Parents with intellectual disabilities (ID) are disproportionately represented in the child welfare system. Parents with ID can be better served by developing curricula that support various modes of learning. Technology offers a potentially effective tool because it is visual, interactive, and selfinstructional. SafeCare ® is an evidence-based parenting program with flexibility to adapt its curricula while maintaining fidelity. This research presents the results of a pilot study that examined the effectiveness of an adaptation to the SafeCare ® parent-infant interactions (PII) module for a mother with ID by using a digital picture frame with pictures of the mother and her infant engaged in skills that met the performance criteria for PII. A multiple-probe design across behaviors was used with the mother and her infant, showing a dramatic increase in PII skills that was maintained across 3 monthly follow-ups. Although further research is necessary, the preliminary data suggest the digital picture frame enhancement to the SafeCare ® PII module may be a promising instructional tool for parents with ID. Keywords child maltreatment; child neglect; parents with intellectual disability; parent-infant interactions; technology; SafeCare ® ; self-modeling It is estimated that 1,400,000 parents with an intellectual disability (ID) were living in the United States in 2008, though problems with definition of ID suggest this is actually higher (O'Keefe & O'Hara, 2008). Despite recognition that ID is not an adequate predictor of parental competency, parents with ID continue to be disproportionately represented in child maltreatment (CM) cases, particularly neglect. A review of family court cases in 2000 found Address correspondence to John R. Lutzker, Center for Healthy Development, Box 3995, Georgia State University, Atlanta, GA 30302-3995. jlutzker@gsu.edu. Booth, Booth, & McConnell, 2004), whereas a review of international studies reported a 40-60% rate of permanent child removal in cases where a parent with ID was accused of CM . ID combined with concurrent social-ecological factors and social stigma reflects increased vulnerability and the need for comprehensive service intervention (McGaw, Shaw, & Beckley, 2007;Tymchuk & Andron, 1990). Although parents with ID exhibit some cognitive and contextual differences that make them susceptible to neglect, teaching methods that address their learning needs are effective in increasing parenting performance (Feldman, 1994;Wade, Llewellyn, & Matthews, 2008). Practitioners who work with parents with ID often have considerable caseloads and do not always receive specialized training making it challenging to provide adequate support (Clayton, Chester, Mildon, & Matthews, 2008). In order to support the specific learning needs and considerations of parents with ID, efforts should focus on increasing the effectiveness of interventions disseminated in the field (Azar & Read, 2009).
HHS Public AccessRecommendations for teaching parents with ID support behaviorally based interactive...