Over the past decade, prominent federal substance abuse agencies have put a great deal of effort toward ensuring that evidence-based practice (EBP) is being utilized in the treatment of addiction. This effort was galvanized by a 1998 report from the Institute of Medicine calling for improvements in healthcare, which included the implementation of practices proven effective through scientific research (EBPs). However, the majority of frontline agencies that treat people suffering from addiction — community based organizations — have been slow to implement EBPs in their work. Why are frontline workers in the field of addiction treatment hesitant to implement EBPs?







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