Appendix 4. Program descriptions for parenting programs identified in clearinghouse analysis Coping Power Program Source Year Program description “The Coping Power Program is based on an empirical model of risk factors for potential antisocial behavior. For high-risk children, it addresses deficits in social CEBC 2009 cognition, self-regulation, peer relations, and positive parental involvement. The Coping Power Program, which has both a child and parent intervention component, is designed to be presented in an integrated manner. The Coping Power Child Component consists of 34 group sessions. The Coping Power Parent Component consists of 16 sessions offered during the same time frame. The child component focuses on anger management, social problem solving, and practicing skills to resist peer pressure. The parent component of the program focuses on supporting involvement and consistency in parenting, which also contributes to better adjustment. Improvement in all these areas, particularly around times of change such as going to middle school, can reduce the number of problem behaviors that can arise during these transitional times.” Child behaviour Outcomes Family relationships Child development Population Children aged 8-14 years whose aggression puts them at risk for later delinquency. CEBC 2009 Setting Coping Power Program was designed to be conducted in a group setting, Recommended group size: 4-6 children. This program is typically conducted in a(n): CEBC 2009 outpatient clinic or school. Dose “Recommended intensity: Weekly 50-minute sessions. CEBC 2009 Recommended duration: 34 weekly sessions for the full program.” Evidence rating Well Supported CEBC 2009 Exemplary OJJDP Not indicated Other Reviewed Programs PPN Not indicated Used in Australia Information unavailable Coping with Depression for Adolescents (CWDA) Source Year Program description “CWDA is a group cognitive-behavioral therapy (CBT) program for depressed adolescents ages 12 to 18. The intervention focuses on self-monitoring one’s mood, CEBC 2009 increasing pleasant activities, decreasing anxiety, and decreasing cognitions that foster depression. It also addresses interpersonal factors such as social skills, improving communications, and conflict resolution. A parallel course allows parents to address the same interpersonal issues.” Child behaviour Outcomes Family relationships Child development Population “Adolescents aged 12-18 years with major depression and/or dysthymia.” CEBC 2009 Setting “Coping with Depression for Adolescents was designed to be conducted in a group setting. Recommended group size: between 4 and 10 youth with one therapist; CEBC 2009 if two therapists the maximum size may be increased to youth aged 12-16 years. This program is typically conducted in a(n): Community Agency; or Outpatient Clinic.” Dose “Recommended intensity: Two-hour sessions, twice a week. CEBC 2009 Recommended duration: Typically 16 sessions in 8 weeks, but it can and has been configured with more frequent meetings per week (e.g., 3 x per week instead of the usual 2 x) for shorter total duration.” Evidence rating Well Supported CEBC 2009 3.7 - for recovery from depression; and self-reported symptoms of depression SAMHSA 2007 3.8 - for interviewer-rated symptoms of depression 3.6 - for psychological level of functioning Promising PPN 2006 Used in Australia Information unavailable Appendix 4 2 Families and Schools Together (FAST) Source Year Program description “Families and Schools Together (FAST) is a group-based intervention implemented in a school setting. It consists of whole-family support group session for CBCAP 2009 families with children 5-14. Stated goals are to 1)enhance family functioning; 2) prevent the target child from experiencing school failure; 3) prevent substance abuse by the child and other family members; and 4) reduce the stress that parents and children experience from daily life situations. Families are recruited through structured outreach, participate in a core program of support groups, and are offered on-going “reunion” groups on a less frequent basis. The program focuses on activities that promote healthy family functioning, positive communication, and increased social support.” Family relationships Outcomes Child development Safety and physical wellbeing Child behaviour Population Families with children 5-14 years of age CBCAP 2009 Setting Delivered in a group setting CBCAP 2009 Dose “Multifamily 2.5 hour support groups of 5-25 families weekly for 8-12 weeks, depending on the age of the designated youth. CBCAP 2009 Family support group meeting activities are sequential; each session includes A family meal and family communication games A self-help parent support group occurring while children engage in supervised play