Clinic Staff Meeting, 10/24/07 Evidence-based Practice in Psychology (EBPP) Lindsey Cohen

Clinic Staff Meeting, 10/24/07 Scientist- Practitioner Divide EBP in Medical Fields Public Policy/ Reimbursement Evidence-based Practice in Psychology Quality and Accountability

Clinic Staff Meeting, 10/24/07 APA Policy Statement on Evidence- Based Practice in Psychology (2005) “Evidence-based practice in psychology is the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences.”

Clinic Staff Meeting, 10/24/07 APA Policy Statement on Evidence- Based Practice in Psychology (2005) “Evidence-based practice in psychology is the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences.”

Clinic Staff Meeting, 10/24/07 The EBP Model- The 3-Legged Stool Best available research evidence Patient preferences and values Clinical expertise EBP

Clinic Staff Meeting, 10/24/07 Continuum of care Nomothetic (decisions based on disorders, guidelines, treatment manuals, ESTs) Evidence-based practice Idiographic (decisions based on individual patients and circumstances) Nomothetic (decisions based on disorders, guidelines, treatment manuals, ESTs) Evidence-based practice Idiographic (decisions based on individual patients and circumstances)

Clinic Staff Meeting, 10/24/07 The EBP Model – Best Available Research Evidence Best available research evidence Adopt a scientific view of clinical psychology Knowledge of clinical research design and methods Strategies for accessing best available research Ability to evaluate relevant evidence Adopt a scientific view of clinical psychology Knowledge of clinical research design and methods Strategies for accessing best available research Ability to evaluate relevant evidence

Clinic Staff Meeting, 10/24/07 The EBP Model – Patient Preferences and Values Patient preferences and values Therapy is a collaborative endeavor, shared- decision making Knowledge of specific diverse groups Ability to ascertain patient values and preferences Respond effectively to patient preferences and values Therapy is a collaborative endeavor, shared- decision making Knowledge of specific diverse groups Ability to ascertain patient values and preferences Respond effectively to patient preferences and values

Clinic Staff Meeting, 10/24/07 The EBP Model – Clinical Expertise Clinical expertise Common factors/non-specific skills Awareness of limits of clinical judgment Relationship building Assessment and diagnostic skills Ability to implement treatments Integration of EST with client characteristics Common factors/non-specific skills Awareness of limits of clinical judgment Relationship building Assessment and diagnostic skills Ability to implement treatments Integration of EST with client characteristics

Clinic Staff Meeting, 10/24/07 The EBP Model EBP Evidence-based practice is the successful integrations of these three competencies

Clinic Staff Meeting, 10/24/07 The EBP Model CD Evidence-based practice is the successful integrations of these three competencies Clinical decisions should be guided by all three areas Evidence-based practice is the successful integrations of these three competencies Clinical decisions should be guided by all three areas

Clinic Staff Meeting, 10/24/07 Some Current Activities in EBP in Psychology Developing methods and procedures to better integrate research and clinical work New search engines, databases, training modules, etc. Integrating EBP into clinical psychology training programs Developing methods and procedures to better integrate research and clinical work New search engines, databases, training modules, etc. Integrating EBP into clinical psychology training programs

Clinic Staff Meeting, 10/24/07 Discussion Questions EBP and social, community, economic perspectives? EBP and cultural issues? Do you adopt or want to adopt an EBP approach in your clinical work, research, or other professional areas? Why? What is this? Flash-in-the-pan, details regarding what is and how to be a scientist-practitioner, fix for scientist- practitioner divide, new wave, mistake? EBP and social, community, economic perspectives? EBP and cultural issues? Do you adopt or want to adopt an EBP approach in your clinical work, research, or other professional areas? Why? What is this? Flash-in-the-pan, details regarding what is and how to be a scientist-practitioner, fix for scientist- practitioner divide, new wave, mistake?

Clinic Staff Meeting, 10/24/07 Thank You