SFP News

Newly published book: Family-Based Prevention Programs for Children and Adolescents: Theory, Research, and Large-Scale Dissemination

Edited by Mark J. Van Ryzin, Karol L. Kumpfer, Gregory M. Fosco, Mark T. Greenberg and published by Psychology Press, the book highlights the distinctive contributions of a set of exemplary programs in terms of their foundational theory, design, delivery mechanisms, performance, and unique opportunities for future research. Each chapter is written by a preeminent program developer. For more information visit: www.psypress.com/9781848724853

Good News on New Strengthening Families Foundation and Corporate Home for SFP

As of March 2015 Ahearn Greene Associates in Washington, D.C. turned the SFP training, evaluation and CD/DVD ordering system back to Drs. Kumpfer and Whiteside to be managed by the new Strengthening Families Foundation and LLC created last year by Jaynie Brown for dissemination of the new SFP 7-17 DVD and curriculum. Trainings can be ordered through Hope Heffernan, SFP Foundation contractor for trainings. See new contact information on the Contact and Ordering page and reduced prices for training workshops. The same excellent trainers are available, but contracted by the Strengthening Families Program, LLC.

SFP 7-17 Class Curriculum with DVD Approved for Utah State Funding

Department of Human Services Division of Mental Health and Substance Abuse added SFP 7-17 DVD family group version to their list of approved programs for government funding after an extensive application and review of the research showing better results than for the regular SFP norms.

They also have SFP DVD Handouts available for viewing on their excellent Parents Empowered website at http://www.parentsempowered.org/uploads/downloads/21_SFP_Lesson_9.pdf

SFP 7-17 Class Curriculum with DVD Approved for Listing on SAMHSA National Registry of Evidence-based Programs and Policies (NREPP)

This is what the new SFP description says: “A new SFP 7-17 DVD video version is now being tested with high risk families in the regular family group curriculum version, but also a very low cost 12- to 14-week Home or Clinic Use version with excellent outcomes. An SFP family physical activity and nutrition education curriculum also is being tested with Utah and Colorado tribes for the prevention of obesity and diabetes". http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=44

New Strengthening Christian Families Program

NCADD, Sacramento, developed and tested a new Strengthening Christian Families Program (SCFP) for five different faith communities. The program seeks to support families of faith in keeping their kids safe from risk, developing strong family and congregational ties, and learning how to integrate Christian principles in daily decision making. The program begins with a free family dinner, and continues with courses designed for parents, children, and teens. NCADD, Sacramento is now distributing the training workshops and manuals. See video with pastors of different churches talking about their experience with SFP. NCADD, Sacramento, developed and tested a new Strengthening Christian Families Program (SCFP) for five different faith communities. The program seeks to support families of faith in keeping their kids safe from risk, developing strong family and congregational ties, and learning how to integrate Christian principles in daily decision making. The program begins with a free family dinner, and continues with courses designed for parents, children, and teens. NCADD, Sacramento is now distributing the training workshops and manuals. See video with pastors of different churches talking about their experience with SFP. https://ncaddsac.org/christian-companion-program/

See what one mother had to say: "As a single mom, SFP provided me with a strong loving community of families that were seeking help in their parenting just like me. Their sessions helped improve my relationship with my 6 year old. The program gave me weekly reminders on how to better handle every area of parenthood. I felt very encouraged as a single mother when taking the 14 week course. I have taken the program twice because I have practiced their techniques and they have worked. This is one parenting class you and your family want to take!"
~ Esmeralda, 2012 (SFP) and 2013 (SCFP) Graduate

Sad News on Loss of SFP Trainer, Miguel Silva, M.S.

On the morning of March 14th, Dr. Kumpfer received a call from Leslie Silva saying Miguel Silva, her beloved husband and my graduate student at the University of Utah had died of lung cancer related to asbestos after surgery to remove his diseased lung. He left behind four young children and many friends and colleagues in the SFP family. He was one of our best trainers of group leaders especially for Spanish speaking trainees. Along with Joaquin Fenollar, Ph.D., he had trained clinicians in Monterrey, Mexico, who within a year completed over 800 families. Their outcome results were excellent. He ran the Spanish speaking parent training groups as NorthStar Elementary in SLC for which we got excellent results.

Donations can be made to the SF Foundation to establish a scholarship fund in his name for minority graduate students in Health Promotion and Education at the University of Utah.

