Parent Management
Training
Kazdin Method™
Parent Management Training
Institute, LLC

Tracie Bush, M.A., CKPMT
Cognitive - Behavior Clinician
Certified Trainer in th...
Parenting and Child Conduct
Counseling
Andy Anderson, M.A., LPC, KPMT
Certified Clinician in the Kazdin Method™ Parent
Man...
Parent Management
Training
Evidence - Based Treatment Program for Children
with Oppositional Defiant Disorder or Conduct D...
Presentation Contents
Parent Management Training Research
PMT Skills
How to formulate Positive Opposite - Practice
How to ...
Simulations or
Practices
Useful for all behavior
Child receives reinforcement for pretending to perform
behavior
Pretendin...
Presentation Contents
Incentive Charts
Other PMT Skills
Time - Out from Reinforcement
Attending - Planned Ignoring
Low - R...
Presentation Contents
Working with Families of Children with Behavior
Problems
PMT Statistics ...
Almost 80% of parents who completed treatment reported
significant improvement in their child’s behavio...
How well does PMT
Work?
78% of participants indicate significant improvement in
behaviors associated with Conduct Disorder...
PMT
The Treatment of Choice for Behavioral Problems

According to the Association of Behavioral and Cognitive
Therapies (A...
Parent Management Training has
also been shown to . . .
Increase positive relationships within the family
Family Environme...
Why No Improvement for
8%???
Probably Stress
But if stressed families complete treatment they show
even more improvement i...
PMT Manual
Parent Management Training: Treatment for Oppositional,
Aggressive, And Antisocial Behavior in Children and
Ado...
ABC’s of Behavior
Antecedents
Behavior
Consequences
Positive Opposites
Positive opposites are what you desire the child to do
rather than what he is currently engaged in doin...
Positive Opposites
Problem Behavior
Jumping on the Couch

Positive Opposite
Get down off the couch
More Positive
Opposites
Problem Behavior
Jumping on the Couch

Positive Opposite
Get down off the couch

Go outside to jum...
More Positive
Opposites
Problem Behavior
Jumping on the Couch

Positive Opposite
Get down off the couch

Go outside to jum...
Even More Positive
Opposites
Problem Behavior
Slamming the door
Complaining

Positive Opposite
Even More Positive
Opposites
Problem Behavior

Positive Opposite

Slamming the door

Shut the door quietly

Complaining

?...
Prompting
A cue or a direction a parent gives to a child to get behavior
for the purpose of getting positive behavior.
Beh...
Prompting Effectively ...
Be Specific
Be Calm
Be Close Without Touching
Use a Statement
Say it ONE Time
Be Specific
It’s far better to say....
“Please put your shoes away in the closet neatly”

Than to say...
“Put your shoes a...
Be Calm
Human Nature - to get upset and dig in your heels if
someone takes a confrontational tone with you
Models good beh...
Be Close Without
Touching
Be in the same room when asking for behavior
Can be reasonably confident he/she heard you
Touch ...
Use a Statement
Questions get answers NOT behavior
Avoid could you, would you, can you, etc.
One - Time
Asking over and over is REINFORCING negative behavior.
Why?
ATTENTION increases Behavior!
Child may wait until ...
Consequences of
Behavior
Reinforcement
Material
Privilege or Activity
Social
Token
Material
Privileges or Activities
Going to the movies
Going to the mall
Going to the skate park
Going to the zoo
Time together with...
Social
NOT time with friends
Parent approval and Praise
If parent does not do this, the program will fail!
Token
Something small that can be collected and exchanged for a more
valuable reward
Points
Stickers
Marbles
Pennies
Poker...
Changes Occur in Behavior
When:
Kids like the rewards: They are motivating and
reinforcing
Reinforcers are immediate and c...
Older Child Point Incentive Chart
Behavior

Description Pts Mon Tue Wed Thur

Minding

Doing what is asked
the first time ...
Younger Child Point Incentive Chart
Drew’s Big Boy Reward Chart
Grab Bag
Treat
15-minutes of TV

