Rapid, Full-Scale Change to Virtual PCIT During the COVID-19 Pandemic: Implementation and Clinical Implications

Prevention Science - Tập 22 - Trang 269-283 - 2021
Dainelys Garcia1, Angela M. Blizzard1, Abigail Peskin1, W. Andrew Rothenberg1,2, Ellyn Schmidt1, Jennifer Piscitello1, Natalie Espinosa1, Hanan Salem1, Gabriela M. Rodriguez3, Jamie A. Sherman1, Meaghan V. Parlade1, Alexis L. Landa1, Eileen M. Davis1, Allison Weinstein1, Angela Garcia1, Camille Perez1, Jessica M. Rivera1, Chary Martinez1, Jason F. Jent1
1Mailman Center for Child Development, University of Miami Miller School of Medicine, Miami, USA
2Duke University Center for Child and Family Policy, Coral Gables, USA
3Department of Psychiatry, Indiana University School of Medicine, Indianapolis, USA

Tóm tắt

Health agencies call for the immediate mobilization of existing interventions in response to numerous child and family mental health concerns that have arisen as result of the COVID-19 pandemic. Answering this call, this pilot study describes the rapid, full-scale change from a primarily clinic-based Parent–Child Interaction Therapy (PCIT) model to a virtual service model (i.e., I-PCIT) in an academic and community-based program in Miami, Florida. First, we describe the virtual service training model our program developed and its implementation with 17 therapists (MAge = 32.35, 88.2% female, 47.1% Hispanic) to enable our clinic to shift from providing virtual services to a small portion of the families served (29.1%) to all of the families served. Second, we examine the effect of I-PCIT on child and caregiver outcomes during the 2-month stay-at-home period between March 16, 2020, and May 16, 2020, in 86 families (MChildAge = 4.75, 71% Hispanic). Due to the rapid nature of the current study, all active participants were transferred to virtual services, and therefore there was no comparison or control group, and outcomes represent the most recently available scores and not treatment completion. Results reveal that I-PCIT reduced child externalizing and internalizing problems and caregiver stress, and increased parenting skills and child compliance with medium to large effects even in the midst of the COVID-19 pandemic. Finally, the study examined components of our virtual service training model associated with the greatest improvements in child and caregiver outcomes. Preliminary findings revealed that locally and collaboratively developed strategies (e.g., online communities of practice, training videos and guides) had the strongest association with child and caregiver outcomes. Implications for virtual service delivery, implementation, and practice in the midst of the COVID-19 pandemic are discussed.

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Prevention Science

Tập 22

269-283

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