Independent evaluation of the Triple P Positive Parenting Program in family support service settings

The Triple P Positive Parenting Program is a multilevel system of behaviour‐based parenting training and support. The aim of this study was to determine whether implementation of levels 2 and 3 of the Triple P system, designed for primary care settings, enhances parent, child and family outcomes compared with services‐as‐usual in Alberta, Canada. The study employed a quasi‐experimental, single‐blind and post‐test‐only design. A survey incorporating outcome measures was administered to a sample of 1296 parent‐clients. A total of 923 parents responded, including 172 parents who had received a Triple P (level 2 and/or 3) intervention during the previous 12 weeks. A significant interaction was found between participation in a group‐based parent education programme and receipt of Triple P. Parents who participated in a group‐based parent education programme, and who received a Triple P intervention reported somewhat higher levels of need satisfaction than parents who participated in a group‐based parent education programme but who did not receive a Triple P intervention. No significant difference was found between Triple P and service‐as‐usual groups on any secondary outcome measures including parenting stress, positive interaction, family functioning and child problem behaviours.     

Implementing the Power to Kids programme in home-based (foster) care: Identifying the SAFETY approach

Sexual abuse and dating violence are chronic problems for children and young people in out-of-home care. This study explored the impact of a prevention and response programme Power to Kids, which targets harmful sexual behaviour (HSB), child sexual exploitation (CSE) and dating violence (DV) for children and young people in home-based (foster) care. Twenty-eight case managers, 25 foster carers and 13 children and young people participated in a mixed methods study in Victoria, Australia informed by the research question: How does the Power to Kids programme impact the sexual health and safety of children and young people in home-based (foster) care? The data analysis revealed a SAFETY approach whereby the sexual health and safety knowledge of carers and case managers was enhanced, and carers were given permission to have Brave Conversations with children and young people, who could then apply the new knowledge to their lives. Case managers were upskilled in identifying indicators of sexual abuse and empowered to escalate stalled therapeutic and disruption practice when children and young people were identified as experiencing HSB, CSE or DV.     

Over-chastisement, Child Non-compliance and Parenting Skills: A Behavioural Interventiaon by a Family Centre Social Worker

Summary This single-case study describes a behavioural interventionby a Family Centre social worker with a family whose two eldestchildren had been registered on the Child Protection Registerfollowing an incident of over-chastisement by their mother.Working in partnership with the parents. a behavioural assessmentand intervention was undertaken over a four month periood. Theassessment suggested that child non-compliance was a centralproblem behaviour and that mother and child were caught in atrap where each negatively reinforced the other's aversive,coercive behaviour, since these behaviours were successful interminating the other's unwanted or aversive behaviours. Theintervention aimed to increase child compliance and reduce childdefiance using a positive reinforcement programme, and to increasethe mother's child management skills using a parent trainingprogramme. The results showed that child compliance with maternalinstructions increased significantly and that this was maintainedat eleven month follow-up. Also, mother's use of command negativedecreased significantly; this improvement was also maintainedat eleven month follow-up.     

Family Characteristics and Traumatic Consequences Associated with the Duration and Frequency of Sexual Assault

The objective of this study was to analyse the relationship between family characteristics and the trauma associated with the duration and frequency of sexual assault on child survivors in the state of Sabah, Malaysia. Eighty children who reported sexual assault through a one stop crisis centre in an urban hospital were studied. The main research instrument used was adapted from the trauma symptoms checklist for children. The results of the study show that there are significant differences between the symptoms of trauma of victims according to the frequency of sexual assault, but not according to its duration. Social workers need both to understand and to take note of the relationship of the variables of family characteristics, frequency of sexual assault and trauma effects on the victims in their intervention work with child sexual assault survivors who report having been abused. The implications of these findings are discussed in the context of providing crisis intervention by social workers in Malaysia for child victims of sexual assault.     

KEEP foster-parent training intervention: model description and effectiveness

In this paper, we describe the development and history of the Keeping Foster Parents Trained and Supported (KEEP) foster-parent training intervention. KEEP intervention represents a modified version of the Multidimensional Treatment Foster Care intervention developed by interventionists at the Oregon Social Learning Center and is designed to provide training and support for children ages 5–11 in regular foster care. We also report on the initial findings from a programme of research focused on determining the effectiveness of the intervention. Thus far, the results indicate that the intervention is effective in reducing child behaviour problems and that the effects of the intervention are mediated through changes in parenting behaviour. There is also evidence that the KEEP foster-parent training intervention increases the chances of a positive change of placement (e.g. child reunited with biological parents) and mitigates the negative risk-enhancing effect of a history of multiple placements. We conclude with a discussion of unanswered questions and directions for future research.     

