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J Clin Psychol. 2009 Aug;65(8):868-78

Jewell TC, Downing D, McFarlane WR.

Coordinated Care Services, Inc. (CCSI), Evaluation and Services Research, 1099 Jay Street, Building J-3rd Floor, Rochester, NY 14611, USA. tjewell@ccsi.org

Family psychoeducation (FPE) is one of six evidence-based practices endorsed by the Center for Mental Health Services for individuals suffering from chronic mental illnesses. Multiple family group psychoeducation (MFG) has been shown to be an effective component of FPE in reducing symptom relapses and rehospitalizations for individuals with schizophrenia. (More)

J Clin Psychiatry. 2007;68 Suppl 4:45-8

Parks JJ.

Department of Psychiatry, University of Missouri-Columbia and the Missouri Department of Mental Health, Jefferson City, Mo, USA. prksjo@centurytel.net

There is evidence that state-of-the-art psychiatric treatments are not being translated into community settings, resulting in the de facto denial of up-to-date psychiatric care for many Americans with mental illness. Although multiple models of evidence-based care exist, little is known about how to disseminate information regarding these models to clinicians in real-world practice. (More)

Schizophr Bull. 2009 Jun 2

Drake RE, Bond GR, Essock SM.

Dartmouth Psychiatric Research Center, Dartmouth Medical School, Lebanon, NH.

Over the last decade, a consensus has emerged regarding a set of evidence-based practices for schizophrenia that address symptom management and psychosocial functioning. Yet, surveys suggest that the great majority of the population of individuals with schizophrenia do not receive evidence-based care. (More)

Behav Modif. 2009 Jan;33(1):66-81. Epub 2008 Aug 22

Frueh BC, Grubaugh AL, Cusack KJ, Elhai JD.

The Menninger Clinic and Baylor College of Medicine, Houston, TX 77080, USA.

Posttraumatic stress disorder (PTSD) remains largely untreated among adults with severe mental illnesses (SMI). The treatment of psychotic symptoms usually takes precedence in the care of adults with SMI. Such oversight is problematic in that PTSD in SMI populations is common (19%-43%), contributes a significant illness burden, and hinders mental health care. Yet few public-sector mental health agencies routinely provide specialized services for PTSD. (More)

J Am Psychoanal Assoc. 2009 Feb;57(1):131-48

Busch FN, Milrod BL, Sandberg LS.

Psychiatry, Weill Cornell Medical College. fnb80@aol.com

Systematic research on psychoanalytic treatments has been limited by several factors, including a belief that clinical experience can demonstrate the effectiveness of psychoanalysis, rendering systematic research unnecessary, the view that psychoanalytic research would be difficult or impossible to accomplish, and a concern that research would distort the treatment being delivered. In recent years, however, many psychoanalysts have recognized the necessity of research in order to obtain a more balanced assessment of the role of psychodynamic psychotherapy and psychoanalysis in a contemporary treatment armamentarium, as well as to allow appropriate evaluation and potentially greater acceptance by the broader mental health and medical communities. In this context, studies were conducted of a psychodynamic treatment, Panic-Focused Psychodynamic Psychotherapy (PFPP), initially in an open trial and then in a randomized controlled trial (RCT) in comparison with a less active treatment, Applied Relaxation Training (ART; Cerny et al. 1984), for adults with primary DSM-IV panic disorder. (More)

Clin Psychol Rev. 2008 Oct;28(7):1108-24. Epub 2008 Mar 18

Silverstein SM, Bellack AS.

University Behavioral HealthCare and Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, United States. silvers1@umdnj.edu

Recovery is now a widely discussed concept in the field of research, treatment, and public policy regarding schizophrenia. As it has increasingly become a focus in mainstream psychiatry, however, it has also become clear both that the concept is often used in multiple ways, and that it lacks a strong scientific basis. In this review, we argue that such a scientific basis is necessary for the concept of recovery to have a significant long-term impact on the way that schizophrenia is understood and treated. (More)

Curr Psychiatry Rep. 2008 Dec;10(6):452-7

Markowitz JC.