Below: Miguel Silva at the SFP Trainer Reunion at Zion National Park, Utah, April 2014.

International SFP News

Two New SFP Initiatives in France

Finally the French government is having success with SFP 6-11 after excellent an excellent cultural adaptation and implementations in three cities near Nice, France by Dr. Corinne Roehrig-Saoudi, family psychologist in the past two years. She have been awarded a grant from INPES to do SFP 6-11 Years trainings in nine cities. At the same time, Dr. Ulrich Vandoorne had been awarded a grant from the Foundation de France also culturally adapt and train professionals to implement SFP 12-16 in about the same number of cities. A training workshop by Drs. Kumpfer and Whiteside with Dr. Roehrig-Saoudi is scheduled in Paris for September 2015 to launch these initiatives. The INPES national agency for drug abuse prevention is also considering creating a SFP Coordinating Council for France as is done in Ireland to assure quality and fidelity of SFP cultural adaptations and implementation. She has also just completed a SFP 6-11 DVD for France as well.

Ireland SFP Creates SFP Council and Does Gender Analysis

SFP 12-16 is in all counties in Ireland with over 500 families completing SFP. The agencies involved have created their own SFP Council to set standards for best practices and to also monitor quality and results. Their excellent results using a coalition model for staffing, funding, recruitment of families has been published (Kumpfer, Xie, & O'Driscoll, 2012).

Symposium on SFP at European Society for Prevention Research

Results of a new gender analysis in Ireland showing that girls benefited as much as boys was presented Maria Lawless and Dr. Kumpfer at the EUSPR in Palma, Mallorca last fall along with SFP results for Spain by Dr. Carmen Orte, University of the Balearic Islands, Dr. Kumpfer for Austria and USA, and the UNODC dissemination outcomes for Baltics and Panama by Dr. Wadih Malouf.

Major Delinquency Prevention Initiative in Canada using SFP 12-17

Within the last year SFP has expanded further into Canada with trainings in many provinces on a new initiative of the Canadian National Crime Prevention Council to fund and evaluate SFP 12-17 Years in about 10 provinces. The first two sites to start were in Quesnel and Prince George, British Columbia. Later sites trained include in Alberta, Ontario, Prince Edwards Island.

Strengthening Families returns to Pemberton, British Columbia, Canada

Drs. Kumpfer and Whiteside (on right in picture below) were in Pemberton, B.C. March 18 to 20, 2015 to do another SFP training for the Sea to Sky Communities That Care (SSCTC) that serves several communities (e.g., Squamish, Whistler, Pemberton, Mt. Currie). These communities started SFP about 12 years ago with great results. Many are First Nations members including a the Grand Deputy Chief Katagamic and a five member First Nations team that came all the way from northern Ontario because they are very concerned about high substance abuse and suicide rates in their members. They are hoping SFP 12-16 can help to reduce these rates.

Kerry Hannah, co-coordinator of the program, said one of the most unique aspects of the program is that it incorporates kids. "The benefits are (it promotes) bonding and increases the positive relations between parents and child," she said. "One of the things we talk about often is if you can increase positive behavior there's less space for negative behavior from the child.." One example of how they teach parents to promote good behavior is by giving children positive attention through what's called "child-directed play." Christine Buttkus, SSCTC facilitator, who arranged the funding and the training, mentioned that generally they have only half the funding they need, but the whole community practically volunteers in some capacity to make the program successful.

The first group will run on Wednesdays from April 8 – June 24 at PSS

Some of the 40 members of the facilitator group for the C6 Strengthening Families Program pose for a photo with Dr. Kumpfer and Dr. Whiteside during training in Pemberton. British Columbia.

Dr. Kumpfer and Thailand Study Abroad Program (Dec. 18 to Jan. 15, 2015)

Six graduate students accompanied Dr. Kumpfer to visit health promotion and health care programs in Thailand over Winter Break as part of the University of Utah Study Abroad Program. (BELOW: University of Utah Students at Srinakharinwirot University (SWU) in Bangkok, Thailand)

Successful SFP Group Leader Training March 31 to April 3, 2015 in Uzbekistan by SOS Austria to Improve Child and Family Outcomes

We visited sites where SFP is being implemented in Thailand including in Mae Sot, Thailand for the Burmese refugee by the International Rescue Committee (see picture below of Mae Sot SFP trainees) and Songkhla, Thailand for Thai families in the southern part of Thailand. Implementation in Thailand started about 10 years ago by their government office for drug control. The Thai Ministry of Juvenile Justice had Dr. Kumpfer and Dr. Pinyuchon present on SFP to 350 of their social workers at the Windsor Hotel. They are hoping to start SFP 12-16 or SFP 7-17 in their new Family Centers.

