the Blue Skies Area-Based Child poverty (ABC) Programme (www.archways.ie)
- The HSE/Public Health Nurses, Dublin South West and County Louth
- The Genesis (ABC) Programme, County Louth (www.genesislouth.ie)
- Clondalkin Community Healthy Living Initiative, Dublin.
- Deansrath Family Centre, Dublin (www.deansrathfamily.ie)
- Tusla (Child and Family Agency) (www.tusla.ie) (Dublin South West/Kildare/West Wicklow) (Dublin South Central)
- The Social Work Department, Dublin South Central and Cherry Orchard Hospital
- Familibase, Ballyfermot, Dublin