CPC CBT (KIBB in Swedish) – Combined Parent-Child Cognitive-Behavioral
Therapy for Families at Risk for Child Physical Abuse
CPC CBT is a treatment model for families where physical child abuse has occurred. The method was developed at Care Institute of New Jersey, USA. Therapists in child protection service or child psychiatry give families treatment in child and parent groups and combined, since each treatment session ends with the whole family together with the family therapists. The treatment lasts for 16 weeks.
The implementation of CPC CBT in Sweden has been ongoing since 2007. A pilot study conducted from 2010 to 2011 showed a positive treatment outcome. A more comprehensive research study started in 2013. A doctoral dissertation by Johanna Thulin; Putting words to child physical abuse has been published in 2019.
During the workshop, the KIBB treatment model will be presented together with examples from practice and some of the results of the research.
The treatment model and work in practice are presented by Emma Andersson and Anna Nelson. Emma is a social worker working with KIBB and licensed psychotherapist and KIBB trainer. Anna Nelson is a master of science in social work and licensed psychotherapist and also KIBB trainer.
A path will come, when we work on it.
Social and psychiatric public services in Denmark in 2020 focus on efficiency, by managing individual grants through units defined by evidence based standardised guidelines. Around this discourse lives a strong story that the highest level of evidence – and there true efficiency – is the Randomized Controlled Trial (RCT). Yet the RCT is almost always by definition blind for the effect of the world surrounding the setup up and the client’s personal preferences. Typically, the national guidelines conclude with the sentence “The method is vulnerable to client preference”.
Staff education is narrowly focused on manual-based conversation skills, if advanced: it can include structural client network management. However, in daily practice other skills become more important: resonance, compassion, accessibility, meaning, and networking.
Consequently we ask, what are the helpful focus axis that support a practise, that – on one hand can answers management questions about efficiency – a help system that can stay open and gain in professionalism; and on the other hand – a practise, that is able to collaborate meaningful and compassionate with open systems on sustainable social constellations of integration.
The workshop invites to discuss narratives on how to strengthen collaborative systemic services towards sustainable social constellations of integration, in a “new public management” world, that otherwise still awards symptom-focused fragmented delivery.
The Open-Path-Method is a topic-guided collaborative therapy setup for adolescents and can be characterized by three key elements:
Familiesupporten is an offer in Gladsaxe Kommune for families with children aged 0-8 facing minor challenges. The families are not registered and are on average visited by Familiesupporten 5-8 times. We talk with parents facing various sorts of challenges: Crying babies, toddlers’ anger, challenges in the parents’ own relationship to each other, language development problems and more.
The project started in October 2018 with 3 therapists – today we are 8.
A particular group of children and parents have surprised and overwhelmed us: Children and parents who are having major conflicts, especially with kids aged 3 to 4.
How can it happen so often?
We talked with the parents, and they told us that they are afraid to appear as what is in Denmark condescendingly named “curling parents”.
We wondered: How could this concept stick so close to the parents?
Where did it come from?
Who brought it to the field?
Why are love and care labelled as curling?
Where did they place the mutual respect towards each other?
We reflected, we looked on Facebook and in newspapers. We had a look at the references to Familiesupporten and found sentences like these: