For Providers October 21, 2021 Provider Resource Order Form Today's DateFull Name *Email *PhoneAgency Name *County You Provide Services In *Select Your CountyAlleghanyAsheAveryCaldwellDavidsonDavieForsythStokesSurryWataugaWilkesYadkinRequest DateWhen are the items needed?Street AddressCityStateZIPWhat Triple P Level(s) Are You Trained In? *Level 2Level 3Level 4Level 5Level 2 Intervention Format *Selected SeminarsBrief PrimarySelected Seminar Items That Can Be Requested *Tip Sheets for Ages 0-12Tip Sheets for Teenagers (12-16)Tip Sheets for Stepping Stones0-12 Tip SheetsThe Power of Positive Parenting Tip Sheet (per Seminar 1 participant)Raising Confident, Competent Children Tip Sheet (per Seminar 2 participants)Raising Resilient Children Tip Sheet (per Seminar 3 participant)Teen Tip SheetsRaising Responsible Teenagers Tip Sheet (per Seminar 1 participant)Raising Competent Teenagers Tip Sheet (per Seminar 2 participant)Getting Teenagers Connected Tip Sheet (per Seminar 3 participant)Stepping Stones MaterialsPositive Parenting for Children with a Disability tip Sheet (per Seminar 1 participant)Helping your Child reach their Potential Tip sheet (per Seminar 2 participant)Changing Problem Behavior into Positive Behavior Tip Sheet (per Seminar 3 participant)Primary Care Items That Can Be Requested *Materials for Ages 0-12Materials for Teenagers (12-16)0-12 MaterialsEvery Parent's Survival Guide DVDPositive Parenting booklet (per family)Relevant 0-12 Triple P Tip SheetsTeen MaterialsEvery Parent's Guide to Teenagers DVDPositive Parenting for Parents with Teenagers booklet (per family)Relevant Teen Triple P Tip SheetsLevel 3 Intervention Format *Discussion GroupPrimary CareDiscussion Group Items That Can Be Requested *Ages 0-12 WorkbooksTeenagers (12-16) Workbooks0-12 WorkbooksDealing with disobedienceDeveloping good bedtime routineHassle-free shopping with childrenManaging fighting and aggressionHassle-free mealtimes with childrenTeen WorkbooksGetting teenagers to cooperateBuilding teenagers' survival skillsCoping with teenagers' emotionsReducing family conflictPrimary Care Items That Can Be Requested *Ages 0-12Teenagers (12-16)Stepping Stones0-12 MaterialsEvery Parent's Survival Guide DVDPositive Parenting booklet (per family)Relevant 0-12 Triple P Tip SheetsTeen MaterialsEvery Parent's Guide to Teenagers DVDPositive Parenting for Parents with Teenagers booklet (per family)Relevant Teen Triple P Tip SheetsStepping Stones MaterialsStepping Stones Triple P: A survival guide for families with a child who has a disability DVDStepping Stones Triple P: A Guide to Positive Parenting booklet (per family)Relevant Stepping Stones Triple P BookletsRelevant DVDs from the Every Parent DVD series (optional)Level 4 Intervention Format *GroupStandardGroup Items That Can Be Requested *Ages 0-12Teenagers (12-16)Stepping Stones0-12 MaterialsEvery Parent's Survival Guide DVDEvery Parent's Group Workbook (per participant)Relevant 0-12 Triple P tip sheets (optional for session 5-7)Teen MaterialsEvery Parent's Guide to Teenagers DVDTeen Triple P Group Workbook (per participant)Relevant Teen Triple P tip SheetsStepping Stones MaterialsStepping Stones Triple P: A survival guide for families with a child who has a disability DVDStepping Stones Triple P Group Workbook (per family)Stepping Stones Triple P Booklet series (optional but a handy resource)Standard Items That Can Be Requested *Ages 0-12Teenagers (12-16)Stepping Stones0-12 MaterialsEvery Parent's Family Workbook (per family)Every Parent's Survival Guide DVDTeen MaterialsTeen Triple P Family Workbook (per family)Every Parent's Guide to Teenagers DVDStepping Stones MaterialsStepping Stones Triple P: A survival guide for families with a child who has a disability DVDStepping Stones Triple P Family Workbook (per family)Level 5 Supplementary Intervention *EnhancedPathwaysLifestyleFamily TransitionsEnhanced *Module 1: PracticeModule 2: Coping SkillsModule 3: Partner SupportModule 4: Maintenance and closurePathways *Module 1: Avoiding Parent TrapsModule 2: Coping with angerMaintenance & ClosureCoping with Stress DVDLifestyle *Every Parent's Survival Guide DVDLifestyle Triple P Group Workbook (per family)Lifestyle Triple P Active Games Booklet (per family)Lifestyle Triple P Recipe Booklet (per family)Family Transition *Family Transitions Triple P Workbook (per family)Family Transitions Triple P Relaxation CD (per family) Submit Resource Request
