Disability-Responsive Adaptations: Child–Parent–Relationship Therapy for Children With Disabilities

Abstract

Children with disabilities have unique and often specialized needs. The parents of children with disabilities play an integral and sometimes challenging role in supporting, advocating, and caring for their children. This article introduces an evidence-based approach to work with parents of children with disabilities that focuses on strengthening the relationship between the parent and child through child–parent–relationship therapy (CPRT). Disability-responsive adaptations and recommendations are provided for CPRT, specifically for deaf and hard-of-hearing children, children with physical disabilities, and children with autism spectrum disorder.

Keywords

children with disabilities CPRT play therapy disability-responsive adaptations

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References

Al-Dababneh

K. A.

Fayez

Bataineh

(2012). Needs of parents caring for children with physical disabilities: A case study in Jordan. International Journal of Special Education, 27(3), 120–133.

Austin

Herrick

Proescholdbell

Simmons

(2016). Disability and exposure to high levels of adverse childhood experiences. North Carolina Medicine Journal, 77(1), 30–36. https://doi.org/10.18043/ncm.77.1.30

Axline

V. M.

(1947). Play therapy: The inner dynamics of childhood. Houghton Mifflin.

Aydin

Yamac

(2014). The relations between the acceptance and child-rearing attitudes of parents of children with mental disabilities. Eurasian Journal of Educational Research, 54, 79–98.

Beckloff

D. R.

(1998). Filial therapy with children with spectrum pervasive development disorders. Dissertation Abstracts International: Section B: The Sciences and Engineering, 58(11-B), 6224.

Bennett

M. M.

Carnes-Holt

(2019). CPRT toddler model. In Bratton

S. C.

Landreth

G. L.

, (Eds.), Child-parent relationship therapy training manual: An evidence-based 10-session filial therapy model (2nd ed.). (pp. 103–106). Routledge.

Berryman

Ford

Nevin

Soohoo

(2015). Culturally responsive contexts: Establishing relationships for inclusion. International Journal of Special Education, 30(3), 39–51.

Beurkens

N. M.

Hobson

J. A.

Hobson

R. P.

(2013). Autism severity and qualities of parent-child relations. Journal of Autism and Developmental Disorders, 43, 168–178. https://doi.org/10.1007/s10803-012-1562-4

Bowlby

(1969). Attachment. Attachment and loss: Vol. 1. Loss. Basic Books.

10.

Bratton

S. C.

Dafoe

Swan

Opiola

McClintock

Barcenas

(2015). Play therapy outcome research database. http://evidencebasedchildtherapy.com/research/

11.

Bratton

S. C.

Landreth

G. L.

(2019). Child-parent relationship therapy (CPRT) treatment manual: An evidence-based 10-session filial therapy model (2nd ed.). Routledge.

12.

Bratton

S. C.

Ray

Rhine

Jones

(2005). The efficacy of play therapy with children: A meta-analysis of treatment outcomes. Professional Psychology: Research and Practice, 36(4), 376–390. https://doi.org/10.1037/0735-7028.36.4.376

13.

Bryan

Burstein

Chao

Ergul

(2006). The relationship between health status, language development, and behavior in young children. Physical Disabilities: Education and Related Services, 24(2), 7–19.

14.

Carnes-Holt

(2010). Child-parent relationship therapy (CPRT) with adoptive families: Effects on child behavior, parent-child relationship stress, and parental empathy [Published doctoral dissertation]. University of North Texas, Denton.

15.

Carnes-Holt

Opiola

K. K.

(2019). Adapting CPRT for parents of adoptive families. In Landreth

G. L.

Bratton

S. C.

(Eds.), Child-parent relationship therapy: An evidence-based 10-session filial therapy model (2nd ed.) (pp. 397–412). Routledge.

16.

Cavioni

Grazzani

Ornaghi

(2017). Social and emotional learning for children with learning disability: Implications for inclusion. International Journal of Emotional Education, 9(2), 100–109.

17.

Ceballos

P. L.

Bratton

S. C.

(2010). Empowering Latino families: effects of a culturally responsive intervention for low-income immigrant Latino parents on children’s behaviors and parental stress. Psychology in the Schools, 47(8), 761–775. https://doi.org/10.1002/pits.20502

18.

Ceballos

P. L.

Meany-Walen

Carnes-Holt

(2019). Adapting CPRT for parents of preadolescents. In Landreth

G. L.

Bratton

S. C.

(Eds.), Child-parent relationship therapy: An evidence-based 10-session filial therapy model (2nd ed.) (pp. 383–396). Routledge.

19.

Centers for Disease Control and Prevention. (2020, September 16). Disability impacts all of us infographic. https://www.cdc.gov/ncbddd/disabilityandhealth/infographic-disability-impacts-all.html

20.

Chapel

S. L.

(2005). Child-centered play therapy with deaf children: Exploring linguistic and cultural implications [Counselor Education Master’s Thesis, 20]. http://digitalcommons.com

21.

Cohen

Mosek

. (2019). “Power together”: Professionals and parents of children with disabilities creating productive partnerships. Child & Family Social Work, 24, 565–573. https://doi.org/10.1111/cfs.12637

22.

