ABSTRACT
This chapter reviews current leading efforts at the national, state, and individual treatment developer levels to integrate evidence-based interventions into service delivery settings. It also reviews leading dissemination and implementation programs at the national, state, and individual treatment developer levels in order to examine strategies used by the programs, commonalities among them, and the extent to which they target the usual and customary barriers to adoption of emerging knowledge. 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. Many barriers can arise throughout the dissemination and implementation process, and achieving success requires the management of several of these barriers, including negative perceptions of the innovation, challenges to implementing a new procedure in an existing system, and the potential for drift in utilization over time.