and organised activities One-to-one parent-mediated play therapy Opening and closing routines, which model the effectiveness of family rituals for children Multi-family meetings are held monthly for 21 months after families graduate from the 8-week FAST program. One dedicated half-time staff person, per school, is recommended.” Evidence rating Well Supported CBCAP 2009 Model Programs SAF 1999 Exemplary OJJDP Not indicated 3.7 - for child problem behaviours; and child social skills and academic competencies SAMHSA 2008 Other reviewed programs PPN Not indicated Used in Australia Yes Appendix 4 3 Healthy Families America Source Year Program description “Healthy Families America (HFA) provides home visits to families identified as at risk, with children ages prenatal to 5. The program goals include prevention of CBCAP 2009 negative birth outcomes (low birth weight, substance abuse, criminal activity, child abuse and neglect), increased parenting skills, healthy pregnancy practices, and the use of social systems. Program services must begin prenatally or at birth. The long-term services, ideally 3 to 5 years, are provided at an intensity based on family need. The service format is designed to support parents and to promote healthy parent-child interaction and child development. Families are linked to medical services and other resources as needed.” Safety and physical wellbeing Outcomes Family relationships Parent-child relationship Child development Population At risk families identified by a standard assessment. Enrolment must occur before child reaches three months of age. CBCAP 2009 Setting Delivered through home visiting CBCAP 2009 Dose “Recommended intensity: Families are to be offered weekly home visits for a minimum of six months after the birth of the baby. Home visits typically run 50-60 CEBC 2011 minutes. Upon meeting the defined criteria for family functioning, visit frequency is reduced to biweekly visits, monthly visits, and quarterly visits and services are tapered off over time. Typically, during pregnancy, families receive 2-4 visits per month. During times of crisis families may be seen 2 or more times in a week. Recommended duration: Services are offered prenatally or at birth until the child is at least three years of age and can be offered until he/she is five years of age.” Evidence rating Well Supported CEBC 2011 Promising CBCAP 2009 Model Programs SAF 1999 Effective OJJDP Not indicated Used in Australia Information unavailable Appendix 4 4 Incredible Years Source Year Program description “The Incredible Years is a series of three separate, multifaceted, and developmentally based curricula for parents, teachers, and children. This series is designed to CEBC 2011 promote emotional and social competence; and to prevent, reduce, and treat behavior and emotional problems in young children. The parent, teacher, and child programs can be used separately or in combination. There are treatment versions of the parent and child programs as well as prevention versions for high-risk populations. Incredible Years Training for Parents. The Incredible Years parenting series includes three programs targeting parents of high-risk children and/or those displaying behavior problems. The BASIC program emphasises parenting skills known to promote children's social competence and reduce behavior problems such as: how to play with children, helping children learn, effective praise and use of incentives, effective limit-setting and strategies to handle misbehavior. The ADVANCE program emphasises parent interpersonal skills such as: effective communication skills, anger management, problem-solving between adults, and ways to give Blueprints 2007 and get support. The SUPPORTING YOUR CHILD'S EDUCATION program (known as SCHOOL) emphasises parenting approaches designed to promote children's academic skills such as: reading skills, parental involvement in setting up predictable homework routines, and building collaborative relationships with teachers. Incredible Years Training for Teachers. This series emphasises effective classroom management skills such as: the effective use of teacher attention, praise and encouragement, use of incentives for difficult behavior problems, proactive teaching strategies, how to manage inappropriate classroom behaviors, the importance of building positive relationships with students, and how to teach empathy, social skills and problem-solving in the classroom. Incredible Years Training for Children. The Dinosaur Curriculum emphasises training children in skills such as emotional literacy, empathy or perspective taking, friendship skills, anger management, interpersonal problem-solving, school rules and how to be successful at school. The treatment version is designed for use as a