title: Learning from bottom-up dissemination: Importing an evidence-based trauma intervention for infants and young children to Israel.
abstract: This article describes a pilot study of a "bottom up" dissemination process of a new evidence based intervention for treating early childhood trauma. Clinicians applied to learn Child-Parent Psychotherapy (CPP), imported to Israel from the U.S. A focus group of six graduates of a CPP training program responded to questions concerning their experiences learning and using CPP. All 39 CPP graduates from two cohorts also completed a cross sectional survey related to their use of CPP. Within the focus group, the openness of the workplace and the intervention's characteristics were considered major factors impacting CPP use; the training program was perceived to promote CPP implementation, and lack of supervision and secondary traumatic stress were the major inhibiting factors. Using CPP-informed therapy, as opposed to CPP with fidelity, was perceived to be one of the main outcomes of the training. Survey results showed that 53% of graduates were using CPP in over three cases, and almost all intended to use CPP within the next year. Ninety-five percent were using CPP principles in their therapeutic work. The implications of importing a new evidence based intervention to a foreign country that utilizes a different dissemination system within a different professional culture are discussed.
authors.affiliation: Haruv Institute, Jerusalem, Israel. Electronic address: paulad@haruv.org.il.
authors.forename: Paula
authors.initials: P
authors.lastname: David
authors.affiliation: Paul Baerwald School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem, Israel.
authors.forename: Miriam
authors.initials: M
authors.lastname: Schiff
mesh_terms: D002675:Child, Preschool; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D004502:Education, Medical, Continuing / Q000379:methods*; D019317:Evidence-Based Medicine; D005260:Female; D017144:Focus Groups; D006801:Humans; D007223:Infant; D033181:Information Dissemination; D007557:Israel; D007858:Learning; D008297:Male; D010287:Parent-Child Relations; D010865:Pilot Projects; D010818:Practice Patterns, Physicians'; D000067073:Psychological Trauma / Q000175:diagnosis / Q000628:therapy*; D011613:Psychotherapy / Q000193:education* / Q000379:methods; D014481:United States
keywords: Bottom up dissemination; Child–Parent Psychotherapy (CPP); Evidence-based practice (EBP); Implementation