1. 1 Today’s Exciting Episode : Where the Rubber Meets the Road: Reflections on Implementing Evidenced-Based Treatments and Approaches in a Level Three Site Or When the “Paradigm Shift” Hits the Fan

2. 2 Implementation challenges : Who’s Driving? CEO? Administrator? Clinical Supervisor? Is there a team and a “Pit Crew’? Student drivers’ accountable to process and model? Who is giving the road test? Can they influence driving practice, student buy-in What else is happening now?

3. 3 Training: Learner’s Permit Inclusion: Feeling valued (“it has my picture on it!”) Getting the big picture Validating the difficulties Enthusiasm for new skill Driver’s manual to driver’s seat Is this trip necessary?

4. 4 Driver’s Ed Committing to practice time behind the wheel Driving with the instructor in the car Learning new skills/Unlearning old habits

5. 5 Driving with the Experts: Mario Andretti Danica Patrick Jeff Gordon

6. 6 Are we there yet?