Dissemination of trauma-focused cognitive-behavioral therapy with community practitioners: focus on self-efficacy.

In this article the authors report on a collaborative effort to disseminate trauma-focused cognitive-behavioral therapy (TF-CBT) with community practitioners (N = 33). They discuss the evolution and planning of this local initiative and the research component to assess practitioners' self-efficacy at the basic and advanced levels of training. Self-efficacy scores increased significantly and were positively associated with practice experience. Independent implementation effort was low due to low referral numbers. Final ratings were high for competence, the value of consultation sessions, and future use of the model. The results offer insight into this approach to dissemination and implementation.