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Over the past 30 years, researchers have documented effective, theory‐based programmes and practices that improve the health and well‐being of children. In order to produce measurable improvements in public health, such practices must be institutionalised; however, there are a number of barriers to translating what we know from science to what we do in practice. In the present article, we discuss a number of those barriers, including: cultural differences between those who espouse a public health, prevention science approach versus those who espouse a strengths‐building, health promotion approach; practical difficulties in documenting the evidence base for existing or newly developed programmes and practices; and inflexibility of standardised programmes and resulting insensitivity to local contexts. We discuss common ground between prevention and promotion perspectives and highlight emerging methods that facilitate the adoption of science‐based practice into community‐based services.

As one ages, the risk of experiencing a fall increases and poses a number of serious consequences; 30 per cent of individuals over 65 years of age fall each year. Evidence-based falls prevention programmes demonstrate efficacy in reducing the rate and risk of falls among older adults, but their use in Irish occupational therapy practice is unknown. This study aims to investigate the implementation of falls prevention programmes by occupational therapists working with older adults in Ireland.

A cross-sectional survey was used to gather data on the use of falls prevention programmes among occupational therapists working with older adults in any clinical setting across Ireland. Purposeful, convenience and snowball sampling methods were used. The Association of Occupational Therapists of Ireland acted as a gatekeeper. Descriptive statistics and summative content analysis were used to analyse quantitative and qualitative data, respectively.

In all, 85 survey responses were analysed. Over 85 per cent of respondents reported “Never” using any of the evidence-based falls prevention programmes. The “OTAGO” Exercise Programme was the most “Frequently” used programme (9.5 per cent, n = 7); 29 respondents reported using “in-department” developed falls prevention programmes and 14 provided additional comments regarding current falls prevention practices in Ireland.

In the absence of Irish data on the subject, this study provides a benchmark to describe the use of evidence-based falls programmes by Irish occupational therapists with older adults.

The article aims to examine the process and challenges of setting up and implementing evidence‐based programmes in regular service systems.

The article offers a first‐hand account of a service manager seeking to implement Multisystemic Therapy and Triple P.

The process of setting up and implementing evidence‐based programmes involved significant challenges, including securing funding, managing stakeholders, finding suitable staff, arranging training, and managing supply and demand. Various relational, cultural and systemic issues need to be addressed if the professional system is to embrace evidence‐based programmes.

Few evidence‐based programmes in the UK have been implemented extensively in regular service systems. This is a first‐hand account of a rare attempt to do so.

Families referred to child welfare for maltreatment and neglect are frequently mandated to attend parenting programmes. Evidence‐based parenting programmes (EBPs) are under‐utilised or not delivered with fidelity for this population. The Incredible Years (IY) parenting programme is an EPB that has been proven to reduce harsh parenting, increase positive discipline and nurturing parenting, reduce conduct problems and improve children's social competence. There is also promising preliminary evidence that IY is an effective intervention for families involved in child welfare and for foster parents. This article describes how the updated IY parenting basic programme is delivered with fidelity to this population.

This paper describes the author's work during 35 years as a clinical psychologist in the NHS in Wales working mainly with conduct disordered children and their families. It describe how from initially working within an applied behaviour analysis (ABA) framework with individual families she subsequently established and researched the group based Incredible Years (IY) parent programme in Wales and led a Wales‐wide dissemination of the IY programmes.

The paper provides a case study example of the use of the Society for Prevention Research (SPR) criteria for translational research, that is research that can be applied successfully in the real world.

Many of the challenges were overcome through the inclusion of strategies to maximise effectiveness with differing populations, and by gaining the support of government and local services.

The paper discusses the challenges of taking an evidence‐based programme to scale.

Calls for the development and dissemination of evidence-based programs to support children and families have been increasing for decades, but progress has been slow. This paper aims to argue that a singular focus on evaluation has limited the ways in which science and research is incorporated into program development, and advocate instead for the use of a new concept, “scientific accompaniment,” to expand and guide program development and testing.

A heuristic is provided to guide research–practice teams in assessing the program’s developmental stage and level of evidence.

