Feasibility of improving child behavioral health using task-shifting to implement the 4Rs and 2Ss program for strengthening families in child welfare

Table 2 Summary of empirically supported family-level influences on ODD and CD

4R2S target	Empirically supported family/parent skill	4R2S goals
Rules [79–87]	Family organization	Clarify rules, consequences, rewards
Rules [79–87]	Consistent discipline	Clarify rules, consequences, rewards
Responsibility [81, 87, 88]	Family interconnectedness	Clarify responsibilities, expectations, supports needed, contributions acknowledged
Responsibility [81, 87, 88]	Positive behavioral expectancies
Relationships [88–93]	Family warmth	Schedule for positive family interaction
Relationships [88–93]	Within family support, time spent together	Schedule for positive family interaction
Respectful communication [85, 94, 95]	Family communication, family conflict	Listening and talking skills for parents and children
Stress [50, 51]	Parenting hassles and stress, life events	Identification of stressors undermining family change, promotion of positive exchanges
Social support [49, 50]	Social isolation	Within family and external support plan

ISSN: 2055-5784