Sustainability depends on a number of factors, such as:

• A consistent referral base
• Trained therapists - this requires a plan to handle staff turnover and train/certify new therapists as needed over time
• Support from program administrators
• The ability to demonstrate outcomes to stakeholders
• A source of on-going funding

TF-CBT services provided to youth may be funded in a number of ways. The most common arrangement is billing TF-CBT to insurance companies as outpatient therapy or as a part of other fee-scheduled services. In these cases, it is important to ensure therapists being trained to deliver TF-CBT are already credentialed with insurance panels or meet the requirements to be eligible for credentialing (requirements vary by insurance company). Organizations or individuals that bill insurance will need to be knowledgeable about the procedures, policies, and compliance standards for doing so.

While agencies’ initial goal may be to have therapists trained and Nationally Certified in TF-CBT, it is important to note that, in order to become re-certified, therapists will need continued experience providing TF-CBT. Initial certification should not be considered an end-goal; an effort should be made to ensure therapists trained in the model have on-going opportunities to work with trauma cases and obtain TF-CBT or trauma-related trainings.