Taking PRIDE in Your Home: Implementing Home-Based Parent–Child Interaction Therapy (PCIT) with Fidelity

  • Joshua J. MasseEmail author
  • Lauren Borduin Quetsch
  • Cheryl B. McNeil


Clinically significant externalizing behaviors in young children is an increasingly common issue with estimates ranging from 4% to 15% affected, yet roughly only 3% of young children with a mental health problem receive any treatment whatsoever. Due to the underutilization of outpatient therapy, attrition rates ranging from 30% to 70%, and a host of barriers that preclude families from using mental health services (e.g., stigma, transportation), a need exists to make evidence-based interventions for disruptive behaviors more available and transportable to least restrictive environments. This is particularly important for highly stressed, limited resourced families. As the empirical focus has shifted from treatment efficacy trials to examining effective ways to disseminate and implement validated treatments, the investigation of evidence-based intervention models in “real world” settings, such as home-based PCIT, is now becoming critical to ensure children and families receive the most proven mental health treatments. This chapter presents an overview of home-based models, outlines a rationale for home-based PCIT, reviews the home-based PCIT literature and presents practice parameters and clinical modifications to adapt to the home setting while maintaining fidelity to core components of the model.


Home-based Parent–Child Interaction Therapy (PCIT) Practice parameters Dissemination and implementation PCIT training Home-based PCIT research PCIT clinical modifications 



The authors would like to thank all those who provided clinical insights to help inform parts of the chapter. Special recognition to the clinical team at the Institute for Family Development in Vancouver, WA, Florida International University’s Daniel Bagner, Nicole Barroso, Leah Feinberg, and Natalie Hong, and Delaware’s Cristina Machin.


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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Joshua J. Masse
    • 1
    • 2
    Email author
  • Lauren Borduin Quetsch
    • 3
  • Cheryl B. McNeil
    • 4
  1. 1.Boston Child Study CenterBostonUSA
  2. 2.Department of PsychologyUniversity of Massachusetts DartmouthNorth DartmouthUSA
  3. 3.Clinical Child PsychologyWest Virginia UniversityMorgantownUSA
  4. 4.Department of PsychologyWest Virginia UniversityMorgantownUSA

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