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Randomized trial of PMTO in foster care: 12-month child well-being, parenting, and caregiver functioning outcomes

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  • Akin, Becci A.
  • Lang, Kyle
  • Yan, Yueqi
  • McDonald, Thomas P.

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.

Suggested Citation

  • Akin, Becci A. & Lang, Kyle & Yan, Yueqi & McDonald, Thomas P., 2018. "Randomized trial of PMTO in foster care: 12-month child well-being, parenting, and caregiver functioning outcomes," Children and Youth Services Review, Elsevier, vol. 95(C), pages 49-63.
    • Handle: RePEc:eee:cysrev:v:95:y:2018:i:c:p:49-63
    DOI: 10.1016/j.childyouth.2018.10.018
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    References listed on IDEAS

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    1. Akin, Becci A. & Bryson, Stephanie A. & Testa, Mark F. & Blase, Karen A. & McDonald, Tom & Melz, Heidi, 2013. "Usability testing, initial implementation, and formative evaluation of an evidence-based intervention: Lessons from a demonstration project to reduce long-term foster care," Evaluation and Program Planning, Elsevier, vol. 41(C), pages 19-30.
    2. Akin, Becci A. & Yan, Yueqi & McDonald, Thomas & Moon, Jungrim, 2017. "Changes in parenting practices during Parent Management Training Oregon model with parents of children in foster care," Children and Youth Services Review, Elsevier, vol. 76(C), pages 181-191.
    3. Oxford, Monica L. & Marcenko, Maureen & Fleming, Charles B. & Lohr, Mary Jane & Spieker, Susan J., 2016. "Promoting birth parents' relationships with their toddlers upon reunification: Results from Promoting First Relationships® home visiting program," Children and Youth Services Review, Elsevier, vol. 61(C), pages 109-116.
    4. Akin, Becci A., 2011. "Predictors of foster care exits to permanency: A competing risks analysis of reunification, guardianship, and adoption," Children and Youth Services Review, Elsevier, vol. 33(6), pages 999-1011, June.
    5. Connell, Christian M. & Katz, Karol H. & Saunders, Leon & Tebes, Jacob Kraemer, 2006. "Leaving foster care--the influence of child and case characteristics on foster care exit rates," Children and Youth Services Review, Elsevier, vol. 28(7), pages 780-798, July.
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    Cited by:

    1. Fernald, Douglas H. & Zittleman, Linda & Gilchrist, Emma C. & Brou, Lina I. & Brou, Lina I. & Niebauer, Linda & Ledonne, Charlotte & Sutter, Christin & Felzien, Maret & Westfall, John M. & Green, Larr, 2021. "UPSTREAM! Together evaluation results from community efforts to prevent mental, emotional, and behavioral health problems," Evaluation and Program Planning, Elsevier, vol. 89(C).
    2. Finster, Heather P. & Norwalk, Kate E., 2021. "Characteristics, experiences, and mental health of children who re-enter foster care," Children and Youth Services Review, Elsevier, vol. 129(C).

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