Family-Focused Articles
Father-Child Relationship Articles
Father's role in parent training for children with developmental delay. (abstract)
Bagner, D.M. (2013)
Father involvement in parent training: When does it matter? (abstract)
Bagner, D. M., & Eyberg, S. M. (2003)
Foster Care / Adoption Articles
Adapting Parent-Child Interaction Therapy to foster care: Outcomes from a randomized trial. (abstract)
Mersky, J. P., Topitzes, J., Grant-Savela, S., Brondino, M. J., & McNeil, C. B. (2016)
Enhancing foster parent training with Parent-Child Interaction Therapy: Evidence from a randomized field experiment. (abstract)
Mersky, J. P., Topitzes, J., Janczewski, C. E., & McNeil, C. B. (2015)
Implementation of Parent Child Interaction Therapy within foster care: An attempt to translate an evidence-based program within a local child welfare agency. (abstract)
Topitzes, J., Mersky, J. P., & McNeil, C. B. (2015)
Parent-Child Interaction Therapy as an attachment-based intervention: Theoretical rationale and pilot data with adopted children. (abstract)
Allen, B., Timmer, S. G., & Urquiza, A. J. (2014)
Challenging foster caregiver-maltreated child relationships: The effectiveness of Parent-Child Interaction Therapy. (abstract)
Timmer, S. G., Urquiza, A. J., & Zebell, N. (2006)
Parent-Child Interaction Therapy: Application of an empirically supported treatment to maltreated children in foster care. (abstract)
Timmer, S. G., Urquiza, A. J., Herschell, A. D., McGrath, J. M., Zebell, N. M., Porter, A. L., & Vargas, E. C. (2006)
Parent-Child Interaction Therapy with two maltreated siblings in foster care. (abstract)
Fricker-Elhai, A. E., Ruggiero, K. J., & Smith, D. W. (2005)
Training foster parents in Parent-Child Interaction Therapy. (abstract)
McNeil, C. B., Herschell, A. D., Gurwitch, R. H., & Clemens-Mowrer, L. (2005)
Challenging children in kin verses nonkin foster care: Perceived costs and benefits to caregivers. (abstract)
Timmer, S. G., Sedlar, G., & Urquiza, A. (2004)
Community Mental Health Articles
Infusing parent-child interaction therapy principles into community-based wraparound services: An evaluation of feasibility, child behavior problems, and staff sense of competence. (abstract)
Wallace, N. M., Quetsch, L. B., Robinson, C., McCoy, K., & McNeil, C. B. (2018)
Home-based Parent-Child Therapy in low-income African American, Caucasian, and Latino families: A comparative examination of treatment outcomes. (abstract)
Gresl, B. L., Fox, R. A., & Fleischmann, A. (2014)
A pilot study examining trainee treatment session fidelity when Parent–Child Interaction Therapy (PCIT) is implemented in community settings. (abstract)
Travis, J. K., & Brestan-Knight, E. (2013)
Delivering Parent-Child Interaction Therapy in an urban community clinic. (abstract)
Budd, K. S., Hella, B., Bae, H., Meyerson, D. A., & Watkin, S. C. (2011)
Treatment outcome for low socioeconomic status African American families in Parent-Child Interaction Therapy: A pilot study. (abstract)
Fernandez, M. A., Butler, A. M., & Eyberg, S. M. (2011)
A community mental health implementation of Parent-Child Interaction Therapy (PCIT). (abstract)
Lyon, A. R., & Budd, K. S. (2010)
Introducing and evaluating Parent-Child Interaction Therapy in a system of care. (abstract)
Franco, E., Soler, R. E., & McBride, M. (2005)
Parental & Sibling Articles
A community evaluation of Parent-Child Interaction Therapy for children with prenatal substance exposure. (abstract)
Egan, R., Wilsie, C., Thompson, Y., Funderburk, B., & Bard, E. (2020).
Sibling rivalry disorder: Issues of diagnosis and management- A case report. (abstract)
Sharma, V., Shikhu, L. P., & Jha, M. (2019).
Speech and language therapists' views on parents' engagement in Parent–Child Interaction Therapy (PCIT). (abstract)
Klatte, I. S., Harding, S., & Roulstone, S. (2019).
Evidence for efficacy of parent-based interventions on parental characteristics. (abstract)
Schorr-Sapir, I., & Apter, A. (2019).