New York State Psychiatric Institute, 1051 Riverside Drive, Unit #129, New York, NY 10032, USA. jcm42@columbia.edu

Clinicians should think carefully before deciding on the initial treatment for a patient with major depressive disorder. The author argues that this does not happen often enough, and that psychotherapy may be overlooked too often as a first treatment option. Based on the research literature and the American Psychiatric Association Practice Guidelines, this article reviews potential cautions and relative indications for initiating treatment with evidence-based psychotherapies for major depressive disorder. (More)

Curr Psychiatry Rep. 2008 Dec;10(6):487-94

Thase ME.

University of Pennsylvania School of Medicine, 3535 Market Street, Suite 670, Philadelphia, PA 19104, USA. thase@mail.med.upenn.edu

Although antidepressants represent the cornerstone of medical management of major depressive disorder, several widely publicized recent developments have called into question the safety and effectiveness of the antidepressant medications. This article reviews the methods used to conduct studies of antidepressant efficacy, with particular focus on the research conducted by the pharmaceutical industry. (More)

J Psychiatr Pract. 2008 May;14 Suppl 2:18-30

Golden WE, Hermann RC, Jewell M, Brewster C.

University of Arkansas for Medical Sciences, Little Rock, AR, USA. goldenwilliame@uams.edu

The STAndards for BipoLar Excellence (STABLE) Project was organized in 2005 to improve quality of care for bipolar disorder by developing and testing a set of evidence-based clinical process performance measures related to identifying, assessing, managing, and coordinating care for bipolar disorder. (More)

Annu Rev Psychol. 2009;60:197-227

Hawkins EH.

Addictive Behaviors Research Center, University of Washington, Seattle, Washington 98195, USA. elizbeth@u.washington.edu

Co-occurring disorders present serious challenges to traditional mental health and substance abuse treatment systems. Among adolescents in need of behavioral health services, co-occurring disorders are highly prevalent and difficult to treat. Without effective intervention, youth with co-occurring disorders are at increased risk of serious medical and legal problems, incarceration, suicide, school difficulties and dropout, unemployment, and poor interpersonal relationships. (More)

Journal of Clinical Child and Adolescent Psychology. 2008 Jan-Mar; 37(1). Special Issue

This special issue is devoted to articles on evidence-based psychosocial treatments for children and adoescents. Articles include evidence based treatments for early autism, eating disorders, depression, anxiety disorders, OCD, traumatic events, ADHD, disruptive behavior, substance abuse and treatments for ethnic minority youth.

J Subst Abuse Treat. 2008 Apr;34(3):293-301. Epub 2007 Jun 28

Squires DD, Gumbley SJ, Storti SA.

Addiction Technology Transfer Center of New England and Brown University Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA. daniel_squires@brown.edu

Underutilization of evidence-based treatments for substance abuse represents a longstanding problem for the field and the public health of our nation. Those who would most benefit from research advances (community treatment agencies and the clients they serve) have historically been the least likely to be exposed to innovative evidence-based methods for substance abuse treatment. To help address this gap, the Addiction Technology Transfer Center of New England (ATTC-NE), located at Brown University, has adapted and implemented an organizational change strategy intended to equip substance abuse treatment organizations and their employees with the skills needed to adopt evidence-based treatment practices. (More)

J Psychoactive Drugs. 2008 Mar;40(1):97-107

Gotham HJ, White MK, Bergethon HS, Feeney T, Cho DW, Keehn B.

Mid-America Addiction Technology Transfer Center, University of Missouri-Kansas City, Kansas City, MO 64110-2499, USA. gothamhj@umkc.edu

Similar to implementing an evidence-based practice (EPB), implementing an evidence-based assessment (EBA) is a long, complex process that can take several years to complete. Between 2002 and 2007, the state of Missouri first piloted the Global Appraisal of Individual Needs-Initial (GAIN-I; Dennis et al. 2006) assessment at one state-contracted adolescent substance abuse treatment program and then implemented the GAIN statewide. (More)

J Am Acad Child Adolesc Psychiatry. 2008 May;47(5):505-14

Garland AF, Hawley KM, Brookman-Frazee L, Hurlburt MS.

