Practice

Behav Modif. 2009 Jul;33(4):411-36. Epub 2009 Jun 17

Donohue B, Allen DN, Romero V, Hill HH, Vasaeli K, Lapota H, Tracy K, Gorney S, Abdel-al R, Caldas D, Herdzik K, Bradshaw K, Valdez R, Van Hasselt VB.

Department of Psychology, University of Nevada Las Vegas, Las Vegas, NV, USA. bradley.donohue@unlv.edu

Developers of evidence-based therapies are enhancing methods of teaching therapists to implement “best practices” with integrity. However, there is a relative dearth of information available as to clinic operations and related contextual factors necessary to sustain successful implementation of these treatments. (More)

Child Welfare. 2009;88(1):27-48

Levitt JM.

Columbia University College of Physicians and Surgeons, New York, New York 10032, USA. LevittJ@childpsych.columbia.edu

Despite the recognized importance of mental health concerns among youth in the child welfare population, data suggest a significant gap between children who need services and children who receive services. This paper aims to address this problem by focusing on the ways in which the system identifies–or fails to identify–children as needing mental health services. (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)

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)

Child Adolesc Psychiatr Clin N Am. 2008 Oct;17(4):803-20

Levy SE, Hyman SL.

Department of Pediatrics, University of Pennsylvania School of Medicine, The Children’s Hospital of Philadelphia, 3405 Civic Center Boulevard, Philadelphia, PA 19104, USA.

Complementary and alternative medical (CAM) treatments are commonly used for children with autism spectrum disorders. This review discusses the evidence supporting the most frequently used treatments, including categories of mind-body medicine, energy medicine, and biologically based, manipulative, and body-based practices, with the latter two treatments the most commonly selected by families. (More)

Child Adolesc Psychiatr Clin N Am. 2008 Oct;17(4):907-22

Swiezy N, Stuart M, Korzekwa P.

Christian Sarkine Autism Treatment Center, HANDS in Autism Program, Riley Hospital for Children and the Indiana University School of Medicine, Indianapolis, IN 46202-5200, USA.

The basis for the need for improved training and collaboration models in the field of autism is supported through historical background and literature in related fields. Ultimately, training specific to autism spectrum disorders and related evidence-based practices is proposed as necessary for all care providers having influence on programming related to this special population. (More)

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). Aims of the EBBP project are to create tools to improve research and practice training for psychosocial interventions, build the evidence base for behavioral treatments, and upgrade evidence-based behavioral practice.

J Ment Health Policy Econ. 2008 Mar;11(1):3-15

BACKGROUND: Depression is a highly prevalent condition that is associated with high levels of work absenteeism and high health care costs. Most patients are treated in primary care. A large group of patients prefers psychological treatments to antidepressants. AIMS OF THE STUDY: To systematically review the evidence for the cost-effectiveness of psychological treatments, psychotherapy and counselling, in comparison with usual care or antidepressant treatment in adult primary care patients with depression. (More)

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)

Adm Policy Ment Health. 2007 Jul;34(4):319-30

Nelson TD, Steele RG.

2006 Dole Human Development Center, University of Kansas, 1000 Sunnyside Avenue, Lawrence, KS 66045, USA. tdnelson@ku.edu

In light of the recent movement toward evidence-based practice (EBP) in mental health services, practitioner adoption of EBPs in clinical settings has emerged as an important area for study. This paper reports on the results of a national online survey of mental health practitioners in an attempt to identify correlates of self-reported EBP use in practice. (More)

 Adm Policy Ment Health. 2007 Sep;34(5):479-88. Epub 2007 Jul 18

Proctor EK, Knudsen KJ, Fedoravicius N, Hovmand P, Rosen A, Perron B.

George Warren Brown School of Social Work, Washington University in Saint Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130-4899, USA. ekp@wustl.edu

Despite a growing supply of evidence-based mental health treatments, we have little evidence about how to implement them in real-world care. This qualitative pilot study captured the perspectives of agency directors on the challenge of implementing evidence-based practices in community mental health agencies. (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)

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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World J Biol Psychiatry. 2007;8(4):212-44

Herpertz SC, Zanarini M, Schulz CS, Siever L, Lieb K, Möller HJ; WFSBP Task Force on Personality Disorders; World Federation of Societies of Biological Psychiatry (WFSBP).

