Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT)

Scientific Rating:
Promising Research Evidence
See scale of 1-5

Additional Implementation Resources

Since this program Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) was highly rated on the Scientific Rating Scale, program representatives were asked to provide additional implementation information.

Pre-Implementation Materials

There are pre-implementation materials to measure organizational or provider readiness for Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) as listed below:

The pre-implementation materials include:

  • A pre-training launch agenda for calls with administrators and supervisors/clinicians
  • A collaborative change framework document that outlines key AF-CBT competences in 3 domains: clinician, family engagement, and organizational capacity/support
  • An overview of the Learning Community training model and an Overview of AF-CBT
  • Relevant empirical papers on the application of AF-CBT to cases referred for child abuse/family conflict and child behavior problems
  • Agency/staff training requirements
  • A family screening and eligibility form
  • Online family assessment measures and procedures
  • PowerPoint files with readiness and orientation information
  • Various flyers and brochures to orient stakeholders and families to AF-CBT
  • Other program support, implementation, and monitoring materials

Please see for more information.

Formal Support for Implementation

There is formal support available for implementation of Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) as listed below:

A year-long Learning Community training model is used and includes ongoing consultation and technical assistance by an approved trainer, treatment material updates, e-mail support for Q&A, formal supervisor consultation calls, and access to a provider portal on the program’s website. The trainer also will review any submitted, digital audio session files and provide ongoing feedback both during consultation calls and through written summaries to the clinician. The trainer will review a set of AF-CBT clinician certification requirements (posted on the website, under the certification tab).

Many resources and materials are made available to those agencies or individuals currently participating in a training or who have completed a training through a secure portal in the AF-CBT website. This “members only” portal on the home page provides access to all of their treatment and support materials, including AF-CBT practice checklists, an automated family assessment scoring program, and audio upload instructions.

In addition, there is an “in-house” trainer certification program for those certified clinicians who wish to conduct trainings for new staff in their agencies. The program description can be found on the website under the certification tab.

Fidelity Measures

There are fidelity measures for Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) as listed below:

There are several practice checklists, metrics checklists, agency supervision guidelines, and other procedures or guidelines for trainers who collect fidelity information. Clinicians are encouraged to use the Topic Tracker form (fillable pdf) to briefly document session progress in each treatment topic or content area. Trainers also rate submitted audio files for session performance using individual fidelity forms developed for each treatment topic. Most of these measures are available for members only (trainees or trainers) at

Implementation Guides or Manuals

There are implementation guides or manuals for Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) as listed below:

The AF-CBT Session Guide includes implementation guidelines. There also is an implementation guide for working with foster caregivers, a summary of guidelines for the administration and scoring of the assessment measures, and a set of audio file upload and sharing guidelines. The website also includes pdf documents (both those that can be filled out and those that cannot) with all assessment measures, session handouts, safety monitoring forms, and other progress monitoring documents. Most of these are available through the “members only” portal at

Research on How to Implement the Program

Research has been conducted on how to implement Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) as listed below:

Kolko, D. J., Baumann, B. L., Herschell, A. D., Hart, J., Holden, E., & Wisniewski, S. (2012). Implementation of AF-CBT by community practitioners serving child welfare and mental health: A randomized trial. Child Maltreatment, 17(1), 30–44.