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Evidence-Based Practice in Foster Parent Training and Support ...

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EBP <strong>in</strong> <strong>Foster</strong> <strong>Parent</strong> Tra<strong>in</strong><strong>in</strong>g <strong>and</strong> <strong>Support</strong>NPP is rated as a promis<strong>in</strong>g practice <strong>and</strong> is l<strong>in</strong>ked to <strong>in</strong>creases <strong>in</strong> positive parent attitudes<strong>and</strong> parent<strong>in</strong>g skills (Cowen, 2001; Devall, 2004). This tra<strong>in</strong><strong>in</strong>g may be applicable to TFCparents, but will most likely need to be supplemented by more detailed tra<strong>in</strong><strong>in</strong>g on emotional,behavioral, <strong>and</strong> medical issues.<strong>Parent</strong>-Child Interaction Therapy (PCIT)PCIT was developed for families with young children (aged 3-6) experienc<strong>in</strong>g behavioral<strong>and</strong> emotional problems (Urquiza & McNeil, 1996). In PCIT therapists coach parents dur<strong>in</strong>g<strong>in</strong>teractions with their child to teach new parent<strong>in</strong>g skills. These skills are designed to strengthenthe parent-child bond; decrease harsh <strong>and</strong> <strong>in</strong>effective discipl<strong>in</strong>e control tactics; improve childsocial skills <strong>and</strong> cooperation; <strong>and</strong> reduce child negative or maladaptive behaviors.PCIT is conducted <strong>in</strong> two phases: child-directed <strong>in</strong>teraction (CDI; also described as theRelationship Enhancement phase; 7-10 sessions) <strong>and</strong> parent-directed <strong>in</strong>teraction (PDI; alsodescribed as the Behavior Management phase; 7-10 sessions). Both phases of the treatment arepreceded by a didactic treatment session <strong>in</strong> which the parent <strong>and</strong> child are <strong>in</strong>structed <strong>in</strong> basicPCIT Relationship Enhancement <strong>and</strong> Behavior Management concepts. The objective of thesesessions is to <strong>in</strong>troduce both parent <strong>and</strong> child to the concepts <strong>and</strong> provide a rationale for eachconcept. Six to eight treatment sessions then follow, <strong>in</strong> which the parent <strong>and</strong> child acquire <strong>and</strong>develop skills. These sessions are referred to as “coach<strong>in</strong>g” sessions because the parent wears asmall remote hear<strong>in</strong>g device, while the therapist talks to him or her from an adjo<strong>in</strong><strong>in</strong>gobservation room, watch<strong>in</strong>g through a two-way mirror.Center for Advanced Studies <strong>in</strong> Child Welfare (CASCW)University of M<strong>in</strong>nesota School of Social WorkContact: Krist<strong>in</strong>e N. Piescher, Ph.D. kpiesche@umn.edu 24

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