Differences in mothers' and fathers' readiness for change in parent training. (abstract)
Niec, L. N., Barnett, M. L., Gering, C. L., Triemstra, K., & Solomon, D. T. (2015)
Revisiting the accuracy hypothesis in families of young children with conduct problems. (abstract)
Niec, L. N., Barnett, M. L., Gering, C. L., Triemstra, K., & Solomon, D. T. (2015)
Maternal ADHD: Parent-child interactions and relations with child disruptive behavior. (abstract)
Zisser, A. R., & Eyberg, S. M. (2012)
The effectiveness of Parent-Child Interaction Therapy with depressive mothers: The changing relationship as the agent of individual change. (abstract)
Timmer, S. G., Ho, L. K. L., Urquiza, A. J., Zebell, N. M., y Garcia, E., & Boys, D. (2011)
Problem-solving interactions between mothers and children. (abstract)
Hughes, J. C., Brestan, E. V., Christens, B. D., Klinger, L. J., & Valle, L. A. (2004)
How annoying is it? Defining parental tolerance for child misbehavior. (abstract)
Brestan, E. V., Eyberg, S. M., Algina, J., Johnson, S. B., & Boggs, S. R. (2003)
Antecedents of coercive interactions in physically abusive mother-child dyads. (abstract)
Timmer, S. G., Borrego, J., Jr., & Urquiza, A. J. (2002)
Parenting styles and child behavior in African American families of preschool children. (abstract)
Querido, J. G., Warner, T. D., & Eyberg, S. M. (2002)
A test of the parenting alliance theory. (abstract)
Bearss, K. E., & Eyberg, S. (1998)
Parenting stress in mothers of young children with oppositional defiant disorder and other severe behavior problems. (abstract)
Ross, C. N., Blanc, H. M., & McNeil, C. B. (1998)
Parent-Child Interaction Therapy: Parents' perceptions of untreated siblings. (abstract)
Brestan, E. V., Eyberg, S. M., Boggs, S. R., & Algina, J. (1997)
Effects of authoritative parental control on child behavior. (abstract)
Baumrind, D. (1996)
Relationships between maternal parenting stress and child disruptive behavior. (abstract)
Eyberg, S. M., Boggs, S. R., & Rodriguez, C. M. (1992)
The influence of parenting style on adolescent competence and substance use. (abstract)
Baumrind, D. (1991)
Mother-child interaction in home and laboratory settings. (abstract)
Kniskern, J. R., Robinson, E. A., & Mitchell, S. K. (1983)
Father-Child Relationship Articles
Father's role in parent training for children with developmental delay
Bagner, D.M. (2013). Father's role in parent training for children with developmental delay. Journal of Family Psychology, 27, 650-657.https://doi.org/10.1037/a0033465
Abstract: The current pilot study was a quasi-experimental examination of the impact of father involvement in parent training among 44 families with a young child who presented with elevated externalizing behavior problems and developmental delay. All families were offered to receive Parent-Child Interaction Therapy (PCIT), an evidence-based parent-training intervention, at a hospital-based outpatient clinic. Single-mother families were significantly more likely to drop out of treatment than two-parent families. Of the families that completed treatment, children from families in which a father participated in treatment had lower levels of parent-reported externalizing behavior problems than children from single-mother families and children from two-parent families in which the father did not participate in treatment. Additionally, children from father-involved families were significantly more compliant during a cleanup task than children from single-mother families following treatment. The current study is consistent with the limited research examining father involvement in parent training and extends the findings to children with developmental delay. These findings highlight the importance of involving fathers in parent training, particularly when working with children with developmental delay.
Keywords: PCIT; Father-Child Research; Father Involvement; Parent Training; Developmental Delay; Behavior Problems; Intervention Research.
Article: https://www.ncbi.nlm.nih.gov/pubmed/23772849
Father involvement in parent training: When does it matter?
