ABSTRACT
Health care systems and governments around the world, noting the strong evidence, are adopting and promoting evidence-based psychological interventions. In a randomized, double-blind, placebo-controlled trial, patients with panic disorder who received 50-mg doses of D-cycloserine prior to a brief evidence-based psychological treatment were significantly more likely to achieve a clinically significant change status than were participants who received a pill placebo. Impressive efforts include state dissemination programs that facilitate centralized training in and use of evidence-based psychological treatments as well as programs directly pursued by the very developers of evidence-based treatments. In every survey taken, consumers prefer psychological treatments to drug treatments by a wide margin. This factor will become increasingly important as dissemination and implementation efforts, currently in the early stage of development, become more widespread. Dissemination efforts constitute the purposeful distribution of relevant information and materials to practitioners, and implementation efforts constitute the adoption and integration of disseminated information and materials into actual clinical practice.
