1. 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)

2. Faculty Disclosure Information We have a relevant financial relationship to disclose: Bristol Myers Squibb Honorarium Modest Compensation 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

3. 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

4. Introductions

5. 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

6. 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?

7. 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

8. 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.”

9. Cultural Considerations for Parent Participatory Engagement

10. Wrap-Up What are you walking away with from this breakout session? Review handouts Email list generated to exchange additional resources