Evidence-Based Interventions for Disruptive and Promising Behavior Practices Disorders Evidence-Based Interventions for Disruptive and Promising Behavior Practices Disorders U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Acknowledgments This document was produced for the Substance Abuse and Mental Health Services Administration (SAMHSA) by Abt Associates, Inc., and the National Association of State Mental Health Program Directors (NASMHPD) Research Institute (NRI) under contract number 280-2003-00029 with SAMHSA, U.S. Department of Health and Human Services (HHS). Sylvia Fisher and Pamela Fischer, Ph.D., served as the Government Project Officers. Disclaimer The views, opinions, and content of this publication are those of the authors and contributors and do not necessarily reflect the views, opinions, or policies of the Center for Mental Health Services (CMHS), SAMHSA, or HHS. Public Domain Notice All material appearing in this document is in the public domain and may be reproduced or copied without permission from SAMHSA. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization from the Office of Communications, SAMHSA, HHS. Electronic Access and Copies of Publication This publication may be downloaded or ordered at http://store.samhsa.gov. Or, please call SAMHSA’s Health Information Network at 1-877-SAMHSA-7 (1-877-726-4727) (English and Español). Recommended Citation Substance Abuse and Mental Health Services Administration. Interventions for Disruptive Behavior Disorders: Evidence-Based and Promising Practices. HHS Pub. No. SMA-11-4634, Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services, 2011. Originating Office Center for Mental Health Services Substance Abuse and Mental Health Services Administration 1 Choke Cherry Road Rockville, MD 20857 HHS Publication No. SMA-11-4634 Printed 2011 Evidence-Based and Promising Practices This booklet provides indepth information about each intervention to help stakeholders identify and select evidence- Interventions based practices (EBPs) that might best fit the needs and preferences of communities, providers, practitioners, families, for Disruptive and youth. Behavior Disorders For references, see the booklet, The Evidence. This KIT is part of a series of Evidence-Based Practices KITs created by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services. This booklet is part of the Interventions for Disruptive Behavior Disorders KIT, which includes six booklets: How to Use the Evidence-Based Practices KITs Characteristics and Needs of Children with Disruptive Behavior Disorders and their Families Selecting Evidence-Based Practices for Children with Disruptive Behavior Disorders to Address Unmet Needs: Factors to Consider in Decisionmaking Implementation Considerations Evidence-Based and Promising Practices Medication Management What’s in Evidence-Based Practice and Promising Practices Introduction ....................................................................... 1 Interventions Triple P – Positive Parenting Program ................................... 3 Project ACHIEVE ............................................................... 11 for Disruptive Second Step ..................................................................... 19 Behavior Promoting Alternative Thinking Strategies .......................... 25 First Steps to Success......................................................... 31 Disorders Early Risers: Skills for Success ............................................ 37 Adolescent Transitions Program ......................................... 43 Incredible Years ................................................................ 49 Helping the Noncompliant Child ....................................... 55 Parent-Child Interaction Therapy ........................................ 61 Parent Management Training — Oregon ............................ 67 Brief Strategic Family Therapy ........................................... 73 Problem-Solving Skills Training .......................................... 79 Coping Power................................................................... 83 Mentoring ....................................................................... 89 Multisystemic Therapy ...................................................... 95 Functional Family Therapy .............................................. 107 Multidimensional Treatment Foster Care ........................... 113 Evidence-Based and Promising Practices Introduction In Selecting Evidence-Based Practices for Children with Disruptive Behavior Disorders to Address Unmet Needs: Factors to Consider in Decisionmaking in this KIT, several tables summarize information about some of the main features of the KIT’s 18 EBPs. This booklet has indepth information about each intervention to help stakeholders identify and select EBPs that might best fit the needs and preferences of communities, providers, practitioners, families, and youth. 18 Evidence-Based Practices Summarized in This Booklet Prevention / Multilevel Intervention Triple P—Positive Parenting Program Incredible Years Project ACHIEVE Helping the Noncompliant Child Second Step Parent Child Interaction Therapy Promoting Alternative Thinking Strategies Parent Management Training — Oregon First Steps to Success Brief Strategic Family Therapy™ Early Risers: Skills for Success Problem-Solving Skills Training Adolescent Transitions Program Coping Power Mentoring Multisystemic Therapy Functional Family Therapy Multidimensional Treatment Foster Care Evidence-Based and Promising Practices 1 The interventions are each presented in the A key part of Research Base and Outcomes for each same format with the following information, EBP is a summary table that allows for quick when applicable: access to information about the researchers, the design, and outcomes. These tables include Intervention Description important information from relevant studies, and Background culturally and linguistically relevant information Characteristics of the intervention from the research studies is highlighted. For most interventions, this means that the populations Research Base and Outcomes used in the studies have been noted. For some, Implementation and Dissemination this means that research on cultural and linguistic adaptations of the intervention has been included. Infrastructure issues For example, the booklet notes that a culturally Training/coaching and materials adapted version of Parent Management Training— Cost of training/consulting Oregon is being evaluated with Spanish-speaking Latino parents and is called Nuestras Familias. Developer involvement Monitoring fidelity and outcomes Implementation and Dissemination covers such topics as: infrastructure issues, training/coaching Financing the intervention and materials, the cost of training/consultations, Resources/Links current developer involvement and contact References information, the monitoring of fidelity and outcomes, and means of financing the intervention. The Intervention Description covers background This information was obtained in large part information about the origin of the intervention, through telephone interviews with the developers the developers, the population of interest, and of the EBPs and was then verified through edits essential characteristics of the intervention. and review. Each intervention concludes with information about applicable Resources, including Web links, and a list of References. 2 Evidence-Based and Promising Practices Triple P – Positive Parenting Program Figure 1 Intervention Description Triple P – Positive Parenting Program Type of EBP Prevention/Multilevel Background Setting Clinic Home Triple P — Positive Parenting Program is a multi- School level system of parenting and family support Age 0–16 programs that apply to prevention, early Gender Males intervention, and treatment. Triple P was Females developed by Matthew R. Sanders, Ph.D., and Training/Materials Yes colleagues from the Parenting and Family Support Available Centre in the School of Psychology, University of Outcomes Increase in parental confidence Queensland in Australia. Improvements in dysfunctional parenting styles Reduction in child behavior problems During the past few years, Triple P has been disseminated to approximately 25 organizations within the United States and to 15 countries. Dissemination has been carried out as follows: Characteristics of the intervention Statewide in Wyoming as the centerpiece of the Triple P aims to prevent or reduce severe Wyoming Parenting Initiative (more than 500 behavioral, emotional, and developmental practitioners trained to date). problems in children by enhancing the knowledge, In 18 counties in South Carolina through the skills, and confidence of parents. It is designed for U.S. Triple P System Population Trial. Funded families with children from birth to 16 years of age. by the Centers for Disease Control and Triple P can be delivered by a range of specialists Prevention, this trial is being conducted by the in the field of primary care (for example, nurses, University of South Carolina and the University physicians), mental health (for example, social of Queensland. workers, psychologists,