Master of Social Work
School for Social Work
Attachment theory, Attachment behavior, Attachment behavior in children, Child psychotherapy, Psychotherapy, Intervention, Treatment and effectiveness evaluation, Evidence based practice, Information dissemination, Parent child relations, Parent and child, Dyads, Childhood development, Child development, Human development, Childhood, Neonatal, Infancy, Preschool age, Emotional regulation, Trauma, Early intervention, Family intervention, Parenting skills, Parenting, Operant behavior
This exploratory quantitative study was an attempt to address the dearth of research regarding the use of attachment-focused evidence-based treatments (AF EBT) in the clinical setting. Thirty-eight Master’s level or higher licensed mental health clinicians who work with children that are five years old and under, as well as with their primary caregivers, were surveyed via an anonymous web based questionnaire. The survey explored clinicians’ level of awareness, training, use, adaptation, and perceived effectiveness regarding four AF EBTs, as well as potential barriers that may have impeded their use. The AF EBTs were Child-Parent Psychotherapy (CPP), Attachment and Biobehavioral Catch-UP (ABC), Video-feedback Intervention to promote Positive Parenting (VIPP), and Circle of Security (COS). The findings showed that most participants were unfamiliar with the AF EBTs, despite being familiar with attachment theory and favorable toward evidence-based treatments (EBT). Even fewer participants used the AF EBTs. However, those that did, unanimously felt they were effective, with the exception of the ABC intervention. Most respondents adapted the AF EBTs. Without exception, being unaware of the existence of an AF EBT was by far the most commonly cited barrier that impeded its use. The other three most commonly cited barriers were: lack of agency support; difficulty accessing trainings; and not having a need for a new EBT. Implications and future recommendations are discussed. ii
Faucher, Jean, "Exploring clinicians' use of evidence-based interventions that treat attachment problems between children, five years of age and under, and their primary caregivers" (2014). Masters Thesis, Smith College, Northampton, MA.