Table 2.
Barriers to Implementing and Sustaining Evidence-Based Practices (EBP)*
| Domain | Barrier Identified by Survey Participants | Child-Parent Psychotherapy (n = 16) (n, %) |
Parent Child Interaction Therapy (n = 15) (n, %) |
|---|---|---|---|
|
| |||
| Training | Logistics of the training process | 8 (50) | 5 (30) |
| Loss/lack of in-house trainer | 3 (19) | 4 (27) | |
| Staff | Staff turnover | 4 (25) | 5 (30) |
| Low number of therapists trained in the modality | 0 | 4 (27) | |
| Low number of Spanish-speaking clinicians trained | 1 (6) | 2 (13) | |
| Lack of foundational early childhood training | 2 (12) | 1 (7) | |
| Clients/Families | Difficulty with retention of cases/attrition | 0 | 3 (20) |
| Systems | Funding/financial difficulties | 3 (19) | 2 (13) |
| Low referrals streams for EBP | 1 (6) | 3 (20) | |
*
Open-ended responses to the survey question: “What barriers, if any, has your agency experienced with implementation and sustainability of CPP/PCIT” were coded and the themes identified are listed.