Transporting PCIT Around the World

Abrahamse, Mariëlle E.; Egan, Ryan; Coelman, Frederique J.G.; Heiner, Willemine D.

doi:10.1007/978-3-319-97698-3_17

Cited by 2 publications

(2 citation statements)

References 42 publications

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“…Further, some studies have shown that adaptation to the standardised PCIT programme have allowed for accessibility in diverse settings and with a range of cultural groups [38][39][40]. Abrahamse et al [41] posit that the inherent flexibility of PCIT allows for sensitivity and responsiveness to cultural variations, ensuring that it can be readily implemented in international settings.…”

Section: Parent-child Interaction Therapymentioning

confidence: 99%

Bringing Parent–Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility—First Steps to Implementation

Dawson-Squibb

Davids

Chase

et al. 2022

IJERPH

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There is a large assessment and treatment gap in child and adolescent mental health services, prominently so in low- and middle-income countries, where 90% of the world’s children live. There is an urgent need to find evidence-based interventions that can be implemented successfully in these low-resource contexts. This pre-pilot study aimed to explore the barriers and facilitators to implementation as well as overall feasibility of Parent–Child Interaction Therapy (PCIT) in South Africa. A reflective and consensus building workshop was used to gather South African PCIT therapist (N = 4) perspectives on barriers, facilitators, and next steps to implementation in that country. Caregiver participants (N = 7) receiving the intervention in South Africa for the first time were also recruited to gather information on overall feasibility. Facilitators for implementation, including its strong evidence base, manualisation, and training model were described. Barriers relating to sustainability and scalability were highlighted. Largely positive views on acceptability from caregiver participants also indicated the promise of PCIT as an intervention in South Africa. Pilot data on the efficacy of the treatment for participating families are a next step. These initial results are positive, though research on how implementation factors contribute to the longer-term successful dissemination of PCIT in complex, heterogeneous low-resource settings is required.

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Section: Parent-child Interaction Therapymentioning

confidence: 99%

Bringing Parent–Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility—First Steps to Implementation

Dawson-Squibb

Davids

Chase

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…This is notable, given that underrepresented racial/ethnicity status predicts dropout from usual community services (e.g., Kapke & Gerdes, 2016; Miller, Southam-Gerow, & Allin, 2008). Outside the United States, PCIT has also demonstrated positive outcomes in the Netherlands, Norway, Taiwan, Australia, China, Puerto Rico, and Australia (Abrahamse, Egan, Coelman, & Heiner, 2018). The rapidly expanding PCIT literature suggests cross-cultural acceptability and effectiveness of this EBT.…”

Section: Parent-child Interaction Therapymentioning

confidence: 99%

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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Transporting PCIT Around the World

Cited by 2 publications

References 42 publications

Bringing Parent–Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility—First Steps to Implementation

Bringing Parent–Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility—First Steps to Implementation

Adapting PCIT to Address Mental Health Care Disparities Among Underserved Families Impacted by Pediatric Illness: A Case Series of Bedside PCIT

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