Abstract
The first part of this paper provides an overview for targeted preventive interventions using parent and family skills training with high risk children. The typical format and goals of these programs are presented. Empirically-examined parent training programs have either been delivered to the parents alone, to the parents and children in separate group meetings, or to the parents and children together in sessions for at least part of the time. An overview of findings from research on these programs indicates that these programs have consistent and replicated effects on children's behavior, on parents' improved use of effective discipline strategies, and on improved family functioning.
The second major part of this paper describes gaps in existing research knowledge about indicated prevention programs are then identified, and the barriers and opportunities involved in the implementation of empirically-supported are discussed. Finally, the paper provides a series of recommendations for future research, knowledge development and policy development.
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REFERENCES
Anastopolous, A. D., Shelton, T. L., DuPaul, G. J., & Guevremont, D. C. (1993). Parent training for attention-deficit hyperactivity disorder: Its impact on parent functioning. Journal of Abnormal Child Psychology, 21, 581–596.
Bank, L., Marlowe, H., Reid, J. B., Patterson, G. R., & Weinrott, M. R. (1991). Acomparative evaluation of parent-training interventions for families of chronic delinquents. Journal of Abnormal child Psychology, 19, 115–133.
Baum, C. G., & Forehand, R. (1981). Long term followup assessment of parent training by use of multiple outcome measures. Behavior Therapy, 12, 643–652.
Brestan, E. V., & Eyberg, S. M. (1998). Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5,272 kids. Journal of Clinical Child Psychology, 27, 180–189.
Bry, B. H., Catalano, R. F., Kumpfer, K., Lochman, J. E., & Szapocznik, J. (1999). Scientific findings from family prevention intervention research. In R. Ashery (Ed.), Family-based prevention interventions (pp. 103–129). Rockville, MD: National Institute of Drug Abuse.
Colder, C. R., Lochman, J. E., & Wells, K. C. (1997). The moderating effects of children's fear and activity level on relations between parenting practices and childhood symptomatology. Journal of Abnormal Child Psychology, 25, 251–263.
Conduct Problems Prevention Research Group (1999a). Initial impact of the Fast Track prevention trial for conduct problems: I. The high-risk sample. Journal of Consulting and Clinical Psychology, 67, 631–647.
Conduct Problems Prevention Research Group (1999b). Initial impact of the Fast Track prevention trial for conduct problems: II. Classroom effects. Journal of Consulting and Clinical Psychology, 67, 648–657.
Deater-Deckard, K., Dodge, K. A., Bates, J. E., & Pettit, G. S. (1996). Physical discipline among African American and European American mothers: Links to children's externalizing behaviors. Developmental Psychology, 32, 1065–1072.
Dishion, T. J., & Andrews. (1995). Preventing escalation in problem behaviors with high-risk young adolescents: Immediate and 1-year outcome effects. Journal of Consulting and Clinical Psychology, 63, 538–548.
Dubey, D. R., O'Leary, S. G., & Kaufman, K. F. (1983). Training parents of hyperactive children in child management: A comparative outcome study. Journal of Abnormal Child Psychology, 11, 229–246.
Fletcher, A. C., Darling, N. E., & Steinberg, L. (1995). Parental monitoring and peer influences on adolescent substance use. In J. McCord (Ed.), Coercion and punishment in long-term perspectives (pp. 259–271).
Forehand, R., & Long, N. (1988). Outpatient treatment of the acting out child: Procedures, long term followup data, and clinical problems. Advances in Behaviour Research and Therapy, 10, 129–177.
Frick, P. J. (1998). Conduct disorders and severe antisocial behavior. New York: Plenum.
Gordon, D. A. (in press). Parent training via CD-ROM: Using technology to disseminate effective prevention practices. Journal of Primary Prevention.
Grover, P. L. (1998). Preventing substance abuse among children and adolescents: Family-centered approaches. Washington, DC: Substance Abuse and Mental Health Services Administration.
Horn, W. F., Ialongo, N. S., Pascoe, J. M., Greenberg, G., Packard, T., Lopez, M., Wagner, A., & Puttler, L. (1991). Addictive effects of psychostimulants, parent training, and self control therapy with ADHD children. Journal of the Americal Academy of Child and Adolescent Psychiatry, 30, 233–240.
Ialongo, N. S., Horn, W. F., Pascoe, J. M., Greenberg, G., Packard, T., Lopez, M., Wagner, A., & Puttler, L. (1993). The effects of a multimodal intervention with attention-deficit hyperactivity disorder children:A9-month followup. Journal of the Americam academy of Child and Adolescent Psychiatry, 32, 182–189.
Institute of Medicine. (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research. Washington, DC: National Academy Press.
Kandel, D. B., & Wu, P. (1995). Disentangling mother-child effects in the development of antisocial behavior. In J. McCord (Ed.), Coercion and punishment in long-term perspectives (pp. 106–123). New York: Cambridge University Press.
Kazdin, A. E., Siegel, T. C., & Bass, D. (1992). Cognitive problem-solving skills training and parent management training in the treatment of antisocial behavior in children. Journal of Consulting and Clinical psychology, 60, 733–747.
Kazdin, A. E., & Weisz, J. R. (1998). Identifying and developing empirically supported child and adolescent treatments. Journal of Consulting and Clinical Psychology, 66, 19–36.
Lochman, J. E. (1985). Effets of different treatment lengths in cognitive behavioral interventions with aggressive boys. Child Psychiatry and Human Development, 16, 45–56.
