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Multidimensional Treatment Foster Care for Preschoolers: A Program for Maltreated Children in the Child Welfare System

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Evidence-Based Approaches for the Treatment of Maltreated Children

Part of the book series: Child Maltreatment ((MALT,volume 3))

Abstract

Multidimensional Treatment Foster Care for Preschoolers (MTFC-P) is an intensive, evidenced-based intervention targeting young children in the child welfare system and their caregivers. Given the extensive maltreatment histories of young children in the child welfare system, MTFC-P specifically targets domains with which young maltreated children struggle, such as behavior problems, emotion regulation, and developmental delays. MTFC-P also focuses extensively on training both foster parents and long-term placement caregivers in parenting skills, such as practicing consistent discipline and providing adequate positive reinforcement, that have been shown to predict positive child outcomes. This chapter provides descriptions of the history and development of MTFC-P, the conceptual foundation underpinning the intervention, the intervention components and staffing structure, and the existing evidence base. The chapter closes with a case study describing the salutary effects of participation in MTFC-P on the life of a young boy in the child welfare system.

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References

  • Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Bank, L., Forgatch, M. S., Patterson, G. R., & Fetrow, R. A. (1993). Parenting practices of single mothers: Mediators of negative contextual factors. Journal of Marriage and Family, 55, 371–384.

    Article  Google Scholar 

  • Bank, L., Marlowe, J. H., Reid, J. B., Patterson, G. R., & Weinrott, M. R. (1991). A comparative evaluation of parent training for families of chronic delinquents. Journal of Abnormal Child Psychology, 19, 15–33.

    Article  PubMed  Google Scholar 

  • Blair, C. (2002). School readiness: Integrating cognition and emotion in a neurobiological conceptualization of children’s functioning at school entry. American Psychologist, 57(2), 111–127.

    Article  PubMed  Google Scholar 

  • Briggs-Gowan, M. J., Horwitz, S. M., Schwab-Stone, M. E., Leventhal, J. M., & Leaf, P. J. (2000). Mental health in pediatric settings: Distribution of disorders and factors related to service use. Journal of American Academy of Child and Adolescent Psychiatry, 39, 841–849.

    Article  Google Scholar 

  • Bruce, J., Fisher, P. A., Pears, K. C., & Levine, S. (2009). Morning cortisol levels in preschool-aged foster children: Differential effects of maltreatment type. Developmental Psychobiology, 51, 14–23.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bruce, J., McDermott, J. M., Fisher, P. A., & Fox, N. A. (2009). Using behavioral and electrophysiological measures to assess the effects of a preventive intervention: A preliminary study with preschool-aged foster children. Prevention Science, 10, 129–140.

    Article  PubMed Central  PubMed  Google Scholar 

  • Burns, B. J., Phillips, S. D., Wagner, H. R., Barth, R. P., Kolko, D. J., Campbell, Y., et al. (2004). Mental health need and access to mental health services by youth involved with child welfare: A national survey. Journal of the American Academy of Children and Adolescent Psychiatry, 43, 960–970.

    Article  Google Scholar 

  • Carlson, V., Cicchetti, D., Barnett, D., & Braunwald, K. (1989). Disorganized/disoriented attachment relationships in maltreated infants. Developmental Psychology, 25, 525–531.

    Article  Google Scholar 

  • Chamberlain, P. (2003). The Oregon Multidimensional Treatment Foster Care model: Features, outcomes, and progress in dissemination. Cognitive and Behavioral Practice, 10, 303–312.

    Article  Google Scholar 

  • Chamberlain, P., Leve, L. D., & DeGarmo, D. S. (2007). Multidimensional Treatment Foster Care for girls in the juvenile justice system: 2-year follow-up of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 75, 187–193.

    Article  PubMed  Google Scholar 

  • Chamberlain, P., & Reid, J. B. (1987). Parent observation and report of child symptoms. Behavioral Assessment, 9, 97–109.

    Google Scholar 

  • Chamberlain, P., & Reid, J. B. (1998). Comparison of two community alternatives to incarceration for chronic juvenile offenders. Journal of Consulting and Clinical Psychology, 6, 624–633.