SFP Being Implemented in South Africa Successfully in Schools

A four - day SFP 6-11 training workshop was conducted in Urgench, Khorezm Region Uzbekistan from March 31 until April 3, 2015 by SOS Kinderdorf in Klagenfurt, Austria. They have been implementing SFP and were asked to do the training on a grant "Building Strong Social Network for Families In Need" from the European Commission. The training was delivered by the group of trainers headed by MMag.a Alexandra More, Clinical and Health Psychologist. She was supported by Helene Salbrechter, and Mag.a Katharina Angerer, Clinical and Health Psychologist. All of them work with children and families at the Hermann Gmeiner Centre for SOS Children's Village Austria.

Summer Vienna SFP Training Workshop in Vienna and Klagenfurt, Austria

Judy Strickland, Founder and Director of Hope House Counselling Centre in South Africa has send data and these pictures of their successful implementation of SFP 6-11 Years. Another agency in Cape Town is also exploring implementing SFP in schools to help high risk families and kids to have better outcomes.

Vienna, Austria Study Abroad Program Continues for Sixth Year

Two training of group leader 3-day workshops will be held in June by Drs. Whiteside and Kumpfer to support continued implementations of SFP by Dr. Georg Spiel's Promente Kinder, Jugen and Familie staff with a training in Vienna and SOS Kinderdorf training in SFP 3-5 in Klagenfurt, Austria.

SFP 6-11 Undergoing Process and Outcome Evaluation in Norway

These SFP training workshops will occur after Dr. Kumpfer's Vienna Study Abroad Program for the University of Utah. Twenty-four student coming this year to study Evidence-based Family Strengthening course (based on Dr. Kumpfer's new Academic Press Book and also a Positive Psychology and Resilience course. Dr. Kumpfer teaches these courses every summer at the Austro-Amerika Institute for Education that also includes excursions to Prague, Budapest, Ljubljana and Lake Bled, Slovenia as well as Klagenfurt and Bad Ausee, Austria.

See some of the gals at the Vienna State Opera House from last year. Dr. Dee Hill-Mey ( middle in red) finished her Ph.D. in Health Promotion and Education last May with Dr. Kumpfer as chair. However, she also was a co-instructor in the Positive Psychology, Health and Resilience courses in Vienna. She is now Director of the Wellness Clinic at IHC Park City Hospital. She brought information on wellness and positive health approaches to the course. Dr. Sandra Smeeding from VA in San Francisco will teach these modules this year. Dr. Catia Magalhaes from Portugal will co-teach part of the EBP Family Strengthening Interventions this year as she has for several years.

Dr. Kumpfer & Associates SFP Dissemination Activities & Presentations

The first SFP 6-11 family group has been completed and a local evaluation is being done of interviews with families as well as the outcome results being sent to Dr. Kumpfer for analysis and outcome evaluation. See picture from last year's training in Bergen, Norway with Dr. Bente Storm and two daughters at dinner at her lovely house overlooking the bay.


Bergen, Norway SFP Visit
Bente, Christina, and Solvan Storm

Dr. Kumpfer & Associates SFP Dissemination Activities & Presentations

Over the past few years, Dr. Kumpfer and her team of SFP researchers worldwide have been focusing on international dissemination of SFP, which is now in 36 countries thanks to dissemination funding support from the United Nations Office of Drugs and Crime in Vienna, Austria.

See list of professional conferences and workshops on SFP results below since 2013:

2013 Conference Presentations and Professional Workshops

Kumpfer, K.L. (2013) Evidence-based Family Interventions to Prevent Substance Abuse and Other Impulse Control Disorders. Grand Rounds, Psychiatry Department, Vanderbilt University, Nashville, Tennessee, April 19, 2013.

Kumpfer, K.L. (2013). Dinner Speaker, Annual Psychiatry Department Banquet, Vanderbilt University, Country Club, Nashville, Tennessee, April 9, 2013.