Department of Psychiatry, University of California, San Diego 92123, USA. agarland@casrc.org

OBJECTIVE:: Almost all of the efforts to study and implement evidence-based practice (EBP) have used individual treatments as the unit of analysis. A complementary approach using aggregated common elements of multiple individual evidence-based treatment programs has been introduced. The purpose of this article is to describe a new method for identifying common elements of EBP and to present common elements resulting from a systematic review of interventions for children with disruptive behavior problems and their parents. (More)

Philos Ethics Humanit Med. 2008 May 27;3:14

Ioannidis JP.

Clinical Trials and Evidence-Based Medicine Unit, Department of Hygiene and Epidemiology, University of Ioannina School of Medicine and the Biomedical Research Institute, Foundation for Research and Technology-Hellas, Ioannina, Greece. jioannid@cc.uoi.gr

Antidepressants, in particular newer agents, are among the most widely prescribed medications worldwide with annual sales of billions of dollars. The introduction of these agents in the market has passed through seemingly strict regulatory control. Over a thousand randomized trials have been conducted with antidepressants. Statistically significant benefits have been repeatedly demonstrated and the medical literature is flooded with several hundreds of “positive” trials (both pre-approval and post-approval). However, two recent meta-analyses question this picture. (Complete article)

J Clin Psychiatry. 2008;69 Suppl 3:31-7

Beyer JL.

Duke Mood and Anxiety Disorder Clinic, Duke University Medical Center, Durham, NC 27710, USA. beyer001@mc.duke.edu

Controlled trials have demonstrated the efficacy of several classes of drugs for achieving acute response in bipolar mania and depression. For many years, clinical response has been the primary outcome in the majority of short-term efficacy studies.  (More)

J Clin Psychiatry. 2008;69 Suppl 3:25-30

Kane JM.

Department of Psychiatry, The Zucker Hillside Hospital, Glen Oaks, NY 11004, USA. psychiatry@lij.edu

Over the past 50 years, the therapeutic goal for schizophrenia has slowly but steadily increased, from one of modest improvement in self-care and control of aggression or self-injury in the 1950s, to effective control of both positive and negative symptoms in the 1990s. (More)

Dev Neurorehabil. 2008 Jan-Mar;11(1):3-15

Carr A.

School of Psychology, College of Human Sciences, University College Dublin, Dublin, Ireland. alan.carr@ucd.ie

OBJECTIVE: The literature on depression in children and adolescents was reviewed to provide an update for clinicians. REVIEW PROCESS: Literature of particular relevance to evidence-based practice was selected for critical review. Meta-analyses and controlled trials were prioritized for review along with key assessment instruments. OUTCOMES: An up-to-date overview of clinical features, epidemiology, prognosis, aetiology, assessment and intervention was provided. (More)

CMAJ. 2008 May 6;178(10):1293-301

Comment in:
CMAJ. 2008 May 6;178(10):1257-60.
CMAJ. 2008 May 6;178(10):1313-5.
Deshauer D, Moher D, Fergusson D, Moher E, Sampson M, Grimshaw J.

Department of Psychiatry, University of Ottawa, Ottawa, Ont. deshauer1@sympatico.ca

BACKGROUND: Selective serotonin reuptake inhibitors are increasingly used in the long-term treatment of depression. Much of the supporting evidence about the effects of these drugs comes from discontinuation trials, a variant of randomized controlled trials whose design is problematic to interpret. We conducted a systematic review to examine the efficacy and acceptability of long-term therapy with selective serotonin reuptake inhibitors relative to placebo in the treatment of unipolar depression. (Complete article)

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 Clin Psychol Rev. 2008 Mar 18

Silverstein SM, Bellack AS.

University Behavioral HealthCare and Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, United States.

