Education Commons^™

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

Robert Fox

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 …

Incidence Of Behavior Problems In Toddlers And Preschool Children From Families Living In Poverty, Casey A. Holtz, Robert A. Fox, John R. Meurer

Robert Fox

Few studies have examined the incidence of behavior problems in toddlers and preschool children from families living in poverty. The available research suggests behavior problems occur at higher rates in children living in poverty and may have long-term negative outcomes if not identified and properly treated. This study included an ethnically representative sample of 357 children, five years of age and younger, from a diverse, low-income, urban area. All families’ incomes met the federal threshold for living in poverty. Behavior problems were assessed by parent report through a questionnaire specifically designed for low-income families. Boys and younger children were reported …

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

Robert Fox

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.

Toddlers With Developmental Delays And Challenging Behaviors, Kathryn M. Keller, Robert A. Fox

Robert Fox

Behavior problems and parental expectations and practices were studied in a sample of 58 toddlers with developmental disabilities who were consecutively referred to a mental health clinic. The majority of children (70.7%) exceeded the clinical cut-off score for significant behavior problems including tantrums, aggression, defiance, and hyperactivity, and 77.6% met the DSM-IV criteria for a psychiatric diagnosis with oppositional defiant disorder being the most common. Consistent with previous research, child behavior problems were related to parental use of verbal and corporal punishment and were detrimental to the quality of the parent-child relationship. A new finding was that parental expectations also …

Behavior Problems In Toddlers With And Without Developmental Delays: Comparison Of Treatment Outcomes, Casey A. Holtz, Jennifer M. Carrasco, Ryan Mattek, Robert A. Fox

Robert Fox

The purpose of this study is to examine the effectiveness of an in-home parent management program for toddlers with behavior problems and developmental delays by comparing outcomes for a group of toddlers with developmental delays (n = 27) and a group of toddlers without developmental delays (n = 27). The majority of children lived in single parent, low-income homes. Results suggest that the parent management program is equally effective for children with and without developmental delays. Parents from both groups reported clinically significant improvement in their children's behavior and parenting practices. Clinical implications regarding the importance of these findings for …

Preventing Challenging Behaviour Through The Management Of Instructional Antecedents, John J. Wheeler, Stacy L. Carter, Michael R. Mayton, Morgan Chitiyo

John J. Wheeler

Pica: A Review Of Recent Assessment And Treatment Procedures

John J. Wheeler