Topic: Behavioral Problems, Parenting
Target Population: Early Childhood, Middle Childhood, Parents
Sector: Community-Based
This program is for parents and their children who are 4 to 12 years old and are exhibiting behavioral problems.
GenerationPMTO, formerly known as Parent Management Training - Oregon Model (PMTO®), a community-based parenting intervention, is designed to improve parenting skills and techniques, reduce child’s behavior problems, and encourage positive social and emotional development in children. GenerationPMTO is the model for several group-based, parent training programs including ADAPT*, Marriage and Parenting in Stepfamilies*, and Parenting Through Change*.
*Separate fact sheets are available for each of these programs.
A number of randomized controlled trials (RCTs) evaluating the effectiveness of PMTO have been conducted. Results from one evaluation at a follow-up conducted 1 year after program completion indicate that GenerationPMTO youth showed sustained improvements relative to treatment as usual (TAU) youth in problem behaviors and social skills, PMTO parents reported higher levels of family cohesion compared to TAU parents, and GenerationPMTO two-parent families experienced lower levels of negative interactions compared to TAU two-parent families. Results from a second RCT demonstrate that GenerationPMTO and TAU groups both experienced reductions in child externalizing behavior, parenting stress, and parental psychopathology at approximately 12 months after program completion, and there were no significant differences between groups. It is worth noting that while this one RCT demonstrated sustained improvements in parental stress, other RCTs found very small or no effects on parental stress. Across studies, results generally indicate the strongest improvements in child behavior problems and social skills, less robust findings for parenting skills, and mixed results for parental stress.
GenerationPMTO intends to teach parents to reduce coercive parenting practices and interact with their children in positive and reinforcing ways. The program aims to teach parents the following five strength-based practices that can help to prevent and manage children’s behavior problems:
Parents are encouraged to use these core skills as they address and adjust their child’s negative behavior. Additional supporting components include providing clear directions, identifying and regulating emotions, and communicating appropriately. Parents are engaged in an active learning process where they participate in instruction, role-play, and exercises to reinforce skills. In some sessions, children participate with their parents. Program delivery is flexible and includes individual family sessions, parent groups, and telehealth.
Since the first implementation of GenerationPMTO in Norway in 1999, the program has been delivered to over 50,000 families of various cultures and socioeconomic backgrounds in different countries, including the United States, Denmark, Iceland, the Netherlands, and Norway.
Trained and certified facilitators deliver this program. Training consists of two to three workshops and coaching seminars, for a total of approximately 10 days. For more information on training and associated costs, please visit https://generationpmto.org/training-and-certification/
Considerations for implementing this program include recruiting therapists and ensuring they receive training; acquiring participant buy-in; finding adequate space to conduct the sessions; and recognizing that coaching and certification may require the use of technology, such as recording equipment, computers, and internet access.
The Clearinghouse can help address these considerations. Please call 1-877-382-9185 or email Clearinghouse@psu.edu
If you are interested in implementing GenerationPMTO, the Clearinghouse is interested in helping you!
Please call 1-877-382-9185 or email Clearinghouse@psu.edu
Treatment sessions last 60 minutes and occur weekly over a 3- to 6-month period. The length of treatment varies and depends on family need.
Implementation costs vary. For information regarding program costs, please contact the developer.
The Clearinghouse can help you develop an evaluation plan to ensure the program components are meeting your goals. Please call 1-877-382-9185 or email Clearinghouse@psu.edu
Contact the Clearinghouse with any questions regarding this program.
Phone: 1-877-382-9185 Email: Clearinghouse@psu.edu
You may also contact Generation PMTO at Implementation Sciences International, Inc., by mail 10 Shelton McMurphey Blvd, Eugene, OR 97401, phone 1-541-485-2711, fax 1-541-338-9963, email annas@generationpmto.org, or visit https://www.generationpmto.org/contact
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