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

Additional Implementation Resources

Since this program Theraplay was highly rated on the Scientific Rating Scale, program representatives were asked to provide additional implementation information.

Pre-Implementation Materials

There are no pre-implementation materials to measure organizational or provider readiness for Theraplay.

Formal Support for Implementation

There is formal support available for implementation of Theraplay as listed below:

The Theraplay Institute maintains a Theraplay Certification program. Professionals who have taken the Level One Theraplay and MIM training can enroll in the supervision practicum, which has three levels of competence. The most intensive level, with 24 hours of training, ends with full certification. The supervision portion of the training requires participants to submit videos their sessions. Supervision is conducted online, individually and in groups, with the Theraplay Institute via a secure website.

Fidelity Measures

There are fidelity measures for Theraplay as listed below:

The Theraplay certification practicum enables practitioners to verify the fidelity of their implementation by recording their sessions and submitting them to Certified Theraplay Supervisors. Practicum students then complete self-reflection forms in each supervision session and receive feedback from certified Theraplay supervisors. There is a standard Theraplay session evaluation form that supervisors and students must complete at 3 levels of advancement in the practicum. During the mid-term and final, another reflection form is completed by the student, reviewed by their supervisor, and reviewed a second time by another supervisor.

Implementation Guides or Manuals

There are implementation guides or manuals for Theraplay as listed below:

The book Theraplay: Helping Parents and Children Build Better Relationships Through Attachment-Based Play, 3rd Edition, is the program manual. It gives the full description of the treatment and how to implement in its basic form at as well variations for specific populations such as autism, adolescents, complex trauma, adoption, and more. The manual is available at

After completing Level One Theraplay and MIM training, participants can then purchase the Practitioner’s Guide which provides additional resources about implementation and sustainability. The guide is available at

Research on How to Implement the Program

Research has not been conducted on how to implement Theraplay.