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RFP 3 – PMT Intervention HO.docx

RFP #3

Topic: PMT Intervention – Program experiences

Program Evaluation Request for Proposals

Program Experiences

Problem

As Skin, Forster, Sundell, and Melin (2010) have noted, while Parent Management Training (PMT; Encyclopedia of Mental Disorders, 2019; Eyberg, 2003; Eyberg, Nelson, & Boggs, 2008) has strong theoretical and empirical support for early prevention of problematic behaviors, few families with children with conduct disorders receive help. This gap in care may be due to factors such as parents not being aware of this type of supportive intervention or, if aware, not having ready access to it. Also, it is not clear yet if procedures to increase parental/caretaker awareness and/or accessibility to PMT can enhance participation in PMT.

Background of Intervention Program

The XYZ Pediatric Care facility of an inner-city urban hospital instituted a program in 2018 to try to increase parental awareness and participation of PMT as an intervention for parents/caregivers when they have a child who is demonstrating problematic disruptive and aggressive behavior. First, they instituted training for medical and behavioral health staff members to increase their awareness of both risk factors and indications of problematic disruptive and aggressive behavior among children ages 3-10 years, and procedures to use to refer the family/caregiver to an onsite, free screening service. The screening protocol included evaluations using the Eyberg Child Behavior Inventory (ECBI), the Social Competence Scale-Parent (P-Comp), and the Parent Practices Interview (PPI). The results of the screening were shared with the family/caregiver, with referral to and information about the PMT program (at the same hospital location). The family/caregiver’s pediatrician and other medical and behavioral health members of the child’s/family care team also received this information, including information about the referral to the PMT program. Another care team member also was asked to contact the family/caretaker to provide further support/encouragement for follow up with the referral to the PMT program. In addition, the care team members were asked to continue to track the relevant identified behaviors in their ongoing visits with the child and family/caretaker.

For the past year, 84 children, ages 3-10 years, were identified through screening to demonstrate problematic disruptive and aggressive behaviors. The screener talked with the family/caretaker and presented them with a referral to the PMT. Of these, 61 families/caretakers voluntarily contacted and entered the PMT program; 5 of these families/caretakers completed some of the 11-week PMT program and 56 completed the full program. At the end of the 1-weeks, the family/caregiver again was assessed by the same screener and with the same measures as used in the original screening. Families/caretakers received additional information and referrals, as needed, in relation to the results of their post-screening. These data are on file, as well as notes that were kept by care team members who were able to do so (both for children/families who did or did not complete the PMT program). Only 3 of the families who dropped out of PMT were available for follow up assessment. Contact information is available for many of the families/caretakers who did not follow through at all with the referral to the PMT program.

Purpose of the Proposed Evaluation

We are looking to gain further information about the experiences of staff and families/caretakers who participated in this new process. Did this process increase their awareness and willingness to participate in a PMT Program?

We want to know how families/caretakers experienced the screening and referral services? From their perspectives, do they feel they learned something new, had a better understanding of their child’s behavior? Did they trust the feedback they received about their child? Did it match their beliefs, experiences with the child? How did they feel about receiving the referral to the PMT Program? Did the process influence their interest in, willingness to, participate in a PMT program? Were there reasons they decided to participate or not participate in the PMT program? Would other kinds of support have been helpful to them? Do they have other observations and suggestions?

Conditions of Contract

Budget for contractual evaluation and consultation set at maximum of $30,000. Report must be delivered no later than 6 months from the date of initiation.

References

Eyberg, S. M. (2003). Parent-child interaction therapy. In T. H. Ollendick & C. S. Schroeder (Eds.),

Encyclopedia of Clinical Child and Pediatric Psychology (pp. 446–447). New York: Plenum.

Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for

children and adolescents with disruptive behavior. Journal of Clinical Child & Adolescent

Psychology, 37, 215–237. Retrieved from the Walden Library databases.

Kling, A., Forster, M., Sundell, K., & Melin, L. (2010). A randomized controlled effectiveness trial of

parent management training with varying degrees of therapist support. Behavior Therapy, 41,

530–542. Retrieved from the Walden Library databases.

Parent management training. (2019). In Encyclopedia of Mental Disorders. Retrieved from