Bagner, D. M., & Eyberg, S. M. (2003). Father involvement in parent training: When does it matter? Journal of Clinical Child & Adolescent Psychology, 32, 599-605.
https://doi.org/10.1207/S15374424JCCP3204_13
Abstract: We examined the effects of father involvement in treatment. Participants were 107 families enrolled in parent-child interaction therapy (PCIT), including 56 involved-father families, and 35 absent-father families. All groups showed improvements during treatments to within the average range on the Eyberg Child Behavior Inventory (ECBI), although mother from absent-fathers families reported better treatment outcome than mothers from involved-father families. Improvements occurred on the Beck Depression Inventory and the Parenting Stress Index as well, but there were no group differences. At 16-week follow-up. Results suggest that although father participation in treatment may not improve immediate treatment outcome, father involvement may help to maintain the beneficial effects of PCIT once treatment has ended.
Keywords: PCIT; Father-Child Research.
Article: https://pubmed.ncbi.nlm.nih.gov/14710469/
Foster Care / Adoption Articles
Adapting Parent-Child Interaction Therapy to foster care: Outcomes from a randomized trial
Mersky, J. P., Topitzes, J., Grant-Savela, S., Brondino, M. J., & McNeil, C. B. (2016). Adapting Parent-Child Interaction Therapy to foster care: Outcomes from a randomized trial. Research on Social Work Practice, 26, 157-167.https://doi.org/10.1177/1049731514543023
Abstract: This study presents outcomes from a randomized trial of a novel Parent-Child Interaction Therapy (PCIT) model for foster families. Differential effects of two intervention doses on child externalizing and internalizing symptoms are examined. Method: A sample of 102 foster children was assigned to one of three conditions—brief PCIT, extended PCIT, or wait-list control. The brief and extended groups received 2 days of PCIT training and 8 weeks of telephone consultation. The extended PCIT group received an additional booster training plus 6 more weeks of consultation. Wait-list controls received services as usual. Tests of change over time were estimated using mixed-model repeated measures analysis of covariance. Results: Compared to controls, children in both PCIT groups exhibited a greater reduction in externalizing and internalizing scores over time. Pairwise contrasts of the two PCIT conditions yielded mixed results. Conclusion: Results indicate that PCIT can be tailored efficaciously for foster families using alternative treatment modalities.
Keywords: PCIT; Foster Care; Mental Health; Intervention; Translational Research.
Article: https://journals.sagepub.com/doi/10.1177/1049731514543023
Enhancing foster parent training with Parent-Child Interaction Therapy: Evidence from a randomized field experiment
Mersky, J. P., Topitzes, J., Janczewski, C. E., & McNeil, C. B. (2015). Enhancing foster parent training with Parent-Child Interaction Therapy: Evidence from a randomized field experiment. Journal of the Society for Social Work & Research, 6, 591-616.https://doi.org/10.1086/684123
Abstract: : Research indicates that foster parents often do not receive sufficient training and support to help them meet the demands of caring for foster children with emotional and behavioral disturbances. Parent-Child Interaction Therapy (PCIT) is a clinically efficacious intervention for child externalizing problems, and it also has been shown to mitigate parenting stress and enhance parenting attitudes and behaviors. However, PCIT is seldom available to foster families, and it rarely has been tested under intervention conditions that are generalizable to community-based child welfare service contexts. To address this gap, PCIT was adapted and implemented in a field experiment using 2 novel approaches-group-based training and telephone consultation-both of which have the potential to be integrated into usual care. This study analyzes 129 foster-parent-child dyads who were randomly assigned to 1 of 3 conditions: (a) waitlist control, (b) brief PCIT, and (c) extended PCIT. Self-report and observational data were gathered at multiple time points up to 14 weeks post baseline. Findings from mixed-model, repeated measures analyses indicated that the brief and extended PCIT interventions were associated with a significant decrease in self-reported parenting stress. Results from mixed-effects generalized linear models showed that the interventions also led to significant improvements in observed indicators of positive and negative parenting. The brief course of PCIT was as efficacious as the extended PCIT intervention. The findings suggest that usual training and support services can be improved upon by introducing foster parents to experiential, interactive PCIT training.
Keywords: PCIT; Foster Care; Model Adaptation Studies; Parent Training; Intervention; Stress; Parenting.
