Parents Anonymous®

Scientific Rating:
3
Promising Research Evidence
See scale of 1-5
Child Welfare System Relevance Level:
High
See descriptions of 3 levels

About This Program

The information in this program outline is provided by the program representative and edited by the CEBC staff. Parents Anonymous® has been rated by the CEBC in the areas of: Parent Partner Programs for Families Involved in the Child Welfare System and Interventions for Abusive Behavior.

Target Population: Parents, grandparents, relative and kin providers, foster parents, or anyone serving in a caregiver role and children and youth of all ages with behavioral health, substance abuse, and wellness concerns

For children/adolescents ages: 0 – 18

For parents/caregivers of children ages: 0 – 18

Brief Description

Parents Anonymous® is designed to be both a prevention and treatment program that strengthens families that are at risk of becoming (or already are) involved in the child welfare system, have behavioral health challenges, or face other family problems. Services offered include weekly support groups, in-home parent training, helpline services, and other supportive ongoing functions. The Parents Anonymous® program aims to mitigate the impact of (and prevent) Adverse Childhood Experiences (ACEs) for parents/caregivers and their children and youth. Parents Anonymous® Groups for parents/caregivers are facilitated by a trained Group Facilitator and a Parent Group Leader.

This program is designed to be culturally responsive and empowering. It is open to any parent or caregiver in a parenting role seeking support and positive parenting strategies regardless of the age or special challenges of their children or youth including severe emotional concerns. While parents/caregivers are meeting, their infants, children, and older youth participate in Parents Anonymous® Children and Youth Programs designed to build self-esteem, improve health and emotional well-being, change behavior, achieve permanency, and strengthen family and peer relationships based on the child’s/youth’s developmental stage. Parents Anonymous® Staff and Parent Leaders (with lived experiences) provide Parent Partner Services such as advocacy; In-Home Parenting; Supportive Services such as linkages to community resources; and the National Parent Helpline® for emotional support. Through meaningful Shared Leadership®, Parent Leaders strive to realize better outcomes for families and communities by creating or introducing policy reform, systems change, and the expansion of evidence-based programs.

Program Goals:

The goals of Parents Anonymous® are:

  • Strengthen families by improving social, emotional, and behavioral well-being of parents/caregivers, children, and youth
  • Prevent child abuse and neglect by ensuring safe, stable, and nurturing relationships for families
  • Mitigate the impact in parents/caregivers of ACEs and prevent them in children and youth
  • Reduce risk factors, increase protective factors, and significantly reduce harmful behaviors towards children by supporting the empowerment of families
  • Enhance the social and emotional well-being of children, youth, parents, and caregivers by increasing parental and child/youth resilience, achieving positive personal growth and change, and improving family functioning, self-esteem, and happiness
  • Foster an International Network of Nationally Certified Parent Leaders through Training, Action Planning, and Guided Practice on “10 Exemplary Leadership Practices”
  • Engage in meaningful Shared Leadership® to create systems change in child welfare, behavioral health, schools, early care, health care, juvenile and adult justice, courts, and developmental disabilities
  • Achieve safety, permanency, and reduced out-of-home placements for child welfare involved families and increased reunifications
  • Create opportunities for parent and youth partners to develop leadership skills to give back to their communities; ensure public policies created to meet the needs of diverse families are responsive by creating measurable positive results; and produce better long-term outcomes for families
  • Prevent and reduce hospitalizations for mental health problems; prevent and reduce drug and alcohol addiction and prevent and reduce domestic violence

Essential Components

The essential components of Parents Anonymous® include:

  • Four therapeutic principles associated with positive outcomes:
    • Mutual support
    • Parent leadership
    • Shared Leadership®
    • Personal growth and change
  • Parents Anonymous® programs are responsive to the cultural and ethnic diversity of the children and families being served.
  • Following the Parents Anonymous® National Benchmarks and Standards of Practice for each group:
    • All Parents Anonymous® Adult Groups:
      • Must have at least one trained and supervised Group Facilitator who acts a resource to parents and fosters parent and must have Shared Leadership®
      • Must have at least one trained and supported Parent Group Leader who is a member of the group serving in a leadership capacity
      • Meet weekly, for 1.5 to 2 hours, at a designated time and place, and in a location that is safe and free of stigma
      • Maintain confidentiality
      • Must not charge a fee for parents or children to attend a Parents Anonymous® groups
      • Foster the personal change of parents by supporting their empowerment strategies to advocate for themselves and their families
      • Encourage parents to seek support by calling the National Parent Helpline®, reaching out to one another, the parent group leader, and/or the group facilitator between weekly Parents Anonymous® meetings
      • Allow parents to join Parents Anonymous® groups at any time and participate for any length of time
      • Give all parent members the I Am A Parents Anonymous® Parent (IPAP) handbook (available in English and Spanish)
      • Encourage, train, and support all parents to be in leadership roles within and outside of the Parents Anonymous® program by having them become a nationally certified parent leader
      • Celebrate National Parent Leadership Monthsm and be active in the Parent Leadership Network
    • All Parents Anonymous® Children and Youth groups have the mission to enhance the emotional growth and social development of children and youth of all ages (0-18) by creating an environment where children can achieve the following goals based on the four tenets of Parents Anonymous®:
      • Develop healthy social skills and build resiliency
      • Express appropriate emotions
      • Increase understanding and tolerance of others
      • Enhance interpersonal skills
      • Develop coping and problem solving skills
      • Improve self-control
      • Improve efforts towards learning in school
      • Build self-esteem
      • Improve self-confidence
      • Increase positive behaviors with parents and peers
      • Gain respite from daily life stresses and have the opportunity to develop resiliency to face these stresses
      • Develop leadership abilities
      • Model Shared Leadership®
      • Improve social, emotional, and behavioral well-being

Child/Adolescent Services

Parents Anonymous® directly provides services to children/adolescents and addresses the following:

  • Low self-esteem, poor emotional well-being, poor behavior, poor family and peer relationships, low impulse control, mental health concerns, drug/alcohol use and exposure, and delinquency and school problems

Parent/Caregiver Services

Parents Anonymous® directly provides services to parents/caregivers and addresses the following:

  • Lack of knowledge in child development and age-appropriate expectations, lack of communication skills, poor discipline techniques, lack of knowledge on parental roles and effective parenting strategies, anger management issues, mental health concerns, drug/alcohol use, safety issues, lack of self-care, social isolation, impulse control, and low self-esteem, impact of Adverse Childhood Experiences and lack emotional and health well-being

Delivery Settings

This program is typically conducted in a(n):

  • Child Abuse & Family Reunification Programs
  • Child Care Center
  • Community Agency
  • Community Daily Living Settings
  • Day Treatment Program
  • Department of Social Services
  • Homeless Shelter
  • Outpatient Clinic
  • Prison or pre-release center
  • Religious Organization
  • Residential Care Facility
  • Residential Treatment Center
  • School
  • Domestic Violence Shelter

Homework

This program does not include a homework component.

Languages

Parents Anonymous® has materials available in a language other than English:

Spanish

For information on which materials are available in this language, please check on the program's website or contact the program representative (contact information is listed at the bottom of this page).

Resources Needed to Run Program

The typical resources for implementing the program are:

  • Certified Program Staff and Parent Leaders, Trained Adult and Children & Youth Group Facilitators, and Parent Group Leaders
  • Parents Anonymous® manuals and outreach and program materials for parents and children promoting Asking for Help is a Sign of Strength®
  • Online National Database
  • Group Fidelity Tools
  • Validated National Outcome Survey
  • Link to Parents Anonymous® Inc. websites, Facebook, and Twitter accounts
  • A safe and welcoming location accessible to families in the community to be served
  • A meeting room to accommodate 8-15 parents/caregivers
  • Separate meeting rooms for different age groups of children and youth with educational toys and materials utilized in structured activities
  • Flyers and cards to promote the National Parent Helpline®
  • Promotion of Stand with Families Campaign
  • Activities to celebrate National Parent Leadership Monthsm

Minimum Provider Qualifications

Parents Anonymous® Adult and Children & Youth Group Facilitators should have a Bachelor's and/or Master's degree in social work, psychology, early childhood education, or other behavioral science or credentials as a teacher, clergy, or nurse, as well as experience and expertise in providing primary prevention and family strengthening programs to diverse populations in urban, suburban and rural communities and settings.

All Program Staff and Parent Leaders are expected to develop research-based competencies that enhance the likelihood of successfully implementing the Parents Anonymous® Principles of Mutual Support, Parent Leadership Shared Leadership®, and Personal Growth and Change through Trauma Informed-Practices curricula.