Read an Extra Book
Extra ...
Making the Chart More Effective
Parents should praise and give points immediately after prompted
behavior
Family should re...
Praise
Right After Child Completes desired behavior parent
should praise ...
Immediately
Enthusiastically
Specifically
And...
When Child is Noncompliant
Parent should give very little attention to the child
Tell the child that no points have been e...
Parenting and Child Conduct Counseling

Andy Anderson, M.A., LPC,
KPMT
567 Madison
St. Charles, MO 63301
(636)699-0872
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  • EBT for ODD or CD
    30 - years of research
    2 - 14 years old
    Treatment of Choice for ODD and CD
    Parents learn skills
  • 80% completers = significant improvement
    28% non - completers
    34% non - completers = significant improvement
    8% No Improvement
  • 78% Effective
    Prozac < 50%
  • ABCT — ONLY Well - Established
  • Positive Family Relationships
    Parent Depression
    Parent Stress
    Peer Relations
  • 8%
    Stress
    Stress families improve more
    PPS
  • Presentation keynote march (power point) 2014

    1. 1. Parent Management Training Kazdin Method™
    2. 2. Parent Management Training Institute, LLC Tracie Bush, M.A., CKPMT Cognitive - Behavior Clinician Certified Trainer in the Kazdin Method™ Parent Management Training Consultant at the Yale University Parenting Center
    3. 3. Parenting and Child Conduct Counseling Andy Anderson, M.A., LPC, KPMT Certified Clinician in the Kazdin Method™ Parent Management Training 567 Madison St. Charles, MO 63301 (636) 699-0872
    4. 4. Parent Management Training Evidence - Based Treatment Program for Children with Oppositional Defiant Disorder or Conduct Disorder Studied for over 30-years with children between the ages of 2 - 14 Considered the “treatment of choice” for ODD and CD Skills are taught to parents
    5. 5. Presentation Contents Parent Management Training Research PMT Skills How to formulate Positive Opposite - Practice How to Prompt - Practice How to Praise - Practice
    6. 6. Simulations or Practices Useful for all behavior Child receives reinforcement for pretending to perform behavior Pretending should start out easy and get continually more difficult If child refuses to pretend, just let it go and try again later
    7. 7. Presentation Contents Incentive Charts Other PMT Skills Time - Out from Reinforcement Attending - Planned Ignoring Low - Rate Behavior Reprimand Compromise
    8. 8. Presentation Contents Working with Families of Children with Behavior Problems
    9. 9. PMT Statistics ... Almost 80% of parents who completed treatment reported significant improvement in their child’s behavior 28% dropped out 34% of people who dropped out reported significant improvement in their child’s behavior 8% show no improvement
    10. 10. How well does PMT Work? 78% of participants indicate significant improvement in behaviors associated with Conduct Disorder and CD Whereas... The well known drug, Prozac, considered by millions to effectively treat depression, only has a less than 50% success rate in improving depression
    11. 11. PMT The Treatment of Choice for Behavioral Problems According to the Association of Behavioral and Cognitive Therapies (ABCT), PMT is the ONLY well established treatment for behavioral difficulties such as ODD and CD Effective Child Therapy
    12. 12. Parent Management Training has also been shown to . . . Increase positive relationships within the family Family Environment Scale Lower depression and other symptoms of psychopathology in parents Beck Depression Inventory, Hopkins Symptom Checklist 90 Decrease parent stress Parenting Stress Inventory Improve peer relations Peer Inventory Scale
    13. 13. Why No Improvement for 8%??? Probably Stress But if stressed families complete treatment they show even more improvement in behavior. Parent Problem Solving
    14. 14. PMT Manual Parent Management Training: Treatment for Oppositional, Aggressive, And Antisocial Behavior in Children and Adolescents Code to get online handouts ONLINE: Oup.com/us/pmt Downloadable forms Username: represented Password: illustration
    15. 15. ABC’s of Behavior Antecedents Behavior Consequences
    16. 16. Positive Opposites Positive opposites are what you desire the child to do rather than what he is currently engaged in doing All behavior will be thought of in terms of it’s positive opposite! Parent and Clinician will be avoiding stop, no, or don’t when asking for behavior in the moment OR when putting it on a chart! This does not mean that a parent can’t say “NO” to a request! �
