Use of a Parent Management Training Intervention with Urban Foster Parents: A Pilot Study

The development of effective interventions for foster children with behavior problems is essential given the consequences of behavior problems for children's placement stability and permanency outcomes. This article presents findings from a pilot study of an intervention providing parent management training (PMT) and support to foster parents in groups and home visits. The intervention was an adaptation of the KEEP (Keeping Foster Parents Trained and Supported) group intervention, provided in a large urban child welfare agency serving predominantly African American foster parents. The study used an intent-to-treat design, with 25 foster parents of 31 children (ages 4-12) in specialized foster care assigned to either an intervention or treatment as usual control group. Longitudinal outcomes were analyzed using random effect regression models. Over time, children's behavior problems were significantly lower in the intervention group relative to the control group, and the effect of the intervention was partially mediated by parents' understanding of how to appropriately use the intervention parenting skills. These results provide support for the effectiveness of KEEP with urban foster children with significant behavior problems.     

Children Caught in the Middle

Children from divorced homes are caught in the middle of parental conflict significantly more often and are experiencing more resulting stress than children from intact homes. Our intention was to use a brief educational intervention to reduce the number of times divorced parents put their children in the middle. Participants were 45 high school students with divorced parents (male = 22, female = 23; Mage = 15.8). These subjects rated the frequency and stressfulness of 32 such situations. The parents of the intervention group were mailed the subjects' averaged responses on the 32 items and an explanatory letter. The same 32-item questionnaire was given about 1 month after the mailing as the intervention evaluation. Subjects in the intervention group improved more than the two control groups combined, F(1,42) = 3.45, p < .10. These results imply that having divorced parents read some brief information is sufficient to produce behavior changes in the majority of those parents.     

Group Interventions for Children Having Separated Parents: A Systematic Narrative Review

The aims of this article are to review the current body of knowledge on group interventions for children with separated or divorced parents and to provide new insights into the evaluation of their efficacy. This review draws on a method of systematic narrative review (SNR). We provide a narrative synthesis of evidence from 29 studies conducted between 1980 and 2014, which were included in the SNR consistently with the inclusion criteria established. Three dimensions were considered: intervention characteristics, study characteristics, and intervention outcomes (i.e., types of outcomes and efficacy). Our findings showed a general inconsistency among the studies, which was discussed in the light of some important methodological issues.     

Effects of a Solution-Focused Mutual Aid Group for Hispanic Children of Incarcerated Parents

Children of incarcerated parents are five to six times more likely to go to prison than their peers (Johnston, 1995). Yet, there is a lacuna in the literature that examines the effectiveness of interventions for children with an incarcerated family member. The purpose of the present study is to describe a solution-focused, mutual aid group intervention and to examine the effects of the group on the self-esteem of elementary-age Hispanic children of incarcerated parents when compared to a no-treatment comparison group. Implications for social work practice and research with this vulnerable population are addressed.     

Making Room for Play: An innovative Intervention for Toddlers and Families Under Rocket Fire

Evidence from both clinical reports and empirical research suggests that symbolic play may help heal children’s traumas. Playfulness, an enduring individual characteristic, also contributes to resilience. However, trauma often sabotages children’s ability to engage in imaginary play and parents’ ability to be involved in playful interactions with their young children. This paper describes an innovative preventive group-intervention program by the name of NAMAL (Hebrew acronym for Let’s Make Room for Play), designed for mothers and their toddlers who live under the chronic stress of recurrent missile attacks in Israel. The major objective of the program is to bolster children’s resilience by enhancing their playful interactions with their mothers. The theme and activities of each session are organized around a saying with a relational or developmental message. Reports collected from 70 mothers after their participation in the program highlighted the success of the intervention and the changes in the children and parents, as well as in their interactions with each other. Follow-up interviews conducted a year after the intervention provided further information on the long-term positive effects of the program.     

