Search results for ‘Subject term:"conduct disorders"’ Sort:
Results 1 - 10 of 63
Meeting expectations: the pilot evaluation of the Solihull Approach Parenting Group
- Authors:
- BATESON Karen, DELANEY Jill, PHYBUS Rachel
- Journal article citation:
- Community Practitioner, 81(5), May 2008, pp.28-31.
- Publisher:
- Community Practitioners' and Health Visitors' Association
A new parenting group based on National Institute for Health and Clinical Excellence guidelines for parenting groups for conduct disorder and the Solihull Approach, a multi-agency approach to improve the parent-child relationship and behaviour management was developed. It aimed to create a parenting group that was theoretically coherent, of proven effectiveness, time efficient, for universal through to more complex problems, for parents of children from birth to 18 years, accessible to parents with literacy difficulties, able to be run by community practitioners such as health visitors and school nurses, and supported by a cost-effective and uncomplicated staff training model. This article describes the development of the Solihull Approach Parenting Group and the results of its first large-scale pilot evaluation. The results show an improvement in child behaviour and reductions in parental anxiety.
Revisiting 'What works for whom?': A qualitative framework for evaluating clinical effectiveness in child psychotherapy
- Author:
- URWIN Cathy
- Journal article citation:
- Journal of Child Psychotherapy, 33(2), August 2007, pp.134-160.
- Publisher:
- Routledge
This paper describes a framework for evaluating the effectiveness of child psychotherapy used by child psychotherapists in an inner city Child and Adolescent Mental Health Service (CAMHS). The Hopes and Expectations for Treatment Approach (HETA) involves using the assessment for psychotherapy that normally precedes treatment to derive a baseline from which to generate a set of hopes/expectations as regards the effects of the treatment on the part of parents and the psychotherapist, to be revisited one year after the start of the psychotherapy and/or at its completion. The Strength and Difficulties Questionnaire, for parents and schools, was also administered before and after the treatment. The characteristics of the first 30 children referred for psychotherapy over a particular time period are described. Of the first 15 children in this group to complete one year of individual psychotherapy, all showed change or significant change in the areas concerning parents' and therapists' hopes at the end-of-year review, as rated by parents and psychotherapists. A case of a child with conduct disorder is used to describe how the assessment generated a psychoanalytic formulation, how the therapist's understanding was fed back to the parents, and how the parents' and therapist's hopes and expectations were derived and recorded. This case illustrates powerfully the impact of trauma in the parents' backgrounds on the internal world of the child, and how the method provides a useful bridge between parent and child work. Feedback from the psychotherapists, the parents and the referrers using the framework is reviewed, and in conclusion the paper argues for the framework's value in promoting good practice in the treatment and management of complex cases and in enhancing awareness of the nature and scope of the psychotherapy process.
City of Glasgow nurture group pilot scheme evaluation
- Author:
- GERRARD Brendan
- Journal article citation:
- Emotional and Behavioural Difficulties, 10(4), December 2005, pp.245-253.
- Publisher:
- Taylor and Francis
Three forms of objective evaluation were used to assess the impact of a nurture group pilot project on the lives of staff and pupils: Boxall Profiles, the Strength and Difficulties Questionnaire, and questionnaires for staff. In addition, a micro study was carried out of two nurture groups using matched control groups. The article provides an overview of the project. It is hoped that analysis can be continued and that further evaluation of the progress of children can be carried out with more robust control groups in place from the outset.
Group cognitive‐behavioural therapy for hoarding disorder: systematic review and meta‐analysis
- Authors:
- BODRYZLOVA Yuliya, et al
- Journal article citation:
- Health and Social Care in the Community, 27(3), 2019, pp.517-530.
- Publisher:
- Wiley
Previous meta‐analysis has reported the rate of reliable and clinically significant changes in hoarding disorder (HD) after cognitive‐behavioural therapy (CBT) based on the classical CBT model of HD, as between 42% and 25%. However, in this analysis, different types of therapy (group vs individual, G‐CBT and I‐CBT, respectively), different providers (psychologist vs nonpsychologist), and different diagnosis (HD vs hoarding behaviour) were analysed together. Hence, it remains unclear if reported rate of changes was due to limits of the CBT model of HD or due to the fact that different applications of the model were analysed together. The aim of this meta‐analysis is to highlight shortcomings in the description of existing approaches in G‐CBT in HD and provide an up‐to‐date review of the current state of efficacy. This study included references for treatment trials of G‐CBT for HD in adults with object hoarding, where treatment was conducted by a professional in PubMed, PsychINFO and Web of Science databases, and ResearchGate (for grey literature). Data on participants, treatment modalities, and outcomes were extracted; treatment effect‐size was meta‐analysed. Five hundred and forty‐three references were found; after title and abstract screening, eight articles (178 participants) were retained of which seven were included in the meta‐analysis. G‐CBT showed improvement of HD severity at posttreatment (Hedge's g = 0.96). The rate of clinically reliable changes across groups of treatment was 21%–68% (M = 36.7%; SD = 12.1%). The meta‐analyses showed a statistically but not clinically significant impact of age on effect‐size. No publication bias was found. There is strong evidence supporting the efficacy of G‐CBT including modified or extended versions of classical G‐CBT protocols. However, controlled trials with follow‐up assessment are needed to evaluate long‐term G‐CBT efficacy for HD. As well, the rate of clinically significant changes is low; further research on the HD model could improve the efficacy of G‐CBT. (Edited publisher abstract)
Harmful sexual behaviour framework: audit tool
- Author:
- NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN
- Publisher:
- National Society for the Prevention of Cruelty to Children
- Publication year:
- 2016
- Pagination:
- 15
- Place of publication:
- London
An audit tool to enable local areas to assess their practice, processes and leadership against the five key domains of the NSPCC ‘Harmful sexual behaviour framework’. The domains are closely interrelated and comprise: a continuum of responses to children and young people displaying HSB; prevention, identification and early intervention; effective assessment and referral pathways; multi-modal approach to intervention; and workforce development. Each audit exercise provide ten statements, in no particular order, against which a score between 0 and 4 should be given. (Edited publisher abstract)
A randomized effectiveness trial of brief parent training: six-month follow-up
- Authors:
- KJOBLI John, BJORNEBEKK Gunnar
- Journal article citation:
- Research on Social Work Practice, 23(6), 2013, pp.603-612.
