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SPIN Video Home Training (SPIN VHT)

Scientific Rating:
NR
Not able to be Rated
See scale of 1-5
Child Welfare Relevance Level:
Medium

See descriptions of 3 levels

Brief Description

The information in this program outline is provided by the program representative and edited by the CEBC staff. The SPIN Video Home Training (SPIN VHT) program has been reviewed by the CEBC in the area of: Parent Training, but lacks the necessary research evidence to be given a Scientific Rating.

SPIN VHT is a home visiting program that targets the relational skills of abusive/neglectful/at-risk parents. It can operate as a stand-alone program, or be integrated into existing parent education/support programs. The model is informed by attachment theory, theories of primary intersubjectivity, learning theory, and adult learning principles.

SPIN VHT was developed in the Netherlands in the early 1980s and disseminated across that country with ten years of government funding. SPIN Institutes, located in approximately ten countries in Europe, Eastern Europe, the Middle East, and North America, including the US, oversee the model’s fidelity and development.

SPIN VHT practitioners videotape parent-child interactions and offer strengths-based self-modeling feedback using carefully edited video samples of parents' successful interactions with their children. Interactions are analyzed, and feedback plans are designed, using a process that focuses on creating sustained patterns of successful interactions to improve relational skills and meet goals jointly developed by parent and practitioner within the context of broader program goals.

Guided by the SPIN VHT practitioner, parents are taught to:

  • see their capacity to be ‘good’ parents
  • identify and better use their strengths
  • build on those strengths to add new skills and accomplish parenting goals
  • adopt these patterns of behavior leading to healthy relationships, healthy attachment and good developmental outcomes for their children.

Essential Components

  • SPIN VHT addresses the relational difficulties and knowledge deficits that underlie a wide range of problems and symptoms that are seen in child welfare settings.
  • Plan interventions based on program specific goals as well as "helping questions" developed or articulated by the parents: concerns, child behaviors, or problems that the parent identifies as important.
  • Identify deficits and skills that address the helping question and respond to clinically significant concerns.
  • Focus on building successful patterns of contact, interaction, communication, and conflict management in families that support healthy attachment and strong developmental outcomes for their children.
  • Create positive self-modeling videotapes that highlight positive moments in family interactions and that respond to helping question and practitioner concerns. Children are present during taping sessions.
  • Present positive self-modeling videotapes to parents. Parents view carefully edited video self models that exemplify (or approximate) themselves making successful resolutions of problems. Children may be present during feedback.
  • Address problems and risks using SPIN’s operationalization of strengths-based intervention. Older children and adolescents may receive separate coaching sessions.
  • Integrate content of parent education program with strengths-based interaction coaching. Targeted problems and symptoms are replaced as relational skills improve; parent confidence and motivation toward success increase; and children’s ongoing growth and developmental needs are understood and supported.
  • Delivered by staff who receives regular video feedback coaching during an 18-month apprenticeship.

Child Component

SPIN Video Home Training (SPIN VHT) was designed with a child component that addresses the following presenting problems and symptoms:

  • Relational and attachment problems.

Age range: 0 – 17

Developmental Delays:

This program was not developed for children with developmental delays, and has not been tested for children with developmental delays.

Parent / Caregiver Component

SPIN Video Home Training (SPIN VHT) was designed with a parent/caregiver component that addresses the following presenting problems and symptoms:

  • Relational and attachment problems and to support healthy development of their children in every domain.

Group Format

SPIN Video Home Training (SPIN VHT) was not designed to be conducted in a group setting, and has not been tested for use in a group setting.

Delivery Settings

This program is typically conducted in a(n):

  • Adoptive Home
  • Birth Family Home
  • Community Agency
  • Foster Home
  • Outpatient Clinic
  • Residential Care Facility

Homework

SPIN Video Home Training (SPIN VHT) includes a homework component:

Parents are guided to reflect on the specific video-taped examples of their use of selected behaviors (self-modeling) to create positive interactions with their families and support their child's(ren's) healthy development and to continue evoking these moments by continuing to use those behaviors throughout the intervening week before the next visit.

Languages

SPIN Video Home Training (SPIN VHT) has materials available in a language other than English:

Spanish

For information on which materials are available in this language, please check on the program's website or contact the program representative (contact information is listed at the bottom of this page).

Resources Needed to Run Program

The typical resources for implementing the program are:

  • Camera set (video camera, tripod, wide angle lens, carrying case)
  • Laptop computer

Minimum Provider Qualifications

  • Para-professionals accepted, BA and/or Masters preferred
  • Nomination from employer
  • Support of immediate supervisor

Education and Training Resources

There is a manual that describes how to implement this program, and there is training available for this program.

Training Contact:
Training is obtained:

Provided on-site by a program National Trainer

Number of days/hours:

98 hours over 18 months (3-day training Intro course followed by monthly individualized and group coaching).

Relevant Published, Peer-Reviewed Research

This program has been reviewed and it was determined that this program lacks the type of published, peer-reviewed research that meets the CEBC criteria for a scientific rating of 1 – 5. Therefore, the program has been given the classification of "NR - Not able to be Rated." It was reviewed because it was identified by the topic expert as a program being used in the field, or it is being marketed and/or used in California with children receiving services from child welfare or related systems and their parents/caregivers. Some programs that are not rated may have published, peer-reviewed research that does not meet the above stated criteria or may have eligible studies that have not yet been published in the peer-reviewed literature. For more information on the "NR - Not able to be Rated" classification, please see the Scientific Rating Scale.

Child Welfare Outcomes: Not Specified

Weiner, A., Kuppermintz, H., & Guttman, D. (1994). Video Home Training (the Orion Project): A short-term preventive and treatment intervention for families with young children. Family Processes, 33, 441-453.

Type of Study: Non-equivalent control group
Number of Participants: 178

Population:

  • Age range — Not Specified
  • Race/Ethnicity — Not Specified
  • Gender — Not Specified
  • Status — Families from disadvantaged neighborhoods who were having interaction problems with their young children.

Location / Institution: Israel

Summary: (To include comparison groups, outcomes, measures, notable limitations)
Intervention and control families were compared on key aspects of parent child interaction and family functioning, including naming with approval, taking turns, strengthening the weak link, following with a positive verbal response, framing verbal interactions positively, supporting initiative, taking the lead, and sharing pleasant moments. Measurement was based on home observation by Orion Project workers. Results showed improvements in the targeted areas for Orion Project families, which were sustained at 6 months from baseline. Control families did not show significant changes across time, but the authors note that they were already functioning at a higher level at the beginning of the study. The study also evaluated general appearance of well-being and found gains in choosing appropriate toys and child positive affect.

Length of post-intervention follow-up: 3 months post-intervention.

References

Brooks, J. (2008). Video interaction guidance: A practitioner’s perspective, Community Practitioner, 81(9), 21-24.

Fukkink, R. (2008) Video Feedback in widescreen: A meta-analysis of family programs. Clinical Psychology Review, 28, 904-916. Also available at www.spinusa.org/Video feedback.pdf.

Pease, T., Colpa, A., Proulx, G., & Boss, J. (2004). Using technology in consultation: Enhancing relationships. Zero To Three, 24(6), 20-24.

Contact Information

Name: Sarah Guidi
Title: Program Coordinator
Agency/Affiliation: SPIN USA, Inc. National Training Institute
Website: www.spinusa.org
Email:
Phone: (781) 652-0710
Fax: (781) 652-0711

Date Reviewed: December 2009