Implementing and Evaluating Evidence-Based Treatments of Conduct Problems in Children and Youth in Norway

This article sums up 8 years of experience with evidence-based programs in the treatment of conduct problems in children and youth. A conceptual model describing the implementation components relevant to the Norwegian project is presented and discussed. Next, we describe a case study of the implementation strategy accompanied by outcomes from the clinical trials of Multisystemic Therapy (MST) and Parent Management Training-the Oregon model (PMTO). The national implementation strategy for evidence-based treatment programs is a combination of a "top-down'' and "bottom-up'' approach to implementation based on collaborative efforts of a national center for dissemination, implementation, and research and the public child and adolescent service system operating in the municipalities. The strategy further includes recruitment of candidates for training through the various service systems and the establishment of permanent networks for collaboration, supervision, and support.