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Rapid, Full-Scale Change to Virtual PCIT During the COVID-19 Pandemic: Implementation and Clinical Implications.

Publication ,  Journal Article
Garcia, D; Blizzard, AM; Peskin, A; Rothenberg, WA; Schmidt, E; Piscitello, J; Espinosa, N; Salem, H; Rodriguez, GM; Sherman, JA; Parlade, MV ...
Published in: Prevention science : the official journal of the Society for Prevention Research
April 2021

Health agencies call for the immediate mobilization of existing interventions in response to numerous child and family mental health concerns that have arisen as result of the COVID-19 pandemic. Answering this call, this pilot study describes the rapid, full-scale change from a primarily clinic-based Parent-Child Interaction Therapy (PCIT) model to a virtual service model (i.e., I-PCIT) in an academic and community-based program in Miami, Florida. First, we describe the virtual service training model our program developed and its implementation with 17 therapists (MAge = 32.35, 88.2% female, 47.1% Hispanic) to enable our clinic to shift from providing virtual services to a small portion of the families served (29.1%) to all of the families served. Second, we examine the effect of I-PCIT on child and caregiver outcomes during the 2-month stay-at-home period between March 16, 2020, and May 16, 2020, in 86 families (MChildAge = 4.75, 71% Hispanic). Due to the rapid nature of the current study, all active participants were transferred to virtual services, and therefore there was no comparison or control group, and outcomes represent the most recently available scores and not treatment completion. Results reveal that I-PCIT reduced child externalizing and internalizing problems and caregiver stress, and increased parenting skills and child compliance with medium to large effects even in the midst of the COVID-19 pandemic. Finally, the study examined components of our virtual service training model associated with the greatest improvements in child and caregiver outcomes. Preliminary findings revealed that locally and collaboratively developed strategies (e.g., online communities of practice, training videos and guides) had the strongest association with child and caregiver outcomes. Implications for virtual service delivery, implementation, and practice in the midst of the COVID-19 pandemic are discussed.

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Published In

Prevention science : the official journal of the Society for Prevention Research

DOI

EISSN

1573-6695

ISSN

1389-4986

Publication Date

April 2021

Volume

22

Issue

3

Start / End Page

269 / 283

Related Subject Headings

  • Telemedicine
  • Substance Abuse
  • SARS-CoV-2
  • Pilot Projects
  • Parent-Child Relations
  • Pandemics
  • Male
  • Humans
  • Florida
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Garcia, D., Blizzard, A. M., Peskin, A., Rothenberg, W. A., Schmidt, E., Piscitello, J., … Jent, J. F. (2021). Rapid, Full-Scale Change to Virtual PCIT During the COVID-19 Pandemic: Implementation and Clinical Implications. Prevention Science : The Official Journal of the Society for Prevention Research, 22(3), 269–283. https://doi.org/10.1007/s11121-021-01211-0
Garcia, Dainelys, Angela M. Blizzard, Abigail Peskin, W Andrew Rothenberg, Ellyn Schmidt, Jennifer Piscitello, Natalie Espinosa, et al. “Rapid, Full-Scale Change to Virtual PCIT During the COVID-19 Pandemic: Implementation and Clinical Implications.Prevention Science : The Official Journal of the Society for Prevention Research 22, no. 3 (April 2021): 269–83. https://doi.org/10.1007/s11121-021-01211-0.
Garcia D, Blizzard AM, Peskin A, Rothenberg WA, Schmidt E, Piscitello J, et al. Rapid, Full-Scale Change to Virtual PCIT During the COVID-19 Pandemic: Implementation and Clinical Implications. Prevention science : the official journal of the Society for Prevention Research. 2021 Apr;22(3):269–83.
Garcia, Dainelys, et al. “Rapid, Full-Scale Change to Virtual PCIT During the COVID-19 Pandemic: Implementation and Clinical Implications.Prevention Science : The Official Journal of the Society for Prevention Research, vol. 22, no. 3, Apr. 2021, pp. 269–83. Epmc, doi:10.1007/s11121-021-01211-0.
Garcia D, Blizzard AM, Peskin A, Rothenberg WA, Schmidt E, Piscitello J, Espinosa N, Salem H, Rodriguez GM, Sherman JA, Parlade MV, Landa AL, Davis EM, Weinstein A, Garcia A, Perez C, Rivera JM, Martinez C, Jent JF. Rapid, Full-Scale Change to Virtual PCIT During the COVID-19 Pandemic: Implementation and Clinical Implications. Prevention science : the official journal of the Society for Prevention Research. 2021 Apr;22(3):269–283.
Journal cover image

Published In

Prevention science : the official journal of the Society for Prevention Research

DOI

EISSN

1573-6695

ISSN

1389-4986

Publication Date

April 2021

Volume

22

Issue

3

Start / End Page

269 / 283

Related Subject Headings

  • Telemedicine
  • Substance Abuse
  • SARS-CoV-2
  • Pilot Projects
  • Parent-Child Relations
  • Pandemics
  • Male
  • Humans
  • Florida
  • Female