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Outcomes of Parent–Child Interaction Therapy in an urban community clinic: A comparison of treatment completers and dropouts

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  • Danko, Christina M.
  • Garbacz, Lauren Legato
  • Budd, Karen S.

Abstract

This study examined outcomes of Parent–Child Interaction Therapy (PCIT) for 52 clinically referred children with oppositional behavior and their parents treated in an urban, community mental health clinic serving demographically (i.e., income level, ethnicity) diverse families. Standardized observations of parent–child interactions and parent reported measures of child behavior were collected at pre- and post-treatment. We addressed two primary research questions: (1) What are pre-treatment predictors of treatment completion? (2) What are treatment outcomes both for families who successfully completed PCIT and for treatment dropouts? Multiple logistic regression results showed a significantly greater likelihood of treatment completion related to higher parent education, male child gender, and two parent households. Among families who completed treatment, pre–post data demonstrated significant parent change in observed skill use and improvement in parent reported disruptive behaviors with medium to large effect sizes. Findings also documented early treatment benefits for families who completed the first phase of PCIT but dropped out in the final phase prior to meeting full graduation criteria. We discuss the findings and implications for community-based applications of PCIT in the context of community mental health's mission to provide effective treatment and maximize community access to services.

Suggested Citation

  • Danko, Christina M. & Garbacz, Lauren Legato & Budd, Karen S., 2016. "Outcomes of Parent–Child Interaction Therapy in an urban community clinic: A comparison of treatment completers and dropouts," Children and Youth Services Review, Elsevier, vol. 60(C), pages 42-51.
    • Handle: RePEc:eee:cysrev:v:60:y:2016:i:c:p:42-51
    DOI: 10.1016/j.childyouth.2015.11.007
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    References listed on IDEAS

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    1. Thompson, Richard, 2005. "The course and correlates of mental health care received by young children: Descriptive data from a longitudinal urban high-risk sample," Children and Youth Services Review, Elsevier, vol. 27(1), pages 39-50, January.
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    Cited by:

    1. Abrahamse, Mariëlle E. & Niec, Larissa N. & Junger, Marianne & Boer, Frits & Lindauer, Ramón J.L., 2016. "Risk factors for attrition from an evidence-based parenting program: Findings from the Netherlands," Children and Youth Services Review, Elsevier, vol. 64(C), pages 42-50.
    2. John-Joe Dawson-Squibb & Eugene Lee Davids & Rhea Chase & Eve Puffer & Justin D. M. Rasmussen & Lauren Franz & Petrus J. de Vries, 2022. "Bringing Parent–Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility—First Steps to Implementation," IJERPH, MDPI, vol. 19(8), pages 1-20, April.
    3. Allison Hatley-Cotter & Georgette Saad & Elizabeth Brestan-Knight, 2022. "Treatment Readiness among Primarily Latine Families Seeking Parent–Child Interaction Therapy (PCIT) in an Urban Setting," IJERPH, MDPI, vol. 19(8), pages 1-16, April.
    4. Mariëlle E. Abrahamse & Vionna M. W. Tsang & Ramón J. L. Lindauer, 2021. "Home-Based Parent–Child Interaction Therapy to Prevent Child Maltreatment: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(16), pages 1-15, August.

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