Article: https://pubmed.ncbi.nlm.nih.gov/26977251/
Implementation of Parent Child Interaction Therapy within foster care: An attempt to translate an evidence-based program within a local child welfare agency
Topitzes, J., Mersky, J. P., & McNeil, C. B. (2015). Implementation of Parent Child Interaction Therapy within foster care: An attempt to translate an evidence-based program within a local child welfare agency. Journal of Public Child Welfare, 9, 22-41.https://doi.org/10.1080/15548732.2014.983288
Abstract: This paper describes an innovative adaptation of an evidence-based intervention - Parent Child Interaction Therapy or PCIT - to foster parent training services. The authors faced multiple problems that commonly plague translational child welfare research as they developed, implemented and tested their model. The paper discusses how the authors addressed these problems when: 1) specifying the child welfare context in which the intervention model was implemented and tested, choosing an intervention model that responded to child welfare service needs, and tailoring the model for a child welfare context; 2) securing external funding and initiating sustainability plans for model uptake; and 3) forging a university-community partnership to overcome logistical and ethical obstacles. Concluding with a summary of promising preliminary study results, a description of future plans to replicate and spread the model, and a distillation of project lessons, the paper suggests that child welfare translational research with PCIT is very promising.
Keywords: : PCIT; Foster Care; Model Adaptation Studies; Child Maltreatment; Evidence-Based Practices
Article: https://pubmed.ncbi.nlm.nih.gov/25729340/
Parent-Child Interaction Therapy as an attachment-based intervention: Theoretical rationale and pilot data with adopted children
Allen, B., Timmer, S. G., & Urquiza, A. J. (2014). Parent-Child Interaction Therapy as an attachment-based intervention: Theoretical rationale and pilot data with adopted children. Children and Youth Services Review, 47, 334-341.
https://doi.org/10.1016/j.childyouth.2014.10.009
Abstract: Children with histories of child abuse and neglect, particularly children residing in foster or adoptive homes, are commonly considered by many professionals to need “attachment therapy” in order to address emotional and behavioral needs. However, evidence-based treatments rarely utilize an attachment-based justification outside of the infancy through preschooler age range. In actuality, many evidence-based treatments can be understood through the lens of attachment theory. This paper reviews the tenets of an attachment-based approach to treatment and describes how one evidence-based treatment, Parent–Child Interaction Therapy (PCIT), conforms to all expectations and requirements prescribed by attachment theory and research. Next, pilot data from an open trial of PCIT with a sample of adopted children and their adoptive caregivers (n = 85) are provided. Results demonstrate significant improvements in positive parenting techniques, reductions in parenting stress, and reductions in externalizing and internalizing concerns among the children. These results are discussed in the context of improving the quality of care for children often described as in need of “attachment therapy.”
Keywords: PCIT; Child Maltreatment; Attachment; Evidence-Based Treatment; Adoption.
Keywords: PCIT; Child Maltreatment; Attachment; Evidence-Based Treatment; Adoption.
Article: https://www.sciencedirect.com/science/article/abs/pii/S0190740914003715
Challenging foster caregiver-maltreated child relationships: The effectiveness of Parent-Child Interaction Therapy
Timmer, S. G., Urquiza, A. J., & Zebell, N. (2006). Challenging foster caregiver-maltreated child relationships: The effectiveness of Parent-Child Interaction Therapy. Children and Youth Services, 28, 1-19.
https://doi.org/10.1016/j.childyouth.2005.01.006
Abstract: This study describes the effectiveness of parent–child interaction therapy (PCIT), an evidence- based treatment for abused children, for 75 non-relative foster parents and their foster children compared with 98 non-abusive biological parent–child dyads referred for treatment because of the children’s behavior problems. Results showed decreases in child behavior problems and caregiver distress from pre- to post-treatment for both foster and biological parent–child dyads, revealing no differences in the effectiveness of this treatment for foster parents compared with non-abusive biological parents.
Keywords: PCIT; Foster Care; Child Maltreatment; Foster Caregiver; Maltreated Child.
Article: https://www.sciencedirect.com/science/article/abs/pii/S0190740905000228
Parent-Child Interaction Therapy: Application of an empirically supported treatment to maltreated children in foster care
Timmer, S. G., Urquiza, A. J., Herschell, A. D., McGrath, J. M., Zebell, N. M., Porter, A. L., & Vargas, E. C. (2006). Parent-Child Interaction Therapy: Application of an empirically supported treatment to maltreated children in foster care. Child Welfare, 85, 919-39.
