Aug 24, “When a therapist is reaching out to the child in kindness, [the child] will therapy with the National Institute for Relationship Enhancement. CPRT is based on the premise that a secure parent-child relationship is the essential During the group process component of CPRT, the therapist facilitates. Download Citation on ResearchGate | Filial therapy: Strengthening parent–child relationships through play. Practitioner's resource series. | This book presents a.
In a supportive group environment, parents learn skills to respond more effectively to their children's emotional and behavioral needs. In turn, children learn that they can count on their parents to reliably and consistently meet their needs for love, acceptance, safety and security. The goal of CPRT is to strengthen the quality of the parent-child attachment bond as a means of reducing child behavior problems and stress in the parent-child relationship.
CPRT was developed for children ages 3- 8, but has been adapted for use with toddlers and preadolescents.Child, Couple, and Family Therapy Evidence Base
In CPRT, parents are taught specific skills grounded in the principles and procedures of Child Centered Play Therapy CCPT that focus on establishing or enhancing a secure attachment with their child and helping parents attune to and respond to their child's underlying needs rather than focus on symptoms.
Parents also learn to effectively limit their child's misbehavior, while demonstrating empathy and respect for their child. CPRT is typically administered in 10 weekly, 2 hour group sessions with parents. CPRT includes three key components: During sessionsparents learn child-centered play therapy skills, concepts, and attitudes. In weeksparents practice their new play skills in play sessions with their child and the therapist reviews the videos of parents' play sessions to provide focused supervision and feedback for parents in the small group format.
Of these 20 studies, 15 are RCT and additional 5 studies employed quasi-experimental design. Four of these studies investigated the effects of a teacher-adapted CPRT model and one study trained mentors in the CPRT model to use with young children.
CPRT has been successfully implemented with culturally and ethnically diverse populations and with a wide range of presenting issues and special populations including adoptive families and families who have experienced domestic violence and sexual abuse CPRT Effectiveness CPRT is a well-researched therapeutic group parenting model with numerous studies investigating its effectiveness.
An impressive 36 studies, involving almost 1, participants, employed a control group design to examine CPRT's effects. The remainder of the studies used quasiexperimental designs largely due to limitations in conducting research in real-world settings that interfered with random assignment. As an indicator of the high level of treatment fidelity in CPRT research, 32 of the 36 controlled studies were conducted by investigators who were directly trained and supervised in the CPRT protocol Bratton et al.
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Bratton and colleagues provided the most comprehensive review of CPRT research to date. Although the majority of outcome studies focused on the effects of training and supervising parents as therapeutic agents, almost one-third of CPRT research examined the benefits of the CPRT model delivered by teachers and mentors. The vast majority of studies showed statistically significant results and moderate to large treatment effects for the superiority of CPRT over control groups.
Given the quantity of studies and comprehensive numbers of participants, several conclusions can be drawn from reviewing the findings from the body of research. Overall results indicate that CPRT is effective in reducing children's behavior problems, decreasing parental stress, and increasing parental empathy Bratton et al.
Specifically, studies show CPRT's efficacy across a variety of issues and populations. CPRT's wide applicability and transportability are further demonstrated by its successful use in a variety of real-world settings.
Researchers found stronger outcomes for studies in which caregivers were trained and supervised in filial therapy methodology to use with their children than play therapy studies in which professional play therapists provided treatment. Using the meta-analytic data from Bratton and colleaguesLandreth and Bratton analyzed only those studies using the CPRT model to calculate an overall effect size.
CPRT demonstrated a very large effect size of 1. For more detailed information about CPRT outcome research studies, please visit Evidence Based Child Therapyan online searchable database for play therapy research. Supervised Clinical Experience Completion of three CPRT groups under supervision with approved CPRT supervisor; minimum of 8 hours of supervision per group two groups can be conducted simultaneously with a minimum of 12 hours of supervision.
