1. Implementing Evidence- Based Practice Training in a Scientist-Practitioner Program David DiLillo Director of Clinical Training University of Nebraska-Lincoln

2. Clinical Psychology at the University of Nebraska-Lincoln History History Seven core clinical faculty Seven core clinical faculty Scientist-practitioner model Scientist-practitioner model Clinical Intervention I & II Clinical Intervention I & II

3. Training Context for EBP Clinical psychology as a health care profession Clinical psychology as a health care profession Focus on “psychological treatments” Focus on “psychological treatments”

4. The EBP Model Best available research evidence Patient preferences and values Clinical expertise EBP

5. The EBP Model Best Available Research Evidence Relevant Abilities: 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

6. The EBP Model Relevant Abilities: View therapy as a collaborative endeavor Knowledge of specific diverse groups Ability to ascertain patient values and preferences Respond effectively to patient preferences and values Patient Preferences and Values

7. The EBP Model Clinical Expertise Relevant Abilities: Understand role and limits of clinical judgment Skills in relationship building Assessment and diagnostic skills Skills to implement EST’s (e.g., specific therapeutic techniques) Integration of EST with client characteristics

8. Infusion of EBP Into Training Highlight existing consistenciess Highlight existing consistenciess Coursework Coursework Review course content Review course content Evidence-Based Clinical Interviewing class Evidence-Based Clinical Interviewing class Specific readings, papers, exams Specific readings, papers, exams

9. Infusion of EBP Into Training Practicum training Practicum training Clinical Intervention Clinical Intervention Clinic procedures Clinic procedures Clinical Comps Clinical Comps

10. Measuring Outcomes: Clinical Comps Identify relevant empirical literature for the case Identify relevant empirical literature for the case Understand the relevant empirical literature and is able to apply it appropriately to the case. Understand the relevant empirical literature and is able to apply it appropriately to the case. Identify client’s values and individual characteristics that should impact assessment and treatment planning. Identify client’s values and individual characteristics that should impact assessment and treatment planning. Incorporate client values and individual characteristics into the conceptualization Incorporate client values and individual characteristics into the conceptualization Demonstrate clinical expertise appropriate to this point in training to the case conceptualization, assessment and treatment planning. Demonstrate clinical expertise appropriate to this point in training to the case conceptualization, assessment and treatment planning.

11. Measuring Outcomes: Clinical Comps Develop a case conceptualization that follows from the empirical literature, clinical judgment and client characteristics that can guide assessment and treatment planning and implementation. Develop a case conceptualization that follows from the empirical literature, clinical judgment and client characteristics that can guide assessment and treatment planning and implementation. Develop and implement an appropriate treatment plan. Develop and implement an appropriate treatment plan. Demonstrate how therapy progress is monitored and modified as needed in light of the data. Demonstrate how therapy progress is monitored and modified as needed in light of the data.

12. Challenges to Implementing EBP Evolving model of EBP Evolving model of EBP Faculty know how and “buy in” Faculty know how and “buy in” Integration of outside supervisors Integration of outside supervisors Measuring long-term outcomes Measuring long-term outcomes