Treatment Typical Course
of Treatment
The Parent-Child Interaction Therapy tends to commence with a pre-treatment evaluation
session where interview information is collected on past and current concerns or problems,
sample questionnaires are rolled out, and the therapist observes and at same time record the
sessions of how the child relates to the parent and vice versa. After the session, the therapist
provides feedback concerning the evaluation results. The treatment plan is given to the families
either at the end of the pre-treatment evaluation session or in a separate therapy orientation
session. The typical course of treatment is given to the family, stressing how Parent-Child
Interaction Therapy will address the specific problems that took them to the treatment and any
other additional areas of concern that may have cropped out during the assessment session.
The Parent-Child Interaction Therapy treatment begins with Child-Directed Interaction. A
coaching session is held in which the therapist solely with the parents or caregivers and teaches
them the Child-Directed Interaction basics through discussions, role-playing, modeling,
including didactic demonstration. In this phase, parents and caregivers are the active participants.
They are encouraged to ask as many questions as possible while also giving out their opinions on
their own parenting ideas. After the coaching session, the therapist sees the caregiver or the
parent and the child for several Child-Directed Interaction skills coaching sessions. The number
of sessions depends on how fast parents can grasp the needed skills and the nature of the
presenting problems of the target child. Generally, most parents and caregivers are ready to
move to the second stage after roughly four coaching sessions.
During the coaching sessions, pre-determined skill criteria are employed to help the
therapist and the families decide the right time to move ahead to the Parent-Directed Interaction
, phase of the Parent-Child Interaction Therapy. Upon mastering and grasping the Child-Directed
Interaction criteria, parents tend to have a different session with the therapists where they learn
the basics of the Parent-Directed Interaction, popularly known as the discipline and compliance
stage. The Parent-Directed Interaction teaching sessions comprise role-playing, discussions, and
didactic demonstrations. In the following sessions, the caregivers with their children meet the
therapist for several sessions of direct skills coaching. These mentioned above sessions can occur
in a clinical setting or a communal setting such as a grocery store. This is done to enhance cross-
setting generalization. Upon completion of treatment, there is a graduation session where all the
child’s presenting issues tend to be resolved or significantly improved.
Upon completion of treatment, parents are given a certificate, and children are given a
prize to symbolize their accomplishment. Most parents tend to meet their treatment objectives in
the real world after nearly six to seven discipline meetings. After that, a post-treatment
assessment session involves a repeat of the measures administered before the initial therapy
process. At the end of the post-treatment assessment session, the therapist gives their comment
while also receiving pre-and post-treatment enhancements. This session aims to assist caregivers
and parents in strengthening their acknowledgment of progresses taking place slowly during the
several meetings of treatment. For a number of families, the total number of sessions required to
complete the treatment is usually set to twelve.
Structure of the Parent-Child Interaction Therapy
The original work of Sheila Eyberg described each treatment stage and evaluation
meticulously as it incorporated suggestions to use during therapy. Parents and caregivers
attended a training session where the therapist explained and told each rule and its outcomes.
The