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Parent-child interaction therapy: Tailoring treatment to meet the sociocultural needs of an adoptive foster child and family
Journal of Family Social Work ( IF 0.9 ) Pub Date : 2019-10-20 , DOI: 10.1080/10522158.2019.1681336
Ayanda Chakawa 1 , William Frye 1 , Jamie Travis 1 , Elizabeth Brestan-Knight 1
Affiliation  

ABSTRACT Mental health service providers (e.g., social workers, psychologists) working with children in the child welfare system are uniquely poised to evaluate and tailor treatments for maximum effectiveness for these populations. Interventions that focus on improving the parent-child relationship and decreasing behavior problems, such as Parent-Child Interaction Therapy (PCIT), are important in assisting adoptive foster families as they transition to new family additions. However, sociocultural considerations in the administration of PCIT with adoptive foster families have not been well explored. The current study uses a clinical case design to illustrate the successful implementation and tailoring of PCIT with a multi-racial family who adopted a 4-year old boy with behavior problems. PCIT contributed to a clinically significant decrease in parent-reported behavior problems and an increase in parental use of effective behavior management strategies. Three considerations common among adoptive foster families (family adjustment, unequal parent attachment, and trauma-related background) contributed to the need for socio-culturally oriented treatment tailoring. Parental engagement was maintained throughout treatment. Our findings highlight the importance of culturally responsible treatment delivery. Future recommendations for mental health providers working with adoptive foster children and families are discussed.

中文翻译:

亲子互动疗法:量身定制的治疗方案,可满足收养收养儿童和家庭的社会文化需求

摘要与儿童福利系统中的儿童一起工作的精神卫生服务提供者(例如,社会工作者,心理学家)具有独特的能力,可以评估和定制治疗方法,以使这些人群最大程度地发挥作用。专注于改善亲子关系和减少行为问题的干预措施,例如亲子互动治疗(PCIT),在帮助收养寄养家庭过渡到新的家庭时很重要。但是,对于收养寄养家庭的PCIT管理中的社会文化考量尚未得到很好的探讨。当前的研究使用临床病例设计来说明一个多种族家庭的成功实施和定制PCIT,该多种族家庭收养了一个有行为问题的4岁男孩。PCIT在临床上显着减少了父母报告的行为问题,并增加了父母对有效行为管理策略的使用。收养寄养家庭的三个共同考虑(家庭适应,父母依恋不平等以及与创伤相关的背景)促成了对社会文化导向的治疗方法的需求。在整个治疗过程中保持父母的参与。我们的发现强调了对文化负责任的治疗的重要性。讨论了与收养的收养儿童和家庭一起工作的精神健康提供者的未来建议。以及与创伤相关的背景)促成了针对社会文化取向的治疗定制的需求。在整个治疗过程中保持父母的参与。我们的发现强调了对文化负责任的治疗的重要性。讨论了与收养子女和家庭一起工作的精神健康提供者的未来建议。以及与创伤相关的背景)促成了针对社会文化取向的治疗定制的需求。在整个治疗过程中保持父母的参与。我们的发现强调了对文化负责任的治疗的重要性。讨论了与收养子女和家庭一起工作的精神健康提供者的未来建议。
更新日期:2019-10-20
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