Parent Training Programmes for the Management of Young Children with Conduct Disorders: Findings from Research
Joanna Richardson and Carol Joughin
Conduct disorders are the most common form of problems
referred to child and adolescent mental health services. The
appropriate management of children with conduct disorders is an
important public health issue with significant financial
implications for health, education, social services and other
agencies.
This book presents key research relating to the use of parent
training programmes for the treatment and prevention of conduct
disorders in young children. It includes:
- An overview of definitions, epidemiology, long term outcomes,
risk factors and assessment.
- Summaries of previous systematic reviews in this area.
- New research presented and critically appraised.
- Discussion of current provision of parent training programmes
in the UK.
It will assist clinicians, managers and commissioners and all
other professionals involved in the management of young children
with conduct disorders to adopt an evidence-based approach to
practice.
Contents
Preface
Acknowledgements
1. Conduct disorders: an overview
Definitions and terminology. Prevalence. Long-term outcomes. Cost
of treating children. Risk factors. Assessment.
Treatment.
2. The research evidence
Identifying the research evidence. The quality of the research
evidence. Estimating the effect of interventions. Using the
research evidence.
3. The research base for parent-training
programmes
What types of parent-training programmes
are available? Which type of programme is more effective in
treating conduct disorder? Are group programmes better than
individual programmes? Long-term outcomes of these programmes. Are
programmes effective in general clinical settings?
4. The research base for improving the effectiveness
of parent-training programmes
Are there additional
interventions to increase the effectiveness of programmes? What
factors influence parents’ participation in parent-training
programmes?
5. The research base for the prevention of conduct
disorders
High-risk children.
6. Evaluations of programmes and current research in
the UK
Webster-Stratton-based approaches. Other
approaches. The cost of manualised programmes.
7. Current practice: survey results
Do
all services offer parent-training programmes? What types of
parent-training programmes are being offered? Are the programmes
effective and have they been formally evaluated? Which staff are
carrying out the parent-training programmes? Have these staff been
trained in parent-training techniques? What plans do services have
for developing parent-training programmes further? What other
interventions are being offered to these children in these
services? Who refers these children to child and adolescent mental
health services?
8. Summary of key issues
Limitations of
current research. Key findings.
Appendix 1. Diagnostic criteria for conduct disorder
and oppositional defiant disorder (DSM–IV and
ICD-10)
DSM-IV diagnostic criteria for conduct
disorder. DSM–IV diagnostic criteria for oppositional defiant
disorder. ICD–10 diagnostic criteria for conduct
disorders.
Appendix 2. Search strategies and filters used in
literature search
Search 1: ADHD and disruptive
behaviour disorders. Search 2: Behavioural problems.
Appendix 3. The research base
Papers
appraised in this report. Appraisal of systematic reviews. Critical
appraisal of randomised controlled trials (treatment studies).
Critical appraisal of randomised controlled trials (prevention
studies).
Appendix 4. Appraisal of studies included in Barlow’s
(1999) systematic review
Appendix 5. Questionnaire on parent-training
programmes
References
Index