Social skills training and parent education programs for aggressive preschoolers and their parents in South Korea

The purpose of this study was to develop and evaluate social skills training and parent education programs for aggressive young children and their parents in South Korea. Participants consisted of intervention group I, which included six children and their mothers in the social skills training and parent education programs; intervention group II, which included seven children and their mothers in the social skills training; and control group, which consisted of six children and their mothers. Pre-test-post-test control group design was used. Participants in both intervention groups reported a significant decrease in aggression and on improvement in pro-social behavior, emotional regulation, and social skills, while the control group reported an increase in aggressive behavior. Mothers in the intervention group I also reported an increase in warmth/acceptance. The findings indicate that both programs are highly effective in reducing aggressive behavior among young children and in fostering positive parenting behaviors.     

Groupwork for Parents whose Children are in Care: Challenges and Opportunities

Until recently, the focus for child protection in NSW has been on risk assessment, supportive measures for parents, and ‘the best interests of the child’. The needs of the birth families, once their children have been removed have not received the same attention. An emerging body of research indicates a growing awareness of the importance of the link between good outcomes for children in care and positive ongoing links with their birth parents. Biological parents of children who have been removed invariably continue to have parenting relationships, if not with the removed child, then with subsequent birth children, step children and children in their extended family. Service provision for this group of parents is critical given the complexity and scale of their emotional needs, and the implications for the children they will care for. In this paper, we describe one such intervention: Kids in Care, a group program offered at Relationships Australia NSW, and consider the arising issues and dilemmas for both parents and group workers. Developed to address the particular needs of parents whose children have been taken into care, the group creates an environment of acceptance and support. This opens up possibilities for parents to consider issues of grief, stigma and trauma, as well as to develop skills in communication, assertiveness and emotional regulation.     

Do Parent Preferences for Child Conduct Problem Interventions Impact Parenting Outcomes? A Pilot Study in Community Children's Mental Health Settings

A pilot, doubly randomized preference trial was conducted to investigate the impact of providing parents preferences on parenting outcomes. Families with children having conduct problems were randomly assigned to a choice group in which they received their preferred treatment among the four intervention options or a no‐choice group in which they were randomized assigned to one of the four options. Results of mixed‐effects models showed that parents in the choice group who selected Parent Management Training‐Oregon Model (PMTO) had better parenting outcomes over time compared to parents in the choice group who selected child therapy. It highlights the importance of incorporating parent preferences in the delivery of evidence‐based treatments.     

Supporting families throughout the international special needs adoption process

Due to changing trends in international adoption, a greater number of placements are now special needs. While most special needs adoptions are successful, they do present a higher risk for placement instability. Thus, adoptive parents and children are faced with an increasing need for support services. This article explores literature related to support throughout the international special needs adoption process including medical, information/education, social support and direct intervention both pre- and post-adoption. While many support strategies, both formal and informal, are utilized by families and adoption professionals, and some are promoted in policy related literature, few have been validated through empirical evidence. Findings reveal a need for further research around effective pre-adoption training programs for parents, preparation tools for children, and larger scale studies to evaluate post-placement services for each sub-group of international special needs adoptees.     

Effects of a video feedback parent training program during child welfare visitation

Behavioral parent training programs have documented efficacy for improving behaviors among parents and their children and are frequently used by child welfare agencies to prevent removal of a child from the parental home or to facilitate reunification. Although an ideal time for parent training might be during supervised visits where parents may practice skills with their children under the guidance and support of a therapist or caseworker, this is not typically the case. Most often, parents within the child welfare system receive parent training in small groups without their children present, and to date, few studies have examined effects of behavioral parent training interventions during supervised visitation. In this study, concurrent multiple baseline across behaviors design was used to examine effects of a behavioral parent training program, Filming Interactions to Nurture Development (FIND), on parental skill acquisition with four mothers who had lost custody of their children but were being considered for reunification. Children emitted little or no problem behaviors during baseline or intervention, so parenting behavior was the primary dependent variable. Results obtained across participants documented a clear functional relation between implementation of the FIND intervention and increases in developmentally supportive parenting behaviors. Results of social validity and contextual fit measures suggest the intervention was perceived by mothers to be positive, feasible, and appropriate within the child welfare context. Practical and conceptual implications, limitations of this study, and directions for future research are discussed.     

