Triple P – Positive Parenting Program® – Level 4

The Triple P – Positive Parenting Program ® is a parenting and family support system designed to help children to realise their potential. Triple P is designed to be with parents on every step of their journey, providing help and guidance to families when they need it. It aims to create supportive family environments, and to prevent, as well as treat, behavioral and emotional problems in children and teenagers.

Level 4 is for parents of children with severe behavioral difficulties (or in the case of Group Triple P/Group Teen Triple P, for motivated parents interested in gaining a more in-depth understanding of Positive Parenting). It is available for parents of children from birth to 12 years and 12–16 years and covers Triple P's 17 core positive parenting skills that can be adapted to a wide range of parenting situations.

This program is approved for WV Expanded School Mental Health.

Last reviewed: 2023

Intended Outcomes:

  • Increase competence in promoting healthy development and managing common child behavior problems and developmental issues
  • Reduce use of coercive and punitive methods of disciplining children
  • Increase use of positive parenting strategies in managing their children's behavior
  • Increase confidence in raising their children
  • Decrease behavior problems in their children (for families experiencing difficult child behaviors)
  • Improve partners' communication about parenting issues
  • Reduce stress associated with raising children

Continuum of Care:

Topic Areas:
Anxiety, Behavioral Health/Mental Health, Depression, Disruptive Behaviors

Childhood (4-12), Early Childhood (0-3), Teen/Adolescent (13-18)

Geographic Locations:
Rural, Urban

Delivery Settings:
Community-Based, Congregate Care Facility, Virtual

Cultural Considerations:
Significant and well-articulated attention was given to disparities in outcomes

Level 4 is for parents of children from birth to 12 years and 12–16 years old.

Practitioners come from a wide range of professions and disciplines and include family support workers, doctors, nurses, psychologists, counselors, teachers, teacher's aides, police officers, social workers, child safety officers and clergy.


Is Training Required?
Yes, see developer info

Who can provide the required training?
More information in regards to training can be found here:

Program Costs (materials, training, etc.):
Yes, refer to program website

Program/Practice Website:

Relevant Published, Peer-Reviewed Research:

Doherty, F. M., Calam, R., & Sanders, M. R. (2013). Positive parenting program (triple P) for families of adolescents with type 1 diabetes: a randomized controlled trial of self-directed teen triple P. Journal of Pediatric Psychology, 38(8), 846-858.

Smith, G. C., Hayslip, B., Jr., Hancock, G. R., Strieder, F. H., & Montoro-Rodriguez, J. (2018). A randomized clinical trial of interventions for improving well-being in custodial grandfamilies. Journal of Family Psychology, 32(6), 816-827.

Steketee, M., Jonkman, H., Naber, P., & Distelbrink, M. (2021). Does Teen Triple P Affect Parenting and the Social and Emotional Behaviours of Teenagers? A Study of the Positive Parenting Programme in the Netherlands. Behaviour Change, 38(2), 95-108.

Additional Sources:

Supported By Research

WV Rating:
Supported by Research
»WV Ratings Info

Rationale for Rating:

Research consistently showed positive outcomes for participants.

Contraindications or Concerns:
None identified

Other Registries/Ratings

The California Evidence-Based Clearinghouse for Child Welfare:
Well-Supported by Research Evidence

Blueprints for Healthy Youth Development:

Clearinghouse for Military Family Readiness:

Office of Juvenile Justice and Delinquency Prevention Model Programs Guide:
Not On Registry

Washington State Institute for Public Policy:
Found on the registry. See link for more information.

Washington State Institute for Public Policy Registry Link: