There are pre-implementation materials to measure organizational or provider readiness for CARE: Creating Conditions for Change (CARE) as listed below:

As part of the implementation process, baseline surveys are administered to assess organizational culture, perceptions of safety, current status of the organization's crisis management system, and alignment of staff knowledge, beliefs and practice with the CARE principles. The CARE consultants present findings from this assessment at an agency leadership retreat, and help participants consider how several aspects of culture (proficiency, resistance, rigidity) and climate (stress, engagement, functionality) may have implications for the upcoming CARE implementation process. The surveys are administered only as part of an agreement with Cornell University.

There is formal support available for implementation of CARE: Creating Conditions for Change (CARE) as listed below:

Cornell University supports agencies with Implementation of CARE through a 4-year implementation agreement and contract (see the https://rccp.cornell.edu/downloads/CARE_INFO_BULLETIN_2024.pdf). At the start of the implementation agreement, the agency is assigned a CARE team comprised of 2 to 3 Cornell faculty members specializing in CARE content and organizational implementation strategies. These CARE consultants provide onsite assistance throughout the implementation period. Cornell consultants also provide on-going support through regular email, teleconferencing, and video conferencing.

During the implementation period, agency leaders are trained in the CARE model, the 6 core principles, and organizational change strategies during a 3- to 4-day leadership retreat. In addition, agency personnel are trained as CARE educators and certified to conduct the CARE training curriculum with agency staff.

Technical assistance visits include observation and feedback, training and coaching for frontline supervisors, developing routines for reflective practice, assistance with survey administration and data analysis, and addressing organizational barriers to create a more therapeutic milieu. After implementation is complete, there is a 3-year sustainability agreement that includes an annual onsite visit and continued email communication, teleconferences, videoconferences and access to annual regional, national, and international events. Agencies can apply for CARE Agency Certification once CARE is fully implemented. Support during the sustainability agreement includes continued support through onsite visits, training, on-going data collection and survey analysis, certification (or re-certification) assessment visit, and on-going certification of agency staff to deliver CARE training throughout their organization.

There are fidelity measures for CARE: Creating Conditions for Change (CARE) as listed below:

• The CARE staff surveys (administered at baseline, midway through the implementation period, and during the sustainability agreement) measure staff's knowledge and beliefs about effective childcare practice as well as their actual practices to optimize children's residential experiences in order to track alignment with the 6 CARE principles.
• Given the centrality of high-quality relationships between staff and the children they care for in the CARE program model, children are asked to complete a survey that assesses their perceptions about the relationships they have with staff, thus incorporating the children’s perceptions of their lived experience as a component of assessing the implementation of CARE.
• Essential elements of the CARE program model have been identified and fidelity tools that assess the structures and processes necessary to sustain the CARE model have been developed. These measures are used by the leadership team as a self-assessment process as well as by the Cornell consultants to provide feedback and recommendation for continued improvement and agency CARE certification.

There are implementation guides or manuals for CARE: Creating Conditions for Change (CARE) as listed below:

The book, CARE: Creating Conditions for Change (3rd edition), provides substantial information about implementing the CARE program model.

Research has been conducted on how to implement CARE: Creating Conditions for Change (CARE) as listed below:

Anglin, J. P. (2011). Translating the CARE program model into practice: Lessons from the pioneer agencies on changing agency cultures and care practices. https://rccp.cornell.edu/downloads/Translating%20the%20CARE%20Program%20Model%20into%20Practice.pdf