    Article  Google Scholar 

  • Conger, R. D., Conger, K. J., Elder, G. H., Jr., Lorenz, F. O., Simons, R. L., & Whitbeck, L. B. (1992). A family process model of economic hardship and adjustment of early adolescent boys. Child Development, 63, 526–541.

    Article  PubMed  Google Scholar 

  • Conger, R. D., Patterson, G. R., & Ge, X. (1995). It takes two to replicate: A mediational model for the impact of parents’ stress on adolescent adjustment. Child Development, 66, 80–97.

    Article  PubMed  Google Scholar 

  • DeGarmo, D. S., Forgatch, M. S., & Martinez, C. R., Jr. (1999). Parenting of divorced mothers as a link between social status and boys’ academic outcomes: Unpacking the effects of SES. Child Development, 70, 1231–1245.

    Article  PubMed  Google Scholar 

  • Dishion, T. J., Patterson, G. R., & Kavanagh, K. (1992). An experimental test of the coercion model: Linking theory, measurement, and intervention. In J. McCord & R. Tremblay (Eds.), The interaction of theory and practice: Experimental studies of intervention (pp. 253–282). New York: Guilford.

    Google Scholar 

  • Eddy, J. M., & Chamberlain, P. (2000). Family management and deviant peer association as mediators of the impact of treatment condition on youth antisocial behavior. Journal of Consulting and Clinical Psychology, 68, 857–863.

    Article  PubMed  Google Scholar 

  • Eddy, J. M., Whaley, R. B., & Chamberlain, P. (2004). The prevention of violent behavior by chronic and serious male juvenile offenders: A 2-year follow-up of a randomized clinical trial. Journal of Emotional and Behavioral Disorders, 12, 2–8.

    Article  Google Scholar 

  • Fisher, P. A., Burraston, B., & Pears, K. C. (2005). The Early Intervention Foster Care Program: Permanent placement outcomes from a randomized trial. Child Maltreatment, 10, 61–71.

    Article  PubMed  Google Scholar 

  • Fisher, P. A., Ellis, B. H., & Chamberlain, P. (1999). Early intervention foster care: A model for preventing risk in young children who have been maltreated. Children’s Services: Social Policy, Research, and Practice, 2(3), 159–182.

    Article  Google Scholar 

  • Fisher, P. A., & Gunnar, M. R. (2010). Early life stress as a risk factor for disease in adulthood. In R. A. Lanius, E. Vermetten, & C. Pain (Eds.), The impact of early life trauma on health and disease (pp. 133–141). Cambridge, UK: Cambridge University Press.

    Chapter  Google Scholar 

  • Fisher, P. A., Gunnar, M. R., Chamberlain, P., & Reid, J. B. (2000). Preventive intervention for maltreated preschool children: Impact on children’s behavior, neuroendocrine activity, and foster parent functioning. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1356–1364.

    Article  PubMed  Google Scholar 

  • Fisher, P. A., Gunnar, M., Dozier, M., Bruce, J., & Pears, K. C. (2006). Effects of a therapeutic intervention for foster children on behavior problems, caregiver attachment, and stress regulatory neural systems. Annals of the New York Academy of Sciences, 1094, 215–225.

    Article  PubMed  Google Scholar 

  • Fisher, P. A., & Kim, H. K. (2007). Intervention effects on foster preschoolers’ attachment-related behaviors from a randomized trial. Prevention Science, 8, 161–170.

    Article  PubMed Central  PubMed  Google Scholar 

  • Fisher, P. A., Kim, H. K., & Pears, K. C. (2009). Effects of Multidimensional Treatment Foster Care for Preschoolers (MTFC-P) on reducing permanent placement failures among children with placement instability. Child and Youth Services Review, 31, 541–546.

    Article  Google Scholar 

  • Fisher, P. A., & Stoolmiller, M. (2008). Intervention effects on foster parent stress: Associations with child cortisol levels. Development and Psychopathology, 20, 1003–1021.

    Article  PubMed Central  PubMed  Google Scholar 

  • Fisher, P. A., Stoolmiller, M., Gunnar, M. R., & Burraston, B. (2007). Effects of a therapeutic intervention for foster preschoolers on diurnal cortisol activity. Psychoneuroendocrinology, 32, 892–905.

