Abstract:For youth placed in out-of-home residential care, there has been a trend towards shorter lengths of stay and earlier reentry into the community. In order to support reentry, we propose blending out-of-home residential care with aftercare services. In this study 89 youth that were in or at risk of entering the juvenile justice system received a unique blend of a behavioral-focused residential care program with a family based in-home aftercare service. Results indicate that youth displayed decreased behavior pro… Show more
“…A second factor is that treatment plans may focus on the presenting disruptive behaviors with limited attention on preparing the family and adolescent for discharge (Herbell & Breitenstein, 2020 ). Thus, families may feel unprepared for discharge, and adolescents may enter the same unchanged home environment (Ringle et al, 2015 ). Effective treatment plans should fully address the underlying trauma driving disruptive behaviors (Bryson et al, 2017 ).…”
Section: Parent Training and Treatment Gain Maintenancementioning
confidence: 99%
“…A second parenting intervention that has been used with the RT population, Ringle & colleagues ( 2015 ) blended intervention, consists of RT combined with aftercare services for children at risk of entering the juvenile justice system. A key component of this model is an in-home family consultant working with families beginning at RT admission through three months post-discharge (Ringle et al, 2015 ).…”
Section: Prior Parent Training Programs In Rtmentioning
confidence: 99%
“…A second parenting intervention that has been used with the RT population, Ringle & colleagues ( 2015 ) blended intervention, consists of RT combined with aftercare services for children at risk of entering the juvenile justice system. A key component of this model is an in-home family consultant working with families beginning at RT admission through three months post-discharge (Ringle et al, 2015 ). The parenting component of the intervention includes promoting supervision and monitoring, consistency with discipline, healthy relationships with family and peers, academic success, and developing a support network (Ringle et al, 2015 ).…”
Section: Prior Parent Training Programs In Rtmentioning
confidence: 99%
“…A key component of this model is an in-home family consultant working with families beginning at RT admission through three months post-discharge (Ringle et al, 2015 ). The parenting component of the intervention includes promoting supervision and monitoring, consistency with discipline, healthy relationships with family and peers, academic success, and developing a support network (Ringle et al, 2015 ). Results of the study indicate that compared to children in the control condition (i.e., treatment as usual), children that received the blended intervention improved in inattention, internalizing, and externalizing symptoms, and parents engaged in more effective parenting practices (Ringle et al, 2015 ).…”
Section: Prior Parent Training Programs In Rtmentioning
Despite intensive treatment, adolescents discharged from residential treatment (RT) often do not maintain treatment gains in the community. Providing support and education to caregivers through parent training may ameliorate the loss of treatment gains. Successful parent training programs have been delivered to this population; however, these interventions were delivered in-person, posing significant barriers affecting reach, access, and engagement. A convergent mixed methods design was used to assess the acceptability, appropriateness, and feasibility of a web-based parent training in a sample of parents (
N
= 20) with adolescents admitted to RT. Parents completed two interviews and an end-of-program survey. Parents completed at least 80% of the assigned modules and felt that PW was easy to use and that the features facilitated learning. Parents reported practicing the skills in their daily lives and found it beneficial to have a partner to practice with. Consistent with previous studies, parents perceived the delivery method as a strength because the web-based delivery circumvented multiple known barriers to in-person interventions. A large subset of parents related to the scenarios, while a small subset of parents felt the modules were challenging to relate to because of the severity of their adolescent’s mental health challenges. Overall, findings indicate that web-based parent training programs may be an acceptable, appropriate, and feasible adjuvant evidence-based support. However, tailoring the intervention content is necessary to create a more relatable intervention that captures the breadth and severity of mental health challenges adolescents in RT face.
