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Behavior Management Training through Telepsychiatry Modalities
Cassie Yu, MD
Evidence-based behavior management training interventions are associated with sustained behavioral improvements among children with disruptive behaviors but are not readily available in community settings.
Telepsychiatry can extend these effective treatments to children in clinic and home settings.
In conducting telepsychiatry with families, psychiatrists can both model and coach parents on the concepts of behavior management in real time.
When conducting behavior management training in-clinic, telepsychiatrists may use clinic staff to clarify subtleties in the child’s mental status that may not be evident through videoconferencing.
Telepsychiatry with families can be conducted in naturalistic settings such as the home, potentially providing more ecologically valid assessments and interventions.
When conducting behavior management training in-home, telepsychiatrists must develop a safety and crisis plan in case the child’s behavior becomes unmanageable during a session.
References
Comer JS, Furr JM, Miguel EM, et al. Remotely delivering real-time parent training to the home: An initial randomized trial of Internet-delivered parent-child interaction therapy (I-PCIT). Journal of Consulting and Clinical Psychology. 2017; 85(9):909-917.
Eyberg SM, Funderburk BW, Hembree-Kigin TL. Parent-Child Interaction Therapy with behavior problem children: one and two year maintenance of treatment effects in the family. Child & Family Behavior Therapy. 2001;23(4):1-20.
Sanders MR. Triple P-Positive Parenting Program: Towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child and Family Psychology Review. 1999; 2 (2): 71–90. Triple P Official Corporate Site. https://www.triplep.net/glo-en/home/. Accessed July 1, 2018
Webster-Stratton C, and Reid, MJ The incredible years parents, teachers and children training series: A multifaceted treatment approach for young children with conduct problems. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 224-240). New York, NY, US: Guilford Press. (2003). The Incredible Years. http://www.incredibleyears.com/programs/ Accessed July 1, 2018
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