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Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
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Getting them through the door: screening optimization strategies for behavioral parent training.

Abigail Peskin1, Natalie Espinosa1, W Andrew Rothenberg1,2

  • 1University of Miami, Coral Gables, FL, United States.

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|November 24, 2025
PubMed
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Improving child mental health treatment access is crucial. A clinic enhanced screening completion rates by offering a public survey link, though intake attendance and graduation rates require further intervention.

Keywords:
behavioral parent trainingchildrenparent child interaction therapy (PCIT)recruitmentreferral

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Area of Science:

  • Child and family mental health services
  • Behavioral health treatment access
  • Clinical intake optimization

Background:

  • Mental health clinics face significant barriers in retaining families and ensuring treatment completion.
  • Challenges include family engagement, screening form completion, and patient eligibility verification.

Purpose of the Study:

  • To describe iterative strategies implemented by a child behavior management clinic to improve family participation in treatment.
  • To increase the likelihood of families completing screening forms, attending sessions, and graduating from treatment.

Main Methods:

  • Over five years, four strategies were implemented: structured follow-up, shortened screening forms, online screening, and a public survey link for accessible intake.
  • Logistic regression analyses were used to evaluate the impact of these interventions.

Main Results:

  • The public survey link significantly increased the completion rate of initial screening forms.
  • None of the screening interventions significantly improved a child's likelihood of attending intake or graduating from treatment.

Conclusions:

  • While further interventions are needed to boost intake attendance and graduation, the combined screening strategies show promise in reducing barriers to accessing child mental health treatment.
  • The public survey link effectively addressed a key barrier in the initial screening process.