Evidence-Based Practice in Foster Parent Training and Support ...

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EBP in Foster Parent Training and Supportreferred by social services, families withsubstance abuse issues, and incarceratedparentsLimitations: This study lacked a control group. Also, because of missing data, justover half of the sample is represented in the results.Parent-Child Interaction Therapy (PCIT) Effective PracticeBagner, D. M., & Eyberg, S. M. (2007). Method: This study utilized an RCT to investigate the efficacy of the Parent-ChildParent-Child Interaction Therapy for Interaction Therapy (PCIT) model on parent and child behavior, and parent stress. 30disruptive behavior in children with mental mothers and their children (aged 3-6) who were referred by pediatric healthcareretardation: A randomized controlled trial. professionals, teachers, or self-referred participated in the study. Mothers with childrenJournal of Clinical Child and Adolescent who had been diagnosed with oppositional defiant disorder (ODD) and mentalPsychology, 36, 418-429retardation (MR) were randomly assigned to either the PCIT treatment condition or to await-list control group.Population: Children (aged 3-6) withoppositional defiant disorder and mentalretardationMcNeil, C. B., Herschell, A. D., Gurwitch,R. H., & Clemens-Mowrer, L. (2005).Training foster parents in Parent-ChildInteraction Therapy. Education andTreatment of Children, 28, 182-196.Population: Family-based foster care forchildren with behavioral problemsFindings: PCIT parents improved significantly on parenting skills taught by theprogram; the percentage of compliant behaviors shown by the children also increasedsignificantly in comparison to the control group. In addition, PCIT children'sexternalizing behaviors decreased. However groups did not differ on maternal distress,although PCIT mothers reported fewer child problem behaviors.Method: This exploratory study examines the effectiveness of an abbreviated versionof PCIT for foster parents who have children with behavioral problems placed in theirhome. 30 children (aged 2-8 years) who exhibited behavior problems along with one oftheir foster parents participated in the study. The majority of foster parents weremothers (one father participated).Six, two day early intervention workshops were conducted. These workshops includedone full day of didactic sessions in which parents were instructed in the use of specificplay therapy skills that are the focus of the first seven sessions in a traditional model ofPCIT. For the second day of training parents were asked to bring their foster child, andinstructed in the use of specific discipline skills and were then coached in the use ofthese skills by a therapist. Observation could occur through a one-way mirror for otherfoster parents.Findings: Of the 30 families who participated in the training, 27 were available onemonth after the training to provide information. Only 8 families were available toCenter for Advanced Studies in Child Welfare (CASCW)University of Minnesota School of Social WorkContact: Kristine N. Piescher, Ph.D. kpiesche@umn.edu 69
EBP in Foster Parent Training and Supportparticipate five-months after training completion. Prior to training, children weredisplaying problem behaviors within the clinically significant range. One month aftertraining, parents reported their same child’s behavior to be improved to the point that itwas no longer in range of clinical concern. Five months after training, parents reportcontinued behavioral improvements below clinical cutoffs. In addition parents reporteda decline in how problematic they viewed the child’s behavior to be over the five monthtime period, suggesting parents were adjusting to or better managing the child’sbehavior.Nixon, R. D. V., Sweeney, L., Erickson, D.B., & Touyz, S. W. (2003). Parent-ChildInteraction Therapy: A comparison ofstandard and abbreviated treatments foroppositional defiant preschoolers. Journalof Community and Clinical Psychology, 71,251-260.Population: Children (aged 3-5) who metcriteria for oppositional defiant disorder,had clinical levels of behavior problems,and had displayed defiant behaviors for 6montshShuhman, E. M., Foote, R. C., Eyberg, S.M., Boggs, S., & Algina, J. (1998). Efficacyof Parent Child Interaction Therapy: Interimreport of a randomized trial with short termLimitations: Three limitations are apparent in this study which contribute to a lessenedability to generalize the findings: 1) the lack of comparison conditions withrandomization to groups, 2) heavy reliance on parent-report data, and 3) a smallsample size.Method: The study compared families receiving standard PCIT with an abbreviatedversion using a combination of videotapes, telephone consultations and face-to-facesessions and with a wait-list control group. 54 families with children (aged 3-5) whomeasured in the clinical range on Eyberg Child Behavior Inventory (ECBI), met criteriafor oppositional defiant disorder (ODD) according to the Diagnostic and StatisticalManual of Mental Disorders (DSM-IV) and had displayed disruptive behaviors for 6months were randomly assigned to either the standard PCIT, abbreviated PCIT, orwait-list control group.Findings: At the end of treatment, mothers in both PCIT conditions reported lessoppositional and conduct problem behavior than did control group participants. Mothersin the standard PCIT condition reported less severe problems than those in the othertwo groups. Fathers in the abbreviated PCIT group reported less oppositional behavior.Length of post-intervention follow-up: 6 monthsMethod: This study utilized an RCT to examine the efficacy of the PCIT program usinga sample of 64 families with children (aged 3-6) who were referred to a clinic forconduct disorder. Families were randomly assigned either to receive PCITor to a waitlistcontrol.Center for Advanced Studies in Child Welfare (CASCW)University of Minnesota School of Social WorkContact: Kristine N. Piescher, Ph.D. kpiesche@umn.edu 70
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