Toriello, P.J., Morse, P., Morse, E.V., Keferi, J.E., & Pedersen-Wasson, E. (2006). Facilitating the adoption of empirically-supported substance abuse interventions with a continuous quality improvement model: A case study. Journal of Rehabilitation Administration, 30(4), 241-252.

Despite the availability of empirically-supported substance abuse interventions, research shows that many agencies continue to use interventions with no empirical support. Even though manuals and technical assistance are available to facilitate empirically-supported interventions' (ESIs') dissemination and adoption, substance abuse counselors are not adopting these interventions in a widespread manner. Thus, the purpose of this article is to describe the "Rapid Cycle Change" approach as a continuous quality improvement (CQI) model that agencies providing substance abuse services can employ to facilitate empirically-supported intervention adoption, compatibility, and optimization. Specifically, an introduction to how a continuous quality improvement model can mitigate ESI adoption challenges for substance abuse agencies is delineated, followed by a description of the Rapid Cycle Change model. The practical application of this model is exemplified via a case study from a substance abuse counseling agency's use of the model as part of a national collaborative project. Finally, implications from taking this approach are discussed.