Going to Scale

Experiences Implementing a School-Based Trauma Intervention

Published In: School Psychology Review, v. 40, no. 4, Dec. 2011, p. 549-568

Posted on RAND.org on December 01, 2011

by Erum Nadeem, Lisa H. Jaycox, Sheryl H. Kataoka, Audra K. Langley, Bradley D. Stein

This article describes implementation experiences "scaling up" the Cognitive Behavioral Intervention for Trauma in Schools (CBITS)—an intervention developed using a community partnered research framework. Case studies from two sites that have successfully implemented CBITS are used to examine macro- and school-level implementation processes and strategies used to address implementation issues and create a successful implementation support system. Key elements of the implementation support system include pre-implementation work, ongoing clinical and logistical implementation supports, promotion of fidelity to the intervention's core components, tailored implementation to fit the service context, and a value on monitoring child outcomes.

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