Lochman, J. E. (1992). Cognitive-behavioral intervention with aggressive boys: Three year follow-up and preventive effects. Journal of Consulting and Clinical Psychology, 60, 426–432.
Lochman, J. E. (1990). Modification of childhood aggression. In M. Hersen, R. Eisler & P. M. Miller (Eds.), Progress in behavior modification: Volume 25 (pp. 47–85). Newbury Park, CA: Sage.
Lochman, J. E. (in press). Preventive intervention with precursors to substance use. In W. J. Bukoski & Z. Sloboda (Eds.), Handbook of drug abuse: Theory, science and practice. New York: Plenum.
Lochman, J. E., & Wayland, K. K. (1994). Aggression, social acceptance and race as predictors of negative adolescent outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 1026–1035.
Lochman, J. E., & Wells, K. (1996). Asocial-cognitive intervention with aggressive children: Prevention effects and contextual implementation issues. In R. Dev. Peters & R. J. McMahon (Eds.), Prevention and early intervention: Childhood disorders, substance use, and delinquency (pp. 111–143). Newbury Park, CA: Sage.
McMahon, R. J., & Forehand, R. (1984). Parent training for the noncompliant child: Treatment outcome, generalization, and adjunctive therapy procedures. In R. F. Dangel & R. A. Polster (Eds.), Parent training (pp. 298–328). New York: Guilford.
McMahon, R. J., & Wells, K. C. (1999). Conduct disorders. In E. J. Mash & R. A. Barkley (Eds.), Treatment of childhood disorders, Second edition (pp. 111–207). New York: Guilford.
McMahon, R. J., Forehand, R., & Griest, D. L. (1981). Effects of knowledge of social learning principles on enhancing treatment outcome and generalization in a parent training program. Journal of Consulting and Clinical Psychology, 49, 526–532.
Patterson, G. R. (1974). Retraining of aggressive boys by their parents: Review of the literature and followup evaluation. Canadian Psychiatric Association Journal, 19, 142–161.
Patterson, G. R. (1975). Multiple evaluations of a parent-training program. In T. Thompson (Ed.), Applications of Behavior Modoification (pp. 299–322). New York: Academic Press.
Szapocznik, J., Murray, E., Scopetta, M., Hervis, O., Rio, A., Cohen, R., Rivas-Vazquez, A., Posada, V., & Kurtines, W. (1989). Structural family versus psychodynamic child therapy for problematic Hispanic boys. Journal of Consulting and Clinical Psychology, 57, 571–578.
Szapocznik, J., Santsteban, D., Rio, A., Perez-Vidal, A., Santisteban, D., & Kurtines, W. M. (1989). Family effectiveness training: An intervention to prevent drug abuse and problem behaviors in Hispanic adolescents. Hispanic Journal of Behavioural Sciences, 11, 4–27.
Tremblay, R. E., McCord, J., Boileau, H., Charlebois, P., Gagnon, C., Le Blanc, M., & Larivee, S. (1991). Can disruptive boys be helped to become competent? Psychiatry, 54, 148–161.
Tremblay, R. E., Pagani-Kurtz, L., Masse, L. C., Vitaro, F., & Pihl, R. O. (1995). A bimodal preventive intervention for disruptive kindergarten boys: Its impact through mid-adolescence. Journal of Consulting and Clinical Psychology, 63, 560–568.
Wahler, R. G., Cartor, P. G., Fleischman, J., & Lambert, W. (1993). The impact of synthesis teaching and parent training with mothers of conduct-disordered children. Journal of Abnormal Child Psychology, 21, 425–440.
Webster-Stratton, C. (1984). Randomized trial of two parent-training programs for families with conduct-disordered children. Journal of Consulting and Clinical Psychology, 52, 666–678.
Webster-Stratton, C. (1990). Long-term followup of families with young conduct-problem children: From preschool to grade school. Journal of Clinical Child Psychology, 19, 144–149.
Webster-Stratton, C. (1994). Advancing videotape parent training: A comparison study. Journal of Consulting and Clinical Psychology, 62, 583–593.
Webster-Stratton, C., & Hammond, M. (1997). Treating children with early-onset conduct problems: A comparison of child and parent training interventions. Journal of Consulting and Clinical Psychology, 65, 93–109.
Webster-Stratton, C., Kolpacoff, M., & Hollinsworth, T. (1988). Self-administered videotape therapy for families with conduct-problem children: Comparison with two cost-effective treatments and a control group. Journal of Consulting and clinical Psychology, 56, 558–566.
Webster-Stratton, C., Kolpacoff, M., & Hollinsworth., T. (1989). The long-term effectiveness and clinical significance of three cost-effective training programs for families with conduct-problem children. Journal of Consulting and Clinical Psychology, 57, 550–553.
Wells, K. C. (1995). Parent and family management training. In L. Craighead, W. E. Craighead, A. Kazdin, & M. Mahoney (Eds.), Cognitive-behavioral interventions. New York: Pergammon.
Wooten, J. M., Frick, P. J., Shelton, K. K., & Silverthorn, P. (1997). Ineffective parenting and childhood conduct problems: The moderating role of callous-unemotional traits. Journal of Consulting and Clinical Psychology, 65, 301–308.
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Lochman, J.E. Parent and Family Skills Training in Targeted Prevention Programs for At-Risk Youth. The Journal of Primary Prevention 21, 253–265 (2000). https://doi.org/10.1023/A:1007087304188
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DOI: https://doi.org/10.1023/A:1007087304188