Stepping Stones Triple P (SSTP) Level 4

Placement on the Continuum of Evidence Promising Download icon Download PDF
Target Population: 
Behavioral Problems, Communication, Parenting, Relationships
Target Audience 

This program is delivered to parents with children 0 to 12 years old with developmental disabilities and is intended to impact parents and their children.


The Stepping Stones Triple P (SSTP) Level 4 program is a community-based behavioral family intervention for parents who have children with a developmental disability. The program is intended to change child behavior through parenting practices that include providing children with positive attention and managing behavior through function-based behavioral techniques.


Six-month and 1-year follow-up results from several randomized controlled trials have demonstrated significant decreases in dysfunctional parenting practices and child misbehaviors (i.e., child's noncompliance and oppositional behaviors) when compared to a wait-list control group.


SSTP Level 4 can be delivered in two different formats:

Group Stepping Stones Triple P is delivered to parents over the course of 9 weeks, which involves group sessions. The sessions teach parents the principles of positive parenting and how to monitor their child's behavior. Strategies include developing positive relationships, encouraging desirable behavior, managing misbehavior, and planning for high-risk situations. Content is taught through video demonstrations, skill practice, and positive feedback on the utilization of skills taught. Additionally, three individual telephone consultations are provided to help facilitate independent problem-solving.

Standard Stepping Stones Triple P consists of 10 individual sessions, which cover strategies that encourage children's development and teach misbehavior management. Parents watch video demonstrations on positive parenting skills, self-select goals and strategies to practice, and receive positive feedback on skills used in the clinic and at home. Parents learn to identify high-risk situations and use a seven-step planned activity training routine to enhance generalization and maintenance.

Previous Use 

Triple P was created in Australia in 1977 and has been implemented in 25 countries around the world. No specific previous use information was available for SSTP Level 4.


The SSTP Provider Training Course is offered to practitioners in two parts. Part one consists of a 3-day training that focuses on delivery and implementation of the program. Part two involves a skills-based accreditation process where practitioners must demonstrate their understanding and familiarity through role-play based competencies and a multiple choice quiz. Training for up to 20 practitioners costs $29,230 for either Group or Standard Stepping Stones Triple P.  


Considerations for implementing this program include securing and retaining qualified facilitators, obtaining funds to cover training and program costs, acquiring participant buy-in, and attaining program space.

The Clearinghouse can help address these considerations. Please call 1-877-382-9185, or email


If you are interested in implementing SSTP Level 4, the Clearinghouse is interested in helping you! Please call 1-877-382-9185, or email


For the Standard SSTP format, 10 regular sessions last 90 minutes each. For the Group SSTP format, six 2 1/2-hour sessions are offered.


Standard SSTP costs $33,792, and Group SSTP costs $21,120. Costs include implementation for 1 year.

Evaluation Plan 

To move SSTP Level 4 to the Effective category on the Clearinghouse Continuum of Evidence at least one external evaluation must be conducted that demonstrates sustained, positive outcomes. This study must be conducted independently of the program developer.

The Clearinghouse can help you develop an evaluation plan to ensure the program components are meeting your goals. Please call 1-877-382-9185, or email


Contact the Clearinghouse with any questions regarding this program.
Phone: 1-877-382-9185 Email:

You may also contact Triple P America by mail 1201 Lincoln Street, Suite 201, Columbia, South Carolina 29201, phone 1-803-451-2278, email, or visit

*Resources and associated costs reflect those identified at the time of fact sheet publication.