Education and Training Resources

There is a manual that describes how to implement this program, and there is training available for this program.

Training Contact:
Training is obtained:

California organizations who wish to obtain training to implement Parents Anonymous® program need to contact Parents Anonymous® Inc. The certification process occurs every two years for accredited organizations program staff and parent leaders.

Number of days/hours:

Parents Anonymous® Facilitator Training is 8 hours. Certification is 32 hours of total training, implementation of an action plan, guided practice, and development of specific research-based competencies.

Additional Resources:

There currently are additional qualified resources for training:

  • Competency Based training Modules linked to the National Standards of Practice for each specific role within in Parents Anonymous® Programs
  • Program Materials on specific therapeutic interventions are available

Implementation Information

Since Parents Anonymous® is rated on the Scientific Rating Scale, information was requested from the program representative on available pre-implementation assessments, implementation tools, and/or fidelity measures.

Show implementation information...

Pre-Implementation Materials

There are pre-implementation materials to measure organizational or provider readiness for Parents Anonymous® as listed below:

A tool is used to assist the organization in determining their readiness, but it is not publicly available. Contact Parents Anonymous® Inc. to arrange an initial telephone call to discuss your organization’s readiness, organizational capacity, and resources to support the Parents Anonymous® program.

Formal Support for Implementation

There is formal support available for implementation of Parents Anonymous® as listed below:

Parents Anonymous® Inc. is responsible for all training, coaching, consultation, and technical assistance to implement Parents Anonymous® programs worldwide.

After reviewing the information at www.parentsanonymous.org, California organizations interested in starting a Parents Anonymous® program need to contact TaVia Wooley-Iles, Program Director, at twooley-iles@parentsanonymous.org or 909-575-4215.

Organizations outside of California wishing to implement Parents Anonymous® programs must contact the accredited organization in their state: http://parentsanonymous.org/programs/parents-anonymous-groups/network-map/ or become accredited by Parents Anonymous® Inc.

Organizations must complete an online application demonstrating their commitment and capacity to meet National Benchmarks and Program Standards.

Parents Anonymous® Inc. staff provides coaching and support throughout all stages of program implementation and management; onsite consultation is available for a fee. Manuals and program materials are distributed for a fee. Parents Anonymous® Inc. operates, maintains, and trains staff to enter and produce reports from the program’s online national database system to collect and analyze confidential group and participant demographic and attendance data.

Fidelity Measures

There are fidelity measures for Parents Anonymous® as listed below:

Parents Anonymous® Inc. requires site visiting and administration of a validated Fidelity Tool at least once a year; for new programs, quarterly is preferred. There is a specific Site Visiting Tool for the Adult Group and the Children and Youth Program. Parents Anonymous® Inc. ensures fidelity through the administration, analysis and reports of all essential components of the Parents Anonymous® program utilizing the Group Fidelity Tools for Parent Participants and Group Facilitators. Furthermore, a validated Outcome Measurement Tool is administered to all participants at least once a year.

Implementation Guides or Manuals

There are implementation guides or manuals for Parents Anonymous® as listed below:

An operations manual, tool kits, and program implementation materials are available for accredited organizations. Contact TaVia Wooley-Iles, Program Director at twooley-iles@parentsanonymous.org or 909-575-4215.

Research on How to Implement the Program

Research has not been conducted on how to implement Parents Anonymous®.

Relevant Published, Peer-Reviewed Research

This program is rated a "3 - Promising Research Evidence" on the Scientific Rating Scale based on the published, peer-reviewed research available. The practice must have at least one study utilizing some form of control (e.g., untreated group, placebo group, matched wait list study) establishing the practice's benefit over the placebo, or found it to be comparable to or better than an appropriate comparison practice. Please see the Scientific Rating Scale for more information.

Child Welfare Outcome: Child/Family Well-Being

Show relevant research...

Lieber, L. & Baker J. (1977). Parents Anonymous: Self-help treatment for child abusing parents: A review and an evaluation. Child Abuse & Neglect, 1, 133-148.

