Parenting Resource and Management: a primary prevention program for first-time parents

Parenting Resource and Management (PRAM), a primary prevention program for first-time parents, was initiated in Melbourne in 1986. It was an adaptation of the American program, Minnesota Early Learning Design (MELD), utilising non-professional couples as leaders who were selected, trained and supported by professionals. The advantages of this program included cost effectiveness, a self-help emphasis and involvement of both parents. Difficulties in establishing the program will be discussed. The program was proactive, and intensive publicity to generate interest was required. Anonymous evaluation reports from the participants indicated a positive response, recognising that the program filled a significant gap in the existing community support structures.