The dissemination and implementation of evidence-based psychological treatments: A review of current efforts.

Abstract

Recognizing an urgent need for increased access to evidenced-based psychological treatments, public health authorities have recently allocated over $2 billion to better disseminate these interventions. In response, implementation of these programs has begun, some of it on a very large scale, with substantial implications for the science and profession of psychology. But methods to transport treatments to service delivery settings have developed independently without strong evidence for, or even a consensus on, best practices for accomplishing this task or for measuring successful outcomes of training. This article reviews current leading efforts at the national, state, and individual treatment developer levels to integrate evidence-based interventions into service delivery settings. Programs are reviewed in the context of the accumulated wisdom of dissemination and implementation science and of methods for assessment of outcomes for training efforts. Recommendations for future implementation strategies will derive from evaluating outcomes of training procedures and developing a consensus on necessary training elements to be used in these efforts.

Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use: Updates and Recommendations 2007–2013

“…Fidelity and sustainability of evidence-based ASU treatment in routine care: Although every treatment model presented in this review is articulated in a manual or other readily available resource, it has nevertheless proven exceedingly difficult to import research-developed models in community settings with fidelity. One potential solutionpurveyor-driven fidelity procedures designed to scaffold local model implementation-can be resource-intensive and has uncertain success rates (McHugh & Barlow, 2010). There is enormous demand for innovative quality assurance methods that can sustain evidence-based approaches using routine intramural procedures and resources (Hogue, Ozechowski, Robbins, & Waldron, 2013).…”

Development and psychometric evaluation of the Assessment of Core CBT Skills (ACCS): An observation-based tool for assessing cognitive behavioral therapy competence.

“…The other four domains relate to CBT-specific competences, including basic CBT competences such as knowledge of cognitive-behavioural principles, the use of specific CBT techniques, problem-specific competences (aka protocol or disorder-specific interventions), and metacompetences such as the ability to select and apply appropriate CBT methods. Tools for measuring competence in delivering CBT provide a means of assessing the training of new CBT therapists and ensuring the quality of treatment provision within routine practice, provide a framework for delivering formative feedback, promote ongoing self-reflection, and are essential to establishing treatment integrity in research trials (Dobson & Singer, 2005;Laireiter & Willutzki, 2003;McHugh & Barlow, 2010;Weck, Bohn, Ginzburg, & Ulrich, 2011). As such, it is imperative that therapists, assessors, and researchers alike have access to valid, reliable, and usable measures for assessing CBT competence.…”

The impact criminal history has on the employability of African American and Latino populations with disabilities receiving state vocational rehabilitation services: Implications for adding a criminal history variable to the RSA-911 data

“…It appears that the needs of today's VR client demand a renewed type of VR service. The revamping of VR counseling practice to include criminal history is necessary in keeping with providing the best possible treatment or care (Barlow, Levitt, & Bufka, 1999;McHugh & Barlow, 2010).…”