Online Post-Placement Training for Special Needs Adoptive and Kinship Parents

描述(由申请者提供)：在这个修订的第二阶段，该项目将开发和评估一套五个在线培训讲习班，旨在帮助寄养-收养和亲属关系父母安全和同理心地理解和减少3-10岁儿童在其照料、跟踪和整个安置过程中的外在行为问题。该培训结合了关于复杂创伤及其与亲属和收养家庭中受虐待儿童基本行为问题的关系的新兴理论。拟议的培训系列将通过将国家儿童创伤应激网络的干预建议与名为养育父母计划的行之有效的方法相结合来解决这些问题。每个工作坊都使用一个外在的行为问题作为一个门户，让父母探索孩子问题的历史和心理基础；检查和改变他们不移情、不切实际的父母态度和期望；以及学习如何有效地为孩子做父母。研讨会由在第一阶段开发的定制设计的软件引擎驱动，该引擎结合了“严肃游戏”的功能，并自动和无缝地集成了媒体组件，包括视频、音频、文本、互动练习、个性化回应练习和参与者讨论板。第一阶段的成果为母讲习班互动多媒体格式的有效性提供了支持。从测试前到测试后，家长在知识和信心方面都有了显著的增长，并在3个月的跟踪评估中保持了这种增长。许多领养和亲属关系的父母发现自己被一个有严重行为问题的孩子孤立、遗弃和挑战。不幸的是，这是导致收养的解散、破坏或置换的秘诀，以及对孩子和家庭一生的情感创伤。儿童的行为问题也使他们面临在家庭外护理中再次受到虐待的风险。与任何可比资源不同，拟议的讲习班有可能通过提供专门为有特殊需要儿童的安置后家庭设计的创新在线培训和支助，创造临床实践的范例转变。每个讲习班都将通过安置后家庭的样本进行单独评估。核心结果衡量标准是养育父母计划的标准化部分。此外，我们还将评估儿童外化行为问题的变化。结果也将在3个月的随访中进行评估。

DESCRIPTION (provided by applicant): In this revised Phase II, the project will develop and evaluate a set of five online training workshops designed to help foster-adoptive and kinship parents safely and empathically understand and reduce externalized behavior problems of children ages 3-10 in their care, following and throughout their placement. The training incorporates emerging theory about complex trauma and its relationship to the cardinal behavior problems of maltreated children in kinship and adoptive families. The proposed training series will address these issues by combining recommendations for intervention by the National Child Trauma Stress Network with a proven-effective approach titled Nurturing Parent Program. Each workshop uses an externalized behavior problem as a portal for parents to explore the historical and psychological basis of their child's problem; to examine and alter their non-empathic, unrealistic parent attitudes and expectations; and to learn how to effectively parent the child. The workshops are driven by a custom-designed software engine developed in Phase I that incorporates "serious game" features and that automates and seamlessly integrates media components, including video, audio, text, interactive exercises, individualized response exercises, and a participant discussion board. Results in Phase I provided support for the effectiveness of the interactive multimedia format for the parent workshop. Parents made significant gains in knowledge and confidence from pre- to post-test, and the gains were maintained at the 3-month follow-up assessment. Many adoptive and kinship parents find themselves feeling isolated, abandoned, and challenged by a child with severe behavior problems. Unfortunately, this is a recipe for the dissolution, disruption, or displacement of the adoption, along with a lifetime of emotional scars for the child and family. Children's behavioral problems also place them at risk of re-abuse in out-of-home care. Unlike any comparable resource, the proposed workshops have the potential of creating a paradigmatic shift in clinical practice by providing innovative online training and support specifically designed for post-placement families with children with special needs. Each workshop will be individually evaluated with a sample of post-placement families. Core outcome measures are a standardized part of the Nurturing Parent Program. In addition, we will assess changes in child externalized behavior problems. Outcomes will also be assessed at a 3-month follow-up.