PMTO Infrastructure | Steps to Full Transfer

The Full Transfer approach to PMTO implementation is a multi-phase process. The goal is to achieve sustained model fidelity. ISII trains a first generation of practitioners. ISII then provides ongoing support and training to leaders from this first generation as they build their own infrastructure for training, coaching, fidelity checks, certification, and further tailoring within their site. As an effective infrastructure becomes established, the community gradually assumes responsibility for maintaining model fidelity. ISII ensures that competent adherence to PMTO is sustained with annual reliability assessments via the FIMP Central secure database and portal. The process of full transfer from program developer (ISII) to community requires significant up-front resource investment to complete the multi-phase process. Our full transfer approach enables communities to be in charge of extending their reach to families in need. Download the PMTO Steps to Full Transfer brochure.


Full Transfer Process

Phase 1 | Preparation

  • Provide PMTO overview
  • Information exchange between ISII and community
  • Provide program materials
  • Structured interview to determine potential fit
  • Exchange site visits
  • Discuss and design training options
  • Complete Readiness Checklist
  • Provide budget estimation
  • Collaborative decision to move forward
  • >Prepare and sign contract
  • Gather resources

Phase 2 | Early Adoption

  • Engage agencies and trainees
  • Ensure family referrals
  • Manage logistics (schedule workshops, facilities, materials, access to training)
  • Ensure sufficient resources and technical assistance
  • Troubleshoot service delivery barriers
  • Develop and purchase site-specific database
  • Develop communication structure
  • Promote supportive troubleshooting environment
  • Conduct regularly scheduled meetings (videoconference, phone, in-person)
  • Assess progress and changes
  • Evaluate and adjust for feasibility
  • Provide technical assistance
  • Adapt program for context and culture
  • Conduct training for practitioners
  • Monitor fidelity throughout training
  • Complete training through certification

Phase 3 | Implementation

  • Build infrastructure
  • Sustain commitment and support
  • Troubleshoot and problem solve
  • Adapt program and sustain fidelity
  • Train coaches, trainers, and fidelity raters
  • Guide and monitor infrastructure development
  • Evaluate fidelity, process, and outcomes
  • Provide technical assistance

Phase 4 | Sustainability

  • Integrate program within system
  • Maintain and support infrastructure leadership
  • Site trains next generation of practitioners, coaches, and trainers to increase capacity
  • Fidelity raters achieve certifying competency
  • Sustain buy-in and commitment
  • Provide support across system and levels
  • Evaluate fidelity, process, and outcomes
  • Establish governing authority
  • Collaborate to define roles and responsibilities (develop Matrix)
  • Recertification plan established
  • Provide technical assistance
  • Complete annual reliability check to demonstrate model fidelity
  • Transfer to community is accomplished

Phase 5 | Continuing Collaborations

  • Extend program's reach
  • ISII and community negotiate long-term agreements
  • Explore booster and research opportunities
  • Train community (new agencies) to build and sustain infrastructure and identify stakeholders
  • Explore delivery options (individual, parent groups, telehealth)