Type of Study: Time-series evaluation design
Number of Participants: 613

Population:

  • Age — Parents Mean = 29.3 years, Children’s Mean = 5.9 years Gender: 83% females, 17% males
  • Race/Ethnicity — 69% Anglo, 4% Black, 3% American Indian, 2% Mexican-American, 1% Asian-American, 20% Other or no answer
  • Gender — Not specified
  • Status — Data was collected from questionnaires mailed to all (356) identified Parents Anonymous® Chapters at one specific point in time, April 25, 1976; 35% of those mailed were received. 93% of the sample used was voluntary, and 7% was court-ordered.

Location/Institution: Behavior Associates, Tucson, Arizona

Summary: (To include comparison groups, outcomes, measures, notable limitations)
Participants were divided into categories determined by the amount of time they had been in the Parents Anonymous® program: one month or less, two months, three months, four months, five to six months, seven to eight months, nine to ten months, eleven to twelve months, 13-18 months, and 19 months or more. The measure used to evaluate the Parents Anonymous® program consisted of in-depth interviews, as well as a questionnaire – The Parents Anonymous – Your Personal Profile – that assessed dimensions such as self-esteem, feelings about parenthood and children, satisfaction derived from parenthood, knowledge of child development, frequency and severity of abusive behavior, social contacts and use of community resources, and perceived benefits of participation in Parents Anonymous®. Results of statistical analyses showed a decrease in reported frequency of physical abuse that appeared to almost immediately take effect upon entering the Parents Anonymous® program. For example, the overall frequency of physical abuse of the respondents who had been in the program only one month was close to “Almost Never,” the lowest choice on a scale including (in order of least to greatest frequency): Almost Never, Once a Month, Several Times a Month, Several Times a Week, and Almost Every Day. This decrease in physical abuse did not significantly change with time in the program. In contrast, though a decrease in verbal abuse was also shown, this decrease continued over time in the program. Additionally, increases in positive statements about self and increases in reported frequency of social contacts were both shown to be significantly correlated to increases in length of time in the Parents Anonymous® program. The evaluation results also showed that the Parents Anonymous® program has demonstrated a statistically significant impact on the participants’ knowledge in areas of child behavior and development, showing that their behavioral expectations for children became more developmentally and age appropriate as time in the program increased. Limitations include the lack of a control group, reliance on self-report, and the lack of follow-up data.

Length of postintervention follow-up: None.

Roth, H. (1985). Relationship between attendance at a Parents Anonymous adult program and children's behavior at the Parents Anonymous child care program. Children and Youth Services Review, 7, 39-43.

Type of Study: Single group time series design
Number of Participants: 35 children

Population:

  • Age — Children: 1-14 years
  • Race/Ethnicity — Not specified
  • Gender — Not specified
  • Status — Participants were parents & their children involved in the Parents Anonymous® Program, which met weekly at the Asbury Methodist Church in Durham, North Carolina. The Child Care Program met at the same church on a different floor, and was scheduled at the same time the parents attended their group meetings.

Location/Institution: Durham, North Carolina

Summary: (To include comparison groups, outcomes, measures, notable limitations)
This article examines the statistical relationship between the proportion of parent group meetings attended by parents involved in a Parents Anonymous® Adult Program and the number of positive behavioral ratings received by children who attended the Parents Anonymous® Child Care Program. In order to assess the effectiveness of Parents Anonymous®, an evaluation measure was administered, consisting of behavior ratings on five statements related to the child’s behavior during the Child Care Program: Child behaves during structured activity time, Child interacts positively with his/her peers during the child care session, Child respects the rules and the routine of the Child Care Program, Child meaningfully participates in children’s group, Child interacts positively with child care staff; the rating scale for this measure ranged from 1 (Excellent) to 5 (No Progress). The dependent variable used in the analysis was the number of times the child improved his/her behavior ratings on these 5 statements, while they were in the Child Care Program. Three child care workers classified the children’s behavior, producing a maximum number of 15 possible ratings. Additionally, parent attendance at Parents Anonymous® meetings was measured, based on the number of parent group meetings attended while the parent was involved in the Parents Anonymous® program. A rating of “1” was given if the parent attended more than 50% of the meetings, and a rating of “2” was given if the parent attended 50% or less of the meetings. Results from the two-way analysis showed that the correlation between group attendance and children’s positive behavioral ratings during the Child Care Program was statistically significant. Children whose parents had attended more than 50% of the parent group meetings had a mean behavior rating of 7.98. The children whose parents attended 50% or less of the parent group meetings had an adjusted mean behavior rating of 4.61. Limitations of the study include the small sample size, the lack of a control group, and lack of follow-up data.

