Spring Grove

Counseling & Wellness Center

A Private Practive Group

P.C.I.T.

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Parent-Child Interaction Therapy (PCIT)

 

Children need more than food, shelter, and clothing. 

They need at least one person who is crazy about them.”  Fran Stott

PCIT is an evidenced-based treatment model with highly specified, step-by-step, live-coached sessions with both the parent/caregiver and the child. Parents learn skills through PCIT didactic sessions, and the therapist coaches the parent/caregiver as he or she interacts in specific play with the child. The emphasis is on improving parent/caregiver and child patterns. The goals of treatment are:

 

  An improvement in the quality of the parent-child relationship;

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A decrease in child behavior problems with an increase in pro-social behaviors;

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An increase in parenting skills, including positive discipline; and

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A decrease in parenting stress.

 

PCIT was initially targeted for families with children ages 2-to-7 with oppositional, defiant, and other externalizing behavior problems. It has been adapted successfully to serve parents at risk for aggressive discipline or abuse and their children (ages 4-to-12).  PCIT may be conducted with parents, foster parents, or others in a parental/caretaker role. Caregiver and child must have regular, ongoing therapy, and contact outside of therapy throughout the process to allow for therapeutic assignments to be completed.

 

 essential components

The intervention uses a two-stage approach aimed at relationship enhancement and child behavior management. The parent is taught and coached in relationship-building skills: Praise, Reflection, Imitation, Description, and Enthusiasm (PRIDE.) The parent/caregiver is coached while interacting with the child during relationship-enhancement treatment sessions (similar to play therapy) until success is reached.

The parent is then instructed and coached in a positive discipline program including effective delivery of commands, with an appropriate parent response for child compliance and will learn strategies designed to increase compliance. The skills are gradually expanded for use from a structured implementation in treatment sessions to structured sessions in the home to more unstructured situations and finally to use in public situations. Skills are observed and coached in treatment sessions. Specific behaviors are coded and charted on a graph at each session, and parents are provided with immediate feedback about progress and mastery of skills. Parents are given homework assignments to complete to enhance their skills between sessions. Efforts are made to incorporate ethnic and cultural practices and values. 

 

How to Make an Appointment

Call (573-635-8299) to make an appointment for your family with therapist Kendall L. Grayson, MA, PLPC.  Types of payment include self-pay $70/session (sliding scale available for low income families), Medicaid, and some other insurances.  

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Last modified: August 28, 2008