Parent–Child Interaction Therapy (PCIT) is an intervention designed to reduce child behavior problems by strengthening the caregiver-child relationship and providing families with effective behavior management skills. The dissemination and implementation of PCIT in a state greatly impacted by poor telehealth capacity and the opioid epidemic differed from the implementation of PCIT training and treatment delivery in other states, highlighting the critical importance of exploring implementation factors in rural settings.ĭue to the extensive problems that the COVID-19 pandemic and the opioid epidemic have highlighted, there is a clear need for evidence-based interventions to be disseminated to families in West Virginia. Qualitative findings about the impact of telehealth and opioid use on PCIT implementation are presented. Nearly half of therapists’ cases (45%) were impacted directly by parental substance use. Almost all therapists (91%) reported barriers to telehealth PCIT (e.g., poor internet connection, unpredictability of sessions). Therapists ( n = 34) who participated in PCIT training and consultation through a State Opioid Response grant were asked to provide data about their experiences with PCIT training, consultation, and implementation. The current qualitative study details barriers and facilitators to disseminating and implementing PCIT with opioid-impacted families across West Virginia during the COVID-19 pandemic. Parent–Child Interaction Therapy (PCIT) is an evidence-based treatment for child externalizing symptoms that teaches parents positive and appropriate strategies to manage child behaviors. The devastating impact of the opioid crisis on children and families in West Virginia was compounded by the COVID-19 pandemic and brought to light the critical need for greater mental health services and providers in the state.

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