Length of postintervention follow-up: None.

Hunka, C., O’Toole, A., & O’Toole, R. (1985). Self-help therapy in Parents Anonymous. Journal of Psychosocial Nursing and Mental Health Services, 23, 24-32.

Type of Study: Quasi-experimental time series design
Number of Participants: 18

Population:

  • Age — Average 29-30 years
  • Race/Ethnicity — Not Specified
  • Gender — 17% male, 83% female
  • Status — Participants were members of two Parents Anonymous® groups that met regularly in a centrally located church in an urban area. One group had 6 members and consisted mostly of housewives. The larger group had 12 members and was more heterogeneous, including more men. Half of the sample was self-referred, 5 were referred by Parents Anonymous® members, and 4 were referred by social service agencies.

Location/Institution: Ohio

Summary: (To include comparison groups, outcomes, measures, notable limitations)
This study assessed the effectiveness of Parents Anonymous® on parents’ abuse-related attitudes and behaviors towards their children. The senior author of this article obtained permission to join the two Parents Anonymous® groups, presenting herself as a parent and as a student who was conducting a study. Following her participation in the groups for 3 months, structured interviews with the sample were initiated. The first interview retrospectively assessed the parents’ perceived positions on a number of attitudes and behaviors related to abuse, before they joined Parents Anonymous®, as well as collected demographic information regarding attendance, recruitment, and length of abusive history with the child before contacting Parents Anonymous®. An average of 5 weeks later, a second interview was conducted, measuring parents’ current positions on these same attitudes and behaviors. A Likert-type ranking scale from 1 to 5 was used to measure the position of parents on each of these behaviors; a “1” represented attitudes, knowledge, or behavior that was least conducive to abuse, while a “5” reflected a score that was most conducive to abuse. The abuse-related attitudes and behaviors measured included social isolation, self-esteem, dependency needs, impulsiveness, passivity, attitude toward child, knowledge of child development, problem-solving ability, ability to cope with stress, and child management techniques. From pretreatment, the change in each of these dimensions following participation in Parents Anonymous® was statistically significant. Parents’ average pretreatment rankings were towards the abusive end of the scale (closer to a “5” rating); after involvement in Parents Anonymous®, parents’ average rankings on these dimensions were closer to the opposite end of the scale, with mean rankings of “1” and “2”. Among other improvements, parents who attended Parents Anonymous® 18 months or more tended to have higher change scores than those who had attended less than 18 months. Limitations of the study include the use of only two Parents Anonymous® groups – and as a result, a small sample size, the use of a retrospective self-report measure, the lack of a control group, and the lack of follow-up data.

Length of postintervention follow-up: None.

Post-Kammer, P. (1988). Does Parents Anonymous reduce child abuse? The Education Digest, 54(3), 33-36.

Type of Study: Cross-sectional study
Number of Participants: 82

Population:

  • Age — Local Sample: Mean = 33 years; National Sample: Mean = 29.3 years
  • Race/Ethnicity — Local Sample: 71% white, 13% black, remainder reported other ethnic backgrounds; National Sample: 69% white, 4% black, rest unspecified
  • Gender — Local Sample: 75% women, National Sample: 83% women, 17% men
  • Status — Participants attended Parents Anonymous® groups in Milwaukee, Wisconsin.

Location/Institution: Milwaukee, Wisconsin

Summary: (To include comparison groups, outcomes, measures, notable limitations)
The purposes of this study were 1) to describe Parents Anonymous® – a national support-group organization that assists abusive parents – to school counselors for their use as a referral source, and 2) to determine whether participation in Parents Anonymous® affected parents’ self-concept, understanding of children, and abusive behaviors. Participants were each in one of three groups: physically abusive parents (n = 47), sexually abusive parents (n = 27), and elderly parents (n = 8) who perceive themselves to have been abused or mistreated by their adult children. A self-report assessment developed by the Parents Anonymous® organization was given to participants, administered during a regular Parents Anonymous® group meeting, & kept anonymous. More than 80 percent of the members reported that attending Parents Anonymous® resulted in improvement in their ability to cope with stress. Members also reported a reduction in frequency of verbal and physical abuse after joining Parents Anonymous. Additionally, there was significant – though low – correlation between the number of months in Parents Anonymous® and understanding of children, such that the higher number of months in Parents Anonymous®, the better understanding of children. Limitations of the study include the lack of control-group, reliance on only one self-report measure, small sample size, and lack of pretest & follow-up data.

