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The Oregon Model of Behavior Family Therapy: From Intervention Design to Promoting Large-Scale System Change
Thomas Dishion1, Marion Forgatch2, Patricia Chamberlain3
1ASU REACH Institute, Arizona State University.
The Oregon model of family behavior therapy has evolved over 40 years, offering effective strategies for child behavior problems. This review highlights its adaptations for various family challenges and proposes an integrated system to reduce severe issues and residential placements.
Area of Science:
- Psychology
- Behavioral Science
- Family Therapy
Background:
- The Oregon model originated from research on family interaction and behavior change.
- Initial strategies effectively reduced problem behaviors in children.
Purpose of the Study:
- To review the evolution of the Oregon model of family behavior therapy over four decades.
- To examine adaptations of the model for diverse family contexts and challenges.
- To propose an integrated family support system for improved child and family outcomes.
Main Methods:
- Review of intervention strategies and adaptations.
- Summary of randomized trials on intervention effectiveness.
- Examination of implementation viability, barriers, and solutions.
Main Results:
- The Oregon model has been adapted into the Family Check-Up, Parent Management Training-Oregon, and Treatment Foster Care-Oregon models.
- Evidence supports the effectiveness of these interventions in addressing various child and family issues.
- Implementation barriers and solutions have been identified.
Conclusions:
- An integrated family support system combining the three Oregon models can reduce severe problem behaviors, addiction, and mental health issues.
- This integrated approach aims to decrease reliance on costly and ineffective residential placements.
- The evolution of the Oregon model demonstrates a sustained commitment to improving child and family well-being through evidence-based practices.
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