Abstract: : One of the more serious problems faced by child welfare services involves the management of children with serious behavioral and mental health problems. Aggressive and defiant foster children are more likely to have multiple foster care placements, require extraordinary social services resources, and have poor short- and long-term mental health outcomes. Interventions that work with challenging foster children and enhance foster parents' skills in managing problem behaviors are necessary. This article presents the successful results of a single case study examining the application of Parent-Child Interaction Therapy (PCIT) with an aggressive young boy and his foster-adoptive parent. PCIT is a dyadic intervention that has been identified as an empirically supported treatment for abused children and for children with different types of behavioral disruption. The application of PCIT to assist foster parents is a promising direction for child welfare services.
Keywords: PCIT; Foster Care; Adult; Attention Deficit Disorder with Hyperactivity; Child Behavior Disorders; Child; Preschool; Family Therapy; Female; Foster Home Care; Humans; Male; Parent-Child Relations; Parenting; Play Therapy.
Article: https://pubmed.ncbi.nlm.nih.gov/17305042/
Parent-Child Interaction Therapy with two maltreated siblings in foster care
Fricker-Elhai, A. E., Ruggiero, K. J., & Smith, D. W. (2005). Parent-Child Interaction Therapy with two maltreated siblings in foster care. Clinical Case Studies, 4, 13-39.https://doi.org/10.1177/1534650103259671
Abstract: : Parent-Child Interaction Therapy (PCIT) is an empirically supported treatment for young children with disruptive behavior that emphasizes parent training in behavior management. Although researchers have demonstrated the usefulness of PCIT in multiple settings and with various subgroups of children, few have documented the application of this intervention with maltreated children or with children who live in foster care environments. Two foster children with severe maltreatment histories were identified as appropriate candidates for PCIT. Both children presented with various forms of problem behavior, including tantrumming, noncompliance with parental commands, aggressive behavior toward peers, and sexualized behavior. Also, prior to initiating PCIT, both foster parents adhered to several inappropriate and ineffective parenting methods. We highlight several barriers to successful treatment that are not uncommon with maltreated children and foster families; several such barriers surfaced with this case, including some that we were unable to circumvent
Keywords: PCIT; Foster Care; Child Maltreatment; Child Abuse; Foster Children; Disruptive Behavior.
Article: https://journals.sagepub.com/doi/10.1177/1534650103259671
Training foster parents in Parent-Child Interaction Therapy
McNeil, C. B., Herschell, A. D., Gurwitch, R. H., & Clemens-Mowrer, L. (2005). Training foster parents in Parent-Child Interaction Therapy. Education and Treatment of Children, 28, 182-196.
Abstract: Parent-Child Interaction Therapy (PCIT) is an empirically supported, parent-training program designed to teach parents specific techniques to manage the behavior of children between the ages of two and seven exhibiting extreme disruptive behavior. Over 30 published studies (see Herschell, Calzada, Eyberg, & McNeil, 2002b for a review) have lent support to the efficacy of this clinic-based program. The current paper will highlight the need for disruptive behavior disorder treatment for children in foster care, discuss the appropriateness of applying PCIT to children in foster care, and report on the effectiveness of reported satisfaction with a modified procedure for training foster parents in PCIT skills.
Keywords: PCIT; Home Based Interventions; Foster Child Research; Foster Care; Disruptive Behavior Disorder Treatment.
Article: https://www.jstor.org/stable/42899840?seq=1
Challenging children in kin verses nonkin foster care: Perceived costs and benefits to caregivers
Timmer, S. G., Sedlar, G., & Urquiza, A. (2004). Challenging children in kin verses nonkin foster care: Perceived costs and benefits to caregivers. Child Maltreatment, 9, 251-262.
https://doi.org/10.1177/1077559504266998
Abstract: This study uses social exchange theory as a framework for examining 102 kin and 157 nonkin foster parents' perceptions of their foster children, their relationships with them, and their own functioning. The authors argue that these perceptions reflect perceived costs and benefits of parenting these children, which may influence their investment in them. All children in the study were referred to Parent-Child Interaction Therapy (PCIT) for treatment of the children's behavior problems, participating with their foster parents. Analyses showed that nonkin caregivers rated their foster children's behavior problems as significantly more severe than kin caregivers but rated themselves as significantly less stressed. Analyses predicting early treatment termination showed that kin caregivers were more likely than nonkin caregivers to complete the course of treatment in PCIT, particularly if they reported elevated levels of parental distress. The authors discuss the implications of these findings for foster children's placement stability and long-term success.
