D.C. Mun. Regs. tit. 22, r. 22-A3427

Current through Register Vol. 71, No. 49, December 6, 2024
Rule 22-A3427 - CHILD-PARENT PSYCHOTHERAPY
3427.1

Child-Parent Psychotherapy (CPP) is a relationship-based treatment intervention for young children with a history of trauma exposure or maltreatment, and their parents or caregivers. CPP helps restore developmental functioning and reduce trauma symptoms in the wake of trauma by focusing on restoring the attachment relationship that was negatively affected.

3427.2

Under CPP, clinicians assess and provide information on how parents' or caregivers' past experiences, including past insecure or abusive relationships, affect their relationships with their children. Sessions focus on parent/caregiverregulation, and increased appropriate reciprocity between parent/caregiver and child, resulting in a stronger relationship between a child and their parent or caregiver, and improvement in the child's symptoms. CPP sessions may be longer in the first six (6) months of treatment (i.e., ninety (90) minutes per session) and decrease over time (to sixty (60) minutes per session) as the child improves their coping skills.

3427.3

The goals of CPP are to:

(a) Reduce post-traumatic stress reactions and symptoms in children;
(b) Improve both parent/caregiver and child functioning, as well as improve the parent/caregiver attachment relationships;
(c) Establish a sense of safety and trust within the parent/caregiver relationship;
(d) Return a child to a normal developmental trajectory; and
(e) Restore parental/caregiver sensitivity and responsiveness, in order to strengthen the child-parent/caregiver relationship.
3427.4

CPP is available to children ages birth through six (6) years with a mental health diagnosis who have experienced at least one (1) traumatic event including maltreatment, the sudden or traumatic death of a caregiver, a serious accident, medical traumas, sexual abuse, physical abuse, neglect, or exposure to domestic violence, and, as a result, are experiencing behavioral, attachment, and/or mental health problems, including post-traumatic stress symptoms.

3427.5

CPP shall only be provided with the participation of the parent or caregiver.

3427.6

Providers of CPP services shall meet and maintain certification as a CPP provider

from the Department-approved training entity.

3427.7

All CPP clinicians shall complete the Department-approved CPP clinical training.

3427.8

Each CPP Team shall include one (1) clinical supervisor and no more than six (6) clinicians who have successfully completed the CPP training requirements. The clinical supervisor shall be an independently licensed qualified practitioner pursuant to § 3427.15 practicing within the scope of their license.

3427.9

CPP clinicians shall be qualified practitioners pursuant to § 3427.15 practicing within the scope of their license, and holding a Master's degree in psychology, social work, therapy, or other related field.

3427.10

CPP supervisors must be independently licensed qualified practitioners pursuant to § 3427.15 practicing within the scope of their license and trained in CCP in accordance with the CPP fidelity standards.

3427.11

CCP providers shall maintain an acceptable rating on an annual CPP fidelity audit.

3427.12

CPP may be provided without prior authorization from the Department.

3427.13

CPP shall not be billed on the same day as:

(a) TF-CBT; or
(b) TST.
3427.14

CPP shall be provided:

(a) At the MHRS provider's service site;
(b) In natural settings, including the consumer's home or community settings; or
(c) In a residential facility of sixteen (16) beds or less unless otherwise stated by the Department.
3427.15

The following are qualified practitioners of CPP:

(a) Psychiatrists;
(b) Psychologists;
(c) LICSWs;
(d) APRNs;
(e) LISWs;
(f) LPCs;
(g) LMFTs;
(h) LGSWs;
(i) LGPCs; and
(j) Psychology Associates.

D.C. Mun. Regs. tit. 22, r. 22-A3427

Final Rulemaking published at 67 DCR 10674 (9/4/2020); amended by Final Rulemaking published at 68 DCR 012400 (11/26/2021); amended by Final Rulemaking published at 70 DCR 3050 (3/10/2023), effective date corrected to 4/7/2023, by Errata Notice published at 71 DCR 4474 (4/19/2024).