Table 1 Condition comparison on key design features

Primary level targeted

Multiple (senior leader, supervisor, clinician)

Clinician

Clinician

Unique features

1. Addressing multiple organizational levels within the organization that might impact implementation,

1. A “top-down,” hierarchical training approach (EBT expert to a community supervisor to trainees within the community clinician’s organization),

1. Broad public health impact,

2. Organizing “core teams” (i.e., workgroups) within each organization,

2. Strong and specific focus on two trainees who are advanced clinicians, and

2. Easy access to interactive training program online

3. Emphasizing cross-site sharing among teams,

3. Extensive use of in vivo skill modeling, direct practice, observation and feedback within the clinic setting.

 3. Revieing materials is self-paced, independent, and can be repeated

4. Utilizing a quality improvement process, which focuses on measuring and monitoring incremental improvements

Ultimate goal

Create a learning organization

Focus on fidelity

Make training accessible

Trainers—number

3 + admin support

2

1

Trainers—expertise

PCIT, Program Development

PCIT

PCIT

Trainees—number per site and role within organization

2–5 members comprise a “core team.” Minimally include clinicians and supervisors.

2 senior clinicians who also treat families

Unlimited

Training group size (approx)

20 participants from 6 agencies

12 participants from 6 agencies

Unlimited

Training components/ structure

Pre-work phase

5-day initial training;

Web-based training + materials

3 2-day Learning Sessions

2-day training 6 months after the initial training

Action periods between learning sessions

Time in workshop training

6 days

7 days

None

Consultation (group)

2 h per month

2 h per month

2 h per month

Time frame

12 months

12 months

12 months

Training site

Offsite

Offsite

On-site

Videotape review and feedback

Minimum four tapes per trainee by within agency supervisor

Minimum four tapes per trainee by PCIT expert

None