Caregivers' perspectives on the SafeCare® programme: Implementing an evidence‐based intervention for child neglect

This qualitative study examined caregivers' experiences with SafeCare®, an evidence‐based programme that focuses on child neglect through modules on health, safety, and parenting. Shortly after completing SafeCare, 30 caregivers participated in a semi‐structured interview about their experiences with the programme. Overall, caregivers indicated that the programme helped with improvements in their parenting skills. Among the factors that contributed to a positive experience were the simplicity of language, the skills‐based approach, and the quality of the relationship with the SafeCare provider. Caregivers also noted several factors that made it difficult to fully benefit from the programme, including financial constraints, removal of their child from the home, and general distrust towards the child welfare system. Findings provide relevant information for SafeCare providers in terms of identifying areas that work well for caregivers completing the programme, as well as areas that might serve as impediments. Implications for contemporary child welfare practice are also considered.     

A preliminary review of the parenting assessment and skill development service: A 10-day residential service for families at risk of child maltreatment

Tweddle's Parenting Assessment and Skill Development Service (PASDS) is a 10-day residential programme for families at risk of child maltreatment. The service aims to conduct a comprehensive parenting capacity assessment to inform case management and improve parenting practices. The aims of the study were to (1) describe the psychosocial functioning of parents taking part in PASDS, (2) describe the key parenting assessment outcomes, and (3) explore parents' experiences of participation in PASDS including (a) perceived barriers and enablers of participation and (b) perceived outcomes for their family. Participants were 18 parents who participated in Tweddle's PASDS in Melbourne, Australia. A mixed methods study comprising a case file review and qualitative interviews was conducted. Parents accessing PASDS had experienced adverse childhood events, and many were experiencing mental health difficulties. Interviews with parents revealed perceived benefits of PASDS in improving parenting knowledge and skills, family relationships, and parenting confidence. At the time of discharge, 33% of families were assessed as unable to provide independent care for their child. The current findings have important implications for the further evaluation of evidenced-based services which can improve the accuracy of parenting capacity assessments, aiding in child protection decision-making related to child placement and safety.     

Contact between birth parents and children in kinship care in a sample from Spain

Within the context of kinship care, the main objectives of this work are to study the characteristics of contact between foster children and their birth parents, and their relationship with key variables of fostering, the children and their kinship caregivers. The sample included 189 children from Spain and their kinship families. A semi‐structured placement interview and two scales relating to the child–caregiver relationship and child's psychological adjustment were used with the kinship families. The results revealed a significant percentage of foster children who had no family contact. Various visit types, frequencies and durations were described. Kinship care with contact, compared with placements without contact, was frequently characterized by the absence of professional supervision, and an affectionate child–caregiver relationship; moreover, children with contact were perceived to have fewer serious behaviour and socio‐emotional problems and a greater probability of family reunification. The regression analysis showed that the main predictors for how caregivers assessed contact were the children's emotional reaction during visits and the quality of the relationship between the kinship families and the birth parents. These results suggest the need for further research about contact, which will certainly have a major impact on professional intervention with these families.     

Outcomes of the ON FIRE peer support programme for children and adolescents in families with mental health problems

Children in families with mental health problems may encounter multiple risks to their well‐being. General aims of peer support programmes for these children include fostering resilience and effective coping strategies, and enhancing self‐esteem and social skills. This study aimed to evaluate outcomes from a pilot multi‐site implementation of the ON FIRE peer support programme. The purpose of ON FIRE is to cultivate hope, resilience and well‐being in children and adolescents aged 8–17 years living in families affected by sibling or parental mental health problems. We employed a pre‐post test (baseline and 4 months) evaluation using a suite of outcome measures. The Strengths and Difficulties Questionnaire (SDQ), Children's Hope Scale, Kids Connections Scale and Positive and Negative Affect Scale for Children (PANAS‐C) were completed for 64 child/adolescent participants. At baseline, participants had significantly greater difficulties compared with Australian norms. At 4 months, there were significant differences in children's hope and in connections outside the family. There were no significant differences in the SDQ or the PANAS‐C.     

Coronary Heart Disease and Family Functioning

Forty families of patients 60 years old and younger who had suffered from their first heart attack, drawn from five hospitals in a metropolitan area, were studied during the hospitalization, a month after discharge from hospital, and two months later. This paper explores the impact of heart disease on family functioning and examines the process of family adjustment to the crisis over a period of about four months. The impacts varied in different areas of family functioning as well as at different points in time. Family social integration was found to be the most useful resource for coping, cohesion to be of some help, and adaptability to be of little relevance. The study highlights the need for identifying, strengthening and mobilizing family social networks as part of the intervention in such crises.     

