Gaps, Bridges, and the Bumpy Road to Improving Clinic-Based Therapy for Youth
Article first published online: 22 MAR 2013
© 2013 American Psychological Association. Published by Wiley Periodicals, Inc., on behalf of the American Psychological Association.
Clinical Psychology: Science and Practice
Volume 20, Issue 1, pages 107–113, March 2013
How to Cite
[Clin Psychol Sci Prac 20:107–113, 2013]
- Issue published online: 22 MAR 2013
- Article first published online: 22 MAR 2013
- Manuscript Accepted: 18 DEC 2012
- Manuscript Received: 11 NOV 2012
- children's mental health;
- dissemination and implementation science;
- evidence-based treatments;
- science-practice gap
It has been proposed that one way of strengthening the effects of evidence-based treatments for youth in service clinics is to improve treatment integrity in these settings. Four assumptions related to this recommendation are evaluated in light of findings from effectiveness studies. The absence of evidence on links between treatment integrity and treatment outcome in effectiveness trials makes it difficult to estimate the potential benefits of many of the proposed quality control strategies. Incremental changes in methods to improve treatment integrity in service clinics must be considered in the context of structural barriers to implementation.