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RELATIONSHIP OF EVIDENCE-BASED PRACTICE AND TREATMENTS: A SURVEY OF COMMUNITY MENTAL HEALTH PROVIDERS
Michelle A. DiMeo, G. Kurt Moore,
Carolyn Lichtenstein,
Corresponding Author
G. Kurt Moore
Walter R. McDonald & Associates, Inc.
Correspondence to: G. Kurt Moore, WRMA, Inc., Denver, Colorado.Search for more papers by this authorMichelle A. DiMeo, G. Kurt Moore,
Carolyn Lichtenstein,
Corresponding Author
G. Kurt Moore
Walter R. McDonald & Associates, Inc.
Correspondence to: G. Kurt Moore, WRMA, Inc., Denver, Colorado.Search for more papers by this authorAbstract
Evidence-based treatments (EBTs) are interventions that have been proven effective through rigorous research methodologies. Evidence-based practice (EBP), however, refers to a decision-making process that integrates the best available research, clinician expertise, and client characteristics. This study examined community mental health service providers’ knowledge of EBP and perceived advantages, disadvantages, reasons for not implementing full EBT protocols, and attitudes toward EBTs. Qualitative examination of mental health service providers’ definitions of EBP reveals confusion between the terms EBP and EBT. Service providers indicated several advantages and disadvantages of using EBTs. Analysis suggests that many perceived EBT disadvantages would be eliminated if EBTs are implemented as part of the EBP approach, thus allowing for clinician expertise and patient characteristics to be combined with EBTs. Alternatively, distinguishing between EBP and EBT may be more confusing than useful for most community mental health practitioners, which indicates new terminology may be needed.
REFERENCES
- Aarons, G.A. (2004). Mental health provider attitudes toward adoption of evidence-based practices: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6(2), 61–74.
- Aarons, G.A., Glisson, C., Hoagwood, K., Kelleher, K., Landsverk, J., & Cafri, G. (2010). Psychometric properties and U.S. national Norms of the Evidence-Based Practice Attitude Scale (EBPAS). Psychological Assessment, 22(2), 356–365.
- Aarons, G.A., McDonald, E.J., Sheehan, A.K., & Walrath-Greene, C.M. (2007). Confirmatory factor analysis of the Evidence-Based Practice Attitude Scale (EBPAS) in geographically diverse sample of community mental health providers. Administration and Policy in Mental Health and Mental Health Research, 34(5), 465–469.
- American Psychological Association. (2005). Policy statement on evidence-based practice in psychology. Retrieved from http://www.apa.org/practice/ebpreport.pdf
- American Psychological Association. (2006). Evidence-based practice in psychology. American Psychologist, 61, 271–285.
- Baker, D.B., & Benjamin, L.T. (2000). The affirmation of the scientist-practitioner. A look back at Boulder. American Psychologist, 55(2), 241–7.
- Benish, S.G., Imel, Z.E., & Wampold, B.E. (2008). The relative efficacy of bona fide psychotherapies for treating post-traumatic stress disorder: A meta-analysis of direct comparisons. Clinical Psychology Review, 28(5), 746–58.
- Chambless, D.L., & Hollon, S.D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7–18.
- Charmaz, K. (2000). Grounded theory: Objectivist and constructivist methods. In N.K. Denzin & Y.S. Lincoln (Eds.) Handbook of qualitative research ( 2nd ed., pp. 509–534). Thousand Oaks, CA: Sage.
- Checkbox. (2007). Checkbox Survey Online, professional version. Cambridge, MA: Prezza Technologies.
- Cohen, J.A., Mannarino, A.P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York: The Guilford Press.
- Cook, J.M., Biyanova, T., & Coyne, J.C. (2008). Barriers to adoption of new treatments: An Internet study of practicing community psychotherapists. Administration and Policy in Mental Health and Mental Health Services Research, 36(2), 83–90.
- Cook, J.M., Schnurr, P.P., Biyanova, T., & Coyne, J.C. (2009). Apples don't fall from the tree: Influences on psychotherapists’ adoption and sustained use of new therapies. Psychiatric Services, 60, 671–676.
- Dillman, D. (2000). Mail and Internet surveys: The tailored design method. New York: John Wiley and Sons, Inc.
- Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K., Mayberg, S., … The Research Network on Youth Mental Health (2008). Assessing the Organizational Social Context (OSC) of mental health services: Implications for research and practice. Administration and Policy in Mental Health and Mental Health Services Research, 35, 98–113.
- Goodheart, C.D., Kazdin, A.E., & Sternberg, R.J. (2006). Evidence-based psychotherapy: Where practice and research meet. Washington, DC: American Psychological Association.
10.1037/11423-000 Google Scholar
- Institute for the Advancement of Social Work Research. (2007). Partnerships to integrate evidence-based mental health practices into social work education and research. Bethesda, MD: National Institute of Mental Health (NIMH).
