GenerationPMTO Training and Certification

Training Workshops

A typical training program for GenerationPMTO specialists includes 2-3 workshops and coaching seminars (total of approximately 10 days). Workshops incorporate best-practice active teaching techniques (e.g., modeling, video demonstrations, role play, experiential exercises, and video-recording of practice followed up with direct feedback) that provide abundant opportunity to integrate skills.

Training participants receive a comprehensive set of materials for GenerationPMTO practitioners and for parents receiving GenerationPMTO services. Materials include manuals for practitioners and handbooks for parents and other tools to facilitate creative delivery of the intervention. Manuals contain foundational information, experiential exercises of core and supporting GenerationPMTO content and strategies, session outlines, and all other necessary intervention and assessment tools.

GenerationPMTO is Observation-based

Throughout the course of training, candidates are required to video record their sessions with families. These video materials are uploaded onto a secure HIPAA-compliant portal so that training mentors and coaches can view sessions and provide detailed coaching.


GenerationPMTO training is supported with regular coaching and consultation that is provided to strengthen existing skills and to shape new skills to mastery. Detailed coaching and feedback may take place in person, by video conferencing, by phone, or in written format. Coaching is structured to provide practitioners with strong support for improving content delivery, therapeutic process, and teaching strategies. Candidates receive a minimum of 12 coaching feedbacks (written and individual/group reflective coaching) based on direct observation of their therapy sessions with training families. Video recorded sessions are uploaded onto a secure HIPAA-compliant portal to facilitate coaching. Practitioners use the portal to ask questions, receive feedback, and review their sessions.


When candidates demonstrate that they have effectively incorporated coaching feedback into their practice and show competence in their application of GenerationPMTO techniques, they are invited to advance to certification candidacy. GenerationPMTO Mentors review four full treatment sessions  using the Fidelity of Implementation Rating System (FIMP). Once certified, GenerationPMTO specialists may be eligible for training in infrastructure roles such as coaching, training, and fidelity rating. Ongoing annual recertification requirements include regular coaching and review of one full session.


Full Transfer Philosophy

As applied scientists, we recognize that sustaining an evidence-based practice in community settings is hard work requiring strong infrastructure and careful planning. Our goal is to help to adopt communities sustain GenerationPMTO practice with fidelity so that families will benefit from the same positive outcomes that were attained during efficacy and effectiveness trials. To this end, ISII assesses implementation sites for suitability of local infrastructure, necessary caseloads, targeted population, and relevant resources.

Our implementation approach follows a full transfer philosophy, which involves training the adopting communities to conduct GenerationPMTO practice independently over time. Our goal is for every implementation site to achieve the capacity to train, coach, certify, recertify, and evaluate GenerationPMTO fidelity across successive generations. To ensure successful transfer, we require a long-term commitment to GenerationPMTO.

In turn, ISII provides long-term support for each adopting community with periodic booster trainings in response to their unique needs.

Local community GenerationPMTO leaders become part of an international network of GenerationPMTO trainers, coaches, and fidelity raters.

GenerationPMTO certification indicates only that the certified practitioner may provide GenerationPMTO services at the designated level of certification. GenerationPMTO certification does not constitute or create a license or right to treat.