Recovery is now a widely discussed concept in the field of research, treatment, and public policy regarding schizophrenia. As it has increasingly become a focus in mainstream psychiatry, however, it has also become clear both that the concept is often used in multiple ways, and that it lacks a strong scientific basis. In this review, we argue that such a scientific basis is necessary for the concept of recovery to have a significant long-term impact on the way that schizophrenia is understood and treated. (More)

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Accelerating the dissemination of research-based drug abuse treatment findings into community-based practice is a key priority for NIDA and represents the core mission of the NIDA/SAMHSA Blending Initiative. The Institute of Medicine reported that a 17-year gap exists between the publication of research results and its impact on treatment delivery. To reduce this gap, NIDA and SAMHSA have joined together to create the Blending Initiative. This initiative is NIDA’s most recent and innovative effort to translate research into practice and to incorporate bidirectional feedback from multiple stakeholders to make the best drug abuse and addiction treatments available to those who need them.  (More)

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Schizophr Bull. 2008 May;34(3):403-5. Epub 2008 Mar 11.

Davis JM, Leucht S.

1To whom correspondence should be addressed; tel: 312-413-4570, fax: 312-996-7658, e-mail: jdavis@psych.uic.edu.

(Complete article)

 

BMC Public Health. 2008 Jan 22;8:20

Zechmeister I, Kilian R, McDaid D; MHEEN group.

Senior lecturer at the University of Ulm, Department of Psychiatry II, BKH Guenzburg, Ludwig-Heilmeyer-Str, 2, D-89312 Guenzburg, Germany. ingrid.zechmeister@hta.lbg.ac.at

BACKGROUND: While evidence on the cost of mental illness is growing, little is known about the cost-effectiveness of programmes in the areas of mental health promotion (MHP) and mental disorder prevention (MDP). The paper aims at identifying and assessing economic evaluations in both these areas to support evidence based prioritisation of resource allocation. (Complete article)

J Can Acad Child Adolesc Psychiatry. 2008 Feb;17(1):2-11

Gearing RE.

Columbia University School of Social Work, New York, New York, USA.

INTRODUCTION: Family psychoeducational interventions have consistently been found to impact families positively and reduce relapse rates in individuals with psychotic disorders. Research finds that, for adults, family psychoeducational interventions are effective in preventing relapse and improving social and occupational functioning. Psychotic disorders are increasingly recognized as having early onset, yet limited psychoeducational evidence-based intervention services are available and no intervention has centered exclusively on youth with a psychotic disorders and their families. METHOD: This article reviews the evidence-based literature on family psychoeducational interventions for persons with a psychotic disorder, with a specific focus on the gaps, strengths, and limitations of family psychoeducational treatment for children and adolescents. (Complete article)

Treating Tobacco Use and Dependence:  2008 Update was released by the U.S. Public Health Service.  The updated guideline identifies new counseling and medication treatments that help people to quit smoking.  The guideline and accompanying commentary appear in the May 7 issue of JAMA.  The updated guideline was developed by a 24-member, private-sector panel of leading national tobacco treatment experts who reviewed over 8,700 research articles published between 1975 and 2007.  The 2008 PHS Guideline Update and its companion products, which include a consumer guide and a pocket guide for clinicians, are available online.  A print copy of the 2008 PHS Guideline Update products is available by sending an e-mail to ahrqpubs@ahrq.hhs.gov.

Br J Psychiatry. 2007 Dec;191:474-6

Young AH, Hammond JM.

Institute of Mental Health, University of British Columbia, University Boulevard, Vancouver, British Columbia, Canada V6T 1Z3. allan.young@ubc.ca

Use of lithium for the treatment of bipolar disorder may be declining even as knowledge of the efficacy and side-effects of lithium has increased. Recent meta-analyses confirm the benefits of maintenance lithium treatment and show that it reduces suicide and suicidality. Psychiatrists should continue to utilise this efficacious treatment for bipolar disorder. (More)

Schizophr Res. 2008 Mar;100(1-3):20-38. Epub 2008 Feb 19

Tandon R, Belmaker RH, Gattaz WF, Lopez-Ibor JJ Jr, Okasha A, Singh B, Stein DJ, Olie JP, Fleischhacker WW, Moeller HJ; for the Section of Pharmacopsychiatry, World Psychiatric Association.

University of Florida, Tallahassee, USA.