- Isaacs, M.R., Huang, L.N., & Echo-Hawk, H. (2005). The road to evidence: The intersection of evidence-based practices and cultural competence in children's mental health. Washington, DC: National Alliance of Multi-Ethnic Behavioral Health Association.
- Kazdin, A.E. (2008). Evidence-based treatment and practice: New opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care. American Psychologist, 63(3), 146–159.
- Kohlbacher, F. (2005). The use of qualitative content analysis in case study research. Retrieved from http://nbn-resolving.de/urn:nbn:de:0114-fqs0601211
- Lipsey, M., & Wilson, D. (1993). The efficacy of psychological, educational, and behavioral treatment: Confirmation from meta-analysis. American Psychologist, 48, 1181–1209.
- Luebbe, A.M., Radcliffe, A.M., Callands, T.A., Green, D., & Thorn, B.E. (2007). Evidence-based practice in psychology: Perceptions of graduated students in scientist-practitioner programs. Journal of Clinical Psychology, 63, 6433–655.
- Martinez, K., Callejas, L., & Hernandez, M. (2010). Community-defined evidence: A bottom-up behavioral health approach to measure what works in communities of color. Emotional & Behavioral Disorders in Youth, Winter 2010, 11–16.
- Mayring, P. (2000). Qualitative content analysis. Retrieved from http://qualitative-research.net/fqs/fqs-e/2-00inhalt-e.html
- Mullen, E.J., Bellamy, J.L., Bledsoe, S.E., & Francois, J.J. (2007). Teaching evidence-based practice. Research on Social Work Practice, 17(5), 574–582.
- National Institute of Mental Health. (2011). Optimizing fidelity of empirically supported behavioral treatments for mental disorders. Retrieved from http://www.nimh.nih.gov/research-funding/grants/concept-clearances/2011/optimizing-fidelity-of-empirically-supported-behavioral-treatments-for-mental-disorders.shtml
- Nelson, T.D., Steele, R.G., & Mize, J. (2006). Practitioner attitudes toward evidence-based practice: Themes and challenges. Administration and Policy in Mental Health and Mental Health Services Research, 33, 398–409.
- Pagoto, S.L., Spring, B., Coups, E.J., Mulvaney, S., Coutu, M.F., & Ozakinci, G. (2007). Barriers and facilitators of evidence-based practice perceived by behavioral science health professionals. Journal of Clinical Psychology, 63(7), 695–705.
- Ruzek, J., Brymer, M., Jacobs, A., Layne, C., Vernberg, E., & Watson, P. (2007). Psychological First Aid. Journal of Mental Health Counseling, 29(1), 17–49.
10.17744/mehc.29.1.5racqxjueafabgwp Google Scholar
- Shapiro, D. (2002). Renewing the scientist-practitioner model. Psychologist-Leicester, 15(5), 232-235.
- Shapiro, D.A., & Shapiro, D. (1982). Meta-analysis of comparative therapy outcome studies: A replication and refinement. Psychological Bulletin, 92, 581–604.
- Spring, B. (2007). Evidence-based practice in clinical psychology: What it is, why it matters; What you need to know. Journal of Clinical Psychology, 63, 611–631.
- Straus, D.L., & McAlister, F.A. (2000). Evidence-based medicine: A commentary on common criticisms. Canadian Medical Association Journal, 163, 837–841.
- Stroul, B.A., & Friedman, R.M. (1986). A system of care for children and youth with severe emotional disturbances (rev. ed.). Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.
- U.S. Department of Health and Human Services. (1999). Mental health: A report of the Surgeon General. Rockville, MD: Author.
- U.S. Department of Health and Human Services. (2003). New Freedom Commission on Mental Health: Achieving the promise: Transforming mental health care in America. Final Report. Rockville, MD: Author.
- Weisz, J.R. (2004). Psychotherapy for children and adolescents: Evidence-based treatments and case examples. Cambridge, UK: Cambridge University Press.
10.1017/CBO9780511734960 Google Scholar
- Weisz, J.R., & Jensen, A.L. (2001). Child and adolescent psychotherapy in research and practice contexts: Review of the evidence and suggestions for improving the field. European Journal of Child and Adolescent Psychiatry, 10, 12–18.
- Weisz, J.R, Jensen-Doss, A., & Hawley, K. (2006). Evidence-based youth psychotherapies versus usual clinical care: A meta-analysis of direct comparisons. American Psychologist, 61(7), 671–689.
- Wilson, J.L., Armoutliev, E., Yakunina, E., & Werth, J.L. (2009). Practicing psychologists’ reflections on evidence-based practice in psychology. Professional Psychology: Research and Practice, 40, 403–409.
