Disruptive child behavior disorders remain a
major public health issue despite the proliferation of several
strong Evidence-Based Practices (EBPs) for these children
and their families. This may stem from barriers to treatment
facing many families in need, particularly families with low
resources. Home-based treatment may be best suited for this
population; however, EBPs are not always available or
tested as home-based interventions. The current study
compares an intensive home-based adaptation of Parent
Child Interaction Therapy (PCIT) to the standard clinic-
based model in the context of a statewide implementation.
As part of the statewide implementation, therapists entered
archival data into an online system. Data was gathered for
314 families receiving PCIT, with 181 children in clinic-
based PCIT and 133 in intensive home-based PCIT. Con-
sistent with other trials of PCIT, results of the current study
indicate that both versions of the therapy were effective in
reducing child-behavior problems and increasing parenting
skills; however, there were marked differences in attrition.
Intensive home-based participants were twice as likely to
complete treatment (64.66%) compared to clinic-based

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Available

• Home-Based vs. Clinic-Based Parent–Child Interaction Therapy: Comparative Effectiveness in the Context of Dissemination and Implementation