Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth A National Agenda (2019) / Chapter Skim
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3 Generational Strategies
3 Generational Strategies
Pages 93-114
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From page 93... ...
PARENTING INTERVENTIONS Researchers have developed numerous interventions to strengthen parenting skills. Many parenting interventions target early developmental stages for two reasons: first, parents generally have the most extensive contact and exert the greatest influence while their offspring are infants, toddlers, and young children; second, early brain development is critical for MEB health outcomes.
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From page 94... ...
That report identifies knowledge, attitudes, and practices of parents that are associated with positive developmental outcomes in children ages 0–8, and also examines universal/preventive and targeted interventions designed to support parents and caregivers in developing those attributes. Although the authors do not confine their attention to MEB outcomes, the report identifies features of parenting interventions that "appear to influence success in engaging parents and increasing their use of effective parenting practices" (p.
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From page 95... ...
. Researchers have examined parenting interventions spanning different child ages and including both promotion and prevention approaches.
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From page 96... ...
, based on similar principles but using more streamlined, less intensive, and less costly interventions and parent training, has been effective in improving parenting skills and child outcomes. CARE is more broadly applicable than PCIT to improving child outcomes across populations of families, such as those providing foster care (Messer et al., 2018)
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A randomized controlled trial of the program in 28 rural communities showed positive impacts on family, parent, and youth outcomes with respect to promotion of protective factors and prevention of substance use (Redmond et al., 2009)
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Preventive Services Task Force determined in 2019 that there is no need to wait until a person is suffering from a clinical depression episode to intervene (O'Connor et al., 2019; U.S. Preventive Services Task Force, 2019)
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The 2019 recommendations of the U.S. Preventive Services Task Force are highlighting the need for new research to explore the impact of averting the onset of depression in the mother altogether and thereby possibly preventing the development of MEB disorders in her child and fostering healthy lifelong development.
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From page 100... ...
recommend testing interventions that both treat maternal depression and enhance parenting skills with infants and young children. There is also evidence that treating a parent's depression using medications and evidence-based psychotherapy, alone or in combination, can reduce adverse effects on older children (Cuijpers et al., 2015)
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From page 101... ...
Overall, while important questions about long-term outcomes and other issues require further study, it is clear that successfully controlling parental depression is a critically important component of any effort to promote healthy MEB development and prevent MEB disorders. Treatment for Substance Use Disorders and Parenting Training While the effects of parental substance disorder on children have received attention over the years (U.S.
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From page 102... ...
Research conducted over the past 10 years confirms and extends the evidence base for the effectiveness of home visitation and parenting skills training in preventing child maltreatment (van der Put et al., 2018)
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. The success of parent-focused interventions in preventing other forms of child maltreatment through enhancement of positive parenting skills (e.g., Triple P, Parent–Child Interaction Therapy)
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From page 104... ...
For some interventions, the evidence thus far consists of individual studies covering relatively small populations, but for others, such as teaching some parenting skills and treating depression in pregnant and postpartum women, strong meta-analyses provide a clear indication that these interventions limit potential harms to children and youth. Longer-term studies of the effects on children are needed, particularly to improve understanding of the mechanisms that make interventions effective and the specific benefits to children's MEB health they can yield;
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From page 105... ...
outcomes for young people, both by promoting healthy MEB development and by preventing MEB disorders: Programs that support and promote effective parenting and family bonding can have both promotive and preventive benefits, particularly with respect to behavior issues and substance use and abuse. Screening of pregnant women and all mothers for depression and provision of effective treatments hold promise for averting harm and improving children's MEB development.
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From page 106... ...
. Reducing potential for child abuse among methadone-maintained parents: Results from a randomized controlled trial.
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From page 107... ...
. Prevention of depression in at risk adolescents: A randomized controlled trial.
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From page 108... ...
. A randomized controlled trial of culturally relevant, brief interpersonal psychotherapy for perinatal depression.
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From page 109... ...
. Brief interpersonal psychotherapy for depression during pregnancy in a low-income population: A randomized controlled trial.
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From page 110... ...
. Interventions to prevent perinatal depression: Evidence report and systematic review for the preventive services task force.
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From page 111... ...
. Effects of home visitation on maternal competencies, family environment, and child development: A randomized controlled trial.
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From page 112... ...
. Preventing perinatal depression in low-income home visiting clients: A randomized controlled trial.
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From page 113... ...
A meta-analysis of randomized controlled trials. Prevention Science: The Official STO Journal of the Society for Prevention Research, 17(2)
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