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

描述（由申请人提供）：在这个修订后的第二阶段，该项目将开发和评估一套五个在线培训研讨会，旨在帮助寄养和亲属父母安全和同情地理解和减少3-10岁儿童在他们的照顾，以下和整个安置的外在行为问题。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之间关系的新兴理论。拟议的培训系列将通过将国家儿童创伤压力网络的干预建议与名为养育父母方案的经证明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父母探索孩子问题的历史和心理基础的门户;检查和改变他们的非移情，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，并自动化和无缝集成媒体组件，包括视频，音频，文本，交互式练习，个性化响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。家长的知识和信心从前到后的测试中取得了显着的收益，并保持在3个月的随访评估。许多养父母和亲属发现自己感到孤立，被遗弃，并受到有严重行为问题的孩子的挑战。不幸的是，这是一个配方的解散，中断，或流离失所的收养，沿着一生的情感创伤的孩子和家庭。儿童的行为问题也使他们在家庭外照料中面临再次虐待的风险。与任何可比资源不同，拟议的研讨会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持，在临床实践中创造一个范式转变。每个讲习班将单独评估与安置后的家庭样本。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。还将在3个月随访时评估结局。

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.