Although the PEARLS Program has developed a sound evidence base that shows its effectiveness for treating depression in older adults and adults with epilepsy, translating the PEARLS Program from scientific knowledge to everyday practice can be a slow process. However, by anticipating and overcoming barriers that exist within and outside an organization, the time to successful implementation of PEARLS can be significantly reduced. A key step in implementing an evidence-based program like PEARLS is an organization’s ability to overcome barriers that exist within and outside of the system.
In this section, we identify some of the common obstacles that organizations may face when attempting to implement the PEARLS Program, and we suggest solutions and strategies for overcoming them. Much of this information is based on the experience of organizations that have successfully implemented the PEARLS Program and are familiar with the realities of “real world” systems and providers.