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Published on: January 7, 2020
Child-Parent Psychotherapy with Infants Hospitalized in the Neonatal Intensive Care Unit
Patricia P Lakatos1, Tamara Matic2, Melissa Carson2
1University Center for Excellence in Developmental Disabilities, Children's Hospital Los Angeles, University of Southern California, 4650 Sunset Blvd, MS#53, Los Angeles, CA, 90027, USA. plakatos@chla.usc.edu.
Insights
Neonatal Intensive Care Unit (NICU) stays are stressful. Adapting Child-Parent Psychotherapy (CPP) offers a relationship-based approach to support parent-infant bonding and buffer medical trauma during NICU hospitalization.
Area of Science:
- Neonatal care
- Infant mental health
- Developmental psychology
Background:
- Neonatal Intensive Care Unit (NICU) hospitalization presents significant stress and potential trauma for infants and parents.
- The NICU environment can impede the development of secure parent-infant relationships and infant development.
- Existing interventions often focus separately on parental mental health or infant neurodevelopment.
Purpose of the Study:
- To describe the adaptation of Child-Parent Psychotherapy (CPP) for the NICU setting.
- To propose a relationship-based, dyadic intervention model to support the parent-infant relationship.
- To buffer the impact of medical traumatic stress and separations in the NICU.
Main Methods:
- Adaptation of an evidence-based, trauma-informed dyadic intervention (CPP).
- Focus on the developing parent-infant relationship as the core unit of intervention.
- Integration of infant mental health principles within the NICU context.
Main Results:
- The article outlines a framework for implementing CPP in the NICU.
- This approach addresses the unique challenges of the NICU environment.
- It aims to strengthen the parent-infant dyad during a critical developmental period.
Conclusions:
- Adapting dyadic psychotherapy models like CPP can effectively support parent-infant relationships in the NICU.
- Relationship-based interventions are crucial for mitigating the effects of medical trauma and separation.
- This approach promotes infant mental health and secure attachment in a high-stress setting.
Abstract:
Hospitalization in the Neonatal Intensive Care Unit (NICU) is a stressful and potentially traumatic experience for infants as well as their parents. The highly specialized medical environment can threaten the development of a nurturing and secure caregiving relationship and potentially derail an infant's development. Well-timed, dose-specific interventions that include an infant mental health approach can buffer the impact of medical traumatic stress and separations and support the attachment relationship. Many psychological interventions in the NICU setting focus on either the parent's mental health or the infant's neurodevelopmental functioning. An alternative approach is to implement a relationship-based, dyadic intervention model that focuses on the developing parent-infant relationship. Child-parent psychotherapy (CPP) is an evidence-based trauma-informed dyadic intervention model for infants and young children who have experienced a traumatic event. This article describes the adaptation of CPP for the NICU environment.
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