Delivering parent management training in an integrated primary care setting: Description and preliminary outcome data

Debbie Gomez, Ana J. Bridges, Arthur R. Andrews, Timothy A. Cavell, Freddie A. Pastrana, Samantha J. Gregus, Carlos A. Ojeda

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

This paper describes how behavioral health consultants (BHCs) in an integrated primary care setting use evidence-based principles that underlie parent management training (PMT) to assist caregivers of youth with externalizing behavior problems. Illustrated is the decision-making process that BHCs utilize from the moment they receive a patient referral from a primary care provider to how interventions are selected and delivered. When delivering PMT in integrated care, operant-based learning principles underlying PMT are often selected based on a combination of factors, including match with presenting problem, caregiver efficacy, caregiver beliefs about the causes and maintaining factors, and feasibility of implementation. We further present preliminary outcome data on the effectiveness of BHCs' efforts to use PMT principles in a primary care setting. Participants were 21 caregivers and their children (Mage=7.76years, 38.1% female; 66.7% Hispanic) seen for an average of 2.38 visits. Pre-post data provided by caregivers (for youth 11years or younger) and adolescents (self-report of patients 12-17years of age) taken at the time of first and last sessions revealed significant reductions in global distress scores and high levels of satisfaction with services received. Findings support the viability of providing brief, focused PMT interventions for pediatric populations seen in primary care.

Original languageEnglish (US)
Pages (from-to)296-309
Number of pages14
JournalCognitive and Behavioral Practice
Volume21
Issue number3
DOIs
StatePublished - Aug 2014

Fingerprint

Caregivers
Primary Health Care
Consultants
Health
Hispanic Americans
Self Report
Decision Making
Referral and Consultation
Learning
Pediatrics
Population

Keywords

  • Externalizing behavior
  • Integrated behavioral health
  • Parent management training
  • Primary care
  • Youth

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

Delivering parent management training in an integrated primary care setting : Description and preliminary outcome data. / Gomez, Debbie; Bridges, Ana J.; Andrews, Arthur R.; Cavell, Timothy A.; Pastrana, Freddie A.; Gregus, Samantha J.; Ojeda, Carlos A.

In: Cognitive and Behavioral Practice, Vol. 21, No. 3, 08.2014, p. 296-309.

Research output: Contribution to journalArticle

Gomez, Debbie ; Bridges, Ana J. ; Andrews, Arthur R. ; Cavell, Timothy A. ; Pastrana, Freddie A. ; Gregus, Samantha J. ; Ojeda, Carlos A. / Delivering parent management training in an integrated primary care setting : Description and preliminary outcome data. In: Cognitive and Behavioral Practice. 2014 ; Vol. 21, No. 3. pp. 296-309.
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