- Publisher:
- Sage
Objective: Using a randomized controlled trial and parent and teacher reports, this study examined the effectiveness of brief parent training (BPT) for children with emerging or existing conduct problems compared to regular services 6 months after the end of the intervention. Participants included 216 children (3–12 years) and parents randomly assigned to BPT or a comparison group. Results: BPT had beneficial effects on caregiver assessments of parenting practices (such as positive parenting and harsh discipline) and child conduct problems in the families 6 months after the intervention. The effects of BPT in schools and day care centers were limited. Compared to posttest the effects sizes were smaller and number of significant effects lower. Conclusion: Although effects decreased over time, this study demonstrate that a short-term manual-based intervention (3-5 sessions) could be effective in reducing conduct problems 6 month after the intervention. (Edited publisher abstract)
The clinical effectiveness of different parenting programmes for children with conduct problems: a systematic review of randomised controlled trials
- Authors:
- DRETZKE Janine, et al
- Journal article citation:
- Child and Adolescent Psychiatry and Mental Health, 3(7), March 2009, Online only
- Publisher:
- BioMed Central
Randomised controlled trials of parenting programmes for the treatment of children with conduct problems were systematically reviewed. Twenty electronic databases from the fields of medicine, psychology, social science and education were searched for RCTs and systematic reviews to February 2006. Inclusion criteria were: randomised controlled trial; of structured, repeatable parenting programmes; for parents/carers of children up to the age of 18 with a conduct problem; and at least one measure of child behaviour. Results from this systematic review of 57 randomised controlled studies, including a meta-analysis of 24 of the studies, indicate that parenting programmes are effective in reducing conduct problems in children. The evidence was mostly derived from parent reports of behaviour change. The relative effectiveness of different approaches to programme delivery was not determined due to a lack of evidence.
The Leader Observation Tool: a process skills treatment fidelity measure for the Incredible Years parenting programme
- Authors:
- EAMES C., et al
- Journal article citation:
- Child: Care, Health and Development, 34(3), May 2008, pp.391-390.
- Publisher:
- Wiley
Despite recognition of the need to deliver evidence-based programmes in the field of mental health, there is little emphasis on implementing such programmes with fidelity. Attempts by programme developers to ensure adherence to their programmes include the development of training, manuals and content scales, but these alone may be insufficient to ensure fidelity in replication. Observational measures lend themselves as a potentially useful assessment of intervention outcomes, providing accurate and objective accounts of the intervention process. This study aimed to develop a reliable and valid observational treatment fidelity tool of process skills required to deliver the Incredible Years (IY) BASIC parenting programme effectively. An objective observational fidelity measure was developed to assess adherence to the IY BASIC parenting programme protocol. Observations were conducted on 12 IY BASIC parenting programme groups, attended by parents of pre-school children displaying signs of early onset conduct disorder. The Leader Observation Tool (LOT) achieved high internal reliability and good code–recode and inter-rater reliability. Evidence of concurrent validity was also obtained. Having demonstrated that the LOT is a reliable and valid measure of implementation fidelity, further research is necessary to examine the relationship between LOT scores and intervention outcome.
Implementing child mental health interventions in service settings: lessons from three pragmatic randomised controlled trials in Wales
- Authors:
- HUTCHINGS Judy, et al
- Journal article citation:
- Journal of Children's Services, 3(1), September 2008, pp.17-27.
- Publisher:
- Emerald
This article reports on three pragmatic randomised controlled trials (RCTs) to help children at risk of conduct disorder (CD): two involved the Incredible Years (IY) BASIC parent programme and other concerned the IY teacher programme. All three interventions took place in regular service settings in North- and Mid-Wales. In all three studies, staff from the provider agency delivered the programme and participated in RCT evaluations in which participants were randomly allocated to intervention or waiting-list control conditions. After a brief introduction to the research into the prevention or treatment of CD, and the issues to be considered by services in selecting and delivering interventions, this article summarises the structure, content and evidence base of the IY programmes. The three Welsh studies are briefly described before exploring what factors contributed to service participation in the trials and the benefits and lessons learned in undertaking them.
Children with challenging behaviour
- Author:
- BLEWETT James
- Journal article citation:
- Community Care, 3.7.08, 2008, pp.26-27.
- Publisher:
- Reed Business Information
Discusses research on the effectiveness of a centre-based approach to children with challenging behaviour from Scotland who were at risk of becoming offenders. The main service was group work supplemented with individual work with the children. There was also support for the parents of the children.