GenerationPMTO Training and Certification

Training Programs for Certification

A typical training program for GenerationPMTO specialists includes up to 18 workshop days across 3-5 workshops and coaching seminars. During the workshop training, active teaching techniques provide abundant opportunity for practice (e.g., modeling, video demonstrations, role play, experiential exercises, and video-recording of practice followed up with direct feedback).

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. Our workshops and coaching employ best practice strategies in adult learning.

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. Detailed coaching and feedback may take place in person, by phone, by video conferencing, 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 sessions based on direct observation of their therapy sessions with training families.

Coaching is provided to strengthen existing skills and to shape new skills to mastery. Coaching is based on the five categories within the Fidelity of Implementation Rating System (FIMP- Knutson, Forgatch, Rains, & Sigmarsdóttir, 2009):

Knowledgedemonstrated understanding and practice of PMTO principles, practice, and theoretical model

Structure: proficiency in session management, leading without dominating, responsiveness to family issues

Teaching: skill in balancing verbal and active teaching strategies to promote parents’ mastery of PMTO practices

Process: proficiency in use of a broad range of sophisticated therapeutic skills that promote a safe and supportive learning environment

Overall Development: therapeutic alliance and engagement of family in GenerationPMTO practice incorporating contextual and family circumstances that may interfere


Candidates provide GenerationPMTO services to a minimum of three training families who are referred for treatment at their agency. 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. They then start with a minimum of two new certification families. Candidates submit four video recordings of full treatment sessions from these certification families. The sessions must cover each of the following topics: Introducing encouragement, troubleshooting encouragement, introducing discipline, and troubleshooting discipline. ISII Mentors, who are reliable FIMP raters, score these sessions using the FIMP rating system (Knutson et al., 2009). To achieve a passing score, the mean score for each session must be 6.0 or higher (on a 9-point scale), with no scores below 4.

Practitioners must complete the certification process to be qualified to implement GenerationPMTO interventions independent of ISII coaching. Following certification, monthly GenerationPMTO coaching

within the local community is required at a minimum. Coaching from ISII is strongly recommended and provided to community coaches at regular intervals to sustain fidelity over time in the community.  For more information, please refer to the GenerationPMTO Certification Guidelines document.

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.