D.C. Mun. Regs. r. 22-A3427
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.
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.
The goals of CPP are to:
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.
CPP shall only be provided with the participation of the parent or caregiver.
Providers of CPP services shall meet and maintain certification as a CPP provider
from the Department-approved training entity.
All CPP clinicians shall complete the Department-approved CPP clinical training.
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.
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.
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.
CCP providers shall maintain an acceptable rating on an annual CPP fidelity audit.
CPP may be provided without prior authorization from the Department.
CPP shall not be billed on the same day as:
CPP shall be provided:
The following are qualified practitioners of CPP:
D.C. Mun. Regs. r. 22-A3427