There are pre-implementation materials to measure organizational or provider readiness for Trauma Affect Regulation: Guide for Education and Therapy for Adolescents (TARGET-A) as listed below:

There are written documents describing the scope of services and an organizational assessment of readiness for trauma-informed care. These form the basis for pre-implementation project planning. Descriptions of these materials may be obtained by request to www.advancedtrauma.com

There is formal support available for implementation of Trauma Affect Regulation: Guide for Education and Therapy for Adolescents (TARGET-A) as listed below:

Advanced Trauma Solutions, Inc., provides a comprehensive approach to implementing the TARGET-A curriculum. A two-hour web-based video introductory course describing TARGET-A is available for agencies and clinicians/facilitators who are preparing for the in-person TARGET-A training curriculum.

An intensive training and rigorous quality assurance program includes fidelity monitoring, direct feedback, and group consultation that leads to therapist certification. Training includes a series of components designed to guide clinical staff through an intensive learning process that prepares them to implement TARGET-A concepts and skills in group, individual, and family settings.

There are fidelity measures for Trauma Affect Regulation: Guide for Education and Therapy for Adolescents (TARGET-A) as listed below:

The TARGET-A fidelity measure is a behaviorally specific rating scale that identifies each key component of TARGET-A (session by session) with specific descriptive anchors to facilitate accurate ratings by independent observers. The checklist has 56 discrete items keyed to engagement, session structure, and each of the concepts/skills in each session; comment sections address therapeutic and working alliance. It is recommended that each TARGET-A session is videotaped, submitted for fidelity review, and rated on competence and adherence to the model using the above checklist. Independent fidelity monitors review session recordings, rate each one based on this tool, and provide a written report to the therapist. Supportive direct feedback is provided through individual coaching and group consultation.

When taping is not feasible, fidelity is monitored by completion of skills worksheets with clients and review of the worksheets by TARGET-A staff.

A train-the-trainer program provides sites with the capacity to develop and sustain internal TARGET-A trainers (with ongoing fidelity monitoring of training and consultation and certification/re-certification of trainers).

There are implementation guides or manuals for Trauma Affect Regulation: Guide for Education and Therapy for Adolescents (TARGET-A) as listed below:

TARGET-A has a curriculum that includes detailed group manuals, client handouts, visual aids, posters, and other educational tools to support the rollout of the program.

Research has not been conducted on how to implement Trauma Affect Regulation: Guide for Education and Therapy for Adolescents (TARGET-A).