The Good Behavior Game (GBG), a universal classroom management intervention, has shown clear benefits in promoting the behavioral, social-emotional, and academic development of students. However, the quality with which this intervention is delivered tends to diminish over time, which decreases the likelihood of these positive outcomes. By…

To examine treatment fidelity in a randomized controlled trial of indicated school-based cognitive-behavioral therapy (CBT) delivered in groups to youth with anxiety. We investigated whether adherence and competence (a) differed across brief and standard-length CBT, and (b) if adherence and competence predicted change in anxiety symptoms and…

While the measurement of treatment integrity is important to determine how much, and how well, interventions are delivered in schools, the science of treatment integrity is not well developed in education research. The purpose of this paper is to describe a program of research that has developed treatment integrity measures over the past 10 years…

This commentary for the special issue on integrity measurement in school mental health research advocates that pragmatism is centralized in implementation and fidelity efforts for evidence-based behavioral interventions (EBIs). Specific recommendations include focusing on augmenting existing practices and core element interventions; developing…

Social-emotional learning (SEL), character education, and positive behavior intervention and supports (PBIS) are common approaches to Tier 1 universal social, emotional, and behavioral (SEB) supports in schools. There has been emerging evidence supporting the superior effect of integrated prevention that combines approaches to Tier 1 universal SEB…

Treatment integrity is critical to realizing the effects of evidence-based programs and practices (EBPPs) that aim to promote student mental and behavioral health. Across disciplines, time is consistently referenced as one of the most significant barriers to successful implementation outcomes (e.g., treatment integrity) of EBPPs. However, there is…

Teacher consultation is commonly used to ensure that classroom-based interventions are implemented with fidelity to achieve targeted outcomes, yet the consultation process is not well understood. Consultant-teacher relationship quality is one feature of consultation that may promote intervention outcomes--both directly and indirectly via teachers'…

Teacher-reported measures of treatment integrity (the extent to which prescribed practices are delivered as intended by teachers) have the potential to support efforts to evaluate and implement evidence-based interventions in early childhood settings. However, self-report treatment integrity measures have shown poor correspondence with…

Teen Mental Health First Aid (tMHFA) is an evidence-based program developed in Australia that teaches young people in grades 10-12 how to identify and respond to signs of mental health challenges and crises among peers. Recognizing the growing adolescent mental health crisis in the USA, the National Council for Mental Wellbeing, in partnership…

Social and emotional learning (SEL) programs have become increasingly popular during the last 20 years. Although the benefits of SEL programs are significant, the issue of implementation fidelity often arises. The purpose of this study was to assess the impact of implementation fidelity in the Life Skills Training (LST) program implemented with…

The development of a warm and supportive relationship with their teacher is protective for preschool children, and particularly beneficial for children who display early disruptive behaviors. "Banking Time" is a dyadic, short-term intervention to improve the quality of teacher-child interactions between a teacher and a specific child,…

The emphasis on social-emotional competence and its importance to positive academic and nonacademic outcomes has led to a focus on identifying and implementing effective practices for supporting young children's social-emotional competence. Our work to identify, validate, and support the fidelity of implementation of evidence-based practices to…

This study tested an integrated package for high-quality school mental health (SMH) services involving quality assessment and improvement, family engagement and empowerment, modular evidence-based practice, and implementation support. Within a two-year randomized controlled trial, 35 clinicians, who provided services to 529 students and their…

Assessing treatment integrity is essential to understanding how well school-based interventions are delivered. The assessment of treatment integrity is especially challenging for interventions that provide one-on-one peer support over the phone. To address this gap, we explored treatment integrity approaches used for the "Parent…

School mental health (SMH) services are widespread but are often not well integrated into school settings, based on evidence for effectiveness, or efficiently delivered. This paper presents results of a pilot study of a brief (4 session) assessment, engagement, triage, and initial intervention strategy for SMH clinicians working in high schools.…