This study tested the effectiveness of Parent Management Training, Oregon (PMTO) model on child social–emotional well-being.
Methods:
Using a randomized controlled design and three measures of social–emotional well-being, the study investigated effectiveness of PMTO with families of children in foster care with serious emotional disturbance (SED). Participants included children (3–16 years) and parents who were randomly assigned to PMTO (n = 461) or services as usual (n = 457). Study condition was known to participants and assessors. Six months after baseline, analysis of covariance models examined the intervention’s overall effect and time interactions using intent-to-treat analysis. Follow-up analyses identified salient predictors of well-being.
Results:
PMTO demonstrated small but significant positive effects on three primary outcomes: social–emotional functioning (Cohen’s d = .31), problem behaviors (Cohen’s d = .09), and prosocial skills (Cohen’s d = .09).
Conclusion:
Results suggest that PMTO was effective at improving short-term social–emotional well-being in a high-risk population of children with SED.
AdamsonJ.CockayneS.PufferS.TorgersonD. J. (2006). Review of randomised trials using the post-randomised consent (Zelen’s) design. Contemporary Clinical Trials, 27, 305–319.
2.
AkinB. A. (2011). Predictors of foster care exits to permanency: A competing risks analysis of reunification, guardianship, and adoption. Children and Youth Services Review, 33, 999–1011. doi:10.1016/j.childyouth.2011.01.008
3.
AkinB. A.BrysonS.McDonaldT. P.WilsonC. (2013). A case example of the ACYF’s well-being framework: The Kansas Intensive Permanency Project (KIPP). Washington, DC: U.S. Department of Health and Human Services, Administration for Children Youth and Families, Children’s Bureau.
4.
AkinB. A.BrysonS. A.McDonaldT. P.WalkerS. (2012). Defining a target population at high risk of long-term foster care: Barriers to permanency for families of children with serious emotional disturbances. Child Welfare, 91, 79–101.
5.
AkinB. A.BrysonS. A.TestaM. F.BlaseK. A.McDonaldT. P.MelzH. (2013). Usability testing, initial implementation, and formative evaluation of an evidence-based intervention: Lessons from a demonstration project to reduce long-term foster care. Evaluation and Program Planning, 41, 19–30. doi:http://dx.doi.org/10.1016/j.evalprogplan.2013.06.003
6.
AkinB. A.GomiS. (2017). Non-completion of evidence-based parent training: An empirical examination among families of children in foster care. Journal of Social Service Research, 43, 52–68. doi:http://dx.doi.org/10.1080/01488376.2016.1226229
7.
AkinB. A.MariscalS. E.BassL.McArthurV. B.BhattaraiJ.BrunsK. (2014). Implementation of an evidence-based intervention to reduce long-term foster care: Practitioner perceptions of key challenges and supports. Children and Youth Services Review, 46, 285–293. doi:http://dx.doi.org/10.1016/j.childyouth.2014.09.006
8.
AkinB. A.TestaM. F.McDonaldT. P.MelzH.BlaseK. A.BarclayA. (2014). Formative evaluation of an evidence-based intervention to reduce long-term foster care: Assessing readiness for summative evaluation. Journal of Public Child Welfare, 1–29. doi:10.1080/15548732.2014.939250
9.
BankL.MarloweJ. H.ReidJ. B.PattersonG. R.WeinrottM. R. (1991). A comparative evaluation of parent-training interventions for families of chronic delinquents. Journal of Abnormal Child Psychology, 19, 15–33.
10.
BarthR. P. (2009). Preventing child abuse and neglect with parent training: Evidence and opportunities. Future of Children, 19, 95–118.
11.
BarthR. P.LloydE. C.GreenR. L.JamesS.LeslieL. K.LandsverkJ. (2007). Predictors of placement moves among children with and without emotional and behavioral disorders. Journal of Emotional and Behavioral Disorders, 15, 46–55.
12.
BernardK.DozierM.BickJ.Lewis-MorrartyE.LindhiemO.CarlsonE. (2012). Enhancing attachment organization among maltreated children: Results of a randomized clinical trial. Child Development, 83, 623–636. doi:10.1111/j.1467-8624.2011.01712.x
13.
