Evidence-based treatment research: advances, limitations, and next steps
Abstract
This article highlights the development of evidence-based treatments (EBTs), the accomplishment their development reflects, and the limitations of current variations as a way of providing mental health services and care. Rather than review EBTs, I use the occasion to provide an overview of my work on the development of treatments for children referred clinically for aggressive and antisocial behavior. This work reflects a larger genre of intervention research that has developed treatments for a variety of disorders. After years of research and a healthy list of EBTs, where are we and where do we need to be? It is still the case that most people in need of services do not receive them, and disparities in providing services remain enormous. The vast majority of therapies, whether evidence based or not, use a model of delivery (one-to-one in-person treatment) that is inherently limited as a way of reaching the large swath of people in need of services. Multiple models of delivery of treatment are needed. The article underscores the importance of developing these models of delivery and optimizing that development by understanding better the mechanisms of therapeutic change. (PsycINFO Database Record (c) 2011 APA, all rights reserved).
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Although evidence-based psychotherapies are numerous, providing them to all who need them remains a persistent problem because trained providers are scarce and unevenly distributed.
“Despite the proliferation of evidence-based psychotherapies for numerous mental disorders, the delivery of those treatments to those who require them is a perennial challenge, given the shortage and uneven geographic distribution of trained providers (3).”
From Behavioral Intervention Technologies: Evidence review and recommendations for future research in mental health (2013) · cites this paper as [3]
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- Authors
- Kazdin, A. E.
- Affiliations
- Yale University (US)
- Corresponding author
- Kazdin, Alan E.
- ORCID
- Kazdin, Alan E.
- Venue
- American Psychologist
- Published
- 2011-11
- Volume
- 66
- Issue
- 8
- Pages
- 685-698
- ISSN
- 0003-066X (ISSN-L)
- 1935-990X
- OpenAlex
- W2135148675
- Cited by
- 155
- References
- 72
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 14 · 2023: 10 · 2022: 10 · 2021: 10 · 2020: 7 · 2019: 7 · 2018: 8 · 2017: 9 · 2016: 7 · 2015: 22 · 2014: 12 · 2013: 21 · 2012: 7
- FWCI
- 13.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Psychologist (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health
- William T. Grant Foundation
- Robert Wood Johnson Foundation
- Rivendell Foundation of America
- Leon Lowenstein Foundation
- Yale University
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- evidence-based treatment, treatment development, aggression, antisocial behavior, children, access to mental health care, service disparities, intervention research
- MeSH terms
- Child, Child Behavior Disorders, Humans, Psychology, Clinical, Evidence-Based Practice
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