Effectiveness of the International Child Development Programme: Results from a randomized controlled trial

This study aimed to evaluate the effectiveness of the International Child Development Programme (ICDP), a group-based parenting programme used internationally and implemented nationally in Norway. We used a cluster randomized controlled trial in which 81 groups were randomly assigned to either the intervention or waitlist control condition after the baseline data collection. A total of 590 parents completed at least one of three questionnaires (administrated before and after ICDP and 4 months after completing the intervention). Primary outcomes included parental self-efficacy, parental emotion sensitivity and positive involvement with their child. Secondary outcomes included parents' perceptions of their relationship with the child, child-rearing conflicts and the child's psychosocial health. We found significant effects favouring the intervention arm following the intervention and at follow-up on two primary outcomes (parental self-efficacy and emotion sensitivity). For the secondary outcomes, we found a significant reduction in child-rearing conflict at the 4-month follow-up, increased closeness to the child, reduced child internalizing difficulties and increased prosocial behaviour immediately following the intervention. However, ICDP seems to have limited effects on parent-reported changes in children. We conclude that ICDP as a universal preventive programme offered to parents in groups can be effective in strengthening parental self-efficacy and improving parental emotion sensitivity.     

Family Relations and the Adjustment of Young Children of Mexican Descent: Do Family Cultural Values Moderate These Associations?

This study examined the role of family cultural values as moderators of the association between family relations and the adjustment of young children. Fifty‐five families of Mexican descent with young children enrolled in Head Start programs in the Southwest participated. Mothers provided information about closeness of the mother–child relationship, warmth in the sibling relationship, child behavior problems, and familism and simpatía, or two cultural values associated with families of Mexican origin. The children's preschool teachers provided information about child emotional adjustment and social functioning with peers six months later. Familism was found to act as a moderator, whereby warmth and closeness in family relationships coupled with the endorsement of a family cultural value that complements these relationship characteristics was associated with more optimal functioning in preschool classrooms. Results demonstrate the need to evaluate family cultural values or beliefs systems in conjunction with qualities of family relationships as determinants of children's developmental outcomes. Specifically, familism emerged as a family characteristic capable of promoting young children's adjustment within and beyond the family context.     

Motivating perpetrators of domestic and family violence to engage in behaviour change: The role of fatherhood

Policies and practices around domestic and family violence (DFV) increasingly focus on perpetrator accountability. With growing evidence that punitive responses alone have a limited deterrent effect on perpetrators, behaviour change programs play a significant role in creating accountability and improving safety for victims and children. Motivating perpetrators to engage in such programs can, however, be challenging. Few perpetrators seem to recognize the need to change for their intimate (ex)‐partner due to victim‐blaming attitudes and a sense that relationships are replaceable. Relationships with their children on the other hand seem to hold more value. This article explores the role of fatherhood as a motivating factor for male perpetrators to engage in relevant behaviour change programs. Based on face‐to‐face interviews with 18 fathers in a court‐mandated intervention program, findings alert to the need for education of abusive fathers in 3 key areas: the impact of DFV on children's well‐being, the impact of DFV on the parent–child relationship, and the impact of DFV‐related repercussions on the parent–child relationship. Fathers' desire to have a relationship with their children suggests fatherhood offers a viable angle to motivate their engagement in interventions that address gendered forms of DFV and subsequently improve victims' and children's safety.     

Parenting a 6-Year Old Is Not What I Planned in Retirement: Trauma and Stress among Grandparents Due to the Opioid Crisis

ABSTRACT

There is little research about trauma, financial stress, and social service needs emanating from the experience of parenting grandchildren caused by the opioid crisis in the United States. We conducted a qualitative study with 15 grandparents who currently or in the past had custodial care of their grandchildren. We also interviewed nine issue-related stakeholders in Eastern Massachusetts. Specific inquiries centered on events leading up to a change in guardianship, stressors related to legal, financial, and family issues, and system-wide response to the grandparents’ needs. Results indicate that the opioid crisis presents distinct challenges for the grandparent-led families and for the systems that serve the new family arrangement. Crisis triggers a change in guardianship and continues throughout the years. The continued crises stem from events related to the parent’s opioid use disorder (OUD) and from expenses related to raising a young family, especially when the grandchild has adverse childhood experiences. Our analysis shows that systems break down on a number of levels, and the fluidity of custodial arrangements due to parents’ OUD status does not map onto existing support or benefit systems. Policy responses must focus on the immediate and long-term needs of grandparent caretakers, especially since the opioid crisis is likely to continue.     

