Implementation of Parent–Child Interaction Therapy Within Foster Care: An Attempt to Translate an Evidence-Based Program Within a Local Child Welfare Agency

Foster parents face considerable challenges in caring for children in the child welfare system, many of whom have significant behavioral difficulties [1]. Foster parents often lack the training and support needed to manage these externalizing behaviors, which contribute to parenting stress and are highly predictive of placement breakdowns [2, 3]. Although child welfare agencies provide foster parents with pre-service training experiences, they often lack the capacity and financial resources to implement gold standard, evidence-based interventions that address child behavior difficulties. Parent-Child Interaction Therapy (PCIT) has been well-established as an empirically supported treatment for disruptive behavior, yet standard delivery of PCIT to children in the foster care system is often impractical due to time, financial, childcare, and personnel constraints. Adaptations of PCIT for the foster care setting may remove some of these barriers to treatment. These adaptations have typically retained the parent-coaching principles inherent to PCIT but replaced the traditional 12- to 20-week format with a shorter, less intensive treatment regimen in order to maintain feasibility within the child welfare context. Preliminary findings from studies using abbreviated formats of PCIT suggest effectiveness of such adaptations in reducing externalizing behavior in foster children and maintaining behavioral improvements several months after the end of the treatment.

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Translating evidence-based treatments into child welfare services through community-university partnerships: A case example of parent-child interaction therapy

Children and Youth Services Review ◽

10.1016/j.childyouth.2017.10.002 ◽

2017 ◽

Vol 82 ◽

pp. 427-433 ◽

Cited By ~ 6

Author(s):

Joshua P. Mersky ◽

James Topitzes ◽

Katelyn Blair

Keyword(s):

Child Welfare ◽

Evidence Based ◽

Child Welfare Services ◽

University Partnerships ◽

Parent Child Interaction Therapy ◽

Welfare Services ◽

Child Interaction ◽

Evidence Based Treatments ◽

Parent Child Interaction ◽

Parent Child

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In-home parent-child interaction therapy with foster parents and children in foster care

PsycEXTRA Dataset ◽

10.1037/e567162014-001 ◽

2014 ◽

Author(s):

Christina Danko ◽

Karen S. Budd

Keyword(s):

Foster Care ◽

Foster Parents ◽

Parent Child Interaction Therapy ◽

Children In Foster Care ◽

Child Interaction ◽

Parents And Children ◽

Parent Child Interaction ◽

Parent Child

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Effectiveness of Parent--Child Interaction Therapy in Strengthening the Attachment Relationship for Children in Foster Care

PsycEXTRA Dataset ◽

10.1037/e698302011-001 ◽

2011 ◽

Author(s):

Elizabeth A. Rasinski ◽

Christina Danko ◽

Karen S. Budd

Keyword(s):

Foster Care ◽

Attachment Relationship ◽

Parent Child Interaction Therapy ◽

Children In Foster Care ◽

Child Interaction ◽

Parent Child Interaction ◽

Parent Child

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Parent-Child Interaction Therapy: A GRIM Conceptual Replication

10.31234/osf.io/5m8qf ◽

2021 ◽

Author(s):

Andrew J. Kelly

Keyword(s):

Social Psychology ◽

Child Behavior Problems ◽

Evidence Based ◽

Mathematical Technique ◽

Evidence Based Treatment ◽

Parent Child Interaction Therapy ◽

Psychological Science ◽

Child Interaction ◽

Parent Child Interaction ◽

Parent Child

Brown and Heathers (2017) introduced a mathematical technique to detect statistical irregularities in reported statistics in scientific articles, which they named Granularity-Related Inconsistency of Means (GRIM). Focusing mostly on social psychology, the technique revealed nearly a third of published manuscripts in respected journals contained statistical anomalies. To this point, there has been no survey using the GRIM technique in clinical psychology. Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment for child behavior problems with a long record of research with many impressive findings. PCIT presents a new context within which to further test the GRIM technique and to better understand how widespread statistical irregularities occur throughout psychological science. Of the PCIT manuscripts that I evaluated (N = 24), over half (N = 17; 70.83%) contained at least one statistical anomaly. From these 17 manuscripts, only 4 (23.53%) of corresponding authors who were contacted responded to an inquiry about that anomaly. These results slightly differ from the original GRIM paper, with a higher percentage of PCIT manuscripts containing GRIM inconsistencies and with a lower rate of sharing data.

