There is a significant literature that documents implementation strategies and their effectiveness. There is a comprehensive synthesis of the literature on implementation (Fixsen, Naoom, Blase, Friedman, and Wallace, 2005) that provides guidance to those planning an effective change in their organization. Effective implementation requires at least three components: fidelity, sufficient scale, and sustainability. First, the program/practice must be faithful to the essential components of the EBP. Second, the program must have sufficient scale, in that it should involve the participation of at least 60 percent of those who would benefit from the service. Third, the programs or services must be able to withstand and plan for staff turnover, changes in contracts, decreased interest, and other factors that could weaken the program over time. Effective implementation also requires the use of "drivers" and "stages." Drivers are specific components that interact with one another to promote change. The three main categories of drivers are staff competency, organizational supports, and leadership. "Stages" describes the various processes organizations must undergo in order to ensure effective implementation. The stages of implementation include exploration, installation, initial implementation, and full implementation. The essential elements of each of these stages are described. Following full implementation, an EBP must be continuously assessed, evaluated, and improved. The leadership should have a mindset of continuously improving an organization's efficiency and effectiveness in implementing EBPs. 3 figures and 7 references