Florida CPP Application: Implementation-Level Training

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Introduction

This questionnaire serves as your application to the CPP training and was designed to help you think about your and your agency's readiness to take part in the CPP Learning Collaborative (LC) and implement CPP.

Note: Learning any model requires time and either an adjustment to productivity expectations or an agreement by participants that they will do some of the learning on their own time.

Please make sure you understand CPP training activities by reviewing the minimum requirements agreement: http://childparentpsychotherapy.com/wp-content/uploads/2018/03/CPP-Training-Agreement-2018.pdf

INDIVIDUAL PRACTITIONERS

We typically do not accept private practitioners to training as we feel that learning to do a trauma treatment requires the support of a team. If you are in an agency with an existing team, and they can support your learning, we are happy to have you join.

Some trainers may offer exceptions if the following conditions are met:

1) practitioners reside in a rural area or an area where there are limited services for young children

2) practitioners provide services to low-income families who have experienced trauma

3) practitioners are licensed

4) practitioners agree to form reflective supervision consultation groups at least for the duration of the 18-month learning collaborative.

ABOUT YOUR AGENCY

Agency Name

Primary Contact: Name

Primary Contact: Email

Primary Contact: Phone

Agency Address: Street

Agency Address: City

Agency Address: State (2 letter code)

Agency Address: Zip Code or Postal Code

Anything else you want us to know about your agency

YOUR LEARNING COLLABORATIVE TEAM

Number of staff expected to participate in the current LC:

A learning collaborative team is comprised of (1) at least one agency administrator (who has the power to implement agency policy) (2) at least one supervisor, and (3) one or more therapists. The supervisor must be licensed, and the supervisor/agency administrator can be the same individual. If indivuduals in your agency have already completed a CPP training, they can serve in those roles, and you do not need all roles filled for the current LC
Each person should be included in only one category (the one that best fits them). If you have team members who are in or who completed a prior CPP implementation-level training, you will enter them in the next section.

Number of therapists (IF YOU ARE APPLYING AS A SOLO PRACTITIONER, COUNT YOURSELF HERE AND SKIP a, b, and c.

a. Number of supervisors

b. Number of senior leaders

A senior leader is someone who has the ability to support agency-level change.

c. Number of supervisors/senior leaders

People who function both as supervisor and senior leader for the agency & team

TEAM MEMBER ELIGIBILITY

Are all team members master's or doctoral-level clinicians with a degree in a mental health discipline?

CPP is an intensive clinical model. Training in CPP is available only for those with a degree in a mental health field

Yes

No - describe team under team member notes

Clear selection

Are all team members licensed?

Yes

Clear selection

If some clinical team members are not yet licensed:

Check boxes 1 through 5 to indicate that you have read and agree with these points.

Not applicable - all team member are licensed (skip to next question)

1. Unlicensed team members must be supervised by a licensed team member who also participates in the LC.

2. Should that supervisor end participation in the LC, arrangements must be made to have non-licensed staff supervised by a licensed supervisor who has been or is being trained in CPP.

3. If the supervisor leaves, and there are no licensed CPP supervisors within the agency, a licensed supervisor not yet trained in CPP may serve as clinical & legal supervisor. At a minimum, this supervisor needs to participate in consult calls to become aware of how CPP may influence their supervisee’s clinical work. This person would not be eligible for the CPP roster unless s/he completes a full CPP Implementation Level course. Participation in consult calls is not counted towards an Implementation Level Course until after the participant attends the Initial CPP didactic training.

4. If the supervisor leaves, and there are no licensed CPP supervisors within the agency, the agency could contract separately with a licensed clinical supervisor who is trained in CPP, willing to provide clinical supervision, and able to serve as the supervisor of record.

CURRENT AND NEEDED SERVICES AND RESOURCES

These are resources typically needed for training or for conducting CPP. Please let us know the plan for allowing staff to access these resources.

What services do you provide children ages 0-5?

If your agency uses any specific well-defined treatment models, including evidence-based models please list and/or describe them here.

Does your agency have adequate referrals of children aged 0-5 who have experienced at least one traumatic event to enable staff to meet minimum case requirements?

Minimum requirements for 18-month training: Clinicians treat at least 4 CPP clients. Supervisors who want to be rostered - at least 2 CPP clients. Children are aged 0-5 and experienced at least one traumatic event.

Yes , established early childhood program and/or established early childhood referral source

Yes, adequate to do training, but interested in enhancing the number of early childhood referrals we receive

No, but we have a plan for cultivating additional referrals as part of engaging in this training

No, and we need help to develop a plan to cultivate referrals

Clear selection

If your agency does not have adequate referrals, describe any plans you have for cultivating referrals.

Check all groups your CPP LC team can serve in their native language

English

Spanish

Other

This LC will be conducted virtually. Does your agency support stable wifi connectivity for your team members?

Yes - agency provides

Staff have to use their own

Clear selection

Do you foresee any difficulties allowing staff to videotape sessions and share them with the CPP trainer?

No difficulties

Moderate difficulties but can likely be overcome

Little chance of doing this but will explore

Not possible under current agency policies

Clear selection

MATCH BETWEEN CPP AND AGENCY POLICIES AND PROCEDURES

Note: As an agency begins to provide trauma treatments, it is critical that agency staff (senior leaders, supervisors, and therapists) think jointly about how trauma may affect the therapist when they assign a caseload.

What is your staff's average case load and what is the highest number of cases a staff member can carry at a time?

Weekly CPP Sessions

Agency caseload allows CPP therapists to see CPP clients on at least a weekly basis.

Yes, currently

Not currently but can make this possible.

Does not fit with agency policies.

Clear selection

Any limit to the number of sessions you can provide?

Yes

Clear selection

Any time limits related to how long you can work with a family (e.g. 6 months, 1 year)?

Yes

Clear selection

AGENCY REFLECTIVE PRACTICE FIDELITY

CPP requires that team members have regular time to reflect on the model, their work, and their own reactions.

During training, all CPP participants meet at least twice a month (for at least one hour each time) for CPP supervision/consultation within their own agency (this is separate from the consultation they receive with the CPP trainer).

NOTE:
* Participants who are not in an agency (e.g. private practice clinicians) should form CPP peer supervision teams.
* Agency and peer supervision/consultation groups are often conducted on the weeks when a CPP consultation session is not held with the CPP trainer.

Agency plan for reflective supervision in agency during training

Minimum once a week

Minimum twice a month (this is the training minimum)

Minimum once a month

No plan for supervision/consultation within the agency

Clear selection

Thank you for completing this application

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