Data from two major government-funded studies of comparative antipsychotic effectiveness in schizophrenia contradict the widely prevalent belief that the newer second-generation medications are vastly superior to the older first-generation drugs. This has caused uncertainty among patients, clinicians and policy-makers about the relative utility of first- and second- generation antipsychotic agents in its treatment. To reduce confusion and provide a contextual understanding of the new data, the World Psychiatry Association Section on Pharmacopsychiatry comprehensively reviewed the literature on the comparative effectiveness of different antipsychotic treatments for schizophrenia and developed this update. (More)

Behav Modif. 2008 Jan;32(1):61-76

Matson JL, Lovullo SV.

Department of Psychology, Louisiana State University, Baton Rouge, USA.

Autism spectrum disorders (ASD) are considered to be among the most serious of the mental health conditions. Concomitant with many cases of ASD is intellectual disability. Further compounding the disability is the fact that both conditions are known risk factors for self-injurious behavior (SIB). To date, the most effective intervention methods, based on the available data, appear to be variants of behavior modification. This article provides an overview of the current status of learning-based interventions for SIB in ASD and provides a review of specific studies. (More)

J Psychoactive Drugs. 2007 Sep;39(3):231-40

Brown VB, Najavits LM, Cadiz S, Finkelstein N, Heckman JP, Rechberger E; Seeking Safety Group.

PROTOTYPES, Centers for Innovation in Health, Mental Health, and Social Services, Los Angeles, CA, USA. protoceo@aol.com

This article presents findings from a multisite study on adopting and implementing an evidence-based practice, Seeking Safety, for women with co-occurring disorders and experiences of physical and sexual abuse. (More)

 Psychiatr Serv. 2008 Jan;59(1):40-8

Cohen AN, Glynn SM, Murray-Swank AB, Barrio C, Fischer EP, McCutcheon SJ, Perlick DA, Rotondi AJ, Sayers SL, Sherman MD, Dixon LB.

Greater Los Angeles Veterans Affairs Healthcare Center, Mental Illness Research, Education and Clinical Center, Los Angeles, CA 90073, USA. ancohen@ucla.edu

It is well documented that family psychoeducation decreases relapse rates of individuals with schizophrenia. Despite the evidence, surveys indicate that families have minimal contact with their relative’s treatment team, let alone participate in the evidence-based practice of family psychoeducation. The Department of Veterans Affairs (VA) sponsored a conference, the Family Forum, to assess the state of the art regarding family psychoeducation and to form a consensus regarding the next steps to increase family involvement. (More)

BMC Psychiatry. 2007 Oct 4;7:53

Bearsley-Smith C, Browne MO, Sellick K, Villanueva EV, Chesters J, Francis K, Reddy P.

School of Psychology, Psychiatry and Psychological Medicine, Monash University, Traralgon, Victoria, Australia. Cate.Bearsley-Smith@med.monash.edu.au

BACKGROUND: Depression amongst adolescents is a costly societal problem. Little research documents the effectiveness of public mental health services in mapping this problem. Further, it is not clear whether usual care in such services can be improved via clinician training in a relevant evidence based intervention. One such intervention, found to be effective and easily learned amongst novice clinicians, is Interpersonal Psychotherapy (IPT). The study described in the current paper has two main objectives.

(Article)

J Affect Disord. 2008 Mar;106(3):265-72. Epub 2007 Aug 16

Farren CK, Mc Elroy S.

Trinity College Dublin, Department of Psychiatry, St. Patrick’s Hospital, James Street, Dublin 8, Ireland

BACKGROUND: Depressed and bipolar alcoholics represent a significant affective subgroup that has a poorer prognosis than either diagnosis alone. To date few systematic treatment programs have been developed to treat dual diagnosis. METHODS: An inpatient treatment program was developed at St Patrick’s Hospital Dublin to treat dual diagnosis clients with alcohol dependence and either unipolar or bipolar affective disorder. Clients (N=232) were assessed for depression, anxiety, elation, cravings, drink and drug intake on admission, discharge, 3 and 6 months post-discharge from the program.

(More)

Schizophr Bull. 2008 Jan;34(1):181-92. Epub 2007 Jun 14

Calton T, Ferriter M, Huband N, Spandler H.

