There are pre-implementation materials to measure organizational or provider readiness for Parent-Child Assistance Program (PCAP) as listed below:

The following pre-implementation tools and materials are available:

• Pre-implementation Checklist: In implementing PCAP in a new community, it is essential that core components of the model be maintained if PCAP demonstrated outcomes are to be achieved. The pre-implementation checklist helps providers assesses readiness to adopt the model. It first asks questions regarding the community setting and the hosting agency setting, then asks questions regarding eight core components of the model. Each component has an “anchor” statement that describes what the ideal implementation of the PCAP model would look like relevant to that characteristic.
• PCAP comprehensive manual including all necessary implementation components.
• PCAP comprehensive manual including all necessary implementation components.
• These materials are available on the PCAP website (http://depts.washington.edu/pcapuw/).

In Washington State, the University of Washington (UW) Fetal Alcohol and Drug Unit staff provide technical assistance and oversight to sites funded to implement new PCAP sites.

Outside Washington State, the UW Fetal Alcohol and Drug Unit staff provide pre-implementation consultation (email, phone, Zoom meetings) and ongoing technical assistance as contracted.

The following resources are also available on the PCAP website (http://depts.washington.edu/pcapuw/):

• PCAP Manual
• Administrative forms and protocols
• Evaluation forms and protocols
• Training videos and demonstrations of PCAP methods
• Complete list of PCAP peer-reviewed publications and book chapters

There is formal support available for implementation of Parent-Child Assistance Program (PCAP) as listed below:

In Washington State, formal support for implementation is required by state contract and is provided by PCAP staff at the University of Washington Fetal Alcohol and Drug Unit (staff include statewide director, evaluator, research coordinator). Support includes annual “refresher training” on PCAP implementation (a ten-hour web-based training); annual evaluation site visits and feedback on site process and effectiveness measures; monthly interactive support meetings with FADU staff and state clinical supervisors; and regular email contact.

Outside Washington State, formal support is optional but strongly encouraged as budgets allow.

There are fidelity measures for Parent-Child Assistance Program (PCAP) as listed below:

The PCAP fidelity measure is a quality assurance checklist tool that helps assess a provider's degree of adherence to the model. The assessment is organized into ten core components of the model. Each characteristic has one "anchor" statement that describes what the ideal replication of the PCAP model would look like relevant to that characteristic. The fidelity measure can be used to help agencies or communities determine how well they meet criteria for implementing the evidence-based model; determine whether changes need to be made in implementation; and track improvements over time. The measure can also be used to help outside evaluators understand the PCAP model elements. The Fidelity measure is available on PCAP website at http://depts.washington.edu/pcapuw/

There are implementation guides or manuals for Parent-Child Assistance Program (PCAP) as listed below:

The PCAP manual is a 132-page PDF document organized into eight sections. The manual is publicly available at: https://depts.washington.edu/pcapuw/manual-and-forms/manual

Research has been conducted on how to implement Parent-Child Assistance Program (PCAP) as listed below:

There is one published article on PCAP implementation in rural versus urban areas:

Shaw, M. R., Grant, T., Barbosa-Leiker, C., Fleming, S., Henley, S., & Graham, J. C. (2015). Intervention with substance-abusing mothers: Are there rural-urban differences? The American Journal on Addictions, 24(2), 144–152. https://doi.org/10.1111/ajad.12155

There are three published articles on Canadian PCAP implementation:

Rasmussen, C., Kully-Martens, K., Denys, K., Badry, D., Henneveld, D., Wyper, K., & Grant, T. (2012). The effectiveness of a community-based intervention program for women at-risk for giving birth to a child with fetal alcohol spectrum disorder (FASD). Community Mental Health Journal, 48(1), 12–21. https://doi.org/10.1007/s10597-010-9342-0

Thanh, N. X., Jonsson, E., Moffatt, J., Dennett, L., Chuck, A. W., & Birchard, S. (2015). An economic evaluation of the Parent–Child Assistance Program for preventing fetal alcohol spectrum disorder in Alberta, Canada. Administration and Policy in Mental Health and Mental Health Services Research, 42, 10–18. https://doi.org/10.1007/s10488-014-0537-5

Umlah, C., & Grant, T. (2003). Intervening to prevent prenatal alcohol and drug exposure: The Manitoba experience in replicating a paraprofessional model. Envision: The Manitoba Journal of Child Welfare, 2(1), 1–12. http://depts.washington.edu/pcapuw/inhouse/Manitoba%20Paper%20Envision%20Online%202003.pdf

There is one published article on implementing PCAP with women who have fetal alcohol spectrum disorders (FASD):

Grant, T., Huggins, J., Connor, P., Pedersen, J., Whitney, N., & Streissguth, A. (2004). A pilot community intervention for young women with fetal alcohol spectrum disorders. Community Mental Health Journal, 40(6), 499–511. https://doi.org/10.1007/s10597-004-6124-6