Cornelius

Hornett

(1990). The play behavior of hearing-impaired kindergarten children. American Annals of the Deaf, 135(4), 316–321. https://doi.org/10.1353/aad.2012.0542

23.

Cornett

Bratton

S. C.

(2014). Examining the impact of child parent relationship therapy (CPRT) on family functioning. Journal of Marital and Family Therapy, 40(3), 302–318. https://doi.org/10.1111/jmft.12014

24.

Corr

Santos

R. M.

(2017). Abuse and young children with disabilities: A review of the literature. Journal of Early Intervention, 39(1), 3–17. https://doi.org/10.1016/S0140-6736(12)60692-8

25.

Czyż

(2017). Early support development of children with disorders of the biopsychosocial functioning in Poland. Bulgarian Comparative Education Society, 15, 209–216.

26.

Felitti

V. J.

Anda

R. F.

Nordenberg

Williamson

D. F.

Spitz

A. M.

Edwards

Koss

M. P.

Marks

J. S.

(1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The adverse childhood experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8

27.

Goddard

J. A.

Lehr

Lapadat

J. C.

(2000). Parents of children with disabilities: Telling a different story. Canadian Journal of Counselling, 34(4), 273–289.

28.

Goodman

S. J.

Glenwick

D. S.

(2012). Correlates of attachment perceptions in parents of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42, 2056–2066. https://doi.org/10.1007/s10803-012-1453-8

29.

Gordon

P. A.

Feldman

Chiriboga

(2005). Helping children with disabilities develop and maintain friendships. Teacher Education and Special Education, 28(1), 1–9. https://doi.org/10.1177/088840640502800101

30.

Guerney

(1964). Filial therapy: Description and rationale. Journal of Consulting Psychology, 28(4), 303–310. https://doi.org/10.1037/h0041340

31.

Halfon

Houtrow

Larson

Newacheck

P. W.

(2012). The changing landscape of disability in childhood. Future of Children, 22(1), 13–42. https://doi.org/10.1353/foc.2012.0004

32.

Hebbeler

Spiker

(2016). Supporting young children with disabilities. Future of Children, 26(2), 185–205.

33.

Helker

W. P.

Bennett

M. M.

(2019). CPRT teacher model. In Bratton

S. C.

Landreth

G. L.

(Eds.), Child-parent relationship therapy training manual: An evidence-based 10-session filial therapy model (2nd ed.). (pp. 121–123). Routledge.

34.

Hill

LaLiberte

Lightfoot

(2011). Prevalence of children with disabilities in the child welfare system and out of home placement: An examination of administrative records. Children and Youth Services Review, 33, 2069–2075. https://doi.org/10.1016/j.childyouth.2011.02.019

35.

Hillman

(2018). Child-centered play therapy as an intervention for children with autism: A literature review. International Journal of Play Therapy, 27(4), 198–204. https://doi.org/10.1037/pla0000083

36.

Individuals with Disabilities Education Act. (2017). 300.8 U.S.C. & 3. https://sites.ed.gov/idea/regs/b/a/300.8/c/3#:~:text=(3)%20Deafness%20means%20a%20hearing,affects%20a%20child’s%20educational%20performance

37.

Jones

Bellis

Wood

Hughes

McCoy

Eckley

., & Officer, A. (2012). Prevalence and risk of violence against children with disabilities: A systematic review and meta-analysis of observational studies. The Lancet, 380, 899–907. https://doi.org/10.1016/S0140-6736(12)60692-8

38.

Landreth

G. L.

(2012). Play therapy: The art of the relationship. (3rd ed.). Routledge.

39.

Landreth

G. L.

Bratton

S. C.

(2019). Child-parent relationship therapy (CPRT): An evidence-based 10-session filial therapy model (2nd ed.). Routledge.

40.

LeBlanc

Ritchie

(2001). A meta-analysis of play therapy outcomes. Counseling Psychology Quarterly, 14, 149–163. https://doi.org/10.1080/09515070110059142

41.

Lin

Y. W.

Bratton

S. C.

(2015). A meta-analytic review of child-centered play therapy approaches. Journal of Counseling and Development, 93, 45–58. https://doi.org/10.1002/j.1556-6676.2015.00180.x

42.

Lindo

N. A.

(2013). Play therapy and beyond: An interview with Garry Landreth. Journal of Professional Counseling: Practice, Theory, and Research, 40(1), 2–11. https://doi.org/10.1080/15566382.2013.12033919

43.

Lorenz

D. C.

(2008). Can I play? Therapy for children and adolescents with disabilities. Vitas Online, 7. 1–11.

44.

Morrison

M. O.

Helker

W. P.

(2010). Child-teacher relationship training: Using the power of the child-teacher relationship as a school-based mental health intervention. In Drewes

A. A.

Schaefer

C. E.

(Eds.), School-based play therapy (p. 181–195). John Wiley & Sons.

45.