1To whom correspondence should be addressed; Division of Psychiatry, University of Nottingham, Nottingham, UK NG3 5AA; tel.: 0 44 115 9691300, e-mail: tim.calton@nottingham.ac.uk.

Background: The “Soteria paradigm” attempts to support people diagnosed with schizophrenia spectrum disorders using a minimal medication approach. Interest in this approach is growing in the United Kingdom, several European countries, North America, and Australasia.

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Behav Modif. 2007 Nov;31(6):732-48

Gray MJ, Elhai JD, Schmidt LO.

University of Wyoming, USA.

This study was designed to evaluate attitudes toward and utilization of evidence-based practices (EBPs) among mental health professionals specializing in trauma.

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Exceptionality. Vol 15(4) 2007, 203-217

Simpson, Richard L;  McKee, Michael;  Teeter, Dixie;  Beytien, Alyson 

Despite variable interpretations of the meaning and nature of specific  effective practice methods and research-supported strategies, such  approaches are generally considered essential for children and youth with  autism spectrum disorders (ASDs). Indeed, there is general consensus that  only by qualified professionals using effective methods in an approved  fashion will optimal student outcomes be achieved. Related to this need,  this article presents perspectives of stakeholders connected to use of  effective practices with children and youth diagnosed with ASD. A parent,  educational practitioner, and program administrator each share their  unique perspectives on the subject of effective practice methods for  learners with ASD. (PsycINFO Database Record (c) 2007 APA, all rights  reserved) (journal abstract)

Acta Psychiatr Scand Suppl. 2007;(435):3-4.

Malm U, Eberhard J.

Guest Editors

In the past three decades, strategies have been developed for treatment  and rehabilitation of schizophrenic disorders that have been shown to  markedly reduce the clinical, social and carer burden and improve the  efficiency of mental health resources. Five-year clinical practice  evaluations of patient populations suffering from serious mental illness  (SMI) with low drop-out rates are rare. This supplementum is based on a  real life near-naturalistic study of everyday practice, treatment and  outcomes for patients with schizophrenic disorders. Another perspective of  this supplementum is that it reflects an example of a constructive and  fruitful collaboration between independent researchers representing  different psychiatric on the edge knowledge areas and universities and the  scientific benefit of working with the pharmaceutical industry all of whom  have managed to maintain their focus on the needs of the patient as a  common denominator. Schizophrenia remains a very expensive disease.  (PsycINFO Database Record (c) 2007 APA, all rights reserved)

 

Acta Psychiatrica Scandinavica. 116(Suppl 437):6-15, 2007

Lasalvia A.  Ruggeri M

Objective: To describe the main characteristics of the South-Verona Outcome Project (SVOP) and to focus on its overall conceptual framework, with specific reference to the following perspectives: i) integrating evidence-based and practice-based approaches; ii) involving service professionals in routine outcome assessment; and iii) involving service users in mental health outcome assessment.

Brief Treatment and Crisis Intervention. Vol 7 (3) Aug 2007, 194-193

Love, Susan M; Koob, Jeffrey J; Hill, Larry E

This cross-sectional study looked at the relationship between mental health therapists’ perception of treatments’ impact and actual change.

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The EBBP.org project creates training resources to help bridge the gap between behavioral health research and practice. Professionals from the major health disciplines are collaborating to learn, teach, and implement evidence-based behavioral practice (EBBP).

J Clin Psychiatry. 2007;68 Suppl 4:45-8

Parks JJ.

Department of Psychiatry, University of Missouri-Columbia and the Missouri Department of Mental Health, Jefferson City, Mo, USA. prksjo@centurytel.net

There is evidence that state-of-the-art psychiatric treatments are not being translated into community settings, resulting in the de facto denial of up-to-date psychiatric care for many Americans with mental illness. Although multiple models of evidence-based care exist, little is known about how to disseminate information regarding these models to clinicians in real-world practice.  (More)

McClure, I; Le Couteur, A.

Child Care, Health and Development. Vol 33(5) Sep 2007, 509-512

This editorial reviews the newly published evidence-based guidelines on autism spectrum disorders by the Scottish Intercollegiate Network (SIGN).

Access the complete guidelines.

September 2010
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