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Abstract

Schools need innovative early interventions to treat severe student behaviors. Parent-Child Interaction Therapy (PCIT) may fill this gap due to its strong efficacy in reducing behaviors, the maintenance and generalization of treatment effects, and its focus on early ages (i.e., 2–7 years or below third grade). However, standard PCIT has not been widely examined in schools, and implementing school-based PCIT may be affected by factors beyond the intervention itself. Therefore, we interviewed 13 parents with PCIT expertise to explore potential feasibility issues, as parents would be intervention participants and PCIT is rarely known to schools. Five key themes of barriers and facilitators emerged: logistics (e.g., scheduling), PCIT (e.g., PCIT is rarely known), family (e.g., different philosophy), school (e.g., intrinsic motivation to help), and culture and community (e.g., community awareness). Furthermore, six parents were enthusiastic about school-based PCIT, three expressed mixed feelings, and four shared negative views. Together, the findings alert to the potential complexity of implementing school-based PCIT while offering hope. Careful planning, such as readiness assessments and motivational interviewing, would be essential to facilitate early implementation.

Keywords

Parent-Child Interaction Therapy parents schools severe behaviors emotional and behavioral disorders

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References

Braun

Clarke

(2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Bronfenbrenner

(1979). The ecology of human development: Experiments by nature and design. Harvard University Press.

Bruni

T. P.

Drevon

Hixson

Wyse

Corcoran

Fursa

(2017). The effect of functional behavior assessment on school-based interventions: A meta-analysis of single-case research. Psychology in the Schools, 54(4), 351–369. https://doi.org/10.1002/pits.22007

Buchanan

Clark

(2017). Understanding parent-school communication for students with emotional and behavioral disorders. The Open Family Studies Journal, 9(Suppl. 1 M5), 122–131. https://doi.org/10.2174/1874922401709010122

Buchanan

Nese

R. N.

Clark

(2016). Stakeholders’ voices: Defining needs of students with emotional and behavioral disorders transitioning between school settings. Behavioral Disorders, 41(3), 135–147. https://doi.org/10.17988/BD-15-73.1

Buchanan-Pascall

Melvin

G. A.

Gordon

M. S.

Gray

K. M.

(2023). Evaluating the effect of parent-child interactive groups in a school-based parent training program: Parenting behavior, parenting stress and sense of competence. Child Psychiatry & Human Development, 54(3), 692–710. https://doi.org/10.1007/s10578-021-01276-6

Butler

A. M.

Eyberg

S. M.

(2006). Parent-Child Interaction Therapy and ethnic minority children. Vulnerable Children and Youth Studies, 1(3), 246–255. https://doi.org/10.1080/17450120600973577

Campbell

J. L.

Quincy

Osserman

Pedersen

O. K.

(2013). Coding in-depth semistructured interviews: Problems of unitization and intercoder reliability and agreement. Sociological Methods & Research, 42(3), 294–320. https://doi.org/10.1177/0049124113500475

Cobb

C. L.

(2023). Mental health and disadvantaged youth: Empowering parents as interventionists through technology. American Psychologist, 78(8), 927–940. https://doi.org/10.1037/amp0001156

10.

Cohen

Piquero

(2009). New evidence on the monetary value of saving a high-risk youth. Journal of Quantitative Criminology, 25(1), 25–49. https://doi.org/10.1007/s10940-008-9057-3

11.

Eyberg

S. M.

Funderburk

(2011). Parent-Child Interaction Therapy protocol. PCIT International.

12.

Eyberg

S. M.

Pincus

(1999). Eyberg child behavior inventory and Sutter-Eyberg student behavior inventory-revised: Professional manual. Psychological Assessment Resources.

13.

Farmer

T. W.

Conroy

M. A.

Farmer

E. M.

Sutherland

K. S.

(Eds.). (2020). Handbook of research on emotional and behavioral disorders. Routledge.

14.

Fernandez

M. A.

Eyberg

S. M.

(2009). Predicting treatment and follow-up attrition in Parent-Child Interaction Therapy. Journal of Abnormal Child Psychology, 37(3), 431–441. https://doi.org/10.1007/s10802-008-9281-1

15.

