This is a 14-20 week evidenced-based practice that enhances parent-child interactions and appropriate discipline of children between ages 2-7.
What is Parent-Child Interaction Therapy (PCIT)?
How often is Special Time?
What is every day?
Why do we use LP instead of UP?
- Tells the child exactly what the parents like
What does CDI stand for?
Child Directed Interaction
- Prematurity
- Temperament
- Child Abuse/Neglect
- Trauma
- Substance use exposure
- Chronic illness
- Poor parenting
Two phases of PCIT
What are Child Directed Interaction (CDI) and Parent Directed Interaction (PDI)?
How long is special time?
5 minutes
What is the scaffolding order for DPICS?
Behavior Descriptions
Labeled Praises
Reflections
What are 3 benefits of Child Led Play?
▷Enhances the warmth of the relationship
▷Strengthens attachment
▷Improves attention span
▷Improves self-esteem
▷Increases pro-social behavior
▷Enhances warmth
▷Decreases undesired behavior
Why do we do CDI first? What would you tell a Caregiver?
- It will be easier for your child to accept limits and discipline once they have a foundation of warmth
- Many of the CDI skills are necessary for discipline to be effective
An assessment tool for rating child's behaviors used at every session?
What is the Eyeberg Child Behavior Inventory (ECBI)?
Toys that are destructive, encourage aggressive play, or toys that have set rules
What are toys to avoid during special time?
Child: My car is going real fast.
Parent: Your car is going really fast. You're driving it very fast.
What is the hierarchy of coaching in CDI?
Line Feeds, Prompts, Observations, Higher Order
Why might a child have a tantrum in your office when special time ends?
- Caregiver is inconsistent with homework
- Not ending special time at home
- No warning that Special Time is about to end
True or False: A parent must have no avoid skills in the five min of coding in order to begin Parent Direct Interaction (PCI) phase of PCIT.
False - 10 LP, 10 BD, 10 RF and less than 3 total avoid skills.
3 things that result from special time
- Better relationship
- Practice for the CG
- Increased self-esteem
- Improved relationship
- Improved attention and cooperation
- Better play for Cl and CG
Child: I'm coloring.
Parent: I'm coloring just like you.
Neutral Talk
Things to do to teach a child to be polite during CDI?
- Modeling
- Praising the child when they are being polite
- Ignoring rude behavior
Why do we code in PCIT?
To serve as a structured assessment tool that measures changes in parent-child interactions, helps therapists provide live coaching and feedback to parents during sessions, and serves as a way to determine when parents have met competency in the essential skills taught
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What are the purposes of Special Time? How would you explain the importance of Special Time to a Caregiver?
▷Therapeutic time
▷Allows the parent to be the therapist
▷5 minutes off undivided attention for the child
▷Parent can practice the skills outside of session
▷This is the medication for treatment!
IC
What are some reasons that a Caregiver may stay in CDI after they have met competency criteria?
- Not able to ignore attention seeking behavior
- Inconsistent with Special Time
- Inconsistent with Attendance
- Not utilizing the skills outside of the office
Give 3 Core Components of PCIT.
Slide 21 has all the answers