An Approach to Examining the Proximal and Intermediate Outcomes of an Intensive Family Preservation Program

Kristin Duppong Hurley, Annette Griffith, Stephanie Ingram, Claudine Bolivar, W. Alex Mason, Alexandra Trout

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


This study examined the effects of the Boys Town In-Home Family Program (BT-IHFP) on parenting skills, family functioning, and child behavior for at-risk families involved with child protective services. The BT-IHFP is designed as a home-based, family-centered alternative to out-of-home placement with the goal of improving family functioning, keeping families together, and preventing further involvement with child protective services. The model uses a hands-on cognitive-behavioral approach, promotes family engagement, provides 24/7 services to families, and links families to community resources. While it is essential to examine ultimate, long-term outcomes such as family preservation, it is also important to investigate the proximal and intermediate outcomes that address the key changes in behavior that support successful long-term outcomes. The goals of this study were to (1) examine the pre-post change of proximal and intermediate outcomes and (2) examine if improvements in parenting skills, parental roles, and parental stress (proximal outcomes) will be related to improvements in child behavior at home, child behavior at school, and family functioning (intermediate outcomes). Inspecting intake and discharge data for 44 families, 94% were intact at discharge and significant pre-post improvements were found in proximal and intermediate outcomes. These findings suggest that this six-week intensive BT-IHFP holds promise for teaching at-risk families skills to promote positive family functioning.

Original languageEnglish (US)
Pages (from-to)1003-1017
Number of pages15
JournalJournal of Child and Family Studies
Issue number6
StatePublished - Dec 2012


  • Child problem behavior
  • Emotional behavioral disorders
  • Family preservation
  • Family-based services
  • Parent training

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Life-span and Life-course Studies


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