    Article  PubMed Central  PubMed  Google Scholar 

  • Fisher, P. A., Van Ryzin, M. J., & Gunnar, M. R. (2011). Mitigating HPA axis dysregulation associated with placement changes in foster care. Psychoneuroendocrinology, 36, 531–539.

    Article  PubMed Central  PubMed  Google Scholar 

  • Forgatch, M. S., & Patterson, G. R. (2010). The Oregon Model of Parent Management Training (PMTO): An intervention for antisocial behavior in children and adolescents. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence based psychotherapies for children and adolescents (2nd ed., pp. 159–178). New York: Guilford.

    Google Scholar 

  • Gartstein, M. A., & Fagot, B. I. (2003). Parental depression, parenting and family adjustment, and child effortful control: Explaining externalizing behaviors for preschool children. Applied Developmental Psychology, 24, 143–177.

    Article  Google Scholar 

  • Halme, N., Tarkka, M.-T., Nummi, T., & Astedt-Kurki, P. (2006). The effect of parenting stress on fathers’ availability and engagement. Child Care in Practice, 12(1), 13–26.

    Article  Google Scholar 

  • Klee, L., Kronstadt, D., & Zlotnick, C. (1997). Foster care’s youngest: A preliminary report. American Journal of Orthopsychiatry, 67, 290–299.

    Article  PubMed  Google Scholar 

  • Landsverk, J., Garland, A. F., & Leslie, L. K. (2002). Mental health services for children reported to child protective services. In J. E. B. Meyers, L. Berliner, J. N. Briere, C. T. Hendrix, T. A. Reid, & C. A. Jenny (Eds.), APSAC handbook on child maltreatment (2nd ed., pp. 487–507). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Larzelere, R. E., & Patterson, G. R. (1990). Parental management: Mediators of the effect of socioeconomic status on early delinquency. Criminology, 28, 301–323.

    Article  Google Scholar 

  • Leve, L. D., Fisher, P. A., & Chamberlain, P. (2009). Multidimensional Treatment Foster Care as a preventive intervention to promote resiliency among youth in the child welfare system. Journal of Personality, 77, 1869–1902.

    Article  PubMed Central  PubMed  Google Scholar 

  • Leve, L. D., Kim, H. K., & Pears, K. C. (2005). Childhood temperament and family environment as predictors of internalizing and externalizing trajectories from ages 5 to 17. Journal of Abnormal Child Psychology, 33, 505–520.

    Article  PubMed Central  PubMed  Google Scholar 

  • Loeber, R., & Dishion, T. J. (1983). Early predictors of male delinquency: A review. Psychological Bulletin, 94, 68–99.

    Article  PubMed  Google Scholar 

  • Maughan, A., & Cicchetti, D. (2002). Impact of child maltreatment and interadult violence on children’s emotion regulation abilities and socioemotional adjustment. Child Development, 73(5), 1525–1542.

    Article  PubMed  Google Scholar 

  • Newton, R. R., Litrownik, A. J., & Landsverk, J. A. (2000). Children and youth in foster care: Disentangling the relationship between problem behaviors and number of placements. Child Abuse & Neglect, 24(10), 1363–1374.

    Article  Google Scholar 

  • Ogden, T., & Hagen, K. 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.

    Article  PubMed  Google Scholar 

  • Patterson, G. R. (1982). A social learning approach: 3. Coercive family process. Eugene, OR: Castalia.

    Google Scholar 

  • Patterson, G. R. (2002). The early developmental of coercive family process. In J. B. Reid, G. R. Patterson, & J. Snyder (Eds.), Antisocial behavior in children and adolescents: Developmental theories and models for intervention (pp. 25–44). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Patterson, G. R., Chamberlain, P., & Reid, J. B. (1982). A comparative evaluation of parent training procedures. Behavior Therapy, 13, 638–650.

    Article  Google Scholar 

  • Patterson, G. R., Debaryshe, B., & Ramsey, E. (1989). A developmental perspective on antisocial behavior. American Psychologist, 44, 329–335.