Intensive family preservation services in Flanders: an outcome study

Set up as a one-group pre-test–post-test follow-up design, this study examines the outcomes of intensive family preservation services (IFPS) in Flanders addressing the following research questions: Does IFPS make a significant difference concerning (1) the interaction between parent and child? (2) social support as experienced by the parent? (3) stress and empowerment of the parent? and (4) the strengths and difficulties of the minor? Families seem to indicate that their family situation is more manageable, although still, professional help is needed. Parents feel more resilient about the situation and indicate that they can get along with their child better than before the crisis intervention. Parents still feel uncertain about the future and about their role as a parent. There seems to be no indications that their level and quality of social contacts have changed. Further research is suggested to provide more in-depth information about the conditions associated with processes of change during an IFPS intervention.     

浅析婚姻暴力的危机介入、评估和辅导

婚姻暴力是社会常见的问题,其对受害人产生的危害十分明显。危机介入针对导致个人正常功能产生混乱的事件采取阻止行动,以解决危机情境。危机介入与社会工作的方法和技巧相结合,有利于缓解婚姻暴力的紧张和冲突。     

Assessing low‐income African‐American pre‐schoolers' behaviour problems in relationship to community violence,inter‐partner conflict,parenting, informal social support and social skills

This study examined the relations among community violence exposure, inter‐partner conflict and informal social support and the behaviour problems of pre‐schoolers, and explored how mothers' parenting skills and children's social skills may mediate the child outcomes associated with such exposure. Participants were 185 African‐American mothers and female caregivers of Head Start children who completed study measures in a structured interview. Path analyses revealed that greater inter‐partner conflict was associated with more internalizing and externalizing child behaviour problems. Positive parenting was associated with fewer internalizing and externalizing behaviours. Higher levels of child social skills were associated with fewer internalizing and externalizing behaviour problems. Child social skills fully mediated the relationship between community violence and externalizing behaviours as well as between informal support and externalizing behaviours. Social skills partially mediated the relationships between positive parenting and externalizing behaviours. No mediating effect was found on the relationships between inter‐partner conflict and child behaviour problems. Implications of the findings for intervention and future research are discussed.     

'Help, I Can't Cope with my Child'--A Behavioural Approach to the Treatment of a Conduct Disordered Child within the Natural Homesetting

Correspondence to Andrew Bunyan, 20 Cranmer Drive, Meadow Gardens, Syston, Leicester LE7 8HY. Summary This study describes the implementation of a behavioural approachto treatment in a family with a four year old child at seriousrisk of a buse, presenting problems of defiance, demanding,aggression, destructiveness and sleep irregularity. Followinga comprehensive assessment, positive reinforcement, extinctionprocedures and time out were systematically applied throughthe use of a home-based triadic model of intervention. Initialresults (and a follow-up study) have indicated a significantimprovement in the child's behaviour.     

Two‐generation preschool programme: immediate and 7‐year‐old outcomes for low‐income children and their parents

Preschool children living in low‐income families are at increased risk for poor outcomes; early intervention programmes mitigate these risks. While there is considerable evidence of the effectiveness of centre‐based programmes in other jurisdictions, there is limited research about Canadian programmes, specifically programmes that include children and parents. The purpose of this study was to evaluate a single‐site, two‐generation preschool demonstration programme for low‐income families in Canada. A single group, pre‐test (programme intake) /post‐test (programme exit) design with a 7‐year‐old follow‐up was used. Between intake and exit, significant improvements in receptive language and global development were found among the children, and significant improvements in self‐esteem, use of community resources, parenting stress and risk for child maltreatment were found among the parents. These positive improvements were sustained until the children were 7 years old. Public investment in two‐generation preschool programmes may mitigate risks for suboptimal child development and improve parental psychosocial outcomes.     

Effective interventions to promote child and family wellness: a study of outcomes of intervention through Children's Family Centres

This paper reports research carried out in Australia designed to evaluate the impact of family support interventions by comparing the views of families and their caseworkers with respect to the perceived benefits and outcomes of the interventions in the context of changes in family functioning and parent–child relationships, and the extent to which changes led to reduced involvement in protective services. The intervention was monitored over a six‐month period using a pre‐ and post‐test design, incorporating quantitative and qualitative approaches in the methodology. The paper discusses: problem domains identified; changes in caregivers’ level of distress, problem solving and learning ability, bonding style and use of discipline; parents’ and children's cooperation with the programme; and implications of the findings for policy and research methodology.