BiglanA. (2014). A comprehensive framework for nurturing the well-being of children and adolescents. Washington, DC: U.S. Department of Health and Human Services, Administration for Children Youth and Families, Children’s BureauRetrieved fromhttp://www.acf.hhs.gov/sites/default/files/cb/wp1_comprehensive_framework.pdf
14.
BiglanA.FlayB. R.EmbryD. D.SandlerI. N. (2012). The critical role of nurturing environments for promoting human well-being. American Psychologist, 67, 257–271.
15.
BjørknesR.KjøbliJ.MangerT.JakobsenR. (2012). Parent training among ethnic minorities: Parenting practices as mediators of change in child conduct problems. Family Relations, 61, 101–114.
16.
BrysonS. A.AkinB. A.BlaseK. A.McDonaldT. P.WalkerS. (2014). Selecting an EBP to reduce long-term foster care: Lessons from a University–Child welfare agency partnership. Journal of Evidence-Based Social Work, 11, 208–221. doi:10.1080/15433714.2013.850325
17.
BurnsB. J.PhillipsS. D.WagnerH. R.BarthR. P.KolkoD. J.CampbellY.LandsverkJ. (2004). Mental health need and access to mental health services by youths involved with child welfare: A national survey. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 960.
ChaffinM.FunderburkB.BardD.ValleL. A.GurwitchR. (2011). A combined motivation and parent-child interaction therapy package reduces child welfare recidivism in a randomized dismantling field trial. Journal of Consulting and Clinical Psychology, 79, 84–95. doi:10.7037/a0021227
20.
ChaffinM.SilovskyJ. F.FunderburkB.ValleL. A.BrestanE. V.BalachovaT.…BonnerB. (2004). Parent-child interaction therapy with physically abusive parents: Efficacy for reducing future abuse reports. Journal of Consulting and Clinical Psychology, 72, 500–510. doi:10.1037/0022-006X.72.3.500
21.
ChamberlainP.PriceJ. M.LeveL. D.LaurentH.LandsverkJ. A.ReidJ. B. (2008). Prevention of behavior problems for children in foster care: Outcomes and mediation effects. Prevention Science, 9, 17–27. doi:10.1007/s11121-007-0080-7
22.
ChamberlainP.ReidJ. B. (1991). Using a specialized foster care community treatment model for children and adolescents leaving the state mental hospital. Journal of Community Psychology, 19, 266–276.
23.
CohenJ. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
24.
DeGarmoD. S.PattersonG. R.ForgatchM. S. (2004). How do outcomes in a specified parent training intervention maintain or wane over time?Prevention Science, 5, 73–89.
25.
DeGarmoD. S.ReidJ. B.FetrowB. A.FisherP. A.AntoineK. D. (2013). Preventing child behavior problems and substance use: The pathways home foster care reunification intervention. Journal of Child & Adolescent Substance Abuse, 22, 388–406. doi:10.1080/1067828X.2013.788884
26.
DozierM.PelosoE.LewisE.LaurenceauJ.-P.LevineS. (2008). Effects of an attachment-based intervention on the cortisol production of infants and toddlers in foster care. Development and Psychopathology, 20, 845–859. doi:10.1017/S0954579408000400
27.
EndersC. K. (2010). Applied missing data analysis. New York, NY: The Guilford Press.
28.
EzpeletaL.GraneroR.OsaN. d. l.DoménechJ. M.BonilloA. (2006). Assessment of functional impairment in Spanish children. Applied Psychology, 55, 130–143.
29.
FanA. Y. (2015). The methodology flaws in Hinman’s acupuncture clinical trial, Part II: Zelen design and effectiveness dilutions. Journal of Integrative Medicine, 13, 136–139.
30.
FixsenD. L.BlaseK. A.NaoomS. F.WallaceF. (2009). Core implementation components. Research on Social Work Practice, 19, 531–540.
31.
ForgatchM. S.DeGarmoD. S. (1999). Parenting through change: An effective prevention program for single mothers. Journal of Consulting and Clinical Psychology, 67, 711–724.
32.
ForgatchM. S.DeGarmoD. S.BeldavsZ. G. (2005). An efficacious theory-based intervention for stepfamilies. Behavior Therapy, 36, 357–365.
33.
ForgatchM. S.Domenech RodríguezM. M. (2016). Interrupting coercion: The iterative loops among theory, science, and practice. In DishionT. J.SnyderJ. J. (Eds.), The Oxford Handbook of coercive relationship dynamics (p. 194). New York, NY: Oxford University Press.
34.
FraserJ. G.LloydS.MurphyR.CrowsonM.ZolotorA. J.Coker-SchwimmerE.ViswanathanM. (2013). A comparative effectiveness review of parenting and trauma-focused interventions for children exposed to child maltreatment. Journal of Developmental and Behavioral Pediatrics, 34, 353–368. doi:10.1097/DBP.0b013e31828a7dfc
35.
ForgatchM. S.PattersonG. R. (2010). Parent Management Training–Oregon model: An intervention for antisocial behavior in children and adolescents. In WeiszJ. R.KazdinA. E. (Eds.), Evidence-based psychotherapies for children and adolescents (Vol. 2, pp. 159–178). New York, NY: Guilford Press.
36.
ForgatchM. S.PattersonG. R.DeGarmoD. S.BeldavsZ. G. (2009). Testing the Oregon delinquency model with nine-year follow-up of the Oregon Divorce Study. Development and Psychopathology, 21, 637–660.
37.
GreshamF. M.ElliotS. (1990). Social skills rating scale. Circle Pines, MN: American Guidance Service.
38.
GreshamF. M.ElliottS. N.VanceM. J.CookC. R. (2011). Comparability of the social skills rating system to the social skills improvement system: Content and psychometric comparisons across elementary and secondary age levels. School Psychology Quarterly, 26, 27–44. doi:http://dx.doi.org/10.1037/a0022662
39.
HarrisP. A.TaylorR.ThielkeR.PayneJ.GonzalezN.CondeJ. G. (2009). Research electronic data capture (REDCap)—A meta data-driven methodology and workflow process for providing translated research informatics support. Journal of Biomedical Informatics, 42, 377–381.
40.
HinmanR. S.McCroryP.PirottaM.RelfI.ForbesA.CrossleyK. M.…MetcalfB. R. (2014). Acupuncture for chronic knee pain: A randomized clinical trial. Journal of the American Medical Association, 312, 1313–1322.
41.
HodgesK.Doucette-GatesA.KimC.-S. (2000). Predicting service utilization with the child and adolescent functional assessment scale in a sample of youths with serious emotional disturbance served by center for mental health services-funded demonstrations. Journal of Behavioral Health Services & Research, 27, 47–59.
42.
HodgesK.Doucette-GatesA.LiaoQ. (1999). The relationship between the Child and Adolescent Functional Assessment Scale (CAFAS) and indicators of functioning. Journal of Child and Family Studies, 8, 109–122.
43.
HodgesK.GustJ. (1995). Measures of impairment for children and adolescents. Journal of Mental Health Administration, 22, 403–413.
44.
HodgesK.KimC.-S. (2000). Psychometric study of the child and adolescent functional assessment scale: Prediction of contact with the law and poor school attendance. Journal of Abnormal Child Psychology, 28, 287–297.
45.
HodgesK.WongM. M. (1996). Psychometric characteristics of a multidimensional measure to assess impairment: The child and adolescent functional assessment scale. Journal of Child and Family Studies, 5, 445–467.
46.
HodgesK.XueY.WotringJ. (2004). Use of the CAFAS to evaluate outcome for youths with severe emotional disturbance served by public mental health. Journal of Child and Family Studies, 13, 325–339.
47.
HorwitzS. M.ChamberlainP.LandsverkJ.MullicanC. (2010). Improving the mental health of children in child welfare through the implementation of evidence-based parenting interventions. Administration and Policy in Mental Health, 37, 27–39.
48.
