Adapting PCIT to address mental health care disparities among underserved families impacted by pediatric illness: A case series of bedside PCIT.

Christian-Brandt, Allison S.; Santacrose, Diana E.

doi:10.1037/cpp0000322

Cited by 5 publications

(7 citation statements)

References 46 publications

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“…Individual interventions, such as Parent Child Interaction Therapy (PCIT), can also be adapted to telehealth for children with chronic medical conditions (Christian-Brandt & Santacrose, 2020; McQuaid & Everhart, 2020). One such case study is presented in the current issue, in which PCIT was delivered via telehealth for a family of a patient with cancer during the beginning of the COVID-19 pandemic (Bono, 2022).…”

Section: Diversity Equity Access and Inclusion Considerations In Pare...mentioning

confidence: 99%

Incorporating DEI informed-frameworks and increasing access to parent-focused interventions in pediatric psychology.

Junger¹,

Kahhan²

2022

Clinical Practice in Pediatric Psychology

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Objective: The ethical imperative to work with the parents, caregivers, and guardians (hereafter, parents) of pediatric patients has been highlighted. However, parents continue to be underserved in pediatric health care settings. The syndemics of COVID-19 and mental health further magnified health disparities and the differential impacts of social determinants of health on the wellbeing of those from minority or disadvantaged backgrounds. Therefore, dedicated efforts to developing holistic, culturally responsive, accessible, and effective interventions that meet the needs of the child and parents have never been more needed. Methods: Papers highlighting the role of pediatric psychology in working with parents while also emphasizing issues of diversity, equity, inclusion and access in screening and interventions were solicited and considered for this issue. Results: This Special Issue includes 11 articles highlighting efforts to (a) support parents' unmet needs in medical subspecialty settings, (b) utilize a diversity, equity, and inclusion (DEI) framework to develop and adapt interventions specifically designed to support these populations; and (c) improve access to behavioral health for vulnerable populations through different modes of care. This issue also includes a commentary outlining advocacy actions which can be taken by pediatric psychologists working with the families of transgender and gender diverse youth, with implications for advocating across populations. Conclusions: This issue highlights opportunities for pediatric psychologists to collectively and individually better support families and close health equity gaps through clinical and research avenues, as well as through opportunities for advocacy. Implications for Impact StatementThe aim of this special issue is to further highlight the ethical imperative that exists for mental health providers in pediatric settings to address the mental health needs of parents, caregivers, and guardians, with an emphasis on diversity, access, equity, and inclusion. Pediatric psychologists can and should utilize existing skills to help all families reach their fullest potential through their involvement in research, clinical services, and advocacy efforts, with articles in this offering examples for implementation models.

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Section: Diversity Equity Access and Inclusion Considerations In Pare...mentioning

confidence: 99%

Incorporating DEI informed-frameworks and increasing access to parent-focused interventions in pediatric psychology.

Junger¹,

Kahhan²

2022

Clinical Practice in Pediatric Psychology

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“…[16,17] Traditional PCIT was developed as a clinic-based program for the treatment of disruptive, externalizing behavior disorders in children aged 3 to 6 years old. [18] A limited number of prior case reports [19][20][21][22][23] and 1 case series [24] have provided support for the application of PCIT in chronically ill or medically complex children. These reports outlined treatment courses where PCIT was either performed within outpatient mental health settings (the setting that PCIT was originally designed for) or adapted to the hospital bedside.…”

