Community-based Agency Delivery of Parent-Child Interaction Therapy: Comparing Outcomes for Children with and Without Autism Spectrum Disorder and/or Developmental Delays

J Autism Dev Disord. 2024 Jan;54(1):33-45. doi: 10.1007/s10803-022-05755-0. Epub 2022 Nov 2.

Abstract

While externalizing behaviors are common among children with autism spectrum disorder (ASD), there is a shortage of specialist community-based clinicians to provide treatment. Parent-Child Interaction Therapy (PCIT), an intervention designed to reduce child disruptive behaviors, may be effective for families of children with ASD but has rarely been studied outside of university-based research settings. We examined the effectiveness of PCIT delivered for children with (N = 109) and without (N = 2,324) ASD/developmental delays (DD) across community-based agencies in Oregon. Findings revealed significant reductions in disruptive behavior and positive changes in the parent-child relationship in both groups. These findings support PCIT as an efficacious intervention for children with ASD/DD and demonstrate PCIT's promise in community-based agencies with non-specialized clinicians.

Keywords: Parent-Child Interaction Therapy; autism spectrum disorder; community-based providers; developmental delays; disruptive behaviors.

MeSH terms

  • Autism Spectrum Disorder* / therapy
  • Humans
  • Oregon
  • Parent-Child Relations
  • Problem Behavior*
  • Specialization