Implementing Promoting First Relationships®—Home Visiting Option

Implementation last updated: 2019

The information in this profile reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the research reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Similarly, models described here may not all have impact studies, and those with impact studies may vary in their effectiveness. Please see the Effectiveness button on the left for more information about research on the effectiveness of the models discussed here.

Training to support implementation

Requirements for program certification

PFR certification is available at the practitioner (e.g., home visitor) level. To achieve certification, the model requires practitioners to participate in PFR pre-service and in-service trainings and meet fidelity requirements (described under Pre-Service Staff Training). Practitioners receive certification in the PFR model. There is not a separate certification for PFR-Home Visiting Option.
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Pre-service staff training

PCRP offers a two-day Knowledge-Building workshop to train practitioners (e.g., home visitors) to begin implementing PFR. The workshop involves videos of caregiver-child interactions, case studies, role-playing, and reflective dialogue. On-site workshops are also available. Practitioners receive the same training on the PFR model regardless of the delivery setting or population with whom they plan to work. There is not a separate training for PFR-Home Visiting Option. PFR recommends that supervisors also attend the two-day workshop to supervise and support their staff who are implementing the model.

To become certified, practitioners are required to complete the two-day pre-service workshop and additional training (described under In-Service Staff Training). Practitioners must also meet model fidelity requirements. A PFR master trainer assesses a practitioner’s fidelity by coding and scoring a video recording of a PFR session the practitioner delivered. The practitioner must pass the fidelity coding to become certified, and is assessed annually thereafter.

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In-service staff training

PCRP offers training and support through a four-month Skill-Building mentored distance-learning training. Practitioners are required to complete the two-day pre-service workshop before enrolling in the skill-building training. During the first 5 weeks, practitioners watch recorded PFR sessions of caregiver-child interactions and discuss the sessions weekly with a PFR master trainer. During the following 10 weeks, practitioners video-record themselves delivering PFR sessions. The practitioners meet online weekly with PFR master trainers for planning and feedback.

To become certified, practitioners must complete the two-day workshop (pre-service staff training) and the four-month mentored training program (in-service staff training), and pass a fidelity assessment.

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Training materials

Training materials, including the curriculum and parent handouts, are available through PCRP and are provided during the training workshop.
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Qualified trainers

PFR master trainers with PCRP provide training. For select agencies, a train-the-trainer approach is available.
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Technical assistance

For agencies using the train-the-trainer approach, PCRP requires agency PFR trainers to participate in monthly reflective practice consultation with a master PFR trainer. Consultation includes watching caregiver-child interaction videos and helping practitioners reflect on their work and apply the PFR concepts.
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Implementation notes

The information contained on this page was last updated in July 2019. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the Barnard Center on February 26, 2019. HomVEE reserves the right to edit the profile for clarity and consistency.

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