Development of a training and implementation model for school-based behavioral health interventions

Hayley J. Goldenthal*, Tali Raviv, Sybil Baker, Carmen Holley, Faith Summersett Williams, Karen R. Gouze

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Despite efforts to embed mental health supports within schools, few models exist to facilitate the implementation of targeted (Tier II) evidence-based interventions in schools. To address this gap, a collaborative partnership was formed between a pediatric teaching hospital and a large urban public school district. The current exploratory study details the development and implementation of a training model (Comprehensive Implementation Training and Support—CITAS) that addresses both consultation and organizational factors known to promote the successful implementation of Tier II interventions. Additionally, the study utilizes a case example approach to highlight initial promise and areas for future development. Results demonstrated a need for CITAS to support effective implementation and provided encouraging data on the acceptability, feasibility, and initial promise of this model. Participating clinicians demonstrated engagement and satisfaction with the activities included in the CITAS model, high levels of fidelity to the intervention, and improvement in outcomes for students participating in Anger Coping groups facilitated by CITAS clinicians. Findings also indicated that the CITAS model facilitated the navigation of organizational barriers (e.g., leadership support, resources, time) that promoted implementation success.

Original languageEnglish (US)
Pages (from-to)1299-1319
Number of pages21
JournalPsychology in the Schools
Issue number7
StatePublished - Jul 2021


  • behavioral health
  • implementation
  • training

ASJC Scopus subject areas

  • Education
  • Developmental and Educational Psychology


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