Understanding the processes that ensure sustainable PMTO implementation with fidelity is of great importance to ISII. We seek motivated partners who want to see the method sustained with the highest level of fidelity for a significant length of time to ensure that our program serves families in need. For these reasons, we always collect data on our implementation efforts from participating agencies, therapists, and families. Our goal is to understand which key factors predict sustained fidelity over time.

We have developed an observation-based measure to evaluate method fidelity (Fidelity of Implementation Rating System (FIMP: Knutson et al., 2003) and train local professionals in this method. These professionals then become part of our international network of PMTO and FIMP specialists.

We are committed to ensuring success in the implementation process. We are involved from the selection of agencies, to certification of PMTO specialists, to facilitating their coaching and training of PMTO professionals, and ensuring fidelity of current and future generations. What sets us apart from many programs is that we actively encourage local implementation efforts beyond our initial involvement.

Local efforts will secure sustainability. To ensure fidelity, we collaborate to set up a FIMP team of PMTO specialists and conduct periodic reliability checks with our ISII FIMP raters. We believe that cultural adaptations are best negotiated on-site and will work with our clients to best adapt our model to fit the needs of the targeted population.