“Giant Leap 1”: A Social and Emotional Learning program's effects on the transition to first grade

This study analyzed how student characteristics influenced the effects of a Social and Emotional Learning (SEL) program implemented in the first grade. A total of 14 teachers and 228 children participated in the study: 144 children participated in the SEL intervention program (including 65 pre-school children, group II), and 84 children composed the control group. The pre- and post-test assessments involved hetero- (teacher) and self-reporting (child) scales. The SEL intervention produced significant gains in the children's relationships with their peers, academic behavior, social skills, emotional knowledge, school learning skills, and school, behavioral, and social adjustment, independent of their previous skill level or gender. The SEL intervention was effective at improving the interpersonal strength of children with previously low skill levels, the intrapersonal and total strength of children of parents with a secondary level of education (groups I and II), and preventing the disruption of school functioning in children with parents with a higher education level (group II).     

Effects of a Foster Parent Training Program on Young Children’s Attachment Behaviors: Preliminary Evidence from a Randomized Clinical Trial

Young children who enter foster care experience disruptions in care and maltreatment at a point when maintaining attachment relationships is a key, biologically based task. In previous research, we have found that young children experience challenges as they form attachments with new caregivers. They tend to push their new caregivers away, even though such children are especially in need of nurturing care. Further, many caregivers do not respond in nurturing ways when their children are distressed, which we have found is problematic for young children in foster care. We developed an intervention that is designed to help caregivers provide nurturance even when children do not elicit it, and even when it does not come naturally to them. This paper presents preliminary findings of the effectiveness of this intervention on children’s attachment behaviors. Forty-six children were randomly assigned to either the experimental intervention or to an educational intervention. For three consecutive days, attachment behaviors were reported across three distress-eliciting situations. Children whose parents had received the experimental intervention showed significantly less avoidance than children whose parents had received the educational intervention. These preliminary results suggest that the intervention is successful in helping children develop trusting relationships with new caregivers.     

“Why Don’t You Just Tell Me How You Feel?”: A Case Study of a Young Mother in an Attachment-Based Group Intervention

This paper describes an attachment-based parenting intervention, the Circle of Security, and presents a case study of one participant’s experience as a member of it. The Circle of Security is a group intervention for parents of young children ages 1–5 that teaches parents to recognize and respond to their children’s alternating needs for attachment and exploration. The intervention content in group sessions relies to a great extent on discussions of videotaped vignettes of each parent–child dyad. Ultimately, the intervention focuses on strengthening parents’ capacities for empathic responsiveness to their children’s needs for them. In the second part of the paper, the case study illustrates one mother’s experience in a Circle of Security group designed for parents involved with the child welfare system as a result of substantiated maltreatment. Observations of this parent indicate that her capacity for empathic understanding was greatly strengthened, which appears to be related to important behavior change.     

Opioid Use Disorder,Attachment, and Parenting: Key Concerns for Practitioners

In the United States, the current epidemic of opioid use disorders impacts many parents and their children. Historically, interventions for parents with substance use disorders have focused on two separate areas, achieving and maintaining abstinence and learning parenting skills. These interventions do not address the parent/child relationship, and the impact of parental opioid use disorder on attachment. Insecure attachment, particularly disorganized attachment, negatively affects the child’s development and safety. Attachment should always be considered when doing a safety assessment or planning an intervention for parents with opioid use disorders. This conceptual paper describes the impact of parental opioid use on attachment across the developmental span of childhood, highlighting research about opioid use disorder, parenting, and attachment which is relevant for practitioners working with parents with opioid use disorders, as child protection workers, substance abuse counselors, or therapists. Identification, attachment assessment tools, and empirical research on attachment-based interventions are discussed.     

