Collaborative and Proactive Solutions

How to access this practice/program?

Visit https://cpsconnection.com/workshops-and-training/ to review training options.

What is the practice/program? 

Collaborative and Proactive Solutions (CPS) is an evidence-based, trauma-responsive approach to working with children who are experiencing social, emotional, and behavioral challenges in families, schools, and treatment facilities. CPS helps children and caregivers solve the problems that are causing the concerning behaviors. The problem solving is collaborative, not unilateral, and proactive, not reactive. The model has been shown to be effective at not only solving problems and improving behavior, but also at enhancing skills. 

Who is the practice/program for? 

This approach works with children and adolescents and is most effective with ages 4-14.  

What outcomes does the practice/program produce? 

• Improve relationships 
• Improve communication 
• Improve skills of empathy, appreciating how one’s behavior is affecting others, resolving disagreements in collaborative ways, taking another’s perspective, and honesty 
• Decrease the likelihood of conflict 

What is the evidence? 

Tshida, J.E., Maddox, B.B., Bertollo, J.R., Kuschner, J.S., Miller, J.S., Ollendick, T.H., Greene, R.W., & Yerys, B.E. (2021). Caregiver perspectives on interventions for behavior challenges in autistic children. Research in Autism Spectrum Disorders. 81. https://livesinthebalance.org/wp-content/uploads/2021/06/Autism-Spectrum-Disorders_0.pdf 

Results of this study indicate that caregivers of school-age children with a diagnosis of Autism Spectrum Disorder, a reported IQ equal or greater than 70, and behavioral challenges rated medications and CPS as significantly more helpful at improving behavior challenges. Additionally, medications, CPS, ABA, and “other interventions” were rated as leading to significantly greater maintained improvements. 

Greene, R.W., & Winkler, J. (2019), Collaborative & Proactive Solutions: A review of research findings in families, schools, and treatment facilities. Clinical Child and Family Psychology Review, 22(4), 549-561. https://rdcu.be/bHMLV  

Collaborative & Proactive Solutions (CPS) is a psychosocial treatment model for behaviorally challenging youth, which has been applied in a diverse array of settings, including families, schools, and therapeutic facilities. Numerous studies have documented its effectiveness and examined factors that mediate and moderate the effectiveness of the model. Data have thus far shown that, with regard to behavioral improvements, CPS is at least the equivalent of the standard of care for externalizing youth, Parent Management Training, and that CPS may hold additional benefits as regards parent-child interactions and children’s skill enhancement.  

Greene, R. W., Ablon, J. S., Goring, J. C., Raezer-Blakely, L., Markey, J., Monuteaux, M. C., Henin, A., Edwards, G., & Rabbitt, S. (2004). Effectiveness of Collaborative Problem Solving in Affectively Dysregulated Children With Oppositional-Defiant Disorder: Initial Findings. Journal of Consulting and Clinical Psychology, 72(6), 1157–1164. https://doi.org/10.1037/0022-006X.72.6.1157 

This study compared the effectiveness of the CPS program to that of the parent training (PT) program. 50 children with oppositional-defiant disorder (ODD) between the ages of 4-12 were randomly assigned to either the CPS treatment group or PT group. The students were assessed both pre and post treatment based on parent stress and clinical evaluations. Students in the CPS treatment group saw significant improvement across multiple domains (i.e., ODD related behaviors, mood, communication) at the post assessment and 4-month mark. At the 4-month mark 60% students in the CPS treatment group saw clinically significant improvement compared to 37% in the PT group.  

How is the practice/program implemented? 

In the CPS model, a student’s concerning behaviors are simply the way in which they communicate that there are expectations they are having difficulty meeting. Those “unmet” expectations are called “unsolved problems.” The CPS model focuses on identifying the unsolved problems and then engaging the student in solving them. CPS utilizes the Assessment of Lagging Skills and Unsolved Problems (ALSUP) to identify the student’s lagging skills and “Plan B” to solve the problems. Plan B involves three basic steps: 1) the Empathy step which involves gathering information in order to achieve the clearest understanding of what’s making it difficult for a student to meet a particular expectation; 2) the Define the Problem step which involves figuring out why it is important to the adult that the expectation be met; and 3) the Invitation step which involves having adults and students brainstorm solutions in order to arrive at an action plan that is both realistic and mutually satisfactory. 

Who can implement the practice/program? 

Clinicians, educators, and parents can implement CPS. 

What are the costs and commitments associated with becoming trained in this practice/program? 

Cost and commitment associated with training differs depending on the individual and/or the group. For more information, please click on this link – https://www.cpsconnection.com/workshops-and-training  

What resources are useful for understanding or implementing the practice/program? 

• More information on CPS can be found here: https://www.cpsconnection.com/about
• More information on CPS tools can be found here: https://www.cpsconnection.com/paperwork 
• To find mental health providers and resources in your area visit the Texas School Mental Health Resource Database here: https://schoolmentalhealthtxdatabase.org/ 

Rating: Promising 

Secondary components: Grief Informed and Trauma Informed Practices; Positive, Safe, and Supportive School Climate; Positive Behavior Interventions and Supports