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Young children

College of Education Faculty Research and Publications

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Home-Based Parent Child Therapy For Young Traumatized Children Living In Poverty: A Randomized Controlled Trial, Joanna R. Love, Robert Fox Jan 2017

Home-Based Parent Child Therapy For Young Traumatized Children Living In Poverty: A Randomized Controlled Trial, Joanna R. Love, Robert Fox

College of Education Faculty Research and Publications

A randomized control trial was used to evaluate the effectiveness of a home-based, parent-and-child therapy program specifically developed for toddlers and preschoolers living in poverty with trauma symptoms. Sixty-four children 5-years of age and younger were referred to a community-based clinic for behavior problems and emotional difficulties. All children had experienced one or more potentially traumatic events and met the DSM-5’s criteria for Post-Traumatic Stress Disorder in Children Six Years of Age and Younger. All families received government assistance indicating that their income met the federal definition for poverty. Participants were randomly assigned to either immediate treatment or wait …


Development Of A Barriers Scale To Predict Early Treatment Success For Young Children In Poverty With Behavior Problems, Brittany Lynn Gresl, Robert A. Fox, Lauryn A. Besasie Sep 2016

Development Of A Barriers Scale To Predict Early Treatment Success For Young Children In Poverty With Behavior Problems, Brittany Lynn Gresl, Robert A. Fox, Lauryn A. Besasie

College of Education Faculty Research and Publications

Research has demonstrated that participation in parent and child therapy (PCT) programs significantly reduces problematic behaviors while increasing positive behaviors in the child. However, PCT programs report rates of early termination as high as 60% among families in poverty. Research to reduce these early termination rates has historically focused on barriers to treatment including logistical conflicts, socioeconomic status, child age, and symptom severity. Despite attempts to address these variables and reduce early termination rates, progress has been slow in advancing the research in this area. In addition, few measures have been designed to accurately assess how barriers to treatment impact …


Early Pathways Therapy For Young Children In Poverty: A Randomized Controlled Trial, Sara E. Harris, Robert A. Fox, Joanna R. Love Jun 2015

Early Pathways Therapy For Young Children In Poverty: A Randomized Controlled Trial, Sara E. Harris, Robert A. Fox, Joanna R. Love

College of Education Faculty Research and Publications

Early Pathways is a home-based, parent and child therapy program for the treatment of disruptive behaviors among young children living in poverty. In this study, 199 clinically referred children were randomly assigned to an immediate treatment (IT) or wait-list control (WL) conditions. Results indicated that parents in the IT condition reported significant improvements in their child’s disruptive and prosocial behaviors and increased nurturing and decreased use of corporal and verbal punishment by their parents compared to the WL families. Gains were maintained for children in both the IT and WL conditions at 3-month follow-up.


Home-Based Parent-Child Therapy In Low-Income African American, Caucasian, And Latino Families: A Comparative Examination Of Treatment Outcomes, Brittany L. Gresl, Robert A. Fox, Alicia Fleischmann Jan 2014

Home-Based Parent-Child Therapy In Low-Income African American, Caucasian, And Latino Families: A Comparative Examination Of Treatment Outcomes, Brittany L. Gresl, Robert A. Fox, Alicia Fleischmann

College of Education Faculty Research and Publications

This study examined parent and child treatment outcomes for a home-based Parent-Child Therapy (PCT) program for 66 children from families living in poverty. African American, Caucasian, and Latino families were examined to determine if an evidence-based program would produce similar results across different ethnic groups. The results showed that caregivers across the three ethnic groups reported improved child challenging behavior, increased positive parent-child interactions, improved parental expectations, higher levels of nurturing, and less reliance on verbal and corporal punishment as a form of discipline. Practical implications for these results are discussed.


Treatment Outcomes For At-Risk Young Children With Behavior Problems: Toward A New Definition Of Success, Michael P. Fung, Robert A. Fox, Sara E. Harris Jan 2014

Treatment Outcomes For At-Risk Young Children With Behavior Problems: Toward A New Definition Of Success, Michael P. Fung, Robert A. Fox, Sara E. Harris

College of Education Faculty Research and Publications

This study examined the outcomes of Early Pathways (EP), an in-home parent–child therapy program with 447 at-risk children younger than 5 years of age who were referred for severe behavior and emotional problems, such as aggression, oppositional behavior, and separation anxiety. EP emphasized parent-directed training of child behavior strategies including psychoeducation regarding child development, child-led play, and cognitive-behavioral techniques. Outcomes were assessed using a unique 2-dimensional definition of treatment completion, which consisted of treatment duration and an assessment of reliable change for the primary outcome measure of child behavior problems. Results showed that the majority of children (63.4%) met or …


Evaluation Of A University-Community Partnership To Provide Home-Based, Mental Health Services For Children From Families Living In Poverty, Robert A. Fox, Ryan Mattek, Brittany L. Gresl Oct 2013

Evaluation Of A University-Community Partnership To Provide Home-Based, Mental Health Services For Children From Families Living In Poverty, Robert A. Fox, Ryan Mattek, Brittany L. Gresl

College of Education Faculty Research and Publications

A university-community partnership is described that resulted in the development of community-based mental health services for young children from families living in poverty. The purpose of this pilot project was to implement an evidence-based treatment program in the homes of an at-risk population of children with significant emotional and behavior problems that were further complicated by developmental delays. Outcomes for 237 children who participated in the clinic’s treatment program over a 2 year period are presented. Comparisons are included between treatment completers and non-completers and the issues of subject attrition, potential subject selection bias, and the generalizability of the results …