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
- 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.
1. Conduct disorders: an
Definitions and terminology. Prevalence. Long-term outcomes. Cost
of treating children. Risk factors. Assessment.
2. The research evidence
Identifying the research evidence. The quality of the research
evidence. Estimating the effect of interventions. Using the
3. The research base for
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
4. The research base for improving the effectiveness of
Are there additional
interventions to increase the effectiveness of programmes? What
factors influence parents’ participation in parent-training
5. The research base for the prevention of conduct
6. Evaluations of programmes and current research in the
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
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
DSM-IV diagnostic criteria for conduct
disorder. DSM–IV diagnostic criteria for oppositional defiant
disorder. ICD–10 diagnostic criteria for conduct
Appendix 2. Search strategies and filters used in literature
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
Appendix 4. Appraisal of studies included in Barlow’s (1999)
Appendix 5. Questionnaire on