Keywords: PCIT; Foster Care; Kinship Care; Foster Parent Functioning; Mental Health Treatment.
Article: https://pubmed.ncbi.nlm.nih.gov/15245678/
Community Mental Health Articles
Infusing parent-child interaction therapy principles into community-based wraparound services: An evaluation of feasibility, child behavior problems, and staff sense of competence
Wallace, N. M., Quetsch, L. B., Robinson, C., McCoy, K., & McNeil, C. B. (2018). Infusing parent-child interaction therapy principles into community-based wraparound services: An evaluation of feasibility, child behavior problems, and staff sense of competence. ESLEVIER, 88, 567-581. https://doi.org/10.1016/j.childyouth.2018.04.007
Abstract: The current study examined the implementation of Parent-Child Interaction Therapy (PCIT) adapted to address problem behaviors of children (ages 2–9) through a home-based service program (i.e., wraparound). The current adaptation of PCIT was implemented by community-based wraparound clinicians and compared to treatment as usual (TAU). Results indicated a significant drop in child behavior problems for children receiving PCIT-informed services compared to TAU. In addition, PCIT-informed clinicians significantly increased their sense of competence. Feasibility and future directions regarding integration and expansion of this approach are discussed.
Keywords: : PCIT; Home-Based Interventions; Parent-Child Relationship; Adaptation; Home-based Services; Model Adaptation Studies.
Article: https://www.sciencedirect.com/science/article/abs/pii/S0190740917310575?via%3Dihub
Home-based Parent-Child Therapy in low-income African American, Caucasian, and Latino families: A comparative examination of treatment outcomes
Gresl, B. L., Fox, R. A., & Fleischmann, A. (2014). Home-based Parent-Child Therapy in low-income African American, Caucasian, and Latino families: A comparative examination of treatment outcomes. Child & Family Behavior Therapy, 36, 33-50.
https://doi.org/10.1080/07317107.2014.878193
Abstract: This study examined parent and child treatment outcomes for a home-based Parent-Child Therapy (PCT) program for 66 children from families living in poverty. African American, Caucasian, and Latino families were examined to determine if an evidence-based program would produce similar results across different ethnic groups. The results showed that caregivers across the three ethnic groups reported improved child challenging behavior, increased positive parent-child interactions, improved parental expectations, higher levels of nurturing, and less reliance on verbal and corporal punishment as a form of discipline. Practical implications for these results are discussed.
Keywords: PCIT; Home Based Interventions; International & Cultural Research; Low-Income; Behavior Problems; Latino; African American; Caucasian; Young Children; Poverty
Article: https://www.tandfonline.com/doi/abs/10.1080/07317107.2014.878193
A pilot study examining trainee treatment session fidelity when Parent–Child Interaction Therapy (PCIT) is implemented in community settings.
Travis JK, Brestan-Knight E. A pilot study examining trainee treatment session fidelity when Parent-Child Interaction Therapy (PCIT) is implemented in community settings. J Behav Health Serv Res. 2013 Jul;40(3):342-54https://doi.org/10.1007/s11414-013-9326-2
Abstract: Research supports the impact of empirically based treatments, such as Parent–Child Interaction Therapy (PCIT), on producing positive treatment outcomes for clients. However, achieving outcomes in community settings that are similar to those found in research settings can be challenging, and little research has been conducted on how to best train community providers to implement PCIT with fidelity. This study assessed trainee implementation fidelity to the PCIT protocol in community settings. Session fidelity was reviewed for trainees using pre-established session integrity checklists and post hoc video review of key sessions. Analyses revealed that trainees maintained strong overall session fidelity, although fidelity percentages varied by session type and treatment phase. Results also highlight those session content items that are frequently left out by trainees during implementation. Implications of these findings, limitations, and future
directions for research and PCIT workshops and consultation are discussed.
Keywords: PCIT; General Outcome Studies; Community Settings; Community Providers; Session Fidelity; Session Integrity Checklist; Video Review.
