The paper presents a framework intended to help in the adoption of new early childhood special education model programs. The Concerns-Based Adoption Model (CBAM) is explained to describe how individuals undergo the change process. The diagnostic component of CBAM is described in terms of three dimensions: (1) stages of concern (the feelings of individuals involved in change), (2) levels of use (how individuals interact with a new program), and (3) innovation configurations (how the program itself is adapted). Use of a practice profile to help disseminators apply the concept of innovation configurations is discussed. Five tasks in applying CBAM to early childhood programs are identified: creating awareness, targeting dissemination, providing training and preparation, providing followup assistance, and evaluating. (CL)