Addressing urban African American youth externalizing and social problem behavioral difficulties in a family oriented prevention project

The current article examines the secondary effects of an inner- city Community-University Collaborative HIV-Prevention and Adolescent Mental Health Family Program (CHAMP) in reducing externalizing (i.e., aggressive and rule-breaking behavior) and social problem behaviors for children with significant levels of externalizing behavior. Data were provided by parents for a sample of 50 youth assigned to the CHAMP Family Program and 299 comparison children. Among the CHAMP Family Program participants at pretest, 40% (n = 20) of parents reported their children exhibited significant levels of externalizing behavior. Among the comparison group, 38% (n = 113) of parents reported their children exhibited significant levels of externalizing behavior. There was a significant reduction in child externalizing scores for children in the CHAMP Family Program from pretest to posttest, bringing their mean scores of externalizing behavior from clinical to sub-clinical levels. Posttest only comparisons revealed that children in the CHAMP Family Program had significantly lower externalizing behavior scores than children in the comparison group. Analyses of child social problems indicated mixed results. Implications for urban mental health and prevention programs are discussed.