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Evidence-based Parenting Programs: How do you Tell? How do you choose?-- John R. Lutzker, Ph.D.

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This workshop covers common themes of Evidence-Based (EB) Programs and how policy makers and providers can determine what programs best fit their needs. In addition, participants will learn about the evolution of evidence-based training over the past five decades, exemplary EB programs, and what the future holds for the field.

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Evidence-based Parenting Programs: How do you Tell? How do you choose?-- John R. Lutzker, Ph.D.

  1. 1. 2nd Annual Conference September 4, 2013
  2. 2. Evidence-based Parenting Programs: How do you Tell? How do you choose? John R. Lutzker, Ph.D. Director, Center for Healthy Development Professor and Associate Dean of School of Public Health Georgia State University
  3. 3. EBP Common Themes • Structured • Manualized • Role-Playing • High Fidelity • Developmental • Positive • In-Home • Mastery Performance Criteria NO PANACEAS
  4. 4. NCANDS, 2011 Data from Exhibit 4-F 681,000 substantiated cases of child maltreatment
  5. 5. EBPs • Birth to 5 • Birth to 18 • Prenatal to … • Development • Focus on Parent • Focus on Child • Prevention • Abuse • Neglect • Substance Abuse • Partner Violence • Special Needs
  6. 6. Policy Makers’ and Provider Agencies’ Dilemmas • What is EBP? • How do we determine best fits? • What about website ratings? • Is there value in testimonials? • (Whose?) • How thorough are implementation practices? • What kind of Data?
  7. 7. SafeCare Implementation By doing this…
  8. 8. Why Focus on Implementation? RESEARCH PRACTICEIMPLEMENTATION “Children and families cannot benefit from interventions they do not experience.”
  9. 9. Lutzker’s Cookbook Evidence – Based Recipes Chef Lutzker
  10. 10. Employment Opportunity HELP WANTED One couple to procreate and raise a child. No experience necessary. Applicants must be available 24 hours per day, 7 days a week, and must provide food, shelter, clothing and supervision. No training provided. No salary; applicants pay $240,000 over the next 18 years. Accidental applications accepted. Single people may apply but should be prepared for twice the work.
  11. 11. FISHINGDRIVINGMARRIAGE Official License This official license certifies individual as an EXPERT in PFISHINGMARRIAGEDRIVINGPARENTING?
  12. 12. 1960s 1970s 1980s 1990s 2000s History of Systematic Evidence - Based Training
  13. 13. ■ Non-empirical advice ♦ Dr. Spock ♦ Others ■ Empirical approaches ♦ Case studies ♦ Single-case experiments ♦ UW pre-school ♦ UW experimental child psychology labs 1960s
  14. 14. 1970s Parents As Mediators DRO/timeout Clinics Homes Noncompliance Unspecified disorders Toilet Training in Less Than a Day Behavioral vs. PET
  15. 15. 1980s Intellectual Disabilities ADHD Conduct Disorders Child Maltreatment Parents with developmental disabilities Empirically –based advice books
  16. 16. 1980s Bernal et al (1980) Forehand & McMahon Helping the Noncompliant Child (1981) Sanders and Dadds (1982) Evaluation
  17. 17. 1990s Harrold, Lutzker, Campbell & Touchette (1992) CMT/PAT sequence/parent preference Huynen, Lutzker, Bigelow, Touchette, & Campbell (1996) PAT only, home and community, mental retardation, ADHD, autism Other applications of PAT Staff, teachers, schizophrenia, traumatic brain injury Hembree-Kigin & McNeil (1995) Parent-child interaction therapy (PCIT) Planned Activities Training
  18. 18. 2000s • Widespread Dissemination/Implementation of Evidence-based Programs
  19. 19. Types of Parenting Interventions Proactive programs Home visiting Multi-component Social support / Mutual aid Media Reactive programs Family preservation services Multi-component Social support / Mutual aid Parent training Next generation Triple P Technology
  20. 20. Exemplary Evidence-based Practices • NFP • PCIT • SafeCare • Triple P • Incredible Years • MST * Programs in red denote Common Roots in Learning Theory and Applied Behavior Analysis; Cognitive Behavior Therapy
  21. 21. Population-based Approach Intensive Parenting Intervention Brief Consultations Media Families in Crisis Families at Risk All Families in a Specific Setting Everybody
  22. 22. Lutzker’s Cookbook Evidence- Based Recipes Index . .
  23. 23. What does the future hold? Technology Collaborations Menus
  24. 24. John R. Lutzker, PhD Center for Healthy Development Georgia State University Box 3995 Atlanta, GA 30302-3995 jlutzker@gsu.edu 404-413-1284 http://publichealth.gsu.edu www.safecarecenter.org
  25. 25. This project was supported in part by the Governor’s Office for Children and Families through the U.S. Department of Health and Human Services, Administration for Children and Families, Community Based Child Abuse Prevention and Treatment Act (CFDA 93.590). Points of view or opinions stated in this document are those of the author(s) and do not necessarily represent the official position or policies of the Governor’s Office for Children and Families or the U.S. Department of Health and Human Services, Administration for Children and Families, Community Based Child Abuse Prevention and Treatment Act (CFDA 93.590)."

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