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How Do We Know What Works? Understanding Evidence- ...
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This document is a presentation on evidence-based practice and evidence-based medicine in mental health services. The author explains the importance of using evidence in clinical decision-making and policy decisions, and describes the different levels of evidence generated by research in mental health services. The concept of evidence-based practice is defined as a practice with a defined model, documented effectiveness, and improvement in measurable outcomes. The author emphasizes the need to use evidence-based practices due to their proven effectiveness. The determining factors for a practice being considered evidence-based are discussed, including academic experts, treatment guidelines, consensus statements, policy makers, and practitioners. The author also highlights the importance of clinical expertise and preferences in decision-making. Different types of evidence, such as scientific and non-scientific evidence, are mentioned, along with the complexity of evidence and the importance of measurement in determining outcomes. The document also introduces the concept of evidence-based medicine, which involves integrating clinical expertise with the best available external evidence to make decisions about patient care. Measurement-based care and the use of resources from trusted experts are suggested as tools to aid in decision-making. Two specific examples, supported employment and psychodynamic psychotherapy, are discussed to illustrate the application of evidence-based practices. The presentation concludes by emphasizing the importance of discussing evidence with clients and considering their preferences when making clinical decisions.
Keywords
evidence-based practice
evidence-based medicine
mental health services
clinical decision-making
policy decisions
levels of evidence
scientific evidence
non-scientific evidence
measurement-based care
patient care
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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