There is an apparent disconnect between the understanding of best practice and service delivery in the support of people with learning disabilities at risk of behaviours that challenge. We suggest, is a problem of implementation. The purpose of this paper is to explore reasons why this might be the case: a failure to recognise the collective works of successive generations of research and practice; and a failure to address the macro-systems involved and systems changes needed to support implementation. Design/methodology/approach: This paper reviews the consensus that exists in respect of best practice. Drawing upon ideas from implementation science the paper highlights the complexities involved in the implementation of all evidence-based practices and uses this as a framework to propose ways in which an infrastructure that facilitates the delivery of services in the learning disabilities field might be built. Findings: This paper highlights core recommended practices that have been consistent over time and across sources and identifies the systems involved in the implementation process. This paper demonstrates that many of the necessary building blocks of implementation already exist and suggests areas that are yet to be addressed. Critically, the paper highlights the importance of, and the part that all systems need to play in the process. Originality/value: In the absence of any generalised implementation frameworks of evidence-based practice in the learning disabilities field, the paper suggests that the findings may provide the basis for understanding how the gap that exists between best practice and service delivery in the support of people with a learning disability at risk of behaviours that challenge might be closed.

中文翻译：

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实施循证实践：为面临挑战行为风险的学习障碍者提供有效方法的挑战

在支持面临挑战行为风险的学习障碍者方面，对最佳实践的理解与服务提供之间存在明显的脱节。我们建议，是执行的问题。本文的目的是探讨出现这种情况的原因：未能认识到连续几代研究和实践的集体成果；以及未能解决所涉及的宏观系统和支持实施所需的系统变化。设计/方法/途径：本文回顾了在最佳实践方面存在的共识。该论文借鉴了实施科学的思想，强调了实施所有循证实践所涉及的复杂性，并以此为框架提出了可能建立有助于在学习障碍领域提供服务的基础设施的方法。调查结果：本文重点介绍了随着时间和来源保持一致的核心推荐做法，并确定了实施过程中涉及的系统。本文展示了许多必要的实施构建块已经存在，并提出了尚未解决的领域。至关重要的是，本文强调了所有系统在此过程中的重要性和需要发挥的作用。原创性/价值：