It has been widely recognized that access to mental health treatment is imperative to address current and long-term stressors for children and parents during COVID-19. Internet-delivered Parent-Child Interaction Therapy (iPCIT, previously referred to as I-PCIT) is a strong model for remote service delivery during social distancing restrictions due to its empirical base. However, this treatment modality was not widely implemented before COVID-19, likely due to barriers to providing telehealth services. This mixed methods study conducted a follow-up survey to gather therapist experiences (
N =
223) in delivering iPCIT during COVID-19, including qualitative data on the benefits and challenges to delivering iPCIT. The vast majority of therapists (82%) indicated that they transitioned to deliver PCIT via telehealth in response to COVID-19. PCIT caseloads decreased slightly from the first survey to the COVID-19 follow-up survey, but the racial and ethnic composition of caseloads were not significantly different between the two surveys. Of the 183 therapists who transitioned to deliver PCIT via telehealth, 82% expressed interest in continuing to provide iPCIT following the COVID-19 pandemic. Reported benefits of iPCIT included decreased barriers to access and the ability to practice skills within the naturalistic home environment. Challenges to iPCIT were primarily issues with technology as well as other logistical barriers, which could limit engagement for some families. Findings from this study may be beneficial in improving future implementation of iPCIT during and post-COVID-19.
Since the onset of COVID-19, visitation to correctional facilities has been in flux, including periods of nationwide suspensions for all in-person visits. Frequent, high-quality parent-child interactions are critical in preventing recidivism and beneficial for the healthy development of children with incarcerated parents. As more variants arise, prisons must reevaluate their family visitation policies to ensure that families stay connected yet safe. As a follow-up to a previous study, we documented how different jurisdictions, including all 50 states, the District of Columbia (D.C.), and the Federal Bureau of Prisons (BOP), communicated, via their websites, their response to COVID-19 and the changes to prison visitation policies. Using each jurisdiction's website as our primary data source, we gathered publicly available information related to each state's COVID-19 safety protocols and prison visitation policies, with special attention to policies pertaining to minors. Findings suggest that as of November and December 2021, all jurisdictions, except D.C., had resumed in-person family visits (n = 34; 65.4%) or had announced their commitment to a phased return (n = 17; 32.7%). Additionally, most states and D.C. (n = 35; 65.7%) offered video visits to all of their prison residents (incarcerated individuals) and six states (11.5%) offered video visits to some of their residents, whereas 11 states and the Federal BOP (21.2%) did not offer any video visits as an alternative. Despite the continued need for safe, accessible, and family-friendly alternatives to in-person visits, 11 jurisdictions did not offer video visitation to their residents further straining families' ability to stay connected through the ongoing COVID-19 pandemic.
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