Title: “Treating Young Children with Conduct Problems: Review of Parent, Child and Teacher Training Programs”.
Presented
by: Carolyn
Webster-Stratton, University of Washington, Seattle and Director, Parenting
Clinic, Seattle.
Author: Webster-Stratton, C.
Abstract.
This
presentation will overview all the Incredible Years Treatment Programs and
provide a synthesis of the randomized control group studies that have been
conducted in regard to these programs. Examples of videotapes illustrating
therapists delivering the programs will be shown. Issues regarding how to
select the best treatment or combination of treatments for particular families
will be presented as well as methods of assuring treatment fidelity.
Levels of Intervention Using the Incredible Years Programs by Population Served
The Incredible Years Programs chosen for dissemination will depend on the
characteristics of the population served. As seen on the bottom of this pyramid,
the universal population could be offered information about effective parenting
and teaching skills by the least expensive means that is through books, DVDs,
and self-administered videotapes and television programming. This is a cost
effective way of disseminating information to large numbers of people and
can be used as a preventive strategy (similar to prenatal classes or well
child visits as a strategy to promote positive adult-child interactions and
to strengthen children's social and emotional competence and future adjustment.
The second
level on this pyramid is targeted at “indicated” populations. These
are populations which are socio-economically disadvantaged or at risk because
of the increased risk factors for mental health problems associated with the
particular populations. For example, living in poverty is often associated
with parental unemployment, housing difficulties, lack of family health care,
and poor nutrition or home stimulation. These disadvantaged populations would
benefit from delivering the BASIC parent group program to all the parents
and children who are enrolled in classrooms. Moreover, teachers could be trained
in the IY classroom management program in order to assure a high degree of
skill in managing classroom misbehaviors.
The third
level on the pyramid is targeted at “selected” populations, that
is, populations who are showing symptoms of problems. For example, children
who are highly aggressive but not yet diagnosed. This population would benefit
from not only the parent training program but also from a comprehensive classroom
social skills and problem solving curriculum for all the children. The BASIC
parent and Classroom Dinosaur Program provide these programs and would be
offered by trained school counselors.
The final
level of dissemination which is offered to the fewest numbers of people is
offering a longer and more intensive parent program as treatment for parents
with young children who are diagnosed with oppositional defiant disorder,
conduct disorder or attention deficit disorder. In addition to the BASIC +
ADVANCE + SCHOOL parent programs, the small group treatment child program
would be very useful for teaching children social skills. These small group
treatment programs would be offered by highly skilled therapists in pull out
sessions in schools or in mental health centers.
For further details of the Incredible Years Programs see: www.incredibleyears.com
Here are some comments made about Carolyn's presentation made by those attending the conference:"Excellent, clear and informative""Excellent and the videos were very insightful""Very encouragiing""Experience of work and knowledge base extremely informative"
|