Length of postintervention follow-up: None.

Polinsky, M. L., Pion-Berlin, L., Williams, S., & Wolf, A. M. (2010). Preventing child abuse and neglect: A national evaluation of Parents Anonymous® groups. Child Welfare, 89(6), 43-62.

Type of Study: One group pretest posttest study
Number of Participants: 206

Population:

  • Age — Not specified
  • Race/Ethnicity — 49% Black/African American, 42% White, and 7% Other
  • Gender — 90% Female
  • Status — Parents new to Parents Anonymous® groups (not attended more than five group meetings prior to recruitment) from 54 randomly selected groups in 19 states.

Location/Institution: Not specified

Summary: (To include comparison groups, outcomes, measures, notable limitations)
This evaluation assessed whether participation in Parents Anonymous® mutual support groups was associated with child maltreatment prevention.  Parents new to groups were interviewed at baseline, one month, and six months; approximately 20% of eligible parents agreed to participate.  Measures were derived from existing measures, which were not identified.  All parents showed improvements in child maltreatment outcomes, risk factors, and protective factors.  Parents starting out with particularly serious needs showed statistically significant improvement on every scale.  Limitations included the lack of a control group, low recruitment rates (less than 20% of new participants agreed to participate in the study) leading to concerns about the generalizability of the results to all participants, and a lack of information on the measures that were used.

Length of postintervention follow-up: None.

Polinsky, M. L., Pion-Berlin, L., Long, T., & Wolf, A. M. (2011). Parents Anonymous outcome evaluation: Promising findings for child maltreatment reduction. Journal of Juvenile Justice, 1(1), 33-47.

Type of Study: One group pretest/posttest design
Number of Participants: 206

Population:

  • Age — 19-63 years
  • Race/Ethnicity — 48% African American and 42% White
  • Gender — 91% Female
  • Status — Participants were members in 54 Parents Anonymous® groups in 19 states who volunteered to participate in the study.

Location/Institution: Not specified

Summary: (To include comparison groups, outcomes, measures, notable limitations)
Note: This article uses the same study sample as Polinsky, M. L., Pion-Berlin, L., Williams, S., & Wolf, A. M. (2010) above. This article describes the findings of a national evaluation of Parents Anonymous® by assessing whether participation in Parents Anonymous® is associated with changes in child maltreatment outcomes and in risk and protective factors. Measures utilized include Child Abuse Potential Inventory, Parent-Child Conflict Tactics Scale, Life Stress Scale, Parenting Stress Index Short Form, Conflict Tactics Scale, Short Michigan Alcoholism Screening Test, Quality of Life Scale, Norbeck Social Support Questionnaire, Parenting Sense of Competence, and the McMaster Family Assessment Device. Results indicate that after attending Parents Anonymous® mutual support group meetings, parents indicated statistically significant reductions in risk factors for child abuse and neglect. Limitations include possible selection bias as no information is provided on the Parents Anonymous® members who refused to participate in the study, the lack of a control group, and threats to internal validity

Length of postintervention follow-up: None – subjects were still involved in the group at the time of the follow-up.

References

National Council on Crime and Delinquency (NCCD). (March 2008). Special report - Parents Anonymous® outcome evaluation: Promising findings for child maltreatment reduction. Retrieved from this link on the NCCD website.

Rafael, T., & Pion-Berlin, L. (2000). Parents Anonymous®: Strengthening families. In H. Henderson (Ed.), Domestic violence and child abuse sourcebook (pp. 372-397). Health reference series, 1st edition. Detroit, MI: Omnigraphics.

Contact Information

Name: Dr. Lisa Pion-Berlin
Title: President and Chief Executive Officer
Agency/Affiliation: Parents Anonymous, Inc.
Website: parentsanonymous.org/programs/parents-anonymous-groups/adult-group
Email:
Phone: (909) 575-4211
Fax: (909) 621-0614

Date Research Evidence Last Reviewed by CEBC: August 2016

Date Program Content Last Reviewed by Program Staff: November 2016

Date Program Originally Loaded onto CEBC: August 2010