Fernandez

M. A.

Gold

D. C.

Hirsch

Miller

S. P.

(2015). From the clinics to the classrooms: A review of teacher-child interaction training in primary, secondary, and tertiary prevention settings. Cognitive and Behavioral Practice, 22(2), 217–229. https://doi.org/10.1016/j.cbpra.2014.01.004

16.

Foster

M. E.

Jones

D. E.

, & The Conduct Problems Prevention Research Group. (2005). The high costs of aggression: Public expenditures resulting from conduct disorder. American Journal of Public Health, 95(10), 1767–1772. https://doi.org/10.2105/AJPH.2004.061424

17.

Funderburk

B. W.

Eyberg

(2011). Parent-child interaction therapy. In Norcross

J. C.

Vandenbos

G. R.

Freedheim

D. K.

(Eds.), History of psychotherapy: Continuity and change (2nd ed.; pp. 415–420). American Psychological Association. http://doi.org/10.1037/12353-021

18.

Funderburk

B. W.

Eyberg

S. M.

Newcomb

McNeil

C. B.

Hembree-Kigin

Capage

(1998). Parent-Child Interaction Therapy with behavior problem children: Maintenance of treatment effects in the school setting. Child & Family Behavior Therapy, 20(2), 17–38. https://doi.org/10.1300/J019v20n02_02

19.

Ghandour

R. M.

Sherman

L. J.

Vladutiu

C. J.

Ali

M. M.

Lynch

S. E.

Bitsko

R. H.

Blumberg

S. J.

(2019). Prevalence and treatment of depression, anxiety, and conduct problems in US children. The Journal of Pediatrics, 206, 256–267. https://doi.org/10.1016/j.jpeds.2018.09.021

20.

Grandhi

A. G.

Vaughn

Stelitano

Scala

Danielson

(2015). Lessons learned from district implementation of intensive intervention: A focus on students with disabilities. Journal of Special Education Leadership, 28(1), 39–49.

21.

Graziano

P. A.

Ros-Demarize

Hare

M. M.

(2020). Condensing parent training: A randomized trial comparing the efficacy of a briefer, more intensive version of Parent-Child Interaction Therapy (I-PCIT). Journal of Consulting and Clinical Psychology, 88(7), 669–679. https://doi.org/10.1037/ccp0000504

22.

Hall

G. E.

Hord

S. M.

(2020). Implementing change: Patterns, principles, and potholes (5th ed.). Pearson.

23.

Hood

K. K.

Eyberg

S. M.

(2003). Outcomes of Parent-Child Interaction Therapy: Mothers’ reports of maintenance three to six years after treatment. Journal of Clinical Child and Adolescent Psychology, 32(3), 419–429. https://doi.org/10.1207/S15374424JCCP3203_10

24.

Klein

C. C.

Gonzalez

J. C.

Tremblay

Barnett

M. L.

(2023). Father participation in Parent-Child Interaction Therapy: Predictors and therapist perspectives. Evidence-Based Practice in Child and Adolescent Mental Health, 8(3), 393–407. https://doi.org/10.1080/23794925.2022.2051213

25.

Langley

A. K.

Nadeem

Kataoka

S. H.

Stein

B. D.

Jaycox

L. H.

(2010). Evidence-based mental health programs in schools: Barriers and facilitators of successful implementation. School Mental Health, 2, 105–113. https://doi.org/10.1007/s12310-010-9038-1

26.

Lau

Stevenson

Ong

B. N.

Dziedzic

Treweek

Eldridge

Everitt

Kennedy

Qureshi

Rogers

Peacock

Murray

(2016). Achieving change in primary care—Causes of the evidence to practice gap: Systematic reviews of reviews. Implementation Science, 11, Article 40. https://doi.org/10.1186/s13012-016-0396-4

27.

Lewis

T. J.

Wehby

J. H.

Scott

T. M.

(2019). The Peacock Hill Working Group “problems and promises” three decades later: Introduction to the Creek Bend Consortium special issue. Behavioral Disorders, 44(2), 67–69. https://doi.org/10.1177/0198742918821323

28.

Lipscomb

Haimson

Burghardt

Johnson

D. R.

Thurlow

(2017). Preparing for life after high school: The characteristics and experiences of youth in special education. Findings from the National Longitudinal Transition Study 2012. Volume 2: Comparisons across disability groups: Full report (NCEE 2017–4018). U.S. Department of Education, Institute of Education Sciences, National Center for Education Evaluation and Regional Assistance. https://files.eric.ed.gov/fulltext/ED573334.pdf

29.

