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A preliminary analysis of parent-child interaction therapy plus natural helper support to increase treatment access and engagement for low-income families of color

Author

Listed:
  • Davis, Eileen M.
  • Garcia, Dainelys
  • Andrew Rothenberg, W.
  • Barnett, Miya L.
  • Davidson, Bridget
  • Espinosa, Natalie
  • Tonarely, Niza A.
  • Robertson, Emily L.
  • Alonso, Betty
  • San Juan, Juliet
  • Jent, Jason F.

Abstract

Disparities in care for low-income children of color call for innovative culturally and linguistically responsive solutions to better engage marginalized populations in evidence-based interventions. In partnership with a community organization, the addition of natural helper support as an adjunct to Parent-Child Interaction Therapy (PCIT + NH) was examined as a strategy to increase recruitment, engagement, and retention in PCIT for families historically unreached by a university-based clinic. Natural helpers provided home-based skills practice and support for forty-two families whose parents were more racially and linguistically diverse and had lower income and lower caregiver education than the typical population served by the same program (i.e., program population). Families who received PCIT + NH had comparable or higher rates of engagement relative to the program population and demonstrated improvements in clinical outcomes (i.e., decreased child externalizing and internalizing behaviors, increased child compliance, decreased caregiver stress, increased caregiver parenting skills) over the course of treatment. Furthermore, higher doses of natural helper support were associated with higher rates on most measures of treatment engagement (i.e., treatment completion, completion of the Child Directed Interaction phase of treatment, PCIT sessions, homework in the Parent Directed Interaction phase of treatment), with the exception of homework in the Child Directed Interaction phase of treatment and overall session attendance rate. Next steps for testing the treatment engagement and clinical outcome effects of the PCIT + NH model are discussed.

Suggested Citation

  • Davis, Eileen M. & Garcia, Dainelys & Andrew Rothenberg, W. & Barnett, Miya L. & Davidson, Bridget & Espinosa, Natalie & Tonarely, Niza A. & Robertson, Emily L. & Alonso, Betty & San Juan, Juliet & Je, 2022. "A preliminary analysis of parent-child interaction therapy plus natural helper support to increase treatment access and engagement for low-income families of color," Children and Youth Services Review, Elsevier, vol. 134(C).
    • Handle: RePEc:eee:cysrev:v:134:y:2022:i:c:s0190740922000068
    DOI: 10.1016/j.childyouth.2022.106370
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    References listed on IDEAS

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    1. Beveridge, Ryan M. & Fowles, Timothy R. & Masse, Joshua J. & McGoron, Lucy & Smith, Marissa A. & Parrish, Brendt P. & Circo, Gina & Widdoes, Nancy, 2015. "State-wide dissemination and implementation of parent–child interaction therapy (PCIT): Application of theory," Children and Youth Services Review, Elsevier, vol. 48(C), pages 38-48.
    2. Quetsch, Lauren Borduin & Girard, Emma I. & McNeil, Cheryl B., 2020. "The impact of incentives on treatment adherence and attrition: A randomized controlled trial of Parent-Child Interaction Therapy with a primarily Latinx, low-income population," Children and Youth Services Review, Elsevier, vol. 112(C).
    3. Barnett, Miya L. & Davis, Eileen M. & Callejas, Linda M. & White, Jacob V. & Acevedo-Polakovich, Ignacio D. & Niec, Larissa N. & Jent, Jason F., 2016. "The development and evaluation of a natural helpers' training program to increase the engagement of urban, Latina/o families in parent-child interaction therapy," Children and Youth Services Review, Elsevier, vol. 65(C), pages 17-25.
    4. Callejas, Linda M. & Hernandez, Mario & Nesman, Teresa & Mowery, Debra, 2010. "Creating a front porch in systems of care: Improving access to behavioral health services for diverse children and families," Evaluation and Program Planning, Elsevier, vol. 33(1), pages 32-35, February.
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