Background Early trauma exposure can have long‐term negative health effects. Few young children receive evidence‐based trauma treatment. This article explores the feasibility of implementing Child–Parent Psychotherapy (CPP), an evidence‐based intervention, in rural public health agencies. Method Twenty‐three clinicians across four agencies were trained. Training outcomes and implementation barriers and facilitators were assessed. Results One hundred twelve client–caregiver dyads began the year‐long treatment; 50% are currently enrolled or have completed treatment. Barriers and facilitators to implementation were identified. Conclusions CPP is feasible to implement in rural community mental health agencies. Important lessons were learned related to planning, implementation, and sustainability.