Early Pathways
Effectiveness

Promising

.

.

.

.

.

Promising

Want to know more about this classification? Check out our methodological manual.

Life periods served
Where the program was applied
Country of application
Description

This is a program for parents aged 18 to 55 with children under the age of 5 who display disruptive behaviors. The intervention is carried out in the family’s home to treat and prevent disruptive behaviors in early childhood.
There are eight sessions:
1) The initial session includes program orientation and setting of treatment objectives; play between the parents and the child is observed and rated on the quality of the interaction;
2) The second session consists of reviewing the results of the initial session and developing a treatment plan;
3) The third session covers developmentally appropriate expectations for children and the concept of a negative behavior cycle and how to interrupt it;
4) The fourth session teaches parents how to respond appropriately to their children’s requests;
5) The fifth session examines home routines and ways to prepare children in case their routines are interrupted;
6) The sixth session teaches developmentally appropriate discipline strategies for children; and
7) Sessions seven and eight involve reviewing the progress and refining treatment strategies.

Impact evaluations

Impact evaluation studies showed that the program led to a reduction in disruptive disorders, externalizing disorders, antisocial behavior, and other unspecified disorders. There was an increase in social performance and competence, an improvement in the quality of the relationship between the child and their family, and in general functioning and well-being. Both studies used an experimental design [1] [2].

Bibliographic reference

[1] Fung, M. P. & Fox, R. A. (2014). The culturally-adapted Early Pathways program for young Latino children in poverty: A randomized controlled trial. Journal of Latina/o Psychology, 2(3), 131–145. https://doi.org/10.1037/lat0000019

[2] Harris, S. E., Fox, R. A. & Love, J. R. (2017). Early Pathways Therapy for Young Children in Poverty. Counseling Outcome Research and Evaluation, 6(1), 3–17. https://doi.org/10.1177/2150137815573628