Table 1.

Description of Parent And Caregiver Active Participation Toolkit (PACT).

Tool	Description	Examples of Empirical Basis
ACEs Training	Training on ten evidence-based engagement strategies for every session to build Alliance, Collaboration, and Empowerment (ACEs): (1) Reflectively listen; (2) Convey parent-therapist partnership; (3) Communicate positive regard; (4) Give suggestions, not directions; (5) Ask for input on intervention strategies; (6) Incorporate input into sessions; (7) Involve parent in session activities; (8) Collaboratively plan homework; (9) Focus on strengths and effort; (10) Jointly identify/problem solve barriers.	-Alegría et al., 2008 -Becker et al., 2015 -McKay et al., 1998 -Olin et al., 2010
DVD	27-minute video with testimonials from parents and therapists. Includes built-in prompts to complete Workbook Activities (see below). Six chapters: Introduction: What is PACT & How Can it Help?; #1: Why is Participation Important?; #2: You Have Many Strengths as a Parent; #3: How Do You Feel About Participating?; #4: Participation: Speak Up; #5: Participation: Take Action. Parents watch during early sessions (typically 3–4 sessions) in lobby.	-Self-Brown & Whitaker, 2008
Workbook	Information about PACT, participation tips, and four Activities linked to DVD content (e.g., DVD chapter on parent strengths linked to workbook activity parents complete on their strengths) parents complete during early sessions in lobby while viewing DVD and later review with therapist. Activities include: 1) My Point of View, 2) I Have Strengths as a Parent, 3) How Do I Feel About Participating in Therapy?, and 4) Speaking Up With My Child’s Therapist. Parents return Activities to therapist, who utilizes the ACEs to reinforce and expand content.	-Alegría et al., 2008 -McKay et al., 1998 -Nock & Kazdin, 2005
Action Sheet	Worksheet for use in every session (in duplicate form). Helps therapist, parent, and child collectively review planned homework from previous session, session goals/topics, and decisions on future homework.	-Becker et al., 2015
Messages	Brief motivational messages sent to parent between every session via email, voice mail, text, or note per parent’s choice. Four categories: general motivation to participate, attendance, speak up, and take action.	-Murray, Woodruff, Moon, & Finney, 2015
Training Package	1) Manual with training vignettes and electronic materials, 2) 8-hour in-person workshop with continuing education credits, 3) Eight 1-hour group consultations via live webinar and 1–2 individual phone consultations with performance-based feedback over 4 months, 4) Weekly training tips sent via text or email.	-Nadeem, Gleacher, & Beidas, 2013