Kumpfer, K.L. (2013). How Parents Can Protect their Children from Impulse Control Disorders (ICDs) Using the Strengthening Families Program. Barbara Gay Lecture, Nashville School District, Nashville, Tennessee, April 21, 2013.

Kumpfer, K.L. (2013). Resilience in Youth by Strengthening Families, Invited Keynote address, Annual Conference SW University, Bangkok, Thailand. April 26, 2013.

Kumpfer, K.L. & Pinyuchon, M. (2013). Strengthening Families Program. Invited Keynote address, Ministry of Juvenile Justice, Bangkok, Thailand. April 27, 2013.

Kumpfer, K. L.,(2013). Effectiveness of the Culturally Adapted Strengthening Families Program for European Families, United Nations Office of Drugs and Crime, Vienna, Austria, May 18, 2013.

Kumpfer, K. L. & Xie, J. (2013). Effectiveness of the Culturally Adapted Strengthening Families Program for Chinese Families. Annual conference of the Society for Prevention Research, San Francisco, CA, May 30, 2013.

Kumpfer, K. L.,& Xie, J. (2013). Effectiveness of the Culturally Adapted Strengthening Families Program 12-16 Years for Hispanic, Asian, Pacific Islander and White Adolescents. Annual conference of the Society for Prevention Research, San Francisco, CA, May 30, 2013.

Kumpfer, K. L., & Whiteside, H. O. (2013). Strengthening Families Program Training Workshop, Bergen, Norway. June, 18-19, 2013

Kumpfer, K.L. & Baker, M. (July 2013). Culturally Adapting Evidence-based Family Interventions to Strengthen Families and Improve Children's Developmental Outcomes Invited Conference Keynote Address, Sedona Hilton Resort, Sedona, Arizona, July 18, 2014

Kumpfer, K.L. & Baker, M. (July 2013). Evidence-based Family Strengthening Substance Abuse Prevention and Competency Training of Prevention Staff. Invited Conference Workshop, Sedona Hilton Resort, Sedona, Arizona, July 18, 2014

Kumpfer, K. L., Magalhaes, C., Spiel, G. & Amer, J. (2013). Effectiveness of the Culturally Adapted Strengthening Families Program across Four Countries: USA, Spain, Portugal and Austria. 16th European Conference on Developmental Psychology. Lausanne, Switzerland. Sept. 14, 2013.

Kumpfer, K. L., Amer, J., Orte, C., Ballester,L.,March, M, et al., (Sept. 14, 2013) Cultural Adaptation of the Spanish Strengthening Families Program. 16th European Conference on Developmental Psychology. Lausanne, Switzerland.

Spiel, G.,, Kumpfer, K.L., Finsterwald, M. & Grässl, J. (2013). Implementing "Positive Parenting" in Carinthia/ Austria. Presentation at the 16th European Conference on Developmental Psychology. Lausanne, Switzerland. Sept. 14, 2013.

Magalhães, C. & Kumpfer, K.L. (2013). Positive Parenting: Effectiveness of the Strengthening Families Program 6-11 Year among Portuguese Families Presentation at the 16th European Conference on Developmental Psychology. Lausanne, Switzerland. Sept. 14, 2013.

Kumpfer, K. L.,& Xie, J. (2013). Effectiveness of the Culturally Adapted Strengthening Families Program 12-16 Years for Chinese Families. Invited Address, Shanghai University Medical School, Department of Psychiatry. Shanghai, China, November. 13, 2013.

Kumpfer, K. L.,& Hu, Q.Q. (2013). Health Promotion through Strengthening Chinese Families. Invited Address, Center for Disease Control, Cixi, China, November 15, 2013.

2014 Conference Presentations and Professional Workshops

Kumpfer, K. L., & DeRe, A. (March 5-6, 2014). Strengthening Families Program Training Workshop, San Jose, CA.

Kumpfer, K. L., & Whiteside, H. O. (March, 11-12, 2014). Strengthening Families Program Training Workshop, Casa Grande, AZ

Kumpfer, K. L., & Whiteside, H. O. (March 18-19, 2014). Strengthening Families Program Training Workshop for Delinquency Prevention among First Nations, Quesnel, British Columbia, Canada, for National Crime Prevention Council of Canada.

Kumpfer, K. L., & Whiteside, H. O. (April 24, 2014). Results of the culturally adapted SFP 6-11 Years for Austrian Families, Zwillingsymposium, University of Klagenfurt, Klagenfurt, Austria.

Kumpfer, K. L., & Whiteside, H. O. (April 25, 2014). Family Skills Training Interventions for Improving Impulse Disorders: Strengthening Families Program Results. Zwillingsymposium, University of Vienna, Vienna, Austria.

Magalhaes, C. & Kumpfer, K.L (2014). Effectiveness of Family Interventions for Reducing Increasing Substance Abuse Among Girls: A Gender Analysis of the Strengthening Families Program (SFP) 6-11 Years, Society for Prevention Research, Washington, D.C., Hyatt Regency, May 27, 2014.

Kumpfer, K. L., & Xie, J. (2014). Effectiveness Evaluation of a Culturally Adapted Family Skills Training Program for Chinese American Adolescents and Their Families, Society for Prevention Research, Washington, D.C., Hyatt Regency, May 28, 2014.

Kanse, S. & Kumpfer, K.L (2014)., An Effectiveness Study Comparing a New Home Use SFP 7-17 Years DVD Video Version and a Family Group Version to the Existing Evidence Based Strengthening Families Program, Society for Prevention Research, Washington, D.C., Hyatt Regency, May 29, 2014.

Xie, J. & Kumpfer, K.L (2014). Effectiveness of Family Interventions for Chinese Families in the U.S.: An Analysis of the Cultural Adapted Strengthening Families Program (SFP) 12-16 Years. Society for Prevention Research, Washington, D.C., Hyatt Regency, May 29, 2014.

Kumpfer, K.L. & Brown, A. (2014). Strengthening Families Program 7-17 DVD. Invited Keynote address. Syracuse, New York Oct. 10, 2014.

Kumpfer, K.L. (October, 2014). Cost Effectiveness of Family Strengthening Interventions and SFP 7-17 DVD. European Society for Prevention Research, Annual Conference, Palma Mallorca, Spain.

Magalhaes, C. & Kumpfer, K.L (2014). Effectiveness of the Strengthening Portuguese Families (SFP) 6-11 Years, European Society for Prevention Research, Annual Conference, Palma Mallorca, Spain.

Lawless, M. & Kumpfer, K.L (2014). Effectiveness of the Strengthening Families Program (SFP 12-16) for Teenage Girls and Boys in Ireland, European Society for Prevention Research, Annual Conference, Palma Mallorca, Spain.

Orte, C., Ameros, J., Ballersta, L., March, M., & Kumpfer, K, L. et.al., (2014) Effectiveness of the Strengthening Families Program (SFP 6-11) in Spain in Social Welfare., European Society for Prevention Research, Annual Conference, Palma Mallorca, Spain.

Malouf, W., Campanello, G. & Kumpfer, K. L. (2014). Dissemination of Evidence-based Family Interventions in Serbia, Balkans, and Brazil. European Society for Prevention Research, Annual Conference, Palma Mallorca, Spain.

Kumpfer, K.L. (2014). Prevention of Drugs and Crime by Strengthening Families, Invited address, United Nations Office of Drugs and Crime, Bangkok, Thailand. Dec. 16, 2014.

Kumpfer, K.L. & Pinyuchon, M. (2014). Strengthening Families Program. Invited Keynote address, Ministry of Juvenile Justice, Bangkok, Thailand. Dec. 17, 2014.

Kumpfer, K.L. (2014). Resilience in Youth by Strengthening Families, Invited presentation, SW University, Bangkok, Thailand. Dec. 16, 2014.

2015 Conference Presentations and Professional Workshops

Kumpfer, K. L., & Whiteside, H. O. (March 18-19, 2015). Strengthening Families Program Training Workshop for Delinquency Prevention among First Nations, for Sea to Sky Communities that Care Coalition Pemberton, British Columbia, Canada.

