“It has been life changing for our family”: Parent-Child Interaction Therapy in the real world

Abstract

Background Parent-Child Interaction Therapy (PCIT) is an evidence-based parent training programme for parents of 2. -7 year old children with challenging behaviour and other complex needs. It is unique, in that it involves in vivo (“live”) skills coaching of parents, with immediate feedback from a clinician through a discrete ear piece and one-way mirror. Well established in the United States, it was introduced to New Zealand in 2010, and to the Kari Centre (ADHB) in 2013. Aims This paper outlines an HRC-funded mixed methods process evaluation around the introduction of PCIT to the ‘real world’ of child mental health services in Auckland. Particular attention will be paid to families’ perspectives, as despite the numerous studies into the effectiveness of PCIT, very little research has explored how this unique experience is for families. Results Early results show significant improvements in children’s behaviour and family wellbeing are possible, even where children and families have complex needs, and previous interventions haven’t been successful. Findings also indicate the process is satisfying and fulfilling for families and clinicians alike. Conclusion This study demonstrates that standard PCIT can bring about meaningful change within a relatively short period. It is effective for, and acceptable to, families with complex needs within child mental health services in New Zealand.