The Dissemination of Parent–Child Interaction Therapy in West Virginia during the Opioid Epidemic and COVID-19 Pandemic: A Qualitative Study
Lindsay R. Druskin (),
Robin C. Han,
Sharon T. Phillips,
Erinn J. Victory,
Emily Aman,
Jennifer Tiano,
Jocelyn Stokes and
Cheryl B. McNeil
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Lindsay R. Druskin: Department of Psychology, West Virginia University, Morgantown, WV 26506, USA
Robin C. Han: Department of Psychology, West Virginia University, Morgantown, WV 26506, USA
Sharon T. Phillips: Department of Psychology, West Virginia University, Morgantown, WV 26506, USA
Erinn J. Victory: Department of Psychology, West Virginia University, Morgantown, WV 26506, USA
Emily Aman: Department of Psychology, West Virginia University, Morgantown, WV 26506, USA
Jennifer Tiano: Department of Psychology, Marshall University, Huntington, WV 25755, USA
Jocelyn Stokes: Department Behavioral Medicine and Psychiatry, School of Medicine Eastern Division, West Virginia University, Martinsburg, WV 25401, USA
Cheryl B. McNeil: Department of Psychology, West Virginia University, Morgantown, WV 26506, USA
IJERPH, 2022, vol. 19, issue 22, 1-20
Abstract:
The devastating impact of the opioid crisis on children and families in West Virginia was compounded by the COVID-19 pandemic and brought to light the critical need for greater mental health services and providers in the state. Parent–Child Interaction Therapy (PCIT) is an evidence-based treatment for child externalizing symptoms that teaches parents positive and appropriate strategies to manage child behaviors. The current qualitative study details barriers and facilitators to disseminating and implementing PCIT with opioid-impacted families across West Virginia during the COVID-19 pandemic. Therapists ( n = 34) who participated in PCIT training and consultation through a State Opioid Response grant were asked to provide data about their experiences with PCIT training, consultation, and implementation. Almost all therapists (91%) reported barriers to telehealth PCIT (e.g., poor internet connection, unpredictability of sessions). Nearly half of therapists’ cases (45%) were impacted directly by parental substance use. Qualitative findings about the impact of telehealth and opioid use on PCIT implementation are presented. The dissemination and implementation of PCIT in a state greatly impacted by poor telehealth capacity and the opioid epidemic differed from the implementation of PCIT training and treatment delivery in other states, highlighting the critical importance of exploring implementation factors in rural settings.
Keywords: PCIT; Parent–Child Interaction Therapy; rural populations; opioid crisis; dissemination; implementation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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