Department of Psychiatry and Psychotherapy, Rostock University, Rostock, Germany. sabine-herpertz@med.uni-rostock.de

These practical guidelines for the biological treatment of personality disorders in primary care settings were developed by an international Task Force of the World Federation of Societies of Biological Psychiatry (WFSBP). They embody the results of a systematic review of all available clinical and scientific evidence pertaining to the biological treatment of three specific personality disorders, namely borderline, schizotypal and anxious/avoidant personality disorder in addition to some general recommendations for the whole field. The guidelines cover disease definition, classification, epidemiology, course and current knowledge on biological underpinnings, and provide a detailed overview on the state of the art of clinical management. (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)

 J Rural Health. 2007 Fall;23 Suppl:37-41 Smith E, Caldwell L.

Prevention Research Center, The Pennsylvania State University, University Park, PA 16802, USA. Eas8@psu.edu

Evidence-based substance use prevention programs have proliferated in schools and are being adopted by districts in rural settings and internationally. Little attention, however, has been paid to the adaptation process that occurs when these programs are moved to different contexts. (More)

Pediatr Ann. 2007 Sep;36(9):586-90, 592, 594-8

Compton SN, Kratochvil CJ, March JS.

Pediatric Psychiatry, Duke University Medical Center, DUMC Box 3527, Durham, NC 27710, USA. scompton@duke.edu

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.

(More)

The Cochrane Library contains high-quality, independent evidence to inform healthcare decision-making. It includes reliable evidence from Cochrane and other systematic reviews, clinical trials, and more. Cochrane reviews bring you the combined results of the world’s best medical research studies, and are recognised as the gold standard in evidence-based health care.

Website designed to help practitioners to pose specific questions regarding practice; to help them plan an electronic search for the current best evidence regarding their question; and to search electronically for an answer.

The goal of this website is to help develop, disseminate, and evaluate resources that can be used to practise and teach EBM for undergraduate, postgraduate and continuing education for health care professionals from a variety of clinical disciplines.This site also serves as a support for the book entitled, Evidence-based Medicine: How to practice and teach EBM by David L. Sackett, Sharon E. Straus, W. Scott Richardson, William Rosenberg, and R. Brian Haynes

The Campbell Collaboration (C2) is an independent, international, non-profit organization that strives to provide decision-makers with evidence-based information to empower them to make well-informed decisions about the effects of interventions in the social, behavioral and educational arenas.

 Psychiatr Clin North Am. 2007 Sep;30(3):401-16

Moore TA, Covell NH, Essock SM, Miller AL

Division of Schizophrenia and Related Disorders, Department of Psychiatry, The University of Texas Health Science Center at San Antonio, Related Disorders-MSC 7792, San Antonio, TX 78229-3900, USA.

This article examines real-world antipsychotic use in the treatment of schizophrenia by comparing real-world prescribing with medication algorithms and guidelines, by evaluating the evidence underlying recommendations and guidelines, and by examining the roles of side effects and medication adherence in real-world prescribing decisions

The Journal of Clinical Psychology published a special issue in July 2007 (Volume 63, issue 7) titled  Evidence-Based Practice in Clinical Psychology: Education and Training Issue

J Clin Psychol. 2007 Jul;63(7):695-705

Pagoto SL, Spring B, Coups EJ, Mulvaney S, Coutu MF, Ozakinci G.

Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA. sherry.pagoto@umassmed.edu

Progress in implementing evidence-based behavioral practices has been slow. A qualitative study was performed to characterize the major facilitators and barriers to evidence-based practice (EBP) perceived by behavioral professionals.

(More)

http://egov.oregon.gov/DHS/mentalhealth/ebp/main.shtml

The Substance Abuse and Mental Health Services Administration has developed a new Web page to assist the public in identifying evidence-based programs and practices that can prevent and/or treat mental and substance use disorders. A Guide to Evidence-Based Practices on the Web features 37 websites that contain information about specific evidence-based interventions or provide comprehensive reviews of research findings.

The Web Guide—a component of SAMHSA’s Science and Service Initiative—can be used by stakeholders throughout the behavioral health field to promote awareness of current intervention research and to