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Honoring Children, Making Relatives (HC-MR)


Delivery Approach:
  • Individual
  • Dyadic
Delivery Format:
  • In-Person
  • Hybrid
  • Virtual
Provider Requirements:
  • Other Provider Requirements (see Program Details)
Type of Experience Addressed:
  • Child Abuse
  • Domestic Violence
  • Other Type of Experience Addressed (see Program Details)
Engagement Methods:
  • Talk-Based
  • Experiential
  • Play-Based
  • Culturally Grounded
Level of Intervention:
  • Intervention
  • Secondary Prevention
  • Greater than 12 weeks
  • Home
  • Other Setting (see Program Details)
Program Details:
Type of services provided:

HC-MR embeds the practices of Parent-Child Intervention Therapy (PCIT; see review) into a framework that supports American Indian and Alaska Native traditional beliefs and parenting practices that regard children as being the center of the Circle. Live skill coaching is a core strategy used in PCIT. On-line video consultation is used in live remote real time coaching sessions with families to overcome issues of distance, isolation and time constraints. Core values of the translation, transformation and enhancement of PCIT to be more compatible with traditional ways include that a child was received by all relatives and affected by all interactions around them, that caregivers’ responsibility was to cultivate the positive nature of the child with honor and respect, to view discipline as the teaching of self-control and learning about the rules of life versus a focus on punishment and avoiding and adapting jargon and technical aspects of PCIT that may be overwhelming or offensive to American Indian and Alaska Native caregivers (Bigfoot, 2011).

Program setting:

Rural, reservation, tribal

Length of program/number of sessions:

12-16 sessions

Type(s) of trauma/concerns addressed:

Physical abuse, domestic violence, limited parenting skills due to boarding school experience

Symptoms addressed:

HC-MR is a treatment model for parents who have difficulty with appropriate parenting skills and for their children who have behavioral issues

Education level of providers:

The curriculum addresses issues of implementation with limited license professionals/reservation-based therapist trainees in rural and isolated communities

Additional information:


Unique/Innovative Characteristics:

Cultural translation and enhancement of a well-established, effective intervention to meet the needs and support the Indigenous traditions, values and beliefs of American Indian and Alaska Native caregivers. The curriculum addresses implementation and dissemination challenges in rural, isolated and reservation settings.

Date Added/Updated:


Population Served

  • 0-5 (Early Childhood)
  • 6-12 (Childhood)
Population Language:
  • English
  • Spanish
  • Other Population Language
Ethnic Racial Group:
  • Indigenous People – American Indian/Native American, Alaskan Native
  • Black or African American
  • Hispanic or Latino
  • Child
  • Child and Non-abusive Parent/Caregiver
  • Family
  • Grandparents
  • Survivor parent
  • Community
  • Foster/Adoptive Parents
  • Other Client/audience
Population Adaptations:
Age range of children served:

3 to 7 years old

Are parent/adult caregiver(s) included in intervention?


Ethnic/racial and other groups served:

American Indian and Alaska Native children, multinational Latinos, multigenerational African Americans, recent immigrant Cambodians

Specific cultural adaptations:

HC-MR is a cultural translation and enhancement of a well-established, effective intervention (PCIT) to meet the needs and support the traditional aspects of parenting with American Indians and Alaska Natives from their world view and interaction between adult and child.

Languages that service/resource is available:

English; tribal language can be used to describe components of PCIT


Goals of the program/services:

To integrate an Indigenous world view and Indigenous practices into a culturally congruent treatment framework through the translation, transformation and enhancement of an evidence-based parenting intervention, Parent-Child Interaction Therapy (PCIT). This adaptation is part of the Indian Country Child Trauma Center’s work to transform evidence-based treatment models, called the Honoring Children series, in conjunction with the National Child Traumatic Stress Network.

Evaluation Studies:
Has there been any evaluation?

Not of HC-MR specifically; PCIT is an evidence-based practice

Key evaluation results:


Is there an evaluation currently in progress or planned?

Not indicated at this time

Publications about the program:

Bigfoot DS & Funderburk BW. Honoring Children, Making Relatives: The cultural translation of Parent-Child Interaction Therapy for American Indian and Alaska Native families. Journal of Psychoactive Drugs. 2011;43(4):309-318.

Rated/Reviewed by Evidence Based Registries:

The National Traumatic Stress Network Treatments and Practices, Trauma Interventions 

Training & Resources

Training Language:
Training Availability:
  • Yes
Training Details:
Training manuals/protocols:

Not indicated

Training Contact:

Not specified

Program Contact

Delores Subia BigFoot, PhD

(405) 271-8858