HowardW. J.RhemtullaM.LittleT. D. (2015). Using principal components as auxiliary variables in missing data estimation. Multivariate Behavioral Research, 50, 285–299. doi:10.1080/00273171.2014.999267
49.
HurlburtM. S.ChamberlainP.DeGarmoD. S.ZhangJ.PriceJ. M. (2010). Advancing prediction of foster placement disruption using brief behavioral screening. Child Abuse & Neglect, 34, 917–926.
50.
HurlburtM. S.NguyenK.ReidJ.Webster-StrattonC.ZhangJ. (2013). Efficacy of the incredible years group parent program with families in head start who self-reported a history of child maltreatment. Child Abuse & Neglect, 37, 531–543. doi:http://dx.doi.org/10.1016/j.chiabu.2012.10.008
51.
JonesA. S.LaLiberteT.PiescherK. N. (2015). Defining and strengthening child well-being in child protection. Children and Youth Services Review, 54, 57–70. doi:http://dx.doi.org/10.1016/j.childyouth.2015.05.001
52.
LandsverkJ. A.BurnsB. J.StambaughL. F.ReutzJ. A. R. (2009). Psychosocial interventions for children and adolescents in foster care: Review of research literature. Child Welfare, 88, 49–69.
53.
LangK. M.ChesnutS.LittleT. D. (2015). Quark: An R package for automatically extracting auxiliary variables from large data sets (R package version 0.5.4). Retrieved fromhttps://github.com/quark-package/quark
54.
LauA. S.ValeriS. M.McCartyC. A.WeiszJ. R. (2006). Abusive parents’ reports of child behavior problems: Relationship to observed parent-child interactions. Child Abuse & Neglect, 30, 639–655. doi:http://dx.doi.org/10.1016/j.chiabu.2005.11.009
55.
LeathersS. J. (2006). Placement disruption and negative placement outcomes among adolescents in long-term foster care: The role of behavior problems. Child Abuse & Neglect, 30, 307–324.
56.
LeslieL. K.HurlburtM. S.LandsverkJ.BarthR. P.SlymenD. J. (2004). Outpatient mental health services for children in foster care: A national perspective. Child Abuse & Neglect, 28, 697–712. doi:http://dx.doi.org/10.1016/j.chiabu.2004.01.004
57.
LeveL. D.HaroldG. T.ChamberlainP.LandsverkJ. A.FisherP. A.VostanisP. (2012). Practitioner review: Children in foster care vulnerabilities and evidence-based interventions that promote resilience processes. Journal of Child Psychology and Psychiatry, 53, 1197–1211.
58.
LinaresL. O.MontaltoD.LiM.OzaV. S. (2006). A promising parenting intervention in foster care. Journal of Consulting and Clinical Psychology, 74, 32–41. doi:http://dx.doi.org/10.1037/0022-006X.74.1.32
59.
LittleR. J.RubinD. B. (2014). Statistical analysis with missing data. Hoboken, NJ: John Wiley & Sons.
60.
ManteuffelB.StephensR. L.SantiagoR. (2002). Overview of the national evaluation of the comprehensive community mental health services for children and their families program and summary of current findings. Children’s Services: Social Policy, Research, and Practice, 5, 3–20.
61.
MasonS. E. (2012). Child well-being as a federal priority in child welfare. Families in Society, 93, 155–156.
62.
MerskyJ. P.TopitzesJ.Grant-SavelaS. D.BrondinoM. J.McNeilC. B. (2016). Adapting parent–Child interaction therapy to foster care: Outcomes from a randomized trial. Research on Social Work Practice, 26, 157–167. doi:10.1177/1049731514543023
63.
MuthénL. K.MuthénB. O. (2012). MPlus user’s guide (7th ed.). Los Angeles, CA: Author.
64.
OgdenT.HagenK. A. (2008). Treatment effectiveness of parent management training in Norway: A randomized controlled trial of children with conduct problems. Journal of Consulting and Clinical Psychology, 76, 607–621.
65.
