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This study examined the effectiveness of the Triple P‐Positive Parenting Program in a government child health service delivery context with Chinese parents in Hong Kong. Specifically, the study sought to identify pre‐intervention variables that might predict programme outcomes such as level of clinical improvement and programme completion. Participants were 661 parents of pre‐school and primary aged children participating in a group version of the Triple P‐Positive Parenting Program. There were significant decreases in disruptive child behaviours, levels of parenting stress, general stress and anxiety and an increase in parenting sense of competence. Greater change in reports of child behaviour problems was related to lower levels of family income, new immigrant family status, and higher pre‐intervention levels of parenting stress. The present study provides a profile of parents who are most likely to benefit from parent training programmes.

The present study examined the role of socio‐demographic and family risk factors as mediators or moderators of the success of parents undertaking a universal group parent training programme for young children. The results showed that parents' capacity to change dysfunctional parenting practices was not moderated by the child's gender, family income, family type, or pre‐intervention level of parental stress, but was partially mediated by changes in parental satisfaction and efficacy. Irrespective of their socio‐demographic background, parents who completed the Triple‐P Positive Parenting Programme were equally likely to succeed in changing their parenting practices. These findings suggest the robustness of intervention effects across a diverse range of parents.

The purpose of this paper is to describe the University of Exeter Family Interventions (FIs) training programme for the South West region which was commissioned as part of the NHS England Access and Waiting Times standards (A&WTS) initiative for early psychosis. This programme (10 taught days and 6 months of supervised practice) is designed to maximise implementation in practice.

The programme introduces students to a flexible, widely applicable FI approach which integrates cognitive behavioural/psycho-educational and systemic approaches. It refreshes and develops CBT-based psycho-social intervention skills, so that clinicians feel confident to use them in family sessions and integrate these with foundation level family therapy skills. The approach facilitates engagement, and it is designed so that every session is a “mini intervention”. This enables clinicians to offer standard NICE-concordant FI or a briefer intervention if this is sufficient to meet the particular needs of a family.

This paper provides details of the regional training programme and evaluates the first four training courses delivered to nine early intervention in psychosis teams. It considers how a combination of training a critical mass of staff in each service, ongoing supervision, regional events to maintain skills and motivation to deliver FI, and the national and regional auditing of FI as part of the A&WTS all contribute to clinical implementation.

The unique design of this programme maximises implementation in practice by virtue of its widely applicable integrated FI approach, the focus on ongoing skills development and by embedding it within regional and local service support structures.

In response to what are perceived as the negative consequences for children of family change over the past century, governments in the UK and the US have devoted substantial funds to programmes to strengthen families, but the focus of intervention in the two countries has moved in opposite directions. In the UK, financial support has shifted away from couple strengthening to parenting programmes, while in the US financial support has shifted substantially toward couple‐focused interventions. This review article summarises studies relevant to these policy choices. We present research evidence for a multidomain family risk‐child outcome model, and then describe the results of three studies using a randomised clinical trial design to examine the impact of intervention with couples on children's adaptation. The data support the hypothesis that interventions focusing on strengthening couple relationships may have a more positive impact on families and children than interventions that focus on increasing parenting skills.

The purpose of this paper is to map and identify evidence for effective components of combined school and family alcohol education interventions. The paper describes current practice, evaluative evidence of its effects, and highlights specific elements of school and family linked education associated with effective prevention or reduction of alcohol misuse by young people aged 11-18 years.

This paper takes the form of a systematic review.

The review found evidence of small positive effects for interventions delivered over short and longer term duration and low and higher levels of direct contact with students and families. Family-based elements that correlated with positive effects were targeting information and skills development, family communications, and stricter parental attitudes to alcohol misuse. School-based components which involved life skills and social norms approaches were associated with reductions in risky behaviours. Weaker evidence indicated that peer-led programmes, external delivery agents and linkages of school-based components to community-level change may strengthen combined school and family intervention programmes.

The heterogeneity of the studies precluded the option to perform meta-analysis.

There is a need for more focused use of planning and evaluation tools, and especially more explicit articulation of behaviours and/or behavioural determinants targeted; the methods that will be employed and the conceptual basis for the programme design could contribute to deeper understanding amongst the intervention community of how and why impact is or is not achieved.

Few studies provide information on the concepts, assumptions or change objectives that shape programme design. The potential benefits of combining school and family education interventions warrants further exploration.

