Best Practice, Expected Practice, and the Challenge of Scale

Michael W. Smull, Mary Lou Bourne, and Helen Sanderson (2010) 

State developmental disabilities (DD) systems have supported the development of best practice pilots and have defined the desired best practice outcomes. But the challenge to move typical practice toward best practice to "take best practice to scale" remains. To do this, state leaders need to clarify what "expected practice" is and create positive pressure for change so that there are a set of actions that move typical practice toward best practice. This report provides insight in taking practices to scale.

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