Implementing family-centered interventions within the public middle school: linking service delivery to change in student problem behavior.
ABSTRACT The Adolescent Transitions Program is a family-centered intervention strategy designed to reduce problem behavior and prevent drug use within a public school environment. A parent consultant within a Family Resource Center (FRC) provided universal, selected, and indicated interventions that enhanced and supported positive parenting practices known to serve as protective factors. Implementation of the 3-year FRC model involved 584 students and their families in 4 middle schools. Analyses focused on the dynamics and effects of parent consultant activities and services. Differences in school "adoption" of the FRC services were found to be a function of both passage of time and school environment. Despite significant variation in implementation across schools, FRC services significantly reduced the growth in problem behavior over the course of the middle-school years. The implications of these findings for dissemination of empirically supported, school-based, family-centered interventions are discussed.
- SourceAvailable from: Andy J. Frey
10/2014; 7(4):225-239. DOI:10.1080/1754730X.2014.949515
- "This body of knowledge has implications for current models of coaching that focus on the number of 'sessions' completed or total coaching hours as predictors of change. Educational researchers are beginning to pick up the MI mantle across applications with parents and teachers, alone and in conjunction with other evidence-based practices (Connell, Dishion, Yasui, & Kavanagh, 2007; Dishion & Kavanagh, 2003; Frey, Lee, et al., 2013a, 2013b; Herman et al., 2012; Lee et al., 2014; Reinke, Herman, & Sprick, 2011; Reinke et al., 2012; Reinke, Lewis-Palmer, & Merrell, 2008; Stormshak, Dishion, Light, & Yasui, 2005). If our understanding of the relationship between these variables within the context of school-based coaching were improved, it would allow researchers and practitioners to more intentionally and efficiently target the malleable factors associated with favorable child outcomes. "
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- "The FCU has been previously tested in multiple randomized trials for families with youths ages 2–17. The results indicate that participation in the FCU is predictive of improvements in antisocial behaviors in early childhood (e.g., Dishion et al. 2008; Shaw et al. 2006), at school age (Dishion et al. 2014; Smith et al. 2014), and during the transition from middle school to high school (Connell et al. 2007; Dishion et al. 2002; Stormshak et al. 2005; Van Ryzin et al. 2012b). Improvements in youth outcomes have been frequently found to be either fully or partially mediated by intervention effects on family management variables , such as positive behavior support (Dishion et al. 2008), and family conflict (Smith et al. 2014b). "
ABSTRACT: This study reports the results of a pragmatic effectiveness–implementation hybrid trial of the Family Check-Up (FCU) conducted in 3 community mental health agencies with 40 participating therapists. Seventy-one families with children between 5 and 17 years of age participated. Intervention fidelity and level of adoption were acceptable; families reported high service satisfaction; and therapists reported high acceptability. Families in the FCU condition experienced significantly reduced youth conduct problems in comparison to usual care and completion of the FCU resulted in larger effects. This study provides promising evidence that implementing the FCU in community mental health agencies has the potential to improve youth behavior outcomes.Administration and Policy in Mental Health and Mental Health Services Research 05/2014; DOI:10.1007/s10488-014-0566-0 · 3.44 Impact Factor
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- "Parents are then provided feedback and offered support in these domains of parenting as indicated by the family assessment. Across numerous randomized controlled trials, the FCU has been shown to reduce substance use and antisocial behavior, yet has also been effective for reducing depression, teacher-reported risk behavior, and probability of arrest (Connell and Dishion 2008; Connell et al. 2007; Dishion et al. 2002; Stormshak et al. 2005, 2011; Van Ryzin and Dishion 2012; Van Ryzin et al. 2012). In previous studies, the highest risk families were most likely to engage in the FCU, as defined by youth-reported deviant peer involvement, single-parent status, and teacher-rated risk prior to engagement (see Connell et al. 2007). "
ABSTRACT: Adolescent study participants who engaged in a brief, family-centered intervention (the Family Check-Up, FCU) were later assessed for the intervention's effects on high-risk sexual behavior (HRSB) in early adulthood (age 22). Participants (N = 998 adolescents and their families) were randomly assigned to a family-centered intervention in sixth grade and were offered a gated, multilevel intervention that included (a) a school-based family resource center, (b) the FCU, and (c) more intensive, family-based treatment. All services were voluntary, but high-risk families were actively recruited into the FCU. Approximately 23 % of the intervention families engaged in the FCU and approximately 18 % engaged in more intensive treatment. Using an intent-to-treat design, we found that the direct effect of the FCU on HRSB was not significant; however, an analysis of the developmental processes indicated that intervention families demonstrated improved family relationship quality when compared to control families, which in turn resulted in lower levels of HRSB in early adulthood. Furthermore, the significant effect of family relationship quality on HRSB was mediated by differences in parental monitoring and early sexual activity, and these effects varied as a function of gender and ethnicity. Indirect effects of the FCU on HRSB were significant via multiple different pathways. The implications of these findings for enhancing the impact of family-centered interventions are discussed.Prevention Science 03/2013; DOI:10.1007/s11121-013-0383-9 · 2.63 Impact Factor