Strengthening Positive Parenting in the Context of Intimate Partner Abuse.

Intimate partner violence has been associated with long-term negative effects on mothers' mental health status, use of positive parenting practices, and their children's externalizing behavioral difficulties. Especially strong is the association between concurrent experiences of partner violence and maternal parenting. In this case study, we examined the impact of behavioral parent training on parenting and outcomes for a 6-year-old Latino diagnosed with oppositional defiant disorder (ODD). The family was participating in a larger study examining the implementation and cultural adaptations of an evidence-based parent training program, Helping the Noncompliant Child. Mother reported a history of domestic violence and ongoing abusive behavior from her intimate partner but only wanted services focused on addressing child's behavioral difficulties and improving the quality of parent-child interactions. Adaptations included but were not limited to the translation of all intervention materials, extending the number of sessions focused on each parenting strategy, flexibility with regard to the location and time of therapy sessions, negotiating safe times for the family to participate in treatment, and case management. Parent reports of child behavior and parenting stress moved from the clinical range to the normal range from pre- to post-test. Mother also reported increased use of positive parenting practices. These data, along with closing semi-structured interviews, suggest that within the context of ongoing partner abuse, a mother's parenting and her child's behavior can be positively affected by parent training that is adapted and responsive to the context of their family's situation.