dr. clark, i want to move on to what is samhsa currently doing in terms of workforce development to really begin to get practitioners to understand and to adopt evidence-based practices? well, as was mentioned, we are working with organized medicine through our sbirt efforts, through our attcs. we also have a medical residency component of our screening brief intervention referrals or treatment strategy, but we are also working with our colleagues at hersa and the nih and ondcp, so that we can diffuse that information. it is key to recognize that recovery, as it were, or a public health approach to behavioral health requires a broader overview, not just, as tom pointed out, not just specialty care. it is the full spectrum of care because some problems are just risky problems. the person was drinking three drinks and has minor problems. if we don't address that, then when we-we wait long enough, they'll go from three drinks and minor problems to six drinks and major problems at a single setting.

dr. clark said, nobody can argue that you need more evidence for the things that you do. every parent demands it for treatments for their children. every treatment provider can see that things are working and they really wonder why do we need researchers telling me. and the reason for that is they don't see people who don't show up again. they don't see people who have left treatment and relapsed. that's the kind of stuff that research can inform practice about. but it's equally important for practice to inform research. dr. laudet, why is the dissemination of research findings to practitioners in the field of behavioral health an issue of concern? it's an issue of concern because, generally speaking, as researchers, we've had a tendency to do this in a one-way street, so that we come into a treatment-we either design an intervention or we come into a treatment organization as experts. we tell them what we're going to do or what they should be doing without really consulting with them in terms

dr. clarkwhat does research to practice mean and what does it mean for a methodology or a practice to be evidence-based? research to practice is a concept that captures the evolvement in the research community with regard to various aspects of, in this case, substance abuse or mental health care in an effort to increase the ability to positively affect the individual who's affected by it. so, evidence-based, then, is mobilizing administrative, clinical, and research information to enhance the quality of care and the effectiveness of care in order