“…However, a few studies have found that smaller agencies are more likely to implement EBPs (e.g., Delany, Broome, Flynn, & Fletcher, 2001;Miller, 2001), and some studies have found no effect of organization size (e.g., Ducharme et al, 2007;Grella et al, 2007). Evidence for program location is limited, but a few studies suggest that urban programs are more likely than rural programs to implement EBPs or innovative technologies (Fendrick, Escarce, McLane, Shea, & Schwartz, 1994;Poulsen et al, 2001). Biegel et al (2003) noted that rural agencies implementing IDDT encountered difficulties, such as clinicians having significant non-COD caseloads (and thus having to split their focus on different types of clients), few housing resources, travel distances that limited outreach and engagement, and agency financial stress.…”