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| Preventing Child Maltreatment with Large-Scale Behavioral Programs |
| Sunday, May 28, 2006 |
| 1:30 PM–2:50 PM |
| Lenox |
| Area: CSE; Domain: Applied Research |
| Chair: Jennifer L. Crockett (Kennedy Krieger Institute) |
| Discussant: John R. Lutzker (Marcus Autism Center) |
| CE Instructor: Jennifer L. Crockett, Ph.D. |
| Abstract: Child Maltreatment Prevention is receiving increased attention in behavioral research and practice. Due to the associated long-term negative health and social consequences of Child Maltreatment, its prevention is also a priority for the CDC. This symposium examines the effectiveness of Parenting Programs implemented at agency and state levels. The first presentation focuses on a population-level evaluation of Triple P (Positive Parenting Program). Triple P is an evidenced-based program with five Levels of Intervention. The second presentation takes a closer look at one of the specific Levels of Intervention within Triple P (Primary Care Level 3), focusing on parents generalization of strategies across settings. The final presentation examines both Parent-Child Interaction Therapy (PCIT) and Project Safe Care. PCIT was implemented within a Child Welfare Services agency. Project SafeCare was implemented both within a Child Welfare Services agency for high-risk families as well as statewide for active Child Welfare cases. These presentations will include discussions of fidelity monitoring, the challenges with large-scale implementation, and program dissemination. |
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| Conducting a Population-Level Trial to Enhance Parenting. |
| RON PRINZ (University of South Carolina), Matthew R. Sanders (University of Queensland) |
| Abstract: This presentation focuses on programming to strengthen parenting at a population-level, which is the approach being tested in the U.S. Triple P System Population Trial. The population trial is a systematic implementation of the entire multi-level Triple P (Positive Parenting Program) system, an evidenced-based approach to parenting and family support developed by Sanders and colleagues. The presentation highlights the differences between a population trial and a clinical trial, the components of population dissemination, the challenges of broad-scale implementation, and role of media and informational strategies in such an endeavor. Quality-assurance facets of the trial will be discussed particularly with respect to the training of service providers from a broad array of disciplines working in a variety of settings. Implications of the trial for program transfer and dissemination will be discussed. |
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| Evaluating Programmed Generalization in a Brief In-Home Parent Training Program. |
| CYNTHIA L. BOYLE (Center for Disease Control & Prevention), John R. Lutzker (Marcus Autism Center) |
| Abstract: Pursuant to its research agenda to prevent child maltreatment, the Centers for Disease Control and Prevention funds a population-based effectiveness trial of the Positive Parenting Program (Triple P) in South Carolina. In a substudy of this trial in Columbia, South Carolina and Atlanta, Georgia, we focused on Primary Care Level 3 (of 5 possible levels), which consists of four consultation sessions for parents of children with common child behavior problems. Specifically, we investigated the ability of parents to generalize parenting strategies trained directly in one setting to another untrained setting using a multiple probe design across settings or siblings. This design was embedded within a multiple probe design across families. Direct observation revealed decreases in aversive child behavior posttreatment; however, booster sessions were required to maintain decreases and/or generalization effects. Rates of aversive child behavior remained low at 6-to 8-week follows-up. Inter-rater reliability ranged from 84.2% to 96.12%. Indirect measures showed dramatic intervention effects with some families indicating clinically significant change from baseline. Importantly, social validity measures suggested overall satisfaction with the program. |
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| Implementing Behavioral Parent Training Models within Child Welfare Service Systems--Experiences with SafeCare and PCIT. |
| MARK CHAFFIN (University of Oklahoma Health Sciences Center), Jane Silovsky (University of Oklahoma Health Sciences Center), Debra Hecht (University of Oklahoma Health Sciences Center), Beverly Funderburk (University of Oklahoma Health Sciences Center) |
| Abstract: This talk will describe implementation experiences drawn from three ongoing randomized trials testing outcomes of behavioral parent training programs in child welfare service systems. The first trial isa single-agency implementation of PCIT. The second is a single agency implementation of the SafeCare model for a high-risk prevention population. The third trial is a multi-agency statewide implementation of the SafeCare model for active child welfare cases. The role ofongoing fidelity monitoring and direct service observation in determining downstream client outcomes will be discussed. Finally, a model for how behavioral parent training programs can be systematically developed, improved, and tested within large public sector service systems will be discussed. |
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