Table 6. Summary of major themes differentiating implementers and non-implementers.

Used CBITS (n= 8)	Never started a CBITS group (n=18)
Decision-making Thoughtful/involved; involved multiple staff members Rationale for signing up related to fit (agency mission, client needs), and perceived need for EBPs and/or trauma services	Decision-making Quick; involved fewer staff members Sometimes via email Rationale for signing up related to fit (agency mission, client needs), and perceived need for EBPs and/or trauma services Rationale at some sites also reflected general interest
Leadership and Resources Stayed involved post-training Guiding process Providing staff with resources (e.g., time) Billing/funding was addressed	Leadership and Resources Minimal involvement during active implementation Many reported not knowing what happened
Individual, motivated clinicians exhibited “champion” behavior Engaged school principals Obtained support of clinic leadership	Individual clinicians perceived barriers that were insurmountable School or clinic buy-in Billing Priorities/caseload issues
Sites perceived need for CBITS and liked the intervention Sites with implementation experience discussed adaptations	Sites perceived need for CBITS and liked the intervention