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2nd Annual Conference
September 4, 2013
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
EBP Common Themes
• Structured
• Manualized
• Role-Playing
• High Fidelity
• Developmental
• Positive
• In-Home
• Mastery Performance Criteria
NO PANACEAS
NCANDS, 2011
Data from Exhibit 4-F
681,000 substantiated cases of child maltreatment
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
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?
SafeCare Implementation
By doing this…
Why Focus on Implementation?
RESEARCH PRACTICEIMPLEMENTATION
“Children and families cannot benefit from
interventions they do not experience.”
Lutzker’s Cookbook
Evidence – Based
Recipes
Chef Lutzker
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.
FISHINGDRIVINGMARRIAGE
Official License
This official license certifies individual
as an EXPERT in
PFISHINGMARRIAGEDRIVINGPARENTING?
1960s
1970s
1980s
1990s
2000s
History of Systematic Evidence - Based Training
■ Non-empirical advice
♦ Dr. Spock
♦ Others
■ Empirical approaches
♦ Case studies
♦ Single-case experiments
♦ UW pre-school
♦ UW experimental child psychology labs
1960s
1970s
Parents As Mediators
DRO/timeout
Clinics
Homes
Noncompliance
Unspecified disorders
Toilet Training in Less
Than a Day
Behavioral vs. PET
1980s
Intellectual Disabilities
ADHD
Conduct Disorders
Child Maltreatment
Parents with developmental disabilities
Empirically –based advice books
1980s
Bernal et al (1980)
Forehand & McMahon Helping the
Noncompliant Child (1981)
Sanders and Dadds (1982)
Evaluation
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
2000s
• Widespread
Dissemination/Implementation of
Evidence-based Programs
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
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
Population-based Approach
Intensive Parenting
Intervention
Brief
Consultations
Media
Families in Crisis
Families at Risk
All Families
in a Specific
Setting
Everybody
Lutzker’s Cookbook
Evidence- Based Recipes Index . .
What does the future hold?
Technology
Collaborations
Menus
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
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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Evidence-based Parenting Programs: How do you Tell? How do you choose?-- John R. Lutzker, Ph.D.

  • 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. EBP Common Themes • Structured • Manualized • Role-Playing • High Fidelity • Developmental • Positive • In-Home • Mastery Performance Criteria NO PANACEAS
  • 4. NCANDS, 2011 Data from Exhibit 4-F 681,000 substantiated cases of child maltreatment
  • 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. 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.
  • 9. Why Focus on Implementation? RESEARCH PRACTICEIMPLEMENTATION “Children and families cannot benefit from interventions they do not experience.”
  • 10.
  • 11. Lutzker’s Cookbook Evidence – Based Recipes Chef Lutzker
  • 12. 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.
  • 13. FISHINGDRIVINGMARRIAGE Official License This official license certifies individual as an EXPERT in PFISHINGMARRIAGEDRIVINGPARENTING?
  • 14.
  • 16. ■ Non-empirical advice ♦ Dr. Spock ♦ Others ■ Empirical approaches ♦ Case studies ♦ Single-case experiments ♦ UW pre-school ♦ UW experimental child psychology labs 1960s
  • 17. 1970s Parents As Mediators DRO/timeout Clinics Homes Noncompliance Unspecified disorders Toilet Training in Less Than a Day Behavioral vs. PET
  • 18. 1980s Intellectual Disabilities ADHD Conduct Disorders Child Maltreatment Parents with developmental disabilities Empirically –based advice books
  • 19. 1980s Bernal et al (1980) Forehand & McMahon Helping the Noncompliant Child (1981) Sanders and Dadds (1982) Evaluation
  • 20. 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
  • 22. 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
  • 23. 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
  • 24. Population-based Approach Intensive Parenting Intervention Brief Consultations Media Families in Crisis Families at Risk All Families in a Specific Setting Everybody
  • 26. What does the future hold? Technology Collaborations Menus
  • 27. 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
  • 28. 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)."