Abstract
This research briefly promotes the inclusion of Parent-Child Interaction Therapy (PCIT) for children with Autism Spectrum Disorder (ASD) in a continuum of empirically-supported ASD treatments. PCIT is a manualized, short-term intervention that improves child compliance and the caregiver-child bond, and is an empirically-supported treatment backed by over 40 years of research. Caregivers are often unprepared to handle the needs of children with ASD presenting with comorbid behavioral problems. As a result, families frequently require mental health services for their children on the autism spectrum; however, access to empirically supported treatments for these families is limited. Furthermore, many mental health providers feel unequipped to treat this special population. Families with children on the autism spectrum are in desperate need of quality, time-limited, evidence-based treatments targeting disruptive behaviors. PCIT is a well-established treatment for disruptive behaviors that represents a promising treatment for complementing other evidenced-based ASD services. Research shows that after PCIT, children with ASD demonstrate improvements in disruptive behavior, social awareness, adaptability, and positive affect. Currently, the PCIT-ASD literature provides a case for conducting PCIT with preschool children who are in the higher functioning range of the autism spectrum (Levels 1 and 2) and display comorbid behavioral problems. Providing PCIT clinicians with training about the special needs of children with ASD could lead to improved access to services for this population. This paper accomplishes the following objectives: 1) Provides an overview of PCIT, 2) Summarizes the PCIT-ASD research, 3) Reviews PCIT-ASD clinical considerations and training requirements, and 3) Suggests future directions for PCIT-ASD research.
Highlights
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder wherein individuals have core deficits in (1) socialcommunication and (2) restricted and/or repetitive behaviors and/or interests
Because mental health providers often encounter children on the autism spectrum with comorbid disruptive behavior, there is a need for a quality, time-limited, evidence-based treatment aimed at reducing disruptive behavior, like Parent-Child Interaction Therapy (PCIT)
Masse, McNeil, Wagner, and Chorney [41] published a theoretical justification for PCIT-ASD by exploring similarities between PCIT and well-known treatments for ASD, suggesting that PCIT could be used to supplement other interventions to maximize the effectiveness of therapy
Summary
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder wherein individuals have core deficits in (1) socialcommunication and (2) restricted and/or repetitive behaviors and/or interests. The prevalence estimate of ASD in the United States is 1 in 59, and many children with ASD often present with comorbid disruptive behaviors [1]. In a national sample of children referred for psychological treatment due to disruptive behaviors, as many as 40% had a diagnosis of ASD [2]. In a sample of community-based mental health clinics, both therapists and caregivers reported disruptive behaviors as the most common presenting problem for children with ASD [3, 4]. Because mental health providers often encounter children on the autism spectrum with comorbid disruptive behavior, there is a need for a quality, time-limited, evidence-based treatment aimed at reducing disruptive behavior, like Parent-Child Interaction Therapy (PCIT)
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