A Squandered Opportunity?

Abstract

In the past decade, the push for evidence-based programs has taken on unprecedented prominence in the fields of substance abuse and correctional treatment as a key determinant for intervention funding. The National Registry of Evidence-based Programs and Practices (NREPP), managed and funded by the Substance Abuse and Mental Health Services Administration, was established in 1997 to aid community agencies in adopting intervention models for their particular clientele. Although well intentioned, the NREPP has also created opportunities that invite conflicts of interests and promulgate programs with questionable efficacy. After an exhaustive review of the literature that purports to have provided the “empirical evidence” for the NREPP registered programs, the authors found numerous irregularities in the studies with findings often based on small sample sizes. A more troubling finding is that much of the supporting literature is produced by the program developers themselves. There is a general lack of independent verification of the claimed treatment effects. If the NREPP is to fulfill its intended function, a tighter vetting process is needed for programs to be registered so that community agencies and treatment practitioners can consult with confidence.