“…A second factor is that treatment plans may focus on the presenting disruptive behaviors with limited attention on preparing the family and adolescent for discharge (Herbell & Breitenstein, 2020 ). Thus, families may feel unprepared for discharge, and adolescents may enter the same unchanged home environment (Ringle et al, 2015 ). Effective treatment plans should fully address the underlying trauma driving disruptive behaviors (Bryson et al, 2017 ).…”
Section: Parent Training and Treatment Gain Maintenancementioning
confidence: 99%
“…A second parenting intervention that has been used with the RT population, Ringle & colleagues ( 2015 ) blended intervention, consists of RT combined with aftercare services for children at risk of entering the juvenile justice system. A key component of this model is an in-home family consultant working with families beginning at RT admission through three months post-discharge (Ringle et al, 2015 ).…”
Section: Prior Parent Training Programs In Rtmentioning
confidence: 99%
“…A second parenting intervention that has been used with the RT population, Ringle & colleagues ( 2015 ) blended intervention, consists of RT combined with aftercare services for children at risk of entering the juvenile justice system. A key component of this model is an in-home family consultant working with families beginning at RT admission through three months post-discharge (Ringle et al, 2015 ). The parenting component of the intervention includes promoting supervision and monitoring, consistency with discipline, healthy relationships with family and peers, academic success, and developing a support network (Ringle et al, 2015 ).…”
Section: Prior Parent Training Programs In Rtmentioning
confidence: 99%
“…A key component of this model is an in-home family consultant working with families beginning at RT admission through three months post-discharge (Ringle et al, 2015 ). The parenting component of the intervention includes promoting supervision and monitoring, consistency with discipline, healthy relationships with family and peers, academic success, and developing a support network (Ringle et al, 2015 ). Results of the study indicate that compared to children in the control condition (i.e., treatment as usual), children that received the blended intervention improved in inattention, internalizing, and externalizing symptoms, and parents engaged in more effective parenting practices (Ringle et al, 2015 ).…”
Section: Prior Parent Training Programs In Rtmentioning
Despite intensive treatment, adolescents discharged from residential treatment (RT) often do not maintain treatment gains in the community. Providing support and education to caregivers through parent training may ameliorate the loss of treatment gains. Successful parent training programs have been delivered to this population; however, these interventions were delivered in-person, posing significant barriers affecting reach, access, and engagement. A convergent mixed methods design was used to assess the acceptability, appropriateness, and feasibility of a web-based parent training in a sample of parents (
N
= 20) with adolescents admitted to RT. Parents completed two interviews and an end-of-program survey. Parents completed at least 80% of the assigned modules and felt that PW was easy to use and that the features facilitated learning. Parents reported practicing the skills in their daily lives and found it beneficial to have a partner to practice with. Consistent with previous studies, parents perceived the delivery method as a strength because the web-based delivery circumvented multiple known barriers to in-person interventions. A large subset of parents related to the scenarios, while a small subset of parents felt the modules were challenging to relate to because of the severity of their adolescent’s mental health challenges. Overall, findings indicate that web-based parent training programs may be an acceptable, appropriate, and feasible adjuvant evidence-based support. However, tailoring the intervention content is necessary to create a more relatable intervention that captures the breadth and severity of mental health challenges adolescents in RT face.
“…Additionally, some researchers have not reported the coefficient α values obtained from their study-specific data, or have only reported α values from previous research as reference (e.g., Acri et al, 2017; Ringle et al, 2015). Both the omission and improper reporting of reliability estimates fall under a concept termed “reliability induction” (Henson & Thompson, 2002).…”
Section: Internal Consistency Reliability Of the Alabama Parenting Qu...mentioning
The Alabama Parenting Questionnaire-9 (APQ-9) is a widely used brief measure of parenting behaviors. However, the reliability coefficients of the three APQ-9 subscales vary substantially. A reliability generalization meta-analysis was conducted on the three APQ-9 subscales to (a) estimate mean internal consistency reliability values and (b) examine the sources of variance. A total of 113 coefficient alphas from 31,572 informants, across 32 studies were included in this meta-analysis. Results showed acceptable mean α values (.84 for positive parenting, .66 for inconsistent discipline, and .70 for poor supervision subscales). Moderator analyses results found that differences in coefficient αs of the three subscales were influenced by numerous variables including administration format, country, language version, population, the mean and standard deviation of scores, and sample size. Our findings support the utility of the parent-report APQ-9 as a useful measure of parenting behaviors. Future research direction is also discussed.
Public Significance StatementThe Alabama Parenting Questionnaire-9 (APQ-9) is a widely used brief measure of parenting behaviors. The present study has shown acceptable mean α values for the three subscales. Our findings support the utility of the parent-report APQ-9 as a useful measure of parenting behaviors.
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