Personalized Individual Parent Training (PIPT) Parenting Intervention
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 1
Abstract
Parent training is the treatment of choice for children with oppositional problems and known to be very effective for reducing behavioural problems. It also increases sensitive responding the primary mechanism for increasing secure attachments and improving child-carer relations. Individual-based parent-training/education programmes are recommended in the management of children with conduct disorders only in situations where there are particular difficulties in engaging with the parents or a family’s needs are too complex to be met by group-based parent-training/education programme [1-4]. Parent training works by directly coaching parents in how to interact differently with their children. Parents are praised for things that they are already doing which effectively manage their children’s behavior and suggestions are made in those areas where they feel that they experience difficulties. Whilst the therapist brings ‘expert’ knowledge to the sessions, parents know their child best, so that the two work collaboratively in sessions. Parent training is an active process of learning new skills; in the clinic/ during the sessions parents practice these skills with a member of the team in an adjacent room [1-4]. The basic principles of parent training find its basis on Social Learning Theory. Accordingly, it is possible to claim that much of a child’s difficult behavior is learned, therefore, difficult behavior can also be unlearned. Thus, the children’s behavior can be improved by; increasing their friendly/co-operative behavior and decreasing their unfriendly/uncooperative behavior. It also implies that we as human beings learn by modelling, observation, motivation and imitation. All behaviours are shaped by the environment around us and the interactions with each other [1-4]. PIPT is an adapted version of a parent training, majorly based on Kazdin’s and McMahon & Forehand’smodel [5,6] by South London and Maudsley NHS Foundation Trust, Conduct Adoption and Fostering Team. It is a 1:1 intervention for children with complex conduct disorder, primarily aimed at children aged 3-8. It is designed to promote positive child/parent relationships, to improve pro-social behavior and to reduce undesirable behavior. During the intervention process, parents identify own treatment goals and the sessions include modelling, role play and home practice/work. 6 different skills are practiced/delivered through PIPT; attending, praise/rewards, selective ignoring, clear/calm commands, consequences and time-out. Overall, the parenting intervention takes 6 to 8 sessions with 1-hour duration each and the structure of sessions include; review, introducing new skills (rehearse and role-play is done where necessary), live coaching (therapist through ear bug or within the same room if there aren’t a separate one way mirror room available), feedback and home practice given [5,6].
Authors and Affiliations
Begum Engur
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