Muthoni

K. J.

(2016). Factors influencing provision of play and learning materials among children with physical challenges a case study of Joytown special school, Kiambu county. Journal of Education and Practice, 7(35), 41–44.

46.

National Center for Education Statistics. (2019). Students with disabilities. https://nces.ed.gov/

47.

Opiola

K. K.

Bratton

S. C.

(2018). The efficacy of child parent relationship therapy for adoptive families: A replication study. Journal of Counseling and Development, 96(2), 155–166. https://doi.org/10.1002/jcad.12189

48.

Ostrosky

Y. S.

Fowler

M. M.

, (2011). Children’s friendship development: A comparative study. Early Childhood Research & Practice, 13(1), 1–16.

49.

Ratts

M. J.

Singh

A. A.

Nassar-McMillan

Butler

S. K.

McCullough

J. R.

(2016). Multicultural and social justice counseling competencies: Guidelines for the counseling profession. Journal of Multicultural Counseling and Development, 44, 28–48.

50.

Ray

(2011). Advanced play therapy: Essential conditions, knowledge, and skills for child practice. Routledge.

51.

Ray

(2016). A therapists guide to child development: The extraordinarily normal years. Routledge.

52.

Retief

Letšosa

(2018). Models of disability: A brief overview. HTS Teologiese Studies/Theological Studies, 74(1), a4738. https://doi.org/10.4102/hts.v74i1.4738

53.

Rogers

(1951). Client-centered therapy: Its current practice, implications and theory. Constable.

54.

Rogow

(2005). A developmental model of disabilities. The International Journal of Special Education, 20(2), 132–135.

55.

Senghas

R. J.

Monaghan

(2002). Signs of their times: Deaf communities and the culture of language. Annual Review Anthropology, 31, 69–97. https://doi.org/10.1146/annurev.anthro.31.020402.101302

56.

Sheely-Moore

A. I.

Bratton

S. C.

(2010). A strengths-based parenting intervention with low-income African American families. Professional School Counseling, 13(3), 175–183. https://doi.org/10.5330/PSC.n.2010-13.175

57.

Sheely-Moore

A. I.

Ceballos

P. C.

Lin

Y. W.

Ogawa

(2019). Culturally responsive CPRT. In Landreth

G. L.

Bratton

S. C.

(Eds.), Child-parent relationship therapy: An evidence-based 10-session filial therapy model (2nd ed.) (pp. 431–443). Routledge.

58.

Sue

D. W.

Arredondo

McDavis

R. J.

(1992). Multicultural counseling competencies and standards: A call to the profession. Journal of Multicultural Counseling and Development, 20(2), 64–88. https://doi.org/10.1002/j.2161-1912.1992.tb00563.x

59.

Sullivan

J. M

. (2011). Parents of children with high-functioning autism: Experiences in child-parent relationship therapy (CPRT) [Unpublished doctoral dissertation]. The University of North Texas.

60.

Swan

A. M.

Bratton

S. C.

Ceballos

Laird

(2019). Effect of CPRT with adoptive parents of preadolescents: A pilot study. International Journal of Play Therapy, 28(2), 107–122. https://doi.org/10.1037/pla0000095

61.

Tapia-Fuselier

J. L.

Jr Ray

D. C.

(2019). Culturally and linguistically responsive play therapy: Adapting child-centered play therapy for deaf children. International Journal of Play Therapy, 28(2), 79–87. https://doi.org/10.1037/pla0000091

62.

Thwala

S. K.

Ntinda

Hlanze

(2015). Lived experiences of parents’ of children with disabilities in Swaziland. Journal of Education and Training Studies, 3(4), 206–215. http://dx.doi.org/10.11114/jets.v3i4.902

63.

Topham

G. L.

Vanfleet

(2011). Filial therapy: A structured and straightforward approach to including young children in family therapy. The Australian and New Zealand Journal of Family Therapy, 32(2), 144–158. https://doi.org/10.1375/anft.32.2.144

64.

VanderGast

T. S.

Post

P. B.

Kascsak-Miller

(2010). Graduate training in child–parent relationship therapy with a multicultural immersion experience: Giving away the skills. International Journal of Play Therapy, 19(4), 198–208. https://doi.org/10.1037/a0021010

65.

Ware Balch

Ray

D. C.

(2015). Emotional assets of children with autism spectrum disorder: A single-case therapeutic outcome experiment. Journal of Counseling & Development, 93, 429–439. https://doi.org/10.1002/jcad.12041

66.

Watts

R. E.

Broaddus

J. L.

(2002). Improving parent-child relationships through filial therapy: An interview with Gary Landreth. Journal of Counseling and Development, 80, 372–379. https://doi.org/10.1002/j.1556-6678.2002.tb00202.x

67.

Wickstrom

C. (2009). The process of systemic change in filial therapy: A phenomenological study of parent experience. Contemporary Family Therapy, 31, 193–208. https://doi.org/10.1007/s10591-009-9089-3

68.

Wickstrom

A. C.

Falke

S. I.

(2013). Parental perceptions of an advanced filial therapy model. Contemporary Family Therapy, 35, 161–175. https://doi.org/10.1007/s10591-012-9228-0