This article discusses various ethical and professional issues associated with the implementation of a public health approach to the implementation of parenting interventions. The Triple P System Population Trial in the United States and the Every Family Initiative in Australia both employ the Triple P–Positive Parenting Program as a multilevel public health intervention aimed at strengthening parenting and family support communitywide. Implications of this experience are discussed for the rollout of large-scale parenting programs, with particular attention to a self-regulation framework that is useful in dealing with professional issues. Examples drawn from these initiatives illustrate the interaction between ethical and professional issues and the broader sociopolitical and cultural context within which an intervention is delivered. A sampling of issues includes multidisciplinary and competitive work environments, ensuring adequate population reach, promotion of accurate program information, anticipating potential barriers, and addressing organizational considerations.
programs is relatively recent. As experience with this approach grows and as the public becomes more aware of what parenting programs have to offer, it is likely that additional challenges will arise. This article discussed a sampling of professional and ethical issues that are typically encountered in this type of dissemination but is in no means intended to be exhaustive. Many of the solutions to the issues described are found in adopting a flexible self-regulatory stance while concurrently embracing evidence-based strategies and quality assurance. Ultimately, the test of the strategies resides in how well the needs of families in the population are met, while maintaining respect for service providers and their organizations.