    Article  PubMed  Google Scholar 

  • Patterson, G. R., Dishion, T. J., & Bank, L. (1984). Family interaction: A process model of deviancy training. Aggressive Behavior, 10, 253–267.

    Article  Google Scholar 

  • Patterson, G. R., & Fagot, B. I. (1967). Selective responsiveness to social reinforcers and deviant behavior in children. The Psychological Record, 17, 369–378.

    Google Scholar 

  • Patterson, G. R., Forgatch, M. S., & DeGarmo, D. S. (2010). Cascading effects following intervention. Development and Psychopathology, 22, 949–970.

    Article  PubMed Central  PubMed  Google Scholar 

  • Patterson, G. R., Reid, J. B., & Dishion, T. J. (1992). A social learning approach. IV. Antisocial boys. Eugene, OR: Castalia.

    Google Scholar 

  • Pears, K. C., & Fisher, P. A. (2005). Developmental, cognitive, and neuropsychological functioning in preschool-aged foster children: Associations with prior maltreatment and placement history. Journal of Developmental and Behavioral Pediatrics, 26, 112–122.

    Article  PubMed  Google Scholar 

  • Pears, K. C., Fisher, P. A., & Bronz, K. D. (2007). An intervention to promote social emotional school readiness in foster children: Preliminary outcomes from a pilot study. School Psychology Review, 36, 665–673.

    PubMed Central  PubMed  Google Scholar 

  • Pears, K. C., Fisher, P. A., Bruce, J., Kim, H. K., & Yoerger, K. (2010). Early elementary school adjustment of maltreated children in foster care: The roles of inhibitory control and caregiver involvement. Child Development, 81, 1550–1564.

    Article  PubMed Central  PubMed  Google Scholar 

  • Senechal, M., & LeFevre, J.-A. (2002). Parental involvement in the development of children’s reading skill: A five-year longitudinal study. Child Development, 73(2), 445–460.

    Article  PubMed  Google Scholar 

  • Shonkoff, J. P. (2010). Protecting brains, not simply stimulating minds. Science, 333, 982–983.

    Article  Google Scholar 

  • Stovall-McClough, K. C., & Dozier, M. (2000). The development of attachment in new relationships: Single subject analyses for 10 foster infants. Development and Psychopathology, 12, 133–156.

    Article  Google Scholar 

  • Walter, H., & Gilmore, S. K. (1973). Placebo versus social learning effects in parent training procedures designed to alter the behaviors of aggressive boys. Behavior Therapy, 4, 361–371.

    Article  Google Scholar 

  • Wells, K., & Guo, S. (1999). Reunification and reentry of foster children. Children and Youth Services Review, 21, 273–294.

    Article  Google Scholar 

  • Wiltz, N. A., Jr., & Patterson, G. R. (1974). An evaluation of parent training procedures designed to alter inappropriate aggressive behavior of boys. Behavior Therapy, 5, 215–221.

    Article  Google Scholar 

  • Zima, B. T., Bussing, R., Freeman, S., Yang, X., Belin, T. R., & Forness, S. R. (2000). Behavior problems, academic skill delays and school failure among school-aged children in foster care: Their relationship to placement characteristics. Journal of Child and Family Studies, 9(1), 87–103.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, University of Oregon, Eugene, OR, USA

    Kathryn S. Gilliam & Philip A. Fisher Ph.D.

  2. Oregon Social Learning Center, Eugene, OR, USA

    Philip A. Fisher Ph.D.

Authors
  1. Kathryn S. Gilliam
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  2. Philip A. Fisher Ph.D.
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Correspondence to Kathryn S. Gilliam .

Editor information

Editors and Affiliations

  1. Department of Pediatrics, CAARE Center, Sacramento, California, USA

    Susan Timmer

  2. Department of Pediatrics, CAARE Center, Sacramento, California, USA

    Anthony Urquiza

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Gilliam, K.S., Fisher, P.A. (2014). Multidimensional Treatment Foster Care for Preschoolers: A Program for Maltreated Children in the Child Welfare System. In: Timmer, S., Urquiza, A. (eds) Evidence-Based Approaches for the Treatment of Maltreated Children. Child Maltreatment, vol 3. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7404-9_9

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