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Chunk #13 — Stage 3 and Beyond: Dissemination and its Challenges

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Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again.
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Kendall, 2010; Henggeler, Chapman, Rowland, Sheidow, & Cunningham, 2013; W.R. Miller, Yahne, Moyers, Martinez, & Pirritano, 2004; Schoenwald, Sheidow, & Chapman, 2009), including CBT (Rakovshik, McManus, Vazquez-Montes, Muse, & Ougrin, 2016; Rakovshik et al., 2013; Sholomskas et al., 2005). The lack of supervision and monitoring of clinician implementation of evidence-based treatments in clinical practice suggests that CBT and other EBPs, in practice, may bear little resemblance to the more closely monitored versions of those treatments as implemented in randomized clinical trials demonstrating their efficacy (Martino et al., 2016).