Group PCIT in a Group PCIT in a Community-Based SettingCommunity-Based Setting

Elizabeth V. Brestan, Ph.D.

Department of Psychology

Auburn University

• “Flexibility within fidelity” • (Kendall, 2001)

• “Transportability research”• Schoenwald & Hoagwood (2001)

• True practice setting• Wide range of client conditions• Contrived laboratory setting• Heavily supervised graduate therapists

• Anna BarganierAnna Barganier• Jeshmin BhajuJeshmin Bhaju• Jasmine BledsoeJasmine Bledsoe• Christina BockChristina Bock• Shalonda Brooks Shalonda Brooks • Sara BurgerSara Burger• Gina CareltonGina Carelton• Krystal CarrKrystal Carr• Yolanda CarterYolanda Carter• Lauren ClarkeLauren Clarke• Courtney CookCourtney Cook• Natalie CowlesNatalie Cowles• Jaclyn CremisiJaclyn Cremisi• Ashley DeanAshley Dean• Ryan DenneyRyan Denney• Pam DolbearPam Dolbear• Amy DowdeyAmy Dowdey• Lindsay DowlingLindsay Dowling• Lindsay FanningLindsay Fanning• Bill FergusonBill Ferguson• Brian FindleyBrian Findley• Daron FloryDaron Flory• Julie FolkJulie Folk

• Melanie GaskinMelanie Gaskin• Robert Haberstroh Robert Haberstroh

Rachel HarrisRachel Harris• Tasha HeardTasha Heard• Jessica Hettche Jessica Hettche

Elizabeth HillElizabeth Hill• Christina JamesChristina James• Erica JonesErica Jones• Marla JonesMarla Jones• Lori KlingerLori Klinger• Meena LambhaMeena Lambha• Whitney LawWhitney Law• Amy LeeAmy Lee• Ember LeeEmber Lee• Theresa LeeTheresa Lee• Heather LewisHeather Lewis• Lori LiphamLori Lipham• Ben LoperBen Loper• Miranda LoperMiranda Loper

• Alicia Luscomb Alicia Luscomb Stevie McClainStevie McClain

• Beth McCraken Beth McCraken Haily OwenHaily Owen

• Daniel Painter Daniel Painter • Jessica Pearson Jessica Pearson

Cassidy PickardCassidy Pickard• Deana Porter Deana Porter • Lori Ridgeway Lori Ridgeway • Tanzania RuffinTanzania Ruffin• Christie SalamoneChristie Salamone• Suzanne SawyerSuzanne Sawyer• Alice ShillingsburgAlice Shillingsburg• Betsy SorrellBetsy Sorrell• Jamie SpidleJamie Spidle• Karyn StahlKaryn Stahl• Melissa SylvesterMelissa Sylvester• Ginger TotherowGinger Totherow• Kyle VickKyle Vick• Elizabeth WhiteElizabeth White

The Alabama Bureau of Investigations and me…

Funding SourcesFunding Sources

• State of Alabama • Alabama Department of Economic and Consumer Affairs Grant

• Auburn University• AU Outreach Research Scholarship Grant• AU Concessions Board Grant

• City of Opelika, Alabama• United Way of Lee County• City of Auburn Rotary Club • Wal-Mart• Donations from Local Businesses• In-kind donations from Lee County Junior League

• Child Advocacy Center of East Alabama• Located in Opelika, Alabama• Emilyn Gipson, Director

PCIT ProtocolPCIT Protocol

• Traditional PCIT• Individual family• Performance based• 8 – 27 sessions• Time-out room• Medical center clinic• ODD/ADHD/CD

• Group PCIT• Multiple families• Time limited• 12 sessions• Holding chair• CAC• ANYONE WE COULD

GET OUR HANDS ON• Extras (Dinner, Taxi,

Child care)

Distance from campus…Distance from campus…

Enrollment InformationEnrollment Information

#

Intakes

#

Enrolled

#

Completed

#

D.O.

