A public health perspective on the transport of evidence-based practices.

A public health perspective on the dissemination of empirically supported treatments is articulated, and the implications of this perspective for the foci of dissemination efforts and research are discussed. Strategies targeting multiple levels of the practice context, including payers and policy makers, will likely be needed to cultivate and sustain the demand for evidence-based treatments and to support the implementation of such treatments with fidelity. A continuous quality improvement system is recommended to document and improve the implementation and outcomes of evidence-based treatments delivered in community practice settings.