One way to ensure therapist accountability is to ask questions up-front, in the same way you might ask a plumber if he is bonded and certified before having him do work on your house. Yes, therapists are required to be licensed in Washington State. But are they qualified to provide a particular therapy, especially one that meets the criteria for being evidence-based? Do they follow protocol, if it is a manualized therapy?
A lot of the posts on this blog reference Parent Child Interaction Therapy, well-suited for doing dyadic work with parent and young child. What should a caseworker or parent ask a potential PCIT therapist? This comprehensive monograph by the Child Welfare Information Gateway on "Parent-Child Interaction Therapy With At-Risk Families" outlines those questions.
• How will the parent be involved in this process?
• What is the nature of your PCIT training? When were you trained? By whom? How long was the training? Do you have access to follow-up consultation? What resource materials on PCIT are you familiar with? Are you clinically supervised by (or do you participate in a peer supervision group with) others who are PCIT trained?
• Why do you feel that PCIT is the appropriate treatment model for this child? Would the child benefit from other treatment methods after they complete PCIT (i.e., group or individual therapy)?
• What techniques will you use to help the child manage his or her emotions and related behaviors?
• Do you use a standard assessment process to gather baseline information on the functioning of the child and family and to monitor their progress in treatment over time?
• Do you have access to the appropriate equipment for PCIT (one-way mirror, ear bug, video equipment)? If not, how do you plan to structure the sessions to ensure that the PCIT techniques are used according to the model?
• Is there any potential for harm associated with treatment?https://www.childwelfare.gov/pubs/f_interactbulletin/f_interactbulletin.pdf
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