Evidence-based Practice in Psychology (EBPP)

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Evidence-based Practice in Psychology (EBPP)

• Lindsey Cohen

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Evidence-based Practice in Psychology
Scientist-Practitioner Divide
EBP in Medical Fields
Public Policy/ Reimbursement
Quality and Accountability
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APA Policy Statement on Evidence-Based Practice
in Psychology (2005)

• Evidence-based practice in psychology is the
  integration of the best available research with
  clinical expertise in the context of patient
  characteristics, culture, and preferences.

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APA Policy Statement on Evidence-Based Practice
in Psychology (2005)

• Evidence-based practice in psychology is the
  integration of the best available research with
  clinical expertise in the context of patient
  characteristics, culture, and preferences.

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The EBP Model- The 3-Legged Stool
Best available research evidence
EBP
Patient preferences and values
Clinical expertise
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Continuum of care

• Nomothetic (decisions based on disorders,
  guidelines, treatment manuals, ESTs)
• Evidence-based practice
• Idiographic (decisions based on individual
  patients and circumstances)

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The EBP Model Best Available Research Evidence
Best available research evidence

• 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

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The EBP Model Patient Preferences and Values

• Therapy is a collaborative endeavor,
  shared-decision making
• Knowledge of specific diverse groups
• Ability to ascertain patient values and
  preferences
• Respond effectively to patient preferences and
  values

Patient preferences and values
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The EBP Model Clinical Expertise

• Common factors/non-specific skills
• Awareness of limits of clinical judgment
• Relationship building
• Assessment and diagnostic skills
• Ability to implement treatments
• Integration of EST with client characteristics

Clinical expertise
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The EBP Model

• Evidence-based practice is the successful
  integrations of these three competencies

EBP
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The EBP Model

• Evidence-based practice is the successful
  integrations of these three competencies
• Clinical decisions should be guided by all three
  areas

CD
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Some Current Activities in EBP in Psychology

• Developing methods and procedures to better
  integrate research and clinical work
• New search engines, databases, training modules,
  etc.
• Integrating EBP into clinical psychology training
  programs

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Discussion Questions

• EBP and social, community, economic perspectives?
• EBP and cultural issues?
• Do you adopt or want to adopt an EBP approach in
  your clinical work, research, or other
  professional areas? Why?
• What is this? Flash-in-the-pan, details regarding
  what is and how to be a scientist-practitioner,
  fix for scientist-practitioner divide, new wave,
  mistake?

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Thank You