Lloyd

Bruhn

Sutherland

Bradshaw

(2019). Progress and priorities in research to improve outcomes for students with or at risk for emotional and behavioral disorders. Behavioral Disorders, 44(2), 85–96. https://doi.org/10.1177/0198742918808485

30.

Masten

A. S.

Roisman

G. I.

Long

J. D.

Burt

K. B.

Obradović

Riley

J. R.

Boelcke-Stennes

Tellegen

(2005). Developmental cascades: Linking academic achievement and externalizing and internalizing symptoms over 20 years. Developmental Psychology, 41(5), 733–746. https://doi.org/10.1037/0012-1649.41.5.733

31.

McKenna

J. W.

Brigham

Garwood

Zurawski

Koc

Lavin

Werunga

(2021). A systematic review of intervention studies for young children with emotional and behavioral disorders: Identifying the research base. Journal of Research in Special Educational Needs, 21(2), 120–145. https://doi.org/10.1111/1471-3802.12505

32.

Novins

D. K.

Green

A. E.

Legha

R. K.

Aarons

G. A.

(2013). Dissemination and implementation of evidence-based practices for child and adolescent mental health: A systematic review. Journal of the American Academy of Child & Adolescent Psychiatry, 52(10), 1009–1025. https://doi.org/10.1016/j.jaac.2013.07.012

33.

Pappadopulos

Woolston

Chait

Perkins

Connor

D. F.

Jensen

P. S.

(2006). Pharmacotherapy of aggression in children and adolescents: Efficacy and effect size. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 15(1), 27–39.

34.

Sheridan

S. M.

Witte

A. L.

Holmes

S. R.

Bhatia

S. A.

Angell

S. R.

(2017). The efficacy of conjoint behavioral consultation in the home setting: Outcomes and mechanisms in rural communities. Journal of School Psychology, 62, 81–101. https://doi.org/10.1016/j.jsp.2017.03.005

35.

Simpson

R. L.

Peterson

R. L.

Smith

C. R.

(2011). Critical educational program components for students with emotional and behavioral disorders: Science, policy, and practice. Remedial and Special Education, 32(3), 230–242. https://doi.org/10.1177/0741932510361269

36.

Steggerda

D. M.

(2003). If I tell them, will they listen? Voices of former teachers (Publication No. 3110143) [Doctoral dissertation, Drake University]. ProQuest Dissertations and Theses.

37.

U.S. Department of Education, Office for Civil Rights. (2011). Ensuring equal access to high-quality education. https://www2.ed.gov/about/offices/list/ocr/docs/ensure03.pdf

38.

U.S. Department of Education, Office of Special Education and Rehabilitative Services, Office of Special Education Programs. (2023). 44th annual report to congress on the implementation of the Individuals with Disabilities Education Act, 2022. https://www2.ed.gov/about/reports/annual/osep/index.html

39.

Wagner

Kutash

Duchnowski

A. J.

Epstein

M. H.

Sumi

W. C.

(2005). The children and youth we serve: A national picture of the characteristics of students with emotional disturbances receiving special education. Journal of Emotional and Behavioral Disorders, 13(2), 79–96. https://doi.org/10.1177/10634266050130020201

40.

Wang

J. H.

Gregory

K. N.

Fleming

T. C.

Huckaby

P. L.

Merrin

G. J.

Pascarella

L. A.

Muñoz

N. N

. (2026). “They can change the world”: Principal perceptions of school-based PCIT. [Manuscript in preparation].

41.

Ward

M. A.

Theule

Cheung

(2016). Parent-Child Interaction Therapy for child disruptive behavior disorders: A meta-analysis. Child & Youth Care Forum, 45(5), 675–690. https://doi.org/10.1007/s10566-016-9350-5

42.

Westling

D. L.

(2010). Teachers and challenging behavior: Knowledge, views, and practices. Remedial and Special Education, 31(1), 48–63. https://doi.org/10.1177/0741932508327466

“I Would Be There the Next Day” Versus “It’s Not Their Business”: Parent Perceptions of School-Based PCIT

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