OxfordM. L.MarcenkoM.FlemingC. B.LohrM. J.SpiekerS. J. (2016). Promoting birth parents’ relationships with their toddlers upon reunification: Results from Promoting First Relationships® home visiting program. Children and Youth Services Review, 61, 109–116. doi:http://dx.doi.org/10.1016/j.childyouth.2015.12.004
66.
ParkJ. M.RyanJ. P. (2009). Placement and permanency outcomes for children in out of home care by prior inpatient mental health treatment. Research on Social Work Practice, 19, 42–51.
67.
PattersonG. R. (1982). A social learning approach: Coercive family process. Eugene, OR: Castalia Publishing Company.
68.
PattersonG. R.ForgatchM. S.DeGarmoD. S. (2010). Cascading effects following intervention. Development and Psychopathology, 22, 949–970.
69.
PecoraP. J.JensenP. S.RomanelliL. H.JacksonL. J.OrtizA. (2009). Mental health services for children placed in foster care: An overview of current challenges. Child Welfare, 88, 5–26.
70.
Permanency Innovations Initiative Training and Technical Assistance Project & Permanency Innovations Initiative Evaluation Team. (2013). The PII approach: Building implementation and evaluation capacity in child welfare. Washington, DC: U.S. Department of Health and Human Services; Administration for Children and Families, Children’s Bureau & Office of Planning, Research and Evaluation. Retrieved fromhttp://www.acf.hhs.gov/sites/default/files/cb/implementation_and_evaluation_capacity.pdf
71.
PriceJ. M.ChamberlainP.LandsverkJ.ReidJ. B.LeveL. D.LaurentH. (2008). Effects of a foster parent training intervention on placement changes of children in foster care. Child Maltreatment, 13, 64–75.
72.
PriceJ. M.RoeschS.WalshN. E.LandsverkJ. (2015). Effects of the KEEP foster parent intervention on child and sibling behavior problems and parental stress during a randomized implementation trial. Prevention Science, 16, 685–695. doi:10.1007/s11121-014-0532-9
73.
R Core Team. (2014). R: A language and environment for statistical computing [Computer software]. Vienna, Austria: R Foundation for Statistical Computing.
74.
RomanelliL. H.LandsverkJ.LevittJ. M.LeslieL. K.HurleyM. M.BellonciC.…JensenP. S. (2009). Best practices for mental health in child welfare: Screening, assessment, and treatment guidelines. Child Welfare, 88, 163–188.
75.
RubinD. B. (1987). Multiple imputation for nonresponse in surveys. New York, NY: John Wiley & Sones.
76.
RubinD. M.O’ReillyA. L. R.LuanX.LocalioA. R. (2007). The impact of placement stability on behavioral well-being for children in foster care. Pediatrics, 119, 336–344.
77.
SamuelsB. H. (2011). Introduction: Addressing trauma to promote social and emotional well-being: A child welfare imperative. Child Welfare, 90, 19–28.
78.
ShonkoffJ. P.GarnerA. S.SiegelB. S.DobbinsM. I.EarlsM. F.McGuinnL.…WoodD. L. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129, e232–e246.
79.
TestaM. F.PoertnerJ. (2010). Fostering accountability: Using evidence to guide and improve child welfare policy. New York, NY: Oxford University Press.
80.
U.S. Department of Health and Human Services; Administration on Children Youth and Families. (2012). Promoting social and emotional well-being for children and youth receiving child welfare services. Washington, DC: Author. Retrieved fromhttp://www.acf.hhs.gov/programs/cb/resource/im1204
81.
WalrathC. M.MandellD. S.LiaoQ.HoldenE. W.De CarolisG.SantiagoR. L.LeafP. J. (2001). Suicide attempts in the “comprehensive community mental health services for children and their families” program. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1197–1205.
82.
Webster-StrattonC.ReidM. (2010). Adapting the incredible years, an evidence-based parenting programme, for families involved in the child welfare system. Journal of Children’s Services, 5, 25–42. doi:10.5042/jcs.2010.0115
83.
ZelenM. (1990). Randomized consent designs for clinical trials: An update. Statistics in Medicine, 9, 645–656.
