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What Will it Take to Implement Evidence-Based Practices Statewide

Introduction Introduction This paper is based on a literature review conducted on the costs of transitioning evidence based programs and practices (EBPs) into adolescent substance abuse treatment agencies. Literature regarding transitioning of evidence-based programs and practices into adult substance abuse treatment was also examined so as to expand the narrow field of available adolescent treatment research. Although the kind of programs and approaches for adolescent substance abuse treatment is different than adult programs and approaches, the evidence-based program and practice transition process is similar. Research has been conducted on cost-benefits of a particular evidence-based program or approach and on the cost of an evidence-based treatment program, but not on the actual costs of the process of implementing an evidence-based program or practice into a substance abuse treatment agency from its initial stages of choosing an evidence-based program or practice through its transitioning into a permanent, i.e., adopted, program of the agency. This paper provides a brief overview of the progress that substance abuse researchers and practitioners have made in translating evidence-based program and practice research into " every day " substance abuse treatment practice, the factors that have been found to facilitate its transfer, some of the transition processes where costs need to be considered by the substance abuse treatment system, and finally, research–derived recommendations to support treatment providers in their quest to provide the best treatment available for their clients. Background Background Researchers in the substance abuse treatment field have devoted several decades to finding the most efficacious approaches and interventions to treat those with substance abuse and dependence problems. In turn, many of these efficacious treatment approaches have been through diffusion or translational research studies to test their effectiveness within community based clinical practice, yet diffusion of even the most well-tested of these interventions has been slow The Institute of Medicine's (IOM) seminal book, " Bridging the Gap between Practice and Research " (Lamb et al., 1998) articulated the need to speed the adoption of effective treatments by closing the gap between the day to day substance abuse treatment practitioners and the researchers promoting the use of scientifically proven effective practices and programs. The book also described the structural, financial, educational, and public policy barriers in closing that gap. The question of how to facilitate transfer of that research into clinical practice has been a federal research priority over the past decade and much work has been done …