Link to Dr. Lutzker's press release following his slideshow presentation at Qatar University: http://publichealth.gsu.edu/1928.html

1. Evidence-based Parent Training
Programs: History, Elements, Evidence
and Future Directions
John R. Lutzker, Ph.D.
Prevention Development and Evaluation Branch
Division of Violence Prevention
National Center for Injury Prevention and ControlJohn R. Lutzker, Ph.D.
Center for Healthy Development
Institute of Public Health
Georgia State University

2. Lutzker’s Cookbook
Evidence – Based
Recipes
Chef Lutzker
John Lutzker, Ph.D.
Executive Director

3. 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.

4. FISHINGDRIVINGMARRIAGE
Official License
This official license certifies individual
as an EXPERT in
PFISHINGMARRIAGEDRIVINGPARENTING?

6. ■ 1960’s
■ 1970’s
■ 1980’s
■ 1990’s
■ Chi
■ 1960s
■ 1970s
■ 1980s
■ 1990s
■ 2000s
History of Systematic Evidence - Based Training

7. ■ Non-empirical advice
♦ Dr. Spock
♦ Others
■ Empirical approaches
♦ Case studies
♦ Single-case experiments
♦ UW pre-school
♦ UW experimental child psychology labs
1960s

8. Parents As Mediators
1970s
Parents As Mediators
■ DRO/timeout
■ Clinics
■ Homes
■ Noncompliance
■ Unspecified disorders
■ Toilet Training in Less
Than a Day
■ Behavioral vs. PET

9. 1980s
■ Intellectual Disabilities
■ ADHD
■ Conduct Disorders
■ Child Maltreatment
■ Parents with developmental disabilties
■ Empirically –based advice books

10. 1980s Evaluation
■ Bernal et al (1980)
■ Forehand & McMahon Helping the
Noncompliant Child (1981)
■ Sanders and Dadds (1982)

11. 1990s Planned Activities Training
■ 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)

12. 2000s
 Widespread Dissemination/Implementation of
Evidence-based Programs

13. 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

14. EBP Common Themes
 Structured
 Manualized
 Role-Playing
 High Fidelity
 Developmental
 Positive
 In-Home
 Mastery Performance Criteria
NO PANACEAS

15. 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

17. Population-based Approach
Intensive Parenting
Intervention
Brief
Consultations
Media
Families in Crisis
Families at Risk
All Families
in a Specific
Setting
Everybody

18. Planned Activities Training
 RATIONALE:
 Teaching staff or parents antecedent control of behavior
to prevent challenging behavior
 COMPONENTS:
 Manage time
 Explain activity
 Discuss rules
 Discuss rewards
–Incidental teaching
–Activity participation
–Outcome discussions
–Reinforcement

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

20. Lutzker’s Cookbook
Evidence- Based Recipes Index . . .
♦ Buy-in
♦ Capacity Checklists
♦ Fidelity Monitoring
♦ Human Development
Curriculum
♦ Policy Changes
♦ Pyramidal Training
♦ Integrating EBPs
♦ Self-sustaining Funding
Streams
♦ Skills Training
♦ Systematic/Dynamic
Replications
♦ Technology
♦ Translational Research
INDEX ♦Best fits for families

21. John R. Lutzker, PhD
Center for Healthy Development
Georgia State University
P.O. Box 3995
Atlanta, GA 30302-3995
jlutzker@gsu.edu
404-413-1284
http://publichealth.gsu.edu
www.safecarecenter.org