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The Parent-Child Interaction Therapy Family Experiences and Feedback Study: A Follow-up Examination of Attrition in an Evidence-Based Treatment in Community Settings Statewide

10.33915/etd.4093 ◽

2019 ◽

Author(s):

Brittany K Liebsack

Keyword(s):

Evidence Based ◽

Community Settings ◽

Family Experiences ◽

Evidence Based Treatment ◽

Parent Child Interaction Therapy ◽

Child Interaction ◽

Parent Child Interaction ◽

Parent Child

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Time-Out with Young Children: A Parent-Child Interaction Therapy (PCIT) Practitioner Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph19010145 ◽

2021 ◽

Vol 19 (1) ◽

pp. 145

Author(s):

Melanie Woodfield ◽

Irene Brodd ◽

Sarah Hetrick

Keyword(s):

Young Children ◽

Parent Training ◽

Dissemination And Implementation ◽

Evidence Based ◽

Parent Child Interaction Therapy ◽

Child Interaction ◽

Time Out ◽

Parent Child Interaction ◽

Training Programmes ◽

Parent Child

Time-out is a component of many evidence-based parent training programmes for the treatment of childhood conduct problems. Existing comprehensive reviews suggest that time-out is both safe and effective when used predictably, infrequently, calmly and as one component of a collection of parenting strategies—i.e., when utilised in the manner advocated by most parent training programmes. However, this research evidence has been largely oriented towards the academic community and is often in conflict with the widespread misinformation about time-out within communities of parents, and within groups of treatment practitioners. This dissonance has the potential to undermine the dissemination and implementation of an effective suite of treatments for common and disabling childhood conditions. The parent-practitioner relationship is integral to the success of Parent-Child Interaction Therapy (PCIT), an evidence-based treatment which involves live coaching of parent(s) with their young child(ren). Yet this relationship, and practitioner perspectives, attitudes and values as they relate to time-out, are often overlooked. This practitioner review explores the dynamics of the parent-practitioner relationship as they apply to the teaching and coaching of time-out to parents. It also acknowledges factors within the clinical setting that impact on time-out’s use, such as the views of administrators and professional colleagues. The paper is oriented toward practitioners of PCIT but is of relevance to all providers of parent training interventions for young children.

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Therapists’ Attitudes Toward Evidence-Based Practices and Implementation of Parent–Child Interaction Therapy

Child Maltreatment ◽

10.1177/1077559512436674 ◽

2012 ◽

Vol 17 (1) ◽

pp. 47-55 ◽

Cited By ~ 21

Author(s):

Melanie McDiarmid Nelson ◽

Jenelle R. Shanley ◽

Beverly W. Funderburk ◽

Elizabeth Bard

Keyword(s):

Parent Training ◽

Evidence Based ◽

Therapist Attitudes ◽

Evidence Based Practices ◽

Parent Child Interaction Therapy ◽

Online Consultation ◽

Child Interaction ◽

Parent Child Interaction ◽

Changing Attitudes ◽

Parent Child

Child abuse and neglect affects many families each year, but evidence-based parent training programs can be instrumental in reducing maltreatment. Parent–Child Interaction Therapy, a parent training program developed for treatment of disruptive child behavior, has demonstrated effectiveness with families at risk of or exposed to child maltreatment. However, methods for disseminating this evidence-based intervention in community settings are not well understood. This study examined the association between community-based therapists’ attitudes toward evidence-based practices (EBPs) and their participation in an implementation research project in which they received two forms of consultation. Results showed that therapists’ self-reported unwillingness to diverge from EBPs was positively associated with their use of phone consultation and satisfaction with consultation. The degree to which therapists found EBPs appealing was positively associated with satisfaction as well. Open therapist attitudes toward EBPs were associated with greater attendance for online consultation. The next step in this line of research is to examine how therapists’ attitudes toward EBPs can be improved, if changing attitudes affects therapist acquisition of treatment skills, and if such improvements enhance implementation efforts.

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