Session: Early Intervention for Young Children at Risk for the Development of Conduct Disorders: Extending an Empirically-Supported School Based Intervention (Society for Prevention Research 22nd Annual Meeting)

As the numbers of children in preschool programs are increasing, the need for children with challenging behaviors are increasing as well. Children with conduct and oppositional defiant disorders require a substantial effort for remediation. Longitudinal research indicates that increased antisocial behavior and impairments in social competence skills often serve as harbingers of future adjustment problems in a number of domains including mental health, interpersonal relations, employment, and academic achievement. Longitudinal studies of the progression of antisocial behavior patterns among youth in the U.S., Canada, Australia, New Zealand and Europe converge in showing a path leading from early exposure to risk factors in family, neighborhood and community contexts, to behavioral manifestations in school, to delinquency and school dropout in adolescence, and finally to a host of adult adjustment problems including welfare dependence, criminality, marital difficulties, employment problems and higher hospitalization-mortality rates. It is critical to divert at-risk children from this path as soon as possible in their lives and school careers through early, coordinated interventions involving parents and caregivers, teachers and peers. The pre and early schooling period is an ideal setting for accomplishing this task in collaboration with families.

This symposium outlines three research and development studies that adapted First Step to Success early intervention program for effective use with programs serving young low-income. First Step is a collaborative home and school intervention program, delivered by a behavioral coach and lasting approximately three months, that is geared for regular kindergarten classroom settings and designed to help at-risk children get off to the best start possible in their school careers. First Step is an early intervention designed to achieve secondary prevention goals and outcomes within the context of schooling.

These adapted versions of the First Step program, (a) preschool, (b) tertiary and (c) FS Classroom Check-up would provide consumers, staff and professionals with a proven intervention options that will produce the following benefits: 1) amelioration and/or elimination of serious behavior problems such as aggression, opposition- defiance, and other indicators of emerging antisocial behavior and externalizing behavior disorders and 2) improvements in the target child’s critically important relationships with the key social agents of parents and caregivers, teachers and peers.