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Implementing Triple P-Positive Parenting Program®-Home Visiting (Triple P-Home Visiting)

Prerequisites for Implementation

Last Updated

May 2014


Type of Implementing Agency

The program can be implemented in various settings. For example, health care or educational practitioners can deliver Triple P directly to their clients, and governments (county, council, state, or national) can train workforces to deliver Triple P. No information is available on the requirements or recommendations for implementing Triple P as a home visiting program.


Staffing Requirements

TPI expects agencies to implement Triple P-Home Visiting using their existing workforce. An agency can implement Triple P with a single practitioner. However, TPI recommends staffing Triple P with multiple practitioners so they can provide peer support to one another and the organization can better manage staff attrition. No information is available on whether supervisory staff are recommended or required. Triple P implementation consultants can help agencies develop supervision plans when it is not feasible for the agencies to employ supervisors trained in Triple P. Other relevant staff may include a program manager or coordinator to oversee program set-up and implementation.

Triple P–Home Visiting can be delivered by staff from a range of disciplines, including paraprofessionals, physicians, nurses, school counselors, teachers, psychologists, and social workers. For more intensive interventions, staff should have regular interaction with the families through their other professional duties.


Staff Education and Experience

Providers should have a post-secondary degree in health, education, child care, or social services. Providers without a post-secondary degree in the specified areas are eligible to be Triple P-Home Visiting providers if they have experience working directly with the target population to support child or adolescent development, and have adequate clinical supervision and regular support.

Supervisors should have familiarity with the Triple P model. There are no requirements for the education or experience levels of supervisors.


Supervision Requirements

Triple P-Home Visiting provides supervision through a peer-based program, Peer Assisted Supervision and Support (PASS). Triple P practitioners meet during PASS sessions to receive structured feedback from peers on their consultation skills. PASS sessions include case reviews, discussion of implementation issues, and professional development activities. Sessions are conducted in groups of up to eight practitioners and each session lasts approximately one to two hours. The sessions should be scheduled frequently leading up to accreditation, after which sessions should take place every four to six weeks.

Supervisors can review clients’ records, engagement, outcomes, and satisfaction, and support practitioners’ use of PASS. Agencies should also continue to provide their standard supervision practices.

Recommended ratios of supervisors to home visitors depend on the percentage of time a practitioner spends on Triple P as part of his or her duties; the experience of practitioners and supervisors, including prior experience implementing similar practices; and other factors. Implementation consultants can recommend a supervisor-to-home visitor ratio to implementing agencies.


Staff Ratio Requirements

Recommended practitioner caseloads vary based on practitioners’ availability; the time a practitioner allocates to Triple P; a practitioner’s skill, experience, and qualifications; and access to supervision. Triple P implementation consultants can help agencies plan caseloads. TPI estimates that one full-time equivalent practitioner can see up to 50 families per year when delivering Primary Care Triple P or Primary Care Stepping Stones, and 25 families per year when delivering Standard Triple P or Standard Stepping Stones.


Data Systems/Technology Requirements

The Triple P Provider Network website (described under Technical Assistance) is available for practitioners and implementing agencies to use in support of service delivery and tracking.



The information contained on this page was last updated in May 2014. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the Triple P America office on May 9, 2014. HomVEE reserves the right to edit the profile for clarity and consistency.