Parent-child interaction therapy: Tailoring treatment to meet the sociocultural needs of an adoptive foster child and family

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.

KEYWORDS:

• Cultural competency
• family interventions
• mental health services
• parent training
• behavioral health
• foster care

Compliance with Ethical Standards

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Disclosure statement

No potential conflict of interest was reported by the authors.

Correction Statement

This article has been republished with minor changes. These changes do not impact the academic content of the article.