Although face to face supervision is preferred, distance supervision may be approved to accommodate those in locations where approved supervisors are not available.
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Cumulative Self-Evaluation Paper 6. Licensed mental health professional at time of certification 7. This model is also effective in reducing problematic behaviors of children of incarcerated mothers, as observed by the mothers. Limitations include small sample size, lack of randomization, generalizability due to composition of participants, and lack of follow-up.
Filial therapy with incarcerated fathers: Effects on parental acceptance of child, parental stress and child adjustment. Journal of Counseling and Development, 76, To include comparison groups, outcomes, measures, notable limitations The purpose of this study was to determine the effectiveness of intensive filial therapy [now called Child-Parent Relationship Therapy CPRT ] as an intervention for incarcerated fathers.
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Participants were randomly selected for the experimental group or control group. Results indicated that compared to the control group, the CPRT group demonstrated statistically significant improvement in parental acceptance, parental stress, child behavior problems, and empathic interaction with their children.
Limitations include small sample size, generalizability to other populations, and lack of follow-up. Filial therapy with immigrant Chinese families. International Journal of Play Therapy, 11 2 To include comparison groups, outcomes, measures, notable limitations The purpose of this study was to determine the effectiveness of intensive filial therapy [now called Child-Parent Relationship Therapy CPRT ] as an intervention for immigrant Chinese families.
Eighteen of these parents were randomly selected for the filial therapy group and divided into two training groups with 9 parents in each group.
The other 17 parents were placed in the control group and received no treatment. Results indicated indicate when compared to the control group, the CPRT group demonstrated statistically significant improvement in child behavior problems, child self-concept, parental acceptance, parental stress, and parental empathy. Limitations include small sample size, generalizability due to ethnic composition of participants, reliance on self-reported measures, and lack of follow-up.
Intensive filial therapy with child witnesses of domestic violence: A comparison with individual and sibling group play therapy. International Journal of Play Therapy, 12 1 Pretest-posttest comparison group Number of Participants: Domestic violence and homeless shelters Summary: To include comparison groups, outcomes, measures, notable limitations The purpose of this study was to determine the effectiveness of intensive filial therapy [now called Child-Parent Relationship Therapy CPRT ] as a method of intervention with child witnesses of domestic violence.
Results revealed that compared to the wait list control group, the CPRT group demonstrated statistically significant improvement in child behavior problems, child self-concept, parental acceptance, and parental empathy. Results indicated no statistically significant difference on any measure between the CPRT group and the two play therapy intervention groups. Filial therapy with immigrant Korean parents in the United States.
International Journal of Play Therapy, 12 2 To include comparison groups, outcomes, measures, notable limitations The purpose of this study was to determine the effectiveness of the session filial therapy model [now called Child-Parent Relationship Therapy CPRT ] as an intervention for immigrant Korean parents. Parents were randomly assigned to the CPRT group or the wait list control.
Results indicated that compared to the control group, the CPRT group demonstrated statistically significant improvement in parent-child relationship stress, parental acceptance and parental empathy.
Limitations include small sample size, generalizability due to ethnic composition of participants, and lack of follow-up. A strengths-based parenting intervention with low-income African American families.
Professional School Counseling, 13 3 Not specified Status — Participants were parents and children recruited from Head Start.
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Southwestern region of the United States Summary: Parents were assigned to the experimental CPRT group or the waitlist control group through random assignment. Results indicate when compared to the control group, CPRT yielded statistically significant reductions in total behavior problems and parent-child relationship stress.
And the treatment effects were large. Limitations include small sample size, lack of true random assignment, reliance on self-reported measures, no-treatment control group, generalizability due to ethnic composition of participants, and lack of follow-up.
Psychology in the Schools, 47 8 To include comparison groups, outcomes, measures, notable limitations This study examined the effectiveness of Child-Parent Relationship Therapy CPRT in school settings with low-income Latino immigrant parents whose children were identified with behavioral concerns.