Parent-Child Interaction Therapy (PCIT) is an empirically supported, parent-training program designed to teach parents specific techniques to manage the behavior of children between the ages of two and seven exhibiting extreme disruptive behavior. Over 30 published studies (see Herschell, Calzada, Eyberg, & McNeil, 2002b for a review) have lent support to the efficacy of this clinic-based program. The current paper will highlight the need for disruptive behavior disorder treatment for children in foster care, discuss the appropriateness of applying PCIT to children in foster care, and report on the effectiveness of and reported satisfaction with a modified procedure for training foster parents in PCIT skills.