Article: https://pubmed.ncbi.nlm.nih.gov/23636619/
Delivering Parent-Child Interaction Therapy in an urban community clinic
Budd, K. S., Hella, B., Bae, H., Meyerson, D. A., & Watkin, S. C. (2011). Delivering Parent-Child Interaction Therapy in an urban community clinic. Cognitive Behavioral Practice, 502-514.https://doi.org/10.1016/j.cbpra.2010.12.002
Abstract: Extensive evidence supports the efficacy of Parent-Child Interaction Therapy (PCIT) for reducing behavior problems in young children; however, little is known about the use of PCIT in a community mental health center (CMHC). This paper provides four clinical case examples of families who were referred to and successfully completed PCIT in an urban CMHC. The families were ethnically and socioeconomically diverse and presented with a wide range of treatment concerns and needs (e.g., autism, severe maternal psychopathology, involvement in child protective services, and complex family configurations) in addition to disruptive behavior. Our data and clinical observations suggest that PCIT decreased behavior problems, improved parent-child interactions, and, in some cases, reduced parental stress, with differing levels of change across families. Overall, the cases demonstrate that PCIT can be transported into a CMHC, and they illustrate supplemental services or minor accommodations to the established treatment protocol used to address individual family needs. Issues regarding the balance between fidelity and flexibility in transporting PCIT to a community setting are discussed, and future research topics are recommended.
Keywords: PCIT; General Outcome Studies; Behavior Problems; Parent-child Relations; Community Mental Health; Preschool Children.
Article: https://www.sciencedirect.com/science/article/abs/pii/S1077722911000605
Treatment outcome for low socioeconomic status African American families in Parent-Child Interaction Therapy: A pilot study.
Fernandez, M. A., Butler, A. M., & Eyberg, S. M. (2011). Treatment outcome for low socioeconomic status African American families in Parent-Child Interaction Therapy: A pilot study. Child & Family Behavior Therapy, 33, 32-48.https://doi.org/10.1080/07317107.2011.545011
Abstract: This course and efficacy of parent-child interaction therpy (PCIT) were examined in 18 socioeconomically disadvantaged African American families of preschooler with disruptive behavior disorders. Mothers reported significant improvements in child disruptive behavior but not in maternal depressive symptoms or parenting stress. Attrition was 56%, most often occurring after pre-treatment assessment but before treatment began. Results suggest that PCIT may lead to positive behavior changes for disadvantaged young African American children when families complete treatment. Recruitment, engagement, and retention remain significant problems requiring further study. Reduction of parenting stress also requires study in this population.
Keywords: PCIT; Low-income; International & Cultural Studies; Attrition Studies; Clinical Disorders; African American Families; Disruptive Behavior Disorders; Oppositional Defiant Disorder; Parent Training; Parent-child.
Article: https://www.tandfonline.com/doi/abs/10.1080/07317107.2011.545011
A community mental health implementation of Parent-Child Interaction Therapy (PCIT)
Lyon, A. R., & Budd, K. S. (2010). A community mental health implementation of Parent-Child Interaction Therapy (PCIT). Journal of Child and Family Studies, 19, 654-668.https://doi.org/10.1007/s10826-010-9353-z
Abstract: : Parent-Child Interaction Therapy (PCIT) has been identified as an evidence-based practice in the treatment of externalizing behavior among preschool-aged youth. Although considerable research has established its efficacy, little is known about the effectiveness of PCIT when delivered in a community mental health setting with underserved youth. The current pilot study investigated an implementation of PCIT with primarily low-socioeconomic status, urban, ethnic minority youth and families. The families of 14 clinically referred children aged 2-7 years and demonstrating externalizing behavior completed PCIT initial assessment, and 12 began treatment. Using standard PCIT completion criteria, 4 families completed treatment; and these families demonstrated clinically significant change on observational and self-report measures of parent behavior, parenting stress, and child functioning. Although treatment dropouts demonstrated more attenuated changes, observational data and parent-reported problems across sessions indicated some improvements with lower doses of intervention. Attendance and adherence data, referral source, barriers to treatment participation, and treatment satisfaction across completers and dropouts are discussed to highlight differences between the current sample and prior PCIT research. The findings suggest that PCIT can be delivered successfully in an underserved community sample when families remain in treatment, but that premature dropout limits treatment effectiveness. The findings suggest potential directions for research to improve uptake of PCIT in a community service setting.
Keywords: PCIT; Low-income; Disruptive Behavior; Community Mental Health; Engagement; Model Adaptation Studies.
Article: https://link.springer.com/article/10.1007%2Fs10826-010-9353-z