1. Evidence Based Practices tools for improved mental health services
Teri S. Brister, Ph.D., LPC
NAMI Iowa State Conference
November 16, 2018

2. What is EBP?
Why is it important?
Are any NAMI programs EBPs?
What’s new at NAMI?
Q&A

3. What is EBP?
Clinical research shows that a treatment produces positive outcomes
The treatment has been shown effective in repeated studies
The studies have been published in peer-reviewed journals
EBPs are treatments that have been shown through clinical research to produce positive outcomes, or good results.
The treatment must be shown to be effectivein repeated studies
EBP of mental and behavioral health care is an ongoing, collaborative approach to making decisions about services, which includes the following components
EBP begins with consideration of the best available basic and applied empirical research evidence when making decisions
EBP includes ongoing measurement and evaluation of the impact of services and if necessary outcome informed adjustments to services that are intended to maximize their effectiveness
Providers serve as a guide for collaborative decision making in EBP practice – integrating different sources of information, including recipients values and preferences, as well as the providers competence and the organizations capacity to provide effective services

4. What kind of positive outcomes?
Symptom reduction
Prevention of need for intensive, more restrictive services
Fewer hospital admissions
Less expulsions from school
Better quality of life

5. Examples of EBP therapies
CBT – Cognitive Behavior Therapy
CET – Cognitive Enhancement Therapy
DBT – Dialectical Behavior Therapy
EMDR – Eye Movement Desensitization and Reprocessing
Multisystemic therapy

6. We have a right to know -
There is more to psychotherapy than just “talking”
There is more to using medication as a treatment component than just writing a prescription
Not every healthcare professional has expertise in every type of therapy
We need to know if the treatment being provided is legitimate
Does it work?
Does it work for my diagnosis?
Does it work for people my age? My ethnicity?
Are you qualified/certified to provide this type therapy?
What experience have you had with it?
REMEMBER:
Mental illness is no one’s fault
You can’t know what no one has told you
Bio- psycho- social approach is necessary!

7. How do I know if a program is EBP?
NREPP – National Registry of Evidence Based Programs and Practices – suspended spring 2018
Evidence Based Practices Resource Center

8. What about NAMI Programs as EBPs?
EDUCATION
SUPPORT
AWARENESS

10. Listed on SAMHSA Evidence Based Practices Resource Center
Eligible for including on EBPRC list
Research published in Journal of child and family studies (2012), RCT study currently underway
RCT study beginning January 2019 of new IOOV program

11. Research on Other Programs
Study recently completed currently being submitted for publication
Study in process through UT at El Paso on the new program
Prior research at the Menninger clinic in Houston, current research underway at the Des Moines School of Medicine

13. What’s new at NAMI? NAMI Provider workshop at APA accepted
NAMI Family & Friends seminar
NAMI ETS expansion
APA CSS–SMI: Clinical Support System for SMI “SMI Advisor”
NAMI Basics online
Youth and Young Adults Initiatives position
NAMI Iowa was the first state to take on Family & Friends post pilot – thank you to Vicky Walters for helping test everything

14. What’s new at NAMI? Navigating a Mental Health Crisis Guide
Circle of Care: Guidebook for Mental Health Caregivers
NAMI Iowa was the first state to take on Family & Friends post pilot – thank you to Vicky Walters for helping test everything

15. Remember