Cooperative Parenting Arrangements After Marital Separation

The identification of factors that predict cooperation and agreement between ex-spouses is important to understanding and promoting healthy post-divorce among parents and their children. This study of 64 separated and divorced parents was intended as an initial investigation of ex-couples who are able to negotiate and maintain mutually agreeable shared parenting arrangements, without legal or mental health intervention. As expected, these cooperating ex-couples selected from a wider range of custody and access arrangements than demographically similar ex-couples in disagreement about parenting arrangements. Also consistent with expectation, interparental cooperation and disagreements influenced the proportions of time children spent with their parents, whereas type of custody and access arrangement did not. Although all children tended to spend more time with their mothers than with their fathers, this discrepancy was greater for disagreeing than cooperating ex-couples. As hypothesized, histories of domestic violence were less likely among cooperating ex-couples than disagreeing ex-couples. Finally, the hypothesis that cooperating ex-couples are generally more satistied with their lives than disputing ex-couples was supported by the results of a MANOVA. However, subsequent univariate analyses revealed that cooperating and disagreeing ex-couples did not differ in their levels of satisfaction with their social lives and their financial situations. These findings and additional exploratory comparisons between the two groups were interpreted as potential avenues for subsequent investigations of cooperating ex-couples.     

Drug prevention with high risk families and young children

The effects of a school and home-based drug prevention program on risk factors for subsequent alcohol, tobacco, and other drug (ATOD) use among children were studied. Data on parent and child risk factors for ATOD use were collected from fifty-six low-income parents and their children, ages four to six years, using a pretest-posttest design. The parent-child intervention was conducted over a two-month period. The intervention had no effect on parent or child risk factors. However, the program was favorably received by parents and children. Almost two-thirds of the parents at the experimental school were involved in the program. Almost half of the parents had high depressive symptoms. The high rates of ATOD use and depressive symptoms among these parents are cause for concern.     

Group treatment of foster children to reduce separation conflicts associated with placement breakdown

Foster children age seven to 16 participated in a number of group sessions under the leadership of their own caseworkers, directed at the children's feelings about having been separated from their own families. The project revealed important lacks in agency practice with both children and their parents.     

Prevention of Depressive Symptoms in Preadolescent Children of Divorce

Abstract

This study investigated the efficacy of an intervention program (the Depression Prevention Program for Children), which was successful overall in preventing depressive symptoms in 5th and 6th grade children, for a subset of those children-those whose parents have divorced. The 12-week program taught cognitive and social problem solving skills to children in group sessions conducted in their middle schools. There were 59 children in the treatment group-thirty-one (31) children from intact families and 28 children whose parents were divorced. The children completed the Children's Depression Inventory at pretest, posttest, and at 6-month intervals after completion for a 2-year period. The program was effective in preventing depressive symptoms in both groups. However, there was a significant group × time interaction, indicating that for children of divorce, the effectiveness may begin to diminish over time. These findings are discussed in terms of the various factors which might influence the response of children of divorce to this and other interventions.     

Oyate Ptayela: Rebuilding the Lakota Nation Through Addressing Historical Trauma Among Lakota Parents

SUMMARY

This article presents evidence to suggest that historical trauma has affected Lakota parents and children by changing parenting behavior and placing children at risk for alcohol and other substance abuse. The theoretical explanation of the Lakota historical trauma response is described and used as a framework for the design of a parenting skills curriculum. This intervention focuses on (1) facilitating parental awareness of life span and communal trauma across generations and (2) a re-cathexis or re-attachment to traditional Lakota values.

The experimental curriculum intervention was delivered to a group of ten Lakota parents and two Lakota parent facilitators on a Lakota reservation. Qualitative study results revealed that parents experienced the curriculum as effective, particularly the focus on both historical trauma and the reconnection with traditional Lakota mores. The curriculum's emphasis on traditional protective factors for alcohol and other substance abuse prevention for Lakota children presents implications for other parenting curricula. The article concludes with recommendations for future research in the area of Indian parenting and historical trauma.