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Implementing Child First

Meets DHHS criteria for an evidenced based model

Materials and Forms to Support Implementation

Last Updated

June 2016


Operations Manuals

A training manual and tool kit provide information on Child First procedures and operations, and the formal assessments and forms needed for implementation. Additional manuals include a clinical director guide, an accreditation guide, a program metric database guide, a CFCR user guide, and a blackboard user guide for distance learning sessions.


Service Delivery Forms

Service delivery forms are included in the Child First tool kit and can be downloaded from the CFCR.


Assessment Tools

Child First begins with an assessment phase and incorporates assessment in the intervention phase. The program uses formal, standardized assessments; formal assessments developed or adapted by Child First; and informal assessments based on the clinical team’s discussions with or observations of the family. Teams administer assessments at established points in time during the intervention (baseline before the intervention begins, six months, and discharge); at children’s developmental milestones; and as needed based on the family’s needs.



The Child First curriculum includes topics, concepts, and implementation methods that are delivered based on the individual needs of the child and family. The curriculum does not designate certain content for specified visits.


Available Languages

Child First materials are available in English and Spanish.


Fidelity Measurement

Child First affiliate agencies must meet fidelity standards in three areas: programmatic, outcomes, and clinical. Sites provide data on program metrics (process data) and assessments (outcome data) on families who were referred and served. The National Program Office analyzes the data, including changes over time, for evaluation purposes. It provides agencies with a monthly program metrics report and a quarterly assessment report to promote program improvement. Program metrics are analyzed to check that each Child First affiliate meets established fidelity standards. Data are collected from the CFCR or another database using the CFAB. Additionally, affiliate agencies conduct chart reviews during the accreditation process and at other times to measure program metrics.

Staff review three sources of information to measure clinical fidelity: (1) a clinical fidelity framework, which incorporates fidelity standards for child-parent psychotherapy and other intervention components, and is reviewed monthly during reflective clinical supervision; (2) video recordings of reflective clinical consultation sessions to identify areas in need of further consultation and training; and (3) the child and family plan of care.


Fidelity Standards

Programmatic fidelity standards include benchmarks such as the number of visits conducted per week, the number of families served, the ages of children, use of assessments, connection to community resources, prioritization of waitlist, and others. Standards for program outcomes are based on changes in assessment scores from baseline, to six months, to program discharge.



The information contained on this page was last updated in June 2016. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the Child First executive director on May 12, 2016. HomVEE reserves the right to edit the profile for clarity and consistency.