Engaging the child–parent relationship to treat early trauma: The challenge and promise of scaling with fidelity

There is an urgent imperative to scale up access to effective, family‐focused mental health services for trauma‐exposed infants, toddlers, and preschoolers, who represent the most vulnerable and most underserved sector of the clinical child population. This article describes the process of scaling child–parent psychotherapy, an evidence‐based treatment currently used in 39 U.S. states and six countries, as an example of the promise and challenge of large‐scale implementation of relationship‐based treatments