(initiated 2006) PMTO began in the Netherlands in 2006 with 2 cohorts of practitioners from 3 agencies throughout the country trained by ISII; 26 were certified as specialists, and groups were then selected for training as trainers, coaches, and fidelity raters. A core team from the first generation leadership translated and culturally adapted PMTO materials, manuals, and graphics from English to Dutch, collaborating with ISII to ensure understanding of concepts and model fidelity. PMTO in the Netherlands has grown to more than 59 active clinicians and served more than 4,000 families. This full transfer program has created a strong nationwide infrastructure and continues to train its own leaders, trainers, coaches and fidelity raters. Netherlands PMTO participates as one of the European SPARE project sites.