PCIT: Summary of 40 Years of Research

Brabson, Laurel A.; Jackson, Carrie B.; Liebsack, Brittany K.; Herschell, Amy D.

doi:10.1007/978-3-030-03213-5_14

Cited by 2 publications

(4 citation statements)

References 145 publications

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“…The present study provides promising preliminary support for bedside PCIT, an adaptation of an evidence-based parent training program with strong evidence among low-SES families of color (Brabson et al, 2018). Bedside PCIT seeks to decrease barriers to care among underserved, medically ill children by bringing services to families in the context of ongoing medical treatment.…”

Section: Discussionmentioning

confidence: 76%

“…In this way, PCIT teaches and reinforces key recommendations for parents of medically ill children (e.g., Forgey & Bursch, 2013). Given PCIT’s strong evidence base among families of color (Brabson et al, 2018), superior effect sizes to other parent-training programs (Lieneman et al, 2019), and prior success of adaptation (Lieneman et al, 2017), it is an ideal treatment for adapation among underserved families in medical settings.…”

Section: Discussionmentioning

confidence: 99%

“…Although PCIT was originally developed to treat young children (ages 2–7 years) with disruptive behaviors in outpatient mental health, research has yielded promising findings among children with a range of presenting problems, in a variety of settings, and among younger and older age ranges. Adaptations of PCIT have demonstrated positive outcomes among children with hearing impairments, callous-unemotional traits, anxiety disorders, depression, ADHD, developmental delays, and autism; PCIT has also been successfully adapted for school, home, and telehealth (for reviews, see Brabson, Jackson, Liebsack, & Herschell, 2018; Durkin et al, 2019; Lieneman et al, 2017). Named a best practice for childhood trauma, PCIT has been found to reduce the risk for maltreatment and physical abuse while also demonstrating effectiveness among children in foster care (e.g., Chaffin & Friedrich, 2004; Timmer, Urquiza, & Zebell, 2006).…”

Section: Parent-child Interaction Therapymentioning

confidence: 99%

“…Evidence for PCIT among diverse populations continues to grow (Brabson et al, 2018), including Latinx (Christian-Brandt & Philpott, 2018), American Indian (BigFoot & Funderburk, 2018), and African-American families (e.g., Fernandez, Butler, & Eyberg, 2011). Research among community-based PCIT samples indicates comparable treatment outcomes (Timmer et al, 2006) and retention rates (Danko, Garbacz, & Budd, 2016) among families of color as compared with non-Hispanic White families.…”

Section: Parent-child Interaction Therapymentioning

confidence: 99%

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Adapting PCIT to address mental health care disparities among underserved families impacted by pediatric illness: A case series of bedside PCIT.

Christian-Brandt¹,

Santacrose²

2020

Clinical Practice in Pediatric Psychology

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Objective: Medically ill children are at elevated risk for mental health issues (Blackman, Gurka, Gurka, & Oliver, 2011), which can negatively affect health status (DeMore, Adams, Wilson, & Hogan, 2005; Johnston & Martin-Herz, 2010). Given that children from diverse racial/ethnic backgrounds are disproportionately impacted by medical conditions (Mehta, Lee, & Ylitalo, 2013) and experience marked mental health care disparities (Marrast, Himmelstein, & Woolhandler, 2016), innovative interventions are necessary for meeting the needs of underserved families. Methods: The current study presents an adaptation of parent-child interaction therapy (PCIT) for medical settings that seeks to reduce barriers to care among underserved children with medical conditions and their families. We present outcomes from a case series of bedside PCIT among 5 low–socioeconomic status, medically ill children (3–6 years old; 2 Hispanic, 1 Black, 2 non-Hispanic White) exhibiting medical trauma and disruptive behavior. Main adaptations to standard PCIT included flexible setting delivery, psychoeducation on parenting a medically ill child, and modification of time-out based on child capacity. Results: All families completed treatment and demonstrated reliable and clinically meaningful change in child traumatic stress, child disruptive behavior, and parenting stress. Systematic behavioral observations also indicated improved parenting practices. Conclusions: Results suggest that PCIT can be adapted for medical settings and has the potential to address care disparities among diverse, low–socioeconomic status families impacted by pediatric medical illness. Continued research on bedside PCIT will further elucidate the feasibility and effectiveness of this adaptation, as compared with standard PCIT and typical behavioral health supports in medical settings.

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Section: Discussionmentioning

confidence: 76%