SFP's Developer, Dr. Karol Kumpfer, and Dr. Kerby Alvy at the White House Office of National Drug Control Promoting Effective Parenting

Dr. Kumpfer presented last January to the White House Office of National Drug Control Policy (ONDCP) as part of the Advisory Board of Dr. Kerby Alvy's National Effective Parenting Initiative (NEPI) on the importance of targeting parents in media campaigns. MORE>>


SFP Developer Advising United Nations Office of Drugs and Crime in Vienna on Dissemination of Evidence-based Family Programs MORE>>


 

LutraGroup Collaboration with Taskin University and Thai National Control Board for Dissemination of SFP in Thailand MORE>>


New Articles

Strengthening Families Program's Dissemination Worldwide

SFP selected for Dissemination in UK by University of London’s new Parenting Academy

Ireland Really Committed to SFP 12-16 for Youth Corrections and Substance Abuse


Cochrane Reviews Find SFP10-14 the #1 Best School-based Alcohol Abuse Prevention Program

The first International Cochrane Collaboration Systematic Review in Public Health and Medicine to review programs for the prevention of alcohol abuse found that SFP10-14 was the most effective universal, school-based prevention program in the world.

The Cochrane Collaboration authors (Foxcroft and associates 2003) at Oxford University found only 56 programs in the world with research data solid enough to include in their review of what works in substance abuse prevention. About 20 of these programs were found to have negative results or no positive results. Of the remaining programs, the Cochrane review found that SFP10-14, a 7-session plus four boosters version for low risk universal populations, had twice the effectiveness (effect size) of the next best school-based program. SFP was found three times as effective as any life or social skills training program implemented with youth only.

Because this review covered only school-based universal prevention, SFP3-5, SFP6-11, and SFP12-16 await a future Cochrane Collaboration evaluation for effectiveness with higher risk selected or indicated populations.

Foxcroft, D. R., Ireland, D., Lister-Sharp, D.J., Low, G., & Breen, R. (2003) Longer-term primary prevention for alcohol misuse in young people: A systemic review. Addiction, 98, 3978-411.

SFP12-16 Now Available

The original Strengthening Families Program (SFP 6-11) was created in 1984 for high-risk "selected or indicated" children ages 6 to 11 and their families. Growing requests led in 2004 to SFP12-16, an adaptation of SFP for high-risk teens. Resilience lessons on dreams and goals from SFP10-14 for general/universal populations were retained and adapted for higher risk youth. This program was tested on a SAMHSA/CSAT grant with youth in foster care and residential drug treatment in multiple sites in New Mexico and Utah. The Trimbos Institute also tested SFP12-16 for youth in residential drug treatment in multiple sites in the Netherlands and found positive outcomes similar to SFP6-11. A recent analysis of results in Ireland showed even larger effectiveness (effect sizes averaging d = .80) in their population of indicated youth involved in probation or mental health services. Implementations in Canada, Italy, and Thailand are expected to produce publishable results.

Core skills of SFP12-16 for parents and teens are essentially the same as in SFP6-11, but presentation, exercises, and language have been adapted for early teens. A lesson preparing parents and teens to talk about relationships and sexuality has also been added. Because teens have a more nearly adult understanding, parents and teens usually work on the same or similar skills in each session (compared to roughly half the sessions in SFP3-5 and SFP6-11).

SFP12-16 returns frequently to the theme of helping teens identify their goals and dreams and helping parents support pursuing those goals. Peer resistance skills also receive expanded treatment in SFP12-16. Peer resistance is presented as encouraging teens to make their own choices, determining what they will do and who they will be.

SFP3-5 Successful in Early Implementations

In trials on the east and west coasts, an adaptation of SFP 6-11 for high risk families with pre-school children ages 3 to 5 years released in 2006 has produced successful initial results. Core skills of SFP 3-5 for parents and younger children are essentially the same as in SFP6-11, but presentation, exercises, and language have been adapted for the understanding and attention spans of younger ages.

Lessons in SFP3-5 completely parallel SFP6-11 and both versions are easily presented together to accommodate families with children in both age groups. Parallel presentation of both versions requires only more group leaders for the additional children's group and dividing the Family Session into a shorter first period for the younger children and a longer second period for older children.

SFP Developer to Advise UN for Prevention Expert Meeting in Vienna and Draft Review of Cultural Adaptation and Implementation Protocol for Family Programs

Dr. Karol L. Kumpfer, developer of SFP, was recently retained as a consultant for an October 2007 United Nations expert meeting in Vienna, Austria on family-based approaches to prevention. The conference reflects the widening acceptance of family-based approaches at the most effective prevention strategies worldwide. Overseas SFP trainings and implementation in recent years include Sweden, England, the Netherlands, Portugal, Italy, Ireland, Russia, Thailand, Spain, Costa Rica, and El Salvador. Translation and adaptations of language, exercises and graphics and supporting materials are typically involved in creating a national adaptation of an SFP program.