Organizational management: what service providers are doing while researchers are disseminating interventions.

Much of the recent discussion about how to make interventions with demonstrated effectiveness more routinely available to clients emphasizes the role of change agents in promoting service providers' use of new interventions. This study provides a complimentary perspective; it describes what happens in service provider organizations as they go about making changes in the services they provide. The data used in this study come from quarterly progress reports of participants in the National Child Traumatic Stress Network. The results provide a roadmap for anticipating the types of efforts and extent of changes that may need to occur for organizations to learn about interventions, form favorable opinions toward them, and integrate them into the services they offer.