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How Do We Know What Works? Understanding Evidence- ...
Presentation Q&A
Presentation Q&A
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Video Transcription
So, while we wait for questions to come in, Dr. Resnick, I'm wondering if you can provide any guidance for, say, a frontline clinician who might be listening to the, have listened to your webinar and might be wondering about how they can begin to choose some evidence-based practices to implement and what are some steps that they can take towards implementing them in their practices? That is such a great question. And I recognize that it can be awfully hard with as busy as frontline providers are with all the different things pulling at you. It can be really hard to gain that experience and to make those decisions. I would say, you know, to put in a plug for SMI Advisor, that you guys are a tremendous resource for people who want to understand what best practice is. And I would encourage people to use you as a resource. I mean, it's really spectacular and it's so exciting that you're there. And the web can really be your friend if you're able to get onto Google Scholar, for example, and type around and see. A lot of times I have a couple of journals that I use as my guides to help me. And APA has a great journal, Psychiatric Services, which really can help us understand some of the practices that are evidence-based with some really nice summary articles that they've been publishing. So that's one journal that you can look at, as I said, Google Scholar. I guess also one of the things I also did want to mention is that a lot of people don't have access to the academic libraries and to journals. But what I've learned over the years is that you can email people and ask them for their articles. So if you're looking for something that interests you, don't be shy. Not 100% of researchers are going to respond to you within a couple of days and send you their articles. But I bet a lot of them do. People want their work to be read. And so if you email people, you can find their email address usually pretty easily with a couple of Google searches. I would say that that's another great way to learn more. There's also a really nice website that can help you specifically with the SMI population. It's recently put together by a number of psychologists who have been working on helping to create a specialty in SMI psychology at the postdoctoral level. And that website is psychtrainingsmi.com. So psych, sorry, psychtrainingsmi, one word, dot com, which can also help you with giving you an idea of what's out there, some of the current evidence-based practices for this population. In terms of training, that might be a little bit harder. It will depend, I think, on what your agencies or your settings support. But I think that if you believe in them and you can present a strong case to your supervisors, to your administration, hopefully they'll find some ways to help you get some training and something more about the practices that you're interested in. Great. Thanks. Great, great answer. I think we have maybe time just for one quick response to a question that came in, which is basically, are there challenges if you focus on evidence-based practices on populations for whom they may not be able to be used? Is it going to potentially divert energy and time towards doing the evidence-based practice and perhaps leave other populations out? I apologize. I'm not entirely sure I got that. So, the question is? So, the question is, with EBPs often used exclusively, are we in danger of confining ourselves to interventions that may serve just certain segments of populations while excluding other interventions that are effective in other populations? Thank you. I get it now. So, I think the answer is certainly yes. We have to have a healthy balance between understanding what works and using what works. But if we only use the things that are currently evidence-based practices, we're never going to have new evidence-based practices. And so, that's why I think I'm such a strong believer in measurement-based care and using objective forms of evidence, even when you might be varying from a protocol or you may be doing a new treatment, because you're still able to integrate elements of quantitative tracking to help make sure that the treatment is on track in the ways that you hope them to be. That's a really rich question with a really complicated answer, I think. And oftentimes, if you're an administrator or making decisions about an agency and what you're going to provide, that's a tough question. Because as I was saying, you want to put your resources in the thing that you know is going to have the biggest bang for the buck, but you also don't want to exclude other things that might be working. And so, I think having a nice balance between trying some emerging things and being innovative and measuring what you're doing can help you with that balance. Thanks so much.
Video Summary
In the video, Dr. Resnick provides guidance for frontline clinicians on choosing evidence-based practices to implement in their practices. She encourages clinicians to use resources like SMI Advisor for understanding best practices and recommends using Google Scholar and journals like Psychiatric Services for finding evidence-based practices. She also suggests reaching out to researchers for access to articles and mentions a website, psychtrainingsmi.com, that provides information on evidence-based practices for the SMI population. In terms of training, she advises presenting a strong case to supervisors or administration for support. There is a discussion about the challenges of focusing exclusively on evidence-based practices and potentially excluding other effective interventions for different populations. Dr. Resnick emphasizes the importance of a balance between using what works currently and exploring new evidence-based practices, while also implementing measurement-based care to track treatment effectiveness.
Keywords
evidence-based practices
SMI Advisor
Google Scholar
Psychiatric Services
psychtrainingsmi.com
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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