Randomized trial of PMTO in foster care

12-month child well-being, parenting, and caregiver functioning outcomes

Becci A. Akin, K.M. Lang, Yueqi Yan, Thomas P. McDonald

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Evidence-supported parenting interventions (ESPIs) increasingly are used in child welfare to improve child well-being and parenting. However, little evidence exists on the effectiveness of ESPIs with biological families of children in foster care with serious behavioral health problems. To address this gap in the literature, we examined the outcomes of in-home Parent Management Training Oregon model (PMTO). PMTO was evaluated in a randomized trial in which 918 children were assigned to PMTO or services as usual with assessment at baseline, 6 months, and 12 months. Outcome domains included child social-emotional well-being, parenting, and caregiver functioning. Our results show PMTO demonstrated linear improvements in children's social-emotional functioning, problem behaviors, and social skills. Although results for parenting were inconclusive, two of four caregiver functioning outcomes (parent mental health and readiness for reunification) were significantly improved. Overall, these findings suggest PMTO and similar ESPIs may hold promise for promoting better outcomes for biological families of children in foster care with behavioral health problems.
Original languageEnglish
Pages (from-to)49-63
JournalChildren and Youth Services Review
Volume95
DOIs
Publication statusPublished - 2018

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child well-being
Parenting
Caregivers
caregiver
parents
management
evidence
reunification
linear model
health
child welfare
Linear Models
Mental Health
well-being
mental health

Cite this

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title = "Randomized trial of PMTO in foster care: 12-month child well-being, parenting, and caregiver functioning outcomes",
abstract = "Evidence-supported parenting interventions (ESPIs) increasingly are used in child welfare to improve child well-being and parenting. However, little evidence exists on the effectiveness of ESPIs with biological families of children in foster care with serious behavioral health problems. To address this gap in the literature, we examined the outcomes of in-home Parent Management Training Oregon model (PMTO). PMTO was evaluated in a randomized trial in which 918 children were assigned to PMTO or services as usual with assessment at baseline, 6 months, and 12 months. Outcome domains included child social-emotional well-being, parenting, and caregiver functioning. Our results show PMTO demonstrated linear improvements in children's social-emotional functioning, problem behaviors, and social skills. Although results for parenting were inconclusive, two of four caregiver functioning outcomes (parent mental health and readiness for reunification) were significantly improved. Overall, these findings suggest PMTO and similar ESPIs may hold promise for promoting better outcomes for biological families of children in foster care with behavioral health problems.",
author = "Akin, {Becci A.} and K.M. Lang and Yueqi Yan and McDonald, {Thomas P.}",
year = "2018",
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}

Randomized trial of PMTO in foster care : 12-month child well-being, parenting, and caregiver functioning outcomes. / Akin, Becci A.; Lang, K.M.; Yan, Yueqi; McDonald, Thomas P.

In: Children and Youth Services Review , Vol. 95, 2018, p. 49-63.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Randomized trial of PMTO in foster care

T2 - 12-month child well-being, parenting, and caregiver functioning outcomes

AU - Akin, Becci A.

AU - Lang, K.M.

AU - Yan, Yueqi

AU - McDonald, Thomas P.

PY - 2018

Y1 - 2018

N2 - Evidence-supported parenting interventions (ESPIs) increasingly are used in child welfare to improve child well-being and parenting. However, little evidence exists on the effectiveness of ESPIs with biological families of children in foster care with serious behavioral health problems. To address this gap in the literature, we examined the outcomes of in-home Parent Management Training Oregon model (PMTO). PMTO was evaluated in a randomized trial in which 918 children were assigned to PMTO or services as usual with assessment at baseline, 6 months, and 12 months. Outcome domains included child social-emotional well-being, parenting, and caregiver functioning. Our results show PMTO demonstrated linear improvements in children's social-emotional functioning, problem behaviors, and social skills. Although results for parenting were inconclusive, two of four caregiver functioning outcomes (parent mental health and readiness for reunification) were significantly improved. Overall, these findings suggest PMTO and similar ESPIs may hold promise for promoting better outcomes for biological families of children in foster care with behavioral health problems.

AB - Evidence-supported parenting interventions (ESPIs) increasingly are used in child welfare to improve child well-being and parenting. However, little evidence exists on the effectiveness of ESPIs with biological families of children in foster care with serious behavioral health problems. To address this gap in the literature, we examined the outcomes of in-home Parent Management Training Oregon model (PMTO). PMTO was evaluated in a randomized trial in which 918 children were assigned to PMTO or services as usual with assessment at baseline, 6 months, and 12 months. Outcome domains included child social-emotional well-being, parenting, and caregiver functioning. Our results show PMTO demonstrated linear improvements in children's social-emotional functioning, problem behaviors, and social skills. Although results for parenting were inconclusive, two of four caregiver functioning outcomes (parent mental health and readiness for reunification) were significantly improved. Overall, these findings suggest PMTO and similar ESPIs may hold promise for promoting better outcomes for biological families of children in foster care with behavioral health problems.

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