    17. 17. Positive Opposites Problem Behavior Jumping on the Couch Positive Opposite Get down off the couch
    18. 18. More Positive Opposites Problem Behavior Jumping on the Couch Positive Opposite Get down off the couch Go outside to jump
    19. 19. More Positive Opposites Problem Behavior Jumping on the Couch Positive Opposite Get down off the couch Go outside to jump Come and help in the kitchen calmly
    20. 20. Even More Positive Opposites Problem Behavior Slamming the door Complaining Positive Opposite
    21. 21. Even More Positive Opposites Problem Behavior Positive Opposite Slamming the door Shut the door quietly Complaining ????
    22. 22. Prompting A cue or a direction a parent gives to a child to get behavior for the purpose of getting positive behavior. Behavioral Function - Antecedent
    23. 23. Prompting Effectively ... Be Specific Be Calm Be Close Without Touching Use a Statement Say it ONE Time
    24. 24. Be Specific It’s far better to say.... “Please put your shoes away in the closet neatly” Than to say... “Put your shoes away.”
    25. 25. Be Calm Human Nature - to get upset and dig in your heels if someone takes a confrontational tone with you Models good behavior Less likely to escalate
    26. 26. Be Close Without Touching Be in the same room when asking for behavior Can be reasonably confident he/she heard you Touch can be very reinforcing. Save it for when the behavior is completed. Touch could escalate the situation if done when child is upset or strong - willed.
    27. 27. Use a Statement Questions get answers NOT behavior Avoid could you, would you, can you, etc.
    28. 28. One - Time Asking over and over is REINFORCING negative behavior. Why? ATTENTION increases Behavior! Child may wait until parent is really mad before doing the behavior. When parent is mad, situation may escalate to aggression. How? Parent should be giving NO attention to noncompliance. Why? NO ATTENTION decreases BEHAVIOR!
    29. 29. Consequences of Behavior Reinforcement Material Privilege or Activity Social Token
    30. 30. Material
    31. 31. Privileges or Activities Going to the movies Going to the mall Going to the skate park Going to the zoo Time together with friends Special time with mother or father doing what child likes to do Computer/video game time Television time
    32. 32. Social NOT time with friends Parent approval and Praise If parent does not do this, the program will fail!
    33. 33. Token Something small that can be collected and exchanged for a more valuable reward Points Stickers Marbles Pennies Poker chips
    34. 34. Changes Occur in Behavior When: Kids like the rewards: They are motivating and reinforcing Reinforcers are immediate and consistent Child has to do the positive behavior before receiving rewards!
    35. 35. Older Child Point Incentive Chart Behavior Description Pts Mon Tue Wed Thur Minding Doing what is asked the first time calmly Pull blankets up and make smooth 5 Remain Calm when Frustrated or told no Keep hands and feet to self; say OK; talk nicely and calmly from 3-4 pm. Sat 2 Making Bed Fri 10 Must buy at least two rewards a week!!! Points Earned Previous Balance Total Current Balance Rewards Sun
    36. 36. Younger Child Point Incentive Chart Drew’s Big Boy Reward Chart Grab Bag Treat 15-minutes of TV Read an Extra Book Extra Bath Time Minding - Doing what is asked the first time calmly = 1 sticker
    37. 37. Making the Chart More Effective Parents should praise and give points immediately after prompted behavior Family should review chart every day Parents need to give rewards as agreed upon, regardless of any negative behavior that may have occurred that day;. Be sure children cash in rewards several times a week Prompt parents to bring chart to every session
    38. 38. Praise Right After Child Completes desired behavior parent should praise ... Immediately Enthusiastically Specifically And Touch the Child
    39. 39. When Child is Noncompliant Parent should give very little attention to the child Tell the child that no points have been earned Encourage child to earn points the next opportunity
    40. 40. Parenting and Child Conduct Counseling Andy Anderson, M.A., LPC, KPMT 567 Madison St. Charles, MO 63301 (636)699-0872

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