Given the prevalence and wide-ranging consequences of disruptive
behavior disorder problems to families and society, research
has focused on the development of effective interventions for their
prevention and treatment. Among interventions, behavioral parent
training (BPT) is considered the first choice treatment (Eyberg et al.
2008; Chorpita et al. 2011). However, barriers to receiving such
interventions exist, including the lack of trained staff to provide this
evidence-based treatment, stigma related to receiving mental health
treatment, and the difficulties to access and engage in treatment in
terms of costs, time, and location (Kazdin and Blase 2011; Kazdin
and Rabbitt 2013). These barriers lead to poor quality of care for
youth with disruptive behaviors. For example, research suggests
that psychotropic medications are prescribed for a majority of youth
with disruptive behaviors without attempting psychological intervention,
such as BPT (Olfson et al. 2012, 2014), exposing youth to
the risk of concerning antipsychotic adverse effects, including potentially
life-shortening cardiometabolic risks (Correll et al. 2009;
Maayan and Correll 2011; Galling et al. 2016).