Enhancing access, fidelity, and outcomes in the national dissemination of evidence-based psychotherapies

Abstract

Replies to comments by H. Holt and L. E. Beutler (see record 2014-40532-003), M. M. Steenkamp and B. Litz (see record 2014-40532-004), and L. R. Greene (see record 2014-40532-006) on the original article by B. E. Karlin and G. Cross (see record 2013-31043-001) on the national dissemination and implementation of evidence-based psychotherapies in the U.S. Department of Veterans Affairs health care system. Karlin and Cross comment on and clarify key issues raised in the commentaries and related aspects of the dissemination and implementation model. At the same time, several of the issues raised in the commentaries are beyond the scope of the original article, including issues related to specific research or the relative effectiveness of psychotherapies, on which there is rich discussion and debate in other contexts.