1/04 6 5 3 2

6/04 7 7 4 3

9/04 9 7 4 3

1/05 6 6 3 3

6/05 8 8 2 6

9/05 5 5 4 1

41 38 20 18

Reasons for Drop-outReasons for Drop-out

Spouse killed in IraqSpouse killed in Iraq (n = 1 or 5.5%)(n = 1 or 5.5%)

Wanted to give other families more timeWanted to give other families more time (n = 1 or 5.5%)(n = 1 or 5.5%)

Therapists too cheerfulTherapists too cheerful (n = 1 or 5.5%)(n = 1 or 5.5%)

Foot in the mouth momentFoot in the mouth moment (n = 1 or 5.5%)(n = 1 or 5.5%)

DHR case droppedDHR case dropped (n = 1 or 5.5%)(n = 1 or 5.5%)

Chaotic summer scheduleChaotic summer schedule (n = 1 or 5.5%)(n = 1 or 5.5%)

Children removed from the homeChildren removed from the home (n = 2 or 11%)(n = 2 or 11%)

Parent Surgery/IllnessParent Surgery/Illness (n = 3 or 17%)(n = 3 or 17%)

No reason givenNo reason given (n = 7 or 39%)(n = 7 or 39%)

Treatment Completer DemographicsTreatment Completer Demographics

Frequency Percent

Number of fathers 2 (11.8%)

Number of mothers 15 (88.2%)

TOTAL 17

Treatment Completer DemographicsTreatment Completer Demographics

Frequency Percent

Caucasian 13 (76.5%)

African American 4 (23.5%)

EducationEducation

Frequency Percent

High School 6 (35.3%)

Some College 6 (35.3%)

Associates degree 2 (11.8%)

Bachelors degree 1 (5.9%)

Professional degree 1 (5.9%)

Frequency Percent

Biological mother 13 (76.5%)

Biological father 1 (5.9%)

Step-father 1 (5.9%)

Grandparent 1 (5.9%)

Identified childIdentified child

Frequency Percent

Number of girls 5 (29.4%)

Number of boys 12 (70.6%)

Pre-treatment MeasuresPre-treatment Measures

ECBI

Intensity

ECBI

Problem

PSI-SF

Total

M 136.2 18.9 103.7

(SD) (44.7) (9.0) (23.2)

ECBI for Completers (n = 17 )ECBI for Completers (n = 17 )

Pre-treatment Post-treatment

ECBI

Intensity

ECBI

Problem

ECBI

Intensity

ECBI Problem

M 136.2 18.9 91.2** 11.9*

(SD) (44.7) (9.0) (42.3) (11.3)

*Denotes p = .01 **Denotes p = .000

PSI-SF for Completers (n =16)PSI-SF for Completers (n =16)

Pre-treatment Post-treatment

PSI-SF Total PSI-SF Total

M 103.7 81.5*

(SD) (23.2) (24.1)

*Denotes p = .000

TAI for Completers (n =15)TAI for Completers (n =15)

TAI Total

M 45.8

(SD) (4.0)

Range 38-50

• In summary, the rubber band did not break!

Top 10 Things You Need

• Number 10

• Referrals!

• At least 3 families – but no more than 7

parents

• Limited number of CPS families

• Number 9

• Transportation for the families

• Quick Taxi

• Not really a taxi; Not very quick

• Number 8

• A Catering Service

• Starving therapists and supervisors have to

eat, too

• Number 7• A place to have your

group• Preferably, without

breakables

• Number 6• Intimidating undergraduate assistants

• Number 5• Good prizes

• For kids…and for parents

• Number 4• Caffeine

• Number 3• Funding• “We may be cheap but we have class”

• Number 2• A Ringer

• Number 1• Lots of great

help !!!!!

Thank You!

Elizabeth Brestan

brestev@auburn.edu