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Background: This article describes the Steps to Confident Parenting (SCP) program, developed by an Australian family service consortium. The SCP integrates home‐based and case‐management services to enhance the skills of parents with a diagnosed or suspected intellectual disability/cognitive impairment and to prevent child protection interventions. Method: 'Program explication' methodology documented the components/activities, and underpinning evidence for this practitioner designed service through interviews with nine agency staff. A literature review evaluated evidence for the implicit program benefit theory. Results and Conclusion: The SCP comprised five logically consistent components—Targeted Referral, Assessments, Initial Consultation, Program Delivery, Closure and Follow‐up. Components generally had 'some' supportive evidence, however there was a 'lack of' evidence for Closure and Follow‐up. In the context of a partnership seeking to build the evidence for the SCP, it was recommended that a protocol for a randomised trial evaluation with longer term follow‐up be drafted by the consortia. [ABSTRACT FROM AUTHOR]

Objective: To explore a typology of dyads experiencing child‐to‐parent violence (CPV) using the function of CPV (i.e., its motivation). Background: CPV may be motivated by reactive (i.e., retaliatory), proactive (i.e., instrumental), or affective (i.e., primarily emotional) functions, which may co‐occur intraindividually; however, their co‐occurrence pattern is not fully understood. Method: This study included 252 participants aged 27 to 78 years (M = 45.92, SD = 8.33; 96% female) who were caregivers of a young person aged 5 to 24 years (M = 13.18, SD = 4.86) and completed an online survey measuring the form and function of CPV and a range of child, parent, and dyadic factors. The majority of dyads were mother–child. Results: Latent profile analysis revealed two distinct types of dyads: High‐proactive dyads reported severe, highly reactive and proactive CPV compared with low‐proactive dyads in which proactive CPV was rare and reactive CPV was uncommon. Rates of affective CPV were similar across types. Analysis of variance demonstrated that high‐ and low‐proactive dyads significantly differed across intervention‐relevant parent, child, and dyadic factors. Conclusion: High‐proactive dyads exhibited role reversal and spousification (i.e., parental conflict spill‐over) in which caregivers were helpless, frightened, and frightening, and the young person possessed domineering traits. Low‐proactive dyads were characterized by a comparatively in‐control caregiver who exhibited intrusiveness and higher supervision and a young person who was comparatively less domineering. Implications: Different types of dyads experiencing CPV may have unique intervention needs. [ABSTRACT FROM AUTHOR]

Internalising disorders are one of the most common mental health problems in children under 12 years, yet mixed findings exist for current treatment options. This pilot involves a novel 10-session intervention, BEST-Foundations, to treat internalising symptoms in children using a family-inclusive model. Initial findings and feasibility using a mixed-methods approach are reported. Twenty-two participants from eight families (n = 8 children; n = 8 mothers; n = 6 fathers) participated in an uncontrolled single treatment design. Included children (aged 3–11 years) reported clinical-level internalising symptoms on the Child Behaviour Checklist. Data were collected across four timepoints: baseline, pre-intervention, post-intervention, and 4-weeks follow-up. As predicted, mothers reported large improvements in child internalising symptoms pre-post (SMD = −.83; 95% CI = 50.58–70.42) and maintained pre to follow-up (SMD = −.92; 95% CI = 50.14–69.11). Sustained improvements were also found in externalising problems and total problems. Qualitative analysis indicated families reported positive improvements in targeted areas including parent confidence and parent–child relationships. Findings demonstrate initial feasibility data and effect size estimates comparable to previous trials using the "BEST" framework, and larger than CBT-based interventions. Results are considered preliminary due to the small sample. Further evaluation is warranted, showing the value of family-inclusive interventions to treat child internalising problems. What is already known about this topic: Modifiable family-based risk and protective factors influence internalising symptoms in children. Currently, inconclusive support exists for targeted treatment options for child internalising symptoms, highlighting the need to explore novel, feasible, evidence-based approaches for children under 12 years. Parental involvement in treatment is considerably heterogeneous, and the inclusion of fathers is lacking. What this topic adds: The BEST-Foundations intervention translates from theory to practice, demonstrating initial feasibility with families in improving internalising symptoms in children under 12 years. Fathers may express initial hesitation, yet engaging them in treatment is important. Parents reported improved confidence and perspective taking after taking part in the BEST-Foundations intervention. [ABSTRACT FROM AUTHOR]