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Evidence Based Practices

Evidence Based Practices. Gaps in Substance Use Treatment Presented by: Rhonda G. Patrick, LCSW, MPA Amy C. Traylor, MSW, Ph.D. Evidence based practice…. What is it? What is it not? Not only for clinical practice. Steps of evidence based practice.

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Evidence Based Practices

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  1. Evidence Based Practices Gaps in Substance Use Treatment Presented by: Rhonda G. Patrick, LCSW, MPA Amy C. Traylor, MSW, Ph.D.

  2. Evidence based practice… • What is it? • What is it not? • Not only for clinical practice

  3. Steps of evidence based practice • Convert the need for information into an answerable question. • Track down the best clinical evidence to answer that question. • Critically appraise the evidence. • Integrate your appraisal with your expertise and the client’s values. • Evaluate the effectiveness of the process.

  4. Integration is key… • What does the literature say? • What do I bring? • What about my client?

  5. Evidence Based Practices • Why EBP? • Concerns related to cost and effectiveness of substance abuse treatment. • Delineation of a rational approach to allocation of scarce resources. • Mitigation against a system in which treatment practices are based solely on practice wisdom. • Finding the “best” available treatment or policy that reduces the harm and costs of substance abuse.

  6. Research & Knowledge • What do we know? • What don’t we know?

  7. Bridging the Gap: Community • Characterize the local community • Understand community factors • Develop community research partners • Utilize a community participatory research framework

  8. Bridging the Gap: Service Delivery • Test the effectiveness of community-based therapeutic approaches that take advantage of natural supports (religious organizations) and of those that bring evidence-based treatments to non-clinical environments (e.g., academic community-partnerships). • Evaluate and test collaborative research partnerships with community members that identify new and innovative approaches to drug abuse treatment services. • Test community-level interventions that facilitate recovery and reintegration of drug users within their communities.

  9. Bridging the Gap: Linkages • Generate information that can be used to develop and test a workable model of community-based delivery in communities, including research that identifies untapped, informal community-based resources. • Develop and evaluate best practices that focus on the integration of social, health and drug abuse services and that can optimize treatment outcomes for service users.

  10. Bridging the Gap: Other Issues • Speaking a Common Language • How we define the problem • How we define the outcome • How we define the measurement • Documenting Effectiveness • Informal Publications • Formal Publications • Increasing Funding for Research and Services • Making Addiction a Priority • Economic Costs • Social Costs

  11. Evidence Based Substance Use Treatment: Where do we find them? • National Registry of Evidence-Based Programs and Practices • Created in 2007 • Lists SAMSHA Model Treatment Programs • Defines EBP as “approaches to prevention or treatment based in theory and have undergone scientific evaluation.” • Submissions are “reviewed” by experts with doctoral degrees, evaluation research experience, and clinical experience. • Many more prevention/intervention programs. • Searchable by target population needs

  12. Evidence Based Substance Use Treatment: Where do we find them? • Agency for Healthcare Research and Quality • National Guidelines Clearinghouse • Search by topic area. • Can compare multiple guidelines across variety of criteria and classifications. • Can download information to PDA’s. • Rigorous selection and review process

  13. Evidence Based Substance Use Treatment: Where do we find them? • Co-Occurring Disorder Center for Excellence • Created in 2003 to foster infusion and adoption of evidence and consensus based treatment and program innovation into clinical and organization practice. • Intended for the co-occurring disorder service system • Provides descriptions of interventions • Describes intervention implementation • References related to EBPs

  14. Evidence Based Substance Use Treatment: Where do we find them? • Technology Transfer Centers • 14 regionally-based addiction technology transfer centers • Bridging the gap between science and practice • Addiction Science Made Easy Program • Intended for addiction treatment professionals • Provides descriptions of interventions • Describes intervention implementation • References related to EBPs

  15. Evidence Based Substance Use Treatment: Where do we find them? • National Drug Abuse Treatment Clinical Trials Network • Conducting studies of behavioral, pharmacological, and integrated behavioral and pharmacological treatment interventions of therapeutic effect in rigorous, multi-site clinical trials to determine effectiveness across a broad range of community-based treatment settings and diversified patient populations; and • Ensuring the transfer of research results to physicians, clinicians, providers, and patients. • Regional “Nodes” • Service providers attached to various regional nodes

  16. Discussion

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