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

描述（由申请人提供）：在修订后的第二阶段，该项目将开发和评估一套5个在线培训讲习班，旨在帮助寄养、收养和亲属父母安全、共情地理解和减少3-10岁儿童在安置后和安置过程中的外在行为问题。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的主要行为问题的关系的新兴理论。拟议的培训系列将通过结合国家儿童创伤压力网络的干预建议和一个被证明有效的方法来解决这些问题，该方法被称为养育父母计划。每个工作坊都以一个外化的行为问题为入口，让家长探索孩子问题的历史和心理基础；检查和改变他们的非共情，不切实际的父母态度和期望；并学习如何有效地养育孩子。研讨会由第一阶段开发的定制设计的软件引擎驱动，该引擎包含“严肃游戏”功能，并自动无缝地集成媒体组件，包括视频、音频、文本、互动练习、个性化响应练习和参与者讨论板。第一阶段的结果为家长研讨会的交互式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取得了显著的进步，并且在3个月的随访评估中保持了进步。许多养父母和亲属父母发现自己被有严重行为问题的孩子孤立、遗弃和挑战。不幸的是，这会导致收养关系的破裂、破裂或转移，同时也会给孩子和家庭带来终生的情感创伤。儿童的行为问题也使他们面临在家庭外照料中再次被虐待的风险。与任何类似的资源不同，拟议的讲习班通过为有特殊需要儿童的安置后家庭提供创新的在线培训和支持，具有在临床实践中创造范式转变的潜力。每个工作坊都将以安置后家庭为样本进行单独评估。核心结果测量是养育父母计划的标准化部分。此外，我们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.