Sls symposium presentation
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Transcript of Sls symposium presentation
Parent-Child Interaction Therapy (PCIT) Clinician Assistant and Dissemination Researcher for
Delaware's B.E.S.T.Student: Anna DavisAdvisor: Ryan BeveridgeDepartment: Psychology
My initial questions….
1. What do mental health services for children actually look like in a community setting?
- Clinical experience
2. Why is there a gap between empirical research and practical application of mental health services?
- Research
Parent-Child Interaction Therapy•Evidence-based practice•Developed by Sheila Eyberg in the 1970s•Treats children with emotional or
behavioral problems•Improving the quality of parent-child
relationships by changing parent-child interaction patterns
Who is it for?
2- to 7-year-olds with…•Oppositional Defiant Disorder (ODD)•Conduct Disorder (CD)•Attention Deficit Hyperactivity Disorder
(ADHD)
Key Elements
•Works with parent and child together•Early intervention - reversing patterns
early and improving future outcomes•Not time limited – data driven•Live coaching
Theoretical Bases
•Diana Baumrind’s (1967) research on parent styles
•Virginia Axline’s (1947) research on play
therapy
•Attachment theory
•Social learning theory
Two sections:
1. Child-Directed Interaction-builds a harmonious parent-child
relationship 2. Parent-Directed Interaction
- consistent and predictable outcomes for noncompliance
Child-Directed Interaction
PRIDEPraise
Reflect
Imitate
Describe
Enjoy
Avoid:
1. Questions2. Commands3. Criticism
Parent-Directed Interaction
•Teaches parents a consistent time-out sequence for negative behaviors
PCIT Outcomes•Improved parent-child interactions•Decreased behavioral problems at home•Better child behavior in school•Improved parent behavior and functioning •Possible generalization to siblings
As a Clinician Assistant I:
•Helped set up therapy rooms•Live coded with the therapist•Provided childcare for siblings•Helped clean up•Entered session data
Global perspective
•Science to service gap
Both sides of the coin
As a Research Assistant I created:Clinician Perspective Questionnaire (CPQ)•Feasibility/Financial Concerns•Colleague Use•Supervisor Follow-up•Organizational Support•Motivation•Perceived Role of Therapist•Fit•Activity•Attitudes towards Evidence-Based Practices•Adequacy of Preparation/Training
Future Steps:
•Pilot questionnaire•Refine questionnaire to a
psychometrically valid measure•Distribute questionnaire to all clinicians
trained in PCIT by Delaware’s B.E.S.T.•Analyze data and draw conclusions
Possible uses of data
•Inform/alter training•Inform/alter outreach•Inform/alter follow-up•Increase mutual understanding between
clinicians and researchers•Understand practical roadblocks to
implementation to resolve them•Find predictors of a good therapist
Thank you for everyone who made this experience great!
•My adviser: Ryan Beveridge•My colleagues at Delaware’s BEST: Tim
Fowles, Gina Circo, and Josh Masse•The therapists I assisted: Carly Yasinski,
Stevie Grassetti, Rachael Koch, and Beth Higley
Works CitedBrestan, E.V., Eyberg, S. M., Boggs, S., & Algina, J. (1997).
Parent-Child Interaction Therapy: Parent perceptions of untreated siblings. Child and Family Behavior Therapy, 19, 13-28.
Connor Smith, J.K. & Weisz J.R. (2003). Applying treatment outcome research in clinical practice: Techniques for adapting interventions to the real world. Child and Adolescent Mental Health 8, 3–10.
McNeil, C.B. & Hembree-Kigin, T.L. (2010). Parent-child interaction therapy (2nd ed.). New York, NY: Springer Science + Business Media, LLC.
pcit.org Thomas, R. & Zimmer-Gembeck, M.J. (2007). Behavioral
outcomes of Parent-Child Interaction Therapy and Triple P – Positive Parenting Program: A review and meta-analysis. Journal of Abnormal Child Psychology, 35, 475-495.