In an idealized pathway, scientific accompaniment begins early in program development, with ongoing input from both practitioners and researchers, resulting in programs that are both effective and scalable. The heuristic also provides guidance for how to “catch up” on evidence when program development and science utilization are out of sync.

While implementation models provide ideas on improving the use of evidence-based practices, social service programs suffer from a significant lack of research and evaluation. Evaluation resources are typically not used by social service program developers and collaboration with researchers happens late in program development, if at all. There are few resources or models that encourage and guide the use of science and evaluation across program development.

This article discusses the state of the art concerning the meaning and value of model programmes in mental health promotion and mental disorder prevention. Model programmes are considered an important instrument for improving the quality, social impact and cost‐effectiveness of promotion and prevention. However, there is a lack of conceptual clarity and insight in the processes and mechanisms for successful use of model programmes in this field. This article offers a further clarification of the concept of model programmes and discusses its pros and cons and current views on the process of programme development and programme use. The discussion will be based particularly on recent experiences with model programmes in Europe. Until recently, prevention research was directed mainly at the design and testing of new model programmes. However, successful use of the ‘model programme strategy’ requires more attention to the pre‐conditions for effective dissemination, adoption and implementation of model programmes. Only when this multi‐phased process is taken into account and the required pre‐conditions and quality criteria are specified can one expect that model programmes will be more effective at a community level. The consequences of this view for prevention science and prevention research policies are discussed. To implement such a multi‐phased process successfully, not only are conceptual clarity and a scientific underpinning crucial, but also collaborative organisational structures are needed at national and international level if the range of complementary tasks is to be executed effectively and efficiently.

Over the past 20 years, the primary focus of education policy and programming in low- and middle-income country contexts has shifted from access to quality. There has also been a laudable increase in the amount of available research about education quality in low- and middle-income countries, and a growing emphasis placed on incorporating research- and evidence-based activities and approaches into donor-funded education programs, particularly for early grade reading. Reviews of early grade reading (EGR) programs and their level of impact, however, particularly when programs are implemented at large scale, may leave some practitioners, policy makers, and donors dismayed. Effect sizes and impacts of the programs are often positive, but the absolute gains in reading performance are not as dramatic as we would like, despite the implementation of evidence-based approaches.

In education policy and implementation literature, the decoupling of policy and implementation, and the messiness involved in putting research into practice in education, are well documented. In this chapter, the authors propose the idea of “satisficing,” as it has been defined in policy and implementation literature, as a useful lens for considering the apparent decoupling of actual impacts and anticipated outcomes for programs that have adopted research- and evidence-based approaches. Using examples from EGR programs in African and Asian contexts, the authors argue that “satisficing” occurs at multiple levels, including the classroom, school, district, and even the program implementation (i.e., contractor or grantee) levels. The authors also argue that this lens has important implications for education program design and research.

Both the government and local service providers in the UK are becoming increasingly aware of the possibility of improving child outcomes through the delivery of parenting programmes. Government initiatives, such as Sure Start, Pathfinders and Flying Start are a positive step forward, yet programmes sometimes fail to work in service settings. This article describes the components necessary to deliver effective interventions, exploring the need to choose an evidence‐based parent programme, implement it with fidelity and evaluate the outcome. It describes the steps taken in North and Mid Wales to do this and reports briefly on the successful outcomes achieved by delivering the Incredible Years Basic Parenting Programme to the parents of high‐risk children in Sure Start areas.

On 20 April 1999, at Columbine High School in Colorado, two students, Eric Harris (aged 18) and Dylan Klebold (17), embarked on a massacre, killing 12 students and one teacher. The pair then committed suicide. The event provoked vigorous debate around topics such as the gun culture, bullying, violent video games, goth culture and teenage use of the internet and anti‐depressants. In nearby Boulder is the Center for the Study and Prevention of Violence, part of the University of Colorado. Del Elliott, a world‐renowned criminologist and sociologist, has been director there since 1993. Columbine was the catalyst for Del and a team of researchers, policy‐makers and practitioners to develop the Blueprints for Violence Prevention database of evidence‐based programmes. On 2 July 2009, Del gave the annual Social Research Unit, Dartington, lecture at the Commonwealth Club in London. This article is based on his talk.