The authors believe this is the first review to systematically examine objectives, design and impact of combined school and family alcohol education interventions.

The purpose of this paper is to describe the development and application of the KIPP-list of care activities. The acronym KIPP stands for Knowledge and Insight into Primary Processes. The instrument is intended as a tool for family coaches to systematically report care activities conducted in the Dutch family support programme Ten for the Future (in Dutch: Tien voor Toekomst).

The design of the instrument was based on the components of the programme and a literature search for similar instruments used in the Netherlands, complemented by a staff survey. A series of three studies was carried out to test the instrument’s validity and user-friendliness, and to assess its potential for programme evaluation.

The majority of care activities were performed in cooperation with one or both parents alone, and less frequently with children or external professionals. Although the main focus of the work of the family coaches fell into the categories of “collecting information” and “working towards (behavioural) change” with families, the relatively high frequency of all the types of care contacts emphasises the intensity of this family support programme with a complex target group.

Data gathered with the instrument provided meaningful information by descriptive analysis. KIPP thereby proved its general feasibility in increasing insight into service provision. The instrument can be useful in several stages and on several levels of quality assurance and service optimisation, including reflective practice, supervision, team management and research.

This paper is concerned with what intensive family intervention professionals reveal to the parents with whom they work about whether they themselves are parents or not, as a form of professional self-disclosure in child welfare work. This paper also addresses the act of lying in professional self-disclosure.

The paper draws on material from a series of narrative interviews completed with practitioners from one family intervention programme in an English local authority as part of a study looking at how children’s services professionals experience the suffering of parents. The study was based on a psychoanalytically informed methodological approach, which is represented in the analysis provided in the paper.

The overall team ethos regarding parental status disclosure is considered briefly first then two participants’ accounts are explored in depth. These involved, what can be considered as, questionable or unorthodox stances regarding parental status disclosure (and self-disclosure more generally). The exploration illustrates the role that practitioners’ personal lives and histories can play in influencing how the act of professional parental status disclosure is experienced and how particular positions are invested in regarding the role of self-disclosure in working relationships with parents.

Child welfare and family intervention professionals are often asked personal questions by the parents and carers they work with, including questions about whether they are a parent or not. These questions can be difficult to answer and there is a need for dedicated empirical analysis into the ways in which professionals experience, think about and respond to them and what they disclose about themselves when working with families.

This paper aims to inform the development of policies and programmes to support children and young people's emotional wellbeing and mental health. It seeks to bring together findings both from recent systematic reviews, and from individual evaluation studies which have adopted a relatively rigorous methodology but whose findings have not to date been included in such analyses. Research undertaken in England is to be prioritised, to complement an existing evidence base comprised largely of findings from US‐based research.

Using five key search strategies, studies were categorised into three main categories – “demonstrably effective approaches”, “promising approaches” and “approaches for which there is little or no supporting evidence” – according to robustness of evidence. Overall, 171 potentially relevant studies were identified, with 20 of these being robust enough for inclusion in the final review.

In schools, sustained broad‐based mental health promotion programmes combined with more targeted behavioural and cognitive‐behavioural therapy (CBT) for those children with identifiable emotional wellbeing and mental health needs, offer evidence of a demonstrably effective approach. Early and brief intervention programmes which reduce waiting times for services appear promising approaches and seem to reduce the number of sessions a family require. There is a reasonably strong evidence base to support targeted work with both parents and children.

By providing a detailed description of the successful initiatives reviewed, this paper should help policy‐makers and practitioners to develop their work.

By complementing the relatively narrow evidence base offered by systematic reviews, this more broadly based review offers policy‐makers and practitioners in England an up‐to‐date, context‐relevant guide for programme development within this field.

Dual‐diagnosis strategies are developing in medium secure services in response to both government policies and clinical need and there has been a move towards integrated services for this patient group. Substance use that has been a feature of the index offence must be taken into account as much as psychosis or the offending behaviour. Treatment of dual diagnosis relies heavily on cognitive‐behavioural therapies. Relapse in either psychosis or substance use increases risk and re‐admission rates to medium security. This paper reviews the literature on family interventions in dual diagnosis and its applicability to forensic mental health inpatient services. As there appeared to be limited direct evidence, various domains were examined and extrapolated to a forensic setting as appropriate. The review indicates the potential for positive outcomes for families following family interventions in dual diagnosis, which may be beneficial in a forensic setting in lowering risk.