Child-Directed Interaction
2. Reflect
3. Imitate
4. Describe (behavior description)
5. Enjoy
What would you code?
Child: Grabs a blue lego
Parent: "You're grabbing a blue lego"
BD
True or false:
CDI homework is 5 mins of special playtime a day, for 5 days of the week.
A child starts to share their veggie toys with parent. Given an example of what you might coach parents?
Some type of PRIDE skill!
-Give a LP or BD for sharing
What are the 3 avoid skills during CDI phase?
Avoid these three:
Questions
Commands
Negative Talk
What would you code?
Parent: You're smiling. I love how you're playing so gently with the toys.
BD, LP.
True or False:
Board games, active games (tag or hide n seek), or painting/making slime are good toys for PCIT.
What is the difference between CDI and PDI phase?
CDI is child-directed, more involved with strengthening caregiver-child attachment.
PDI is parent-directed, more involved with limit-setting, consistency with structure.
What makes PCIT different than other parent-child treatment interventions?
Therapist is coaching in-vivo (in real time) during these interactions.
Parent: You're thinking about what color to put on the building.
TA.
True or False:
Other caregivers who take care of the child can participate in CDI homework practice?
True! :)
During CDI, a child is saying something rude to the parent. What should you coach the parent?
What do parents need to score in CDI coding to meet "gold standard" and move on to PDI?
10 LP, 10 RF, and 10 BD
Less than 3 Q, CO, NTA
UP
Not sure what looks good. A good option would to encourage parents to be more specific (e.g., "what looks good")
False. The ECBI score needs to be above >131 to be considered for PCIT tx.
Scenario: Child says, "This is a dog!". Parent says, "That isn't a dog, that is a cat silly!"
What is the code and what would you coach parent?
Code: NTA
Some coaching options: reminding parent to take child's lead and it's okay if it isn't right at this moment during play. There are also other opportunities for giving correct information throughout play.
Parent's haven't made much progress, seem tired and exhausted, and say they haven't practiced this week.
What are some ways to approach this?
There are more than one way, and depends on the clients of course. Some general ideas:
- Discuss the stressors/barriers in tx
- Setting smaller goals (e.g. practice just 2x this week)
- Setting up parent-only calls (might need more one-on-one support)
-Normalizing & Validating
What would you code?
Child: "What time is it?"
Parent: "What time is it?"
Question.
That can be confusing when a question is asked back. Option to coach parents to reflect or describe using "you're asking what time is it"
True or False:
For CDI phase, it's okay if the child throws or breaks toys as long as the kiddo is leading the play.