Section: Introductionmentioning

confidence: 99%

Internet parent–child interaction therapy (I-PCIT) in medically ill child

et al. 2021

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Introduction:This case illustrates the feasibility, benefit, and putative enhanced ecological validity of performing internet-parent–child interaction therapy (I-PCIT) in the parent–child dyad's home for the treatment of behavior problems in medically ill children in the context of a global pandemic.Patient concerns:Parents of a 5-year-old girl initially presented with concerns regarding inattentiveness, physical and verbal fighting with her siblings, and getting kicked out of daycare for hitting another child. Patient also had difficulties sleeping at night.Diagnoses:Patient was diagnosed with electrical status epilepticus in sleep, frontal lobe executive function deficit, and attention deficit hyperactivity disorder.Interventions:Patient received a course of I-PCIT. Equipment included a cell phone with video capabilities connected to a videotelephony software program and set-up in the child's home by the parents. The treatment course included 8, 1-hour, weekly teaching/coaching sessions (7 of which were performed using I-PCIT) plus 1 follow-up booster session 6 months later.Outcomes:Home-based I-PCIT implementation greatly improved disruptive behaviors in a young child with electrical status epilepticus in sleep and attention deficit hyperactivity disorder.Conclusion:A combination of I-PCIT and methylphenidate allowed her to be successful at home and in a school setting. More research is needed on PCIT adaptations, such as home-based and internet-based PCIT, for medically ill children as well as treatment protocols for combined therapies.

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“…One key factor in pediatric health disparities continues to be variability in access to care (Larson, Cull, Racine, & Olson, 2016). Articles by Crosby, Strong, Johnson, and Mitchell (2020); Wihak et al (2020), and Christian-Brandt and Santacrose (2020) provide innovative strategies to increase access and deliver evidence-based care to diverse populations. Two of these articles (Crosby et al, 2020; Wihak et al, 2020) focus specifically on sickle cell disease (SCD).…”

mentioning

confidence: 99%

“…Finally, Christian-Brandt and Santacrose (2020) describe a case series that illustrates an adaptation of another evidence-based treatment, parent-child interaction therapy, for use with medically ill children. Similar in concept to the work of Wihak et al (2020), this approach represents a strategy to deliver an evidence-based treatment to underserved children who might not otherwise be able to access behavioral health services (Marrast, Himmelstein, & Woolhandler, 2016).…”

mentioning

confidence: 99%

“…Disparities in health services persist among racial/ethnic minorities and families of low income; the articles in this special issue highlight the impact that unmet social needs, SES-specific processes, and high levels of stress can have on service utilization and access (Christian-Brandt & Santacrose, 2020; Kuhn et al, 2020; Oberoi et al, 2020; Rodríguez et al, 2020). Yet the research included here also suggests solutions and promising new ways to minimize health disparities.…”

mentioning

confidence: 99%

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Introduction to the special issue: Clinical approaches to address health disparities in pediatric psychology.

McQuaid¹,

Everhart²

2020

Clinical Practice in Pediatric Psychology

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The demographics of the communities that pediatric psychologists serve are rapidly becoming more diverse. This special issue focuses on clinical approaches to consider in ensuring access to and effective delivery of services for children and adolescents from racial, ethnic, and low-income backgrounds. Specifically, this special issue includes papers focused on 3 central themes: factors affecting service utilization among diverse families, strategies to engage and intervene with diverse youth and families, and the use of paraprofessionals to increase access to behavioral health services. With recent public health issues, there is perhaps no better time for our field to move beyond traditional approaches to clinical care. The work included in this special issue provides clear examples for pediatric psychologists to follow and integrate into their clinical settings. These approaches provide direction to better serve diverse and low-income children and families, improve children and adolescents' behavioral health outcomes, and ultimately address disparities in pediatric behavioral health. Implications for Impact StatementThis special issue depicts evolving trends in how pediatric psychologists can serve diverse and low-income families more effectively to address health disparities. Factors affecting service use, approaches to engage families and provide treatment, and strategic use of paraprofessionals to increase access to services are highlighted. Incorporating these approaches across settings has the potential to address service gaps and improve behavioral health outcomes for our most vulnerable children.

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Adapting PCIT to address mental health care disparities among underserved families impacted by pediatric illness: A case series of bedside PCIT.

Cited by 5 publications

References 46 publications

Incorporating DEI informed-frameworks and increasing access to parent-focused interventions in pediatric psychology.

Incorporating DEI informed-frameworks and increasing access to parent-focused interventions in pediatric psychology.

Internet parent–child interaction therapy (I-PCIT) in medically ill child

Introduction to the special issue: Clinical approaches to address health disparities in pediatric psychology.

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