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A Discussion on Parent Participatory Engagement TRAC Expo Breakout Session June 6, 2008. Rachel Haine, Ph.D. (rhaine@casrc.org) Beth Corrick, IMF (bcorrick@rchsd.org) Teri Cavanagh, LCSW (tcavanagh@rchsd.org). A Discussion on Parent Participatory Engagement Presented by Rachel Haine, Ph.D.
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A Discussion on Parent Participatory EngagementTRAC Expo Breakout SessionJune 6, 2008 Rachel Haine, Ph.D. (rhaine@casrc.org) Beth Corrick, IMF (bcorrick@rchsd.org) Teri Cavanagh, LCSW (tcavanagh@rchsd.org)
A Discussion on Parent Participatory Engagement Presented by Rachel Haine, Ph.D. Beth Corrick, IMF Teri Cavanagh, LCSW A Collaborative EXPO: Practice and Research in Mental Health Services Research Faculty DisclosureInformation We have a relevant financial relationship to disclose: Bristol Myers Squibb Honorarium Modest Compensation
Breakout Session Objectives • Identify and discuss clinician challenges with parent participatory engagement • Provide information from PRAC and other research on engagement • Discuss cultural considerations when engaging parents in treatment • Share tools and resources to promote parent participation in treatment
PRAC Video Data on Clinician Efforts to Engage Parents (preliminary) • 458 (79%) tapes used psychoeducation (avg extensiveness = 3.2) • 420 (72%) tapes used establishing/reviewing goals(avg extensiveness = 3.1) • 135 (23%) tapes used modeling (avg extensiveness = 2.2) • 69 (12%) tapes used assigning/reviewing homework(avg extensiveness = 2.5) • 42 (7%) tapes used role playing/practice (avg extensiveness = 2.7) • Bottom line: therapists are using less active strategies more frequently and with greater intensity than more active strategies
General Discussion Questions on Parent Participatory Engagement (PPE) • What strategies have you tried to increase PPE? What has worked/failed? • Do you find attendance agreements to be useful? • Is there something your organization could provide to increase PPE? • How do you know when a family is actively engaged?
Key Elements from Research on Parent Participatory Engagement • Set expectations early • Address concrete obstacles to participation • Gain parent trust • Reduce parent blame • Promote parenting competence • Involve parent in tx planning • Focus on motivation
Parent Perspectives on Engagement in Treatment • Mary Baker’s focus group data (collected as part of a grant from NIMH) • Asked parents about parent and family factors they believe impact child psychotherapy • Large majority of comments (121 ) focused on feeling like therapist was “blaming” them • “It is very hard when the professionals don’t understand.”
Wrap-Up • What are you walking away with from this breakout session? • Review handouts • Email list generated to exchange additional resources