IDEAS home Printed from https://ideas.repec.org/a/eee/cysrev/v95y2018icp49-63.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0190740918306200
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.childyouth.2018.10.018?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Elizabeth Fernandez, 2014. "Child Protection and Vulnerable Families: Trends and Issues in the Australian Context," Social Sciences, MDPI, vol. 3(4), pages 1-24, October.
    2. Zinn, Andrew & Orlebeke, Britany, 2017. "Juvenile court judicial expertise and children's permanency outcomes," Children and Youth Services Review, Elsevier, vol. 77(C), pages 46-54.
    3. Zinn, Andrew & Cusick, Gretchen, 2014. "Juvenile court pathways to legal permanence for children in substitute care," Children and Youth Services Review, Elsevier, vol. 36(C), pages 90-100.
    4. Goemans, Anouk & Vanderfaeillie, Johan & Damen, Harm & Pijnenburg, Huub & Van Holen, Frank, 2016. "Reunification of foster children: Factors associated with reunification outcomes in Flanders and the Netherlands," Children and Youth Services Review, Elsevier, vol. 70(C), pages 284-292.
    5. Landers, Ashley L. & Danes, Sharon M. & Harstad, Jane & White Hawk, Sandy, 2017. "Finding their way home: Factors associated with reunification for American Indian and White adults," Children and Youth Services Review, Elsevier, vol. 82(C), pages 359-364.
    6. Haight, Wendy & Marshall, Jane & Woolman, Joanna, 2015. "The Child Protection Clinic: A mixed method evaluation of parent legal representation," Children and Youth Services Review, Elsevier, vol. 56(C), pages 7-17.
    7. Davidson, Ryan D. & Tomlinson, Claire S. & Beck, Connie J. & Bowen, Anne M., 2019. "The revolving door of families in the child welfare system: Risk and protective factors associated with families returning," Children and Youth Services Review, Elsevier, vol. 100(C), pages 468-479.
    8. Potter, Marina Haddock & Font, Sarah A., 2021. "State contexts and foster care adoption rates," Children and Youth Services Review, Elsevier, vol. 126(C).
    9. Landers, Ashley L. & Danes, Sharon M., 2016. "Forgotten children: A critical review of the reunification of American Indian children in the child welfare system," Children and Youth Services Review, Elsevier, vol. 71(C), pages 137-147.
    10. Lloyd, Margaret H. & Akin, Becci A., 2014. "The disparate impact of alcohol, methamphetamine, and other drugs on family reunification," Children and Youth Services Review, Elsevier, vol. 44(C), pages 72-81.
    11. Lindner, Abigail Rose & Hanlon, Ryan, 2024. "Outcomes of youth with foster care experiences based on permanency outcome – Adoption, aging out, long-term foster care, and reunification: A systematic review," Children and Youth Services Review, Elsevier, vol. 156(C).
    12. Shipe, Stacey L. & Shaw, Terry V. & Betsinger, Sara & Farrell, Jill L., 2017. "Expanding the conceptualization of re-entry: The inter-play between child welfare and juvenile services," Children and Youth Services Review, Elsevier, vol. 79(C), pages 256-262.
    13. 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.
    14. Wulczyn, Fred & Gibbons, Robert & Snowden, Lonnie & Lery, Bridgette, 2013. "Poverty, social disadvantage, and the black/white placement gap," Children and Youth Services Review, Elsevier, vol. 35(1), pages 65-74.
    15. Lloyd, Margaret H. & Akin, Becci A. & Brook, Jody, 2017. "Parental drug use and permanency for young children in foster care: A competing risks analysis of reunification, guardianship, and adoption," Children and Youth Services Review, Elsevier, vol. 77(C), pages 177-187.
    16. Hébert, Sophie T. & Esposito, Tonino & Hélie, Sonia, 2018. "How short-term placements affect placement trajectories: A propensity-weighted analysis of re-entry into care," Children and Youth Services Review, Elsevier, vol. 95(C), pages 117-124.
    17. Davis, Elizabeth E. & Krafft, Caroline & Forry, Nicole D., 2017. "Understanding churn: Predictors of reentry among families who leave the child care subsidy program in Maryland," Children and Youth Services Review, Elsevier, vol. 77(C), pages 34-45.
    18. Cénat, Jude Mary & McIntee, Sara-Emilie & Mukunzi, Joana N. & Noorishad, Pari-Gole, 2021. "Overrepresentation of Black children in the child welfare system: A systematic review to understand and better act," Children and Youth Services Review, Elsevier, vol. 120(C).
    19. Foster, E. Michael & Hillemeier, Marianne M. & Bai, Yu, 2011. "Explaining the disparity in placement instability among African-American and white children in child welfare: A Blinder-Oaxaca decomposition," Children and Youth Services Review, Elsevier, vol. 33(1), pages 118-125, January.
    20. Welch, Vicki & Jones, Christine & Stalker, Kirsten & Stewart, Alasdair, 2015. "Permanence for disabled children and young people through foster care and adoption: A selective review of international literature," Children and Youth Services Review, Elsevier, vol. 53(C), pages 137-146.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:cysrev:v:95:y:2018:i:c:p:49-63. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/childyouth .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.