51.1 I-PCIT: INTERNET-DELIVERED PARENT-CHILD INTERACTION THERAPY

Abstract

Objectives: Parent-child interaction therapy (PCIT) is an evidence-based behavioral parent-training program that was initially developed for families with young children (ages 2-7 years) who exhibited socially disruptive behaviors (aggression and noncompliance). It is a dyadic parent-child therapy with unique elements of in vivo parent coaching via a bug in the ear by the therapist who works from behind a one-way mirror. Most important, PCIT allows for individually tailored coaching that can address unique difficulties of particular parent-child dyads. Despite the effectiveness of PCIT, a high dropout rate (in some studies as high as 50%) prior to completion of the treatment remains a significant problem. The use of new technologies such as telehealth to remotely deliver real-time therapy to the patient’s home has shown to overcome the many barriers including treatment availability, accessibility, and acceptability. During the COVID-19 pandemic, internet-PCIT (I-PCIT) became the treatment of choice for many centers around the country. Methods: This presentation will introduce the basic concepts of I-PCIT. We will focus on the similarities and differences between standard PCIT delivered in the office setting and I-PCIT. We will show video clips of I-PCIT sessions to illustrate the novel aspects of the treatment. Results: Participants will learn how to conduct PCIT using remote technology. They will be able to discuss various aspects of the PCIT treatment done in the home environment. They will be able to review problem-solving strategies such as ways to keep the young child in the room, time-out routine practice, and siblings needing to be present in the session, and other challenging situations will be discussed. Participants will have an opportunity to present their challenging cases and ask questions. Conclusions: A small but growing literature shows that I-PCIT is an acceptable adaptation of PCIT. It allows for expansion of the reach of mental health services, helps with compliance, and allows for continuation of treatment for many families during the COVID-19 pandemic. DBD, EC, P