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Parenting

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Product Description

By Graham Martin OAM, Matthew R Sanders

Published: 2003
Pages: 117 (PDF version)

Overview

Editors:

Graham Martin OAM, MD, FRANZCP, DPM
Professor and Director, Child and Adolescent Psychiatry, The University of Queensland

Matthew R Sanders
Director, Parenting and Family Support, The University of Queensland

It is now widely accepted that dysfunctional parenting practices and family conflict are generic risk factors related to a wide variety of behavioural and emotional problems in children and adolescents. Indeed of all the potentially modifiable risk and protective factors that can affect children's development, improving parenting skills and confidence holds the greatest potential in improving children's health status and well being, and in reducing the risk of developing serious mental health problems.

Evidence to support the importance of good parenting in the aetiology, maintenance, treatment and prevention of childhood problems is substantial. This evidence comes from diverse fields and areas of inquiry including animal research, behavioural genetics, developmental studies using both cross sectional and longitudinal designs, and intervention research where parenting variables are manipulated in both treatment and prevention trials (see Sanders, 1999).This collection of research reports and case studies explores the role of good parenting in having the greatest potential to improve children's health status and well being, and in reducing the risk of developing serious mental health problems.

Werry has suggested (1997) that up to 5% of young people may develop conduct disorder, and the incidence rises steeply with adolescence. With these numbers in our society, and the resulting costs, there is a clear need for universal preventive approaches to the problems. Parenting management support can be seen as selective - that is parents can be referred when they are seen to be struggling. It can also be universal - it can be made widely available for new or young parents or those where intergenerational knowledge of how to provide the best of care for children has been lost in an increasingly fragmented society. One need is for carefully developed, evidence based approaches, easily learned by therapists and capable of being applied in a range of circumstance. It is our hope that this issue of AeJAMH contributes to that evidence by considering one of the many approaches to parenting management. Another need is for professionals to have clear knowledge of risk and protective factors, and the comparative effectiveness and cost-effectiveness of programs, along the trajectory of early life.

A final need is for improved communication between the systems working closely with children and their families, which in turn may contribute to better collaboration. Conduct disorder is complex and expensive to treat, and the more we miss the clues in the early stages, the more entrenched the condition becomes, the less likely it is to be amenable to change. There is now substantial evidence that early recognition and early intervention at key points provide us with the best opportunity for long term success.

The papers presented in this series show that not only can evidence-based programs be successfully implemented across different services and delivery contexts, but that ongoing evaluation can demonstrate that outcomes achieved can be comparable to those achieve in clinical trials. These programs combined with existing research trials show that Triple P is a powerful population level intervention supporting parents to more confidently raise their children. Furthermore these data support the conclusion that the program can be successfully disseminated across a variety of service delivery contexts and remain effective.

This special issue offers important, well researched observations on the potentially modifiable risk and protective factors that can affect children's development through improving parenting skills and as such is imperative reading for researchers, students, counsellors, mediators, clinicians and other mental health professionals involved with family wellbeing and mental health.

Table of Contents

Editorial
Graham Martin 

Guest Editorial: The translation of an evidence-based parenting program into regular clinical services
Matthew R Sanders 

Triple P - Positive Parenting Program: A population approach to promoting competent parenting
Matthew R Sanders 

The Transition to School Project: Results from the classroom
Philippa McTaggart, Matthew R Sanders 

Early intervention to help parents manage behavioural and emotional problems in early adolescents: What parents want
Alan Ralph, John Winston Toumbourou, Morgen Grigg, Rhiannon Mulcahy, Michael Carr-Gregg, Matthew R Sanders 

Preliminary evaluation of the Group Teen Triple P program for parents of teenagers making the transition to high school
Alan Ralph, Matthew R Sanders 

Community-wide implementation of a parenting program: the South East Sydney Positive Parenting Project
Carlie Dean, Karen Myors, Elizabeth Evans 

Training in parent consultation skills for primary care practitioners in early intervention in the pre-school context
Lea Crisante 

Report on a program evaluation of a telephone assisted parenting support service for families living in isolated rural areas
Warren Cann, Helen Rogers, Greg Worley 

Family Intervention Services program evaluation: A brief report on initial outcomes for families
Warren Cann, Helen Rogers, Jan Matthews 

Evaluation of the Family Intervention Service for children presenting with characteristics associated with Attention Deficit Hyperactivity Disorder
Helen Rogers, Warren Cann, Daisy Cameron, Lyn Littlefield, Vince Lagioia 

Implementation and process issues in using Group Triple P with Chinese parents: Preliminary findings
Lea Crisante, Sally Ng


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