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National Policy Making and Evidence Jack Habib Myers-JDC Brookdale Institute

National Policy Making and Evidence Jack Habib Myers-JDC Brookdale Institute. "Haruv" Institute National Conference on Evidence Based Practice May 27, 2010. Evidence - key questions. What kinds of decisions? About what? What kind of evidence? Narrow or braod ?

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National Policy Making and Evidence Jack Habib Myers-JDC Brookdale Institute

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  1. National Policy Making and EvidenceJack HabibMyers-JDC Brookdale Institute "Haruv" InstituteNational Conference on Evidence Based Practice May 27, 2010

  2. Evidence - key questions • What kinds of decisions? • About what? • What kind of evidence? Narrow or braod? • Prior to programmatic decisions, or part of the process of implementation? • Realistic or unrealistic expectations? • Real or going through the motions?

  3. What is unique to policy vspractice? Key policy assumptions in Israeli reforms: *More community relative to out of home services. *Inter-organizational pooling of resources and collaborative planning *Decentralization of resource decisions to local level *Multi-year data based planning *Collaborative case identification and care planning *Monitoring of outcomes

  4. Is evidence enough to ensure success?

  5. Issues not fully addressed in classic paradigm • Availability of random sampling in policy context as opposed to field interventions • Statistical significance vs. substantive significance • The cost of achieving the outcomes • Need to reinvent and not only duplicate

  6. Need to balance • Emphasis on encouraging use of evidence vs avoiding unrealistic expectations • Focus on outcomes vs implementation • Evidence prior to action vs evidence gained as we act • Evidence based on random sampling vs other forms of evidence • In any case: better policy depends on strengthening the evidence base

  7. Two Paradigms • Prior experiments • Random sampling • Focus on outcomes • Basis for action • Duplicate the experimental program • Best available prior evidence • Outcomes / Implementation / Dissemination • Reinvent • Ongoing accumulation of evidence while acting • Ongoing reinvention

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