(PS10-B34) Using a Cultural Lens & Technological Advances Ushered in by COVID-19 to Shape Community-based Consultation of PCIT Training & Implementation

As the demand for PCIT increased in communities across the world, PCIT trainers developed training practices to support community-based PCIT clinicians through clinical training and consultation. Consultation involves assisting/guiding trainees in addressing problems presented by their clients with advice/ best practice recommendations that can be accepted or rejected by the consultee. Given PCIT’s parallel process model, recognizing how consultant’s cultural experiences impact work with trainees, and trainees’ work with families, is foundational. Understanding how the intersectional identities of consultants, trainees, and consultation framework become socio-political microcosms of a world engulfed in a plethora of “-isms” facing marginalized families, is cardinal. Recent world events led to increased social justice considerations in the field. Incorporating tools such as Hays’ ADDRESSING Model as an assessment/analysis tool assisted trainers in understanding consultant-trainee/ therapist-family differences impacting therapy processes.

Consultants follow trainees’ lead in applying clinical decision making to meet clients’ needs in their organizational context. Such parallel modeling processes are critical elements to achieving the APA guidelines for supervisory training. Additionally, consultation is a group intervention. Consultants are open and respectful of differences in therapeutic lenses, while also correcting clinical missteps in a group format without disempowering its members. Other global events greatly shaped the consultation model. The pandemic ushered in technological advances to consultation to expand the reach of training dissemination, forcing a move from in-person, direct case supervision to consulting with clinicians globally. Subsequently, leading to greater diversity among trainees, as they come from a variety of backgrounds/ theoretical orientations. Technology supported skill practice through video submission, virtual family sessions, and breakout rooms for group practice. Despite trailblazers’ telehealth platform exploration in the last decade, training/consultation technology integration is fairly new. Trainers used numerous technologies to enhance PCIT training/consultation practices and clinician/ family level data tracking. Self-guided skill competency practice is now offered through online platforms, scoring/providing real time feedback and quantifying competencies. Including data and capturing milestones in the training/consultation process was integral, allowing for sharing updates with training funders/key stakeholders who advocate, support, and champion evidence-based service delivery in community systems. Ultimately, trainees were equipped with resources/infrastructure to support PCIT implementation, an intervention honoring the cultural identities of clients in a strength-based wellness approach. The aim of this poster is to chronicle shifts in the field and changes in applied consultation practices, addressing trainees' needs and diverse families, as depicted in 1) inclusion/awareness of cultural issues, 2) expanded consultation scope through technological advances, & 3) tracking of clinician/family level outcomes.