Table of Contents
What are evidence-based programs in mental health?
This guide presents five evidence-based programs and practices that address the prevention and treatment of common mental health concerns: gatekeeper trainings, mindfulness-based stress reduction, acceptance and commitment therapy, cognitive behavioral therapy, and dialectical behavior therapy. Since cognitive-behavioral therapy (CBT) is one of the strongest evidence-based therapies out there, it is important to include a book that discusses CBT specifically. Dialectical behavior therapy (DBT) is a comprehensive, evidence-based treatment for borderline personality disorder (BPD). For depression, anxiety, OCD, phobias and PTSD, research has shown that CBT tends to be the more effective treatment. For borderline personality disorder, self-harm behaviors and chronic suicidal ideation, DBT tends to be the better choice. Published reviews have found that mental health apps can be effective for reducing anxiety [8] and depression [9] with an overall effect size of small to moderate [10]. Within this research, there are some notable shortcomings, including substantial heterogeneity across studies.
What is evidence-based treatment in mental health?
The American Psychological Association states that evidence-based treatment, or EBT, in the field of psychology is the practice of integrating the most up to date research available with clinical experience and the patient’s individual needs and attributes. Evidence-Based Practice can be best described as the application of research based treatments, that are tailored by an experienced therapist to meet the individual needs, preferences, and cultural expectations of those receiving them. Sources for Evidence-Based Practice (EBP) These sources include, peer-reviewed journal articles, randomized clinical trials, and clinical trials. Evidence-based practice: ‘involves using clinical reasoning to integrate information from four sources: clinical expertise, research evidence, the patient’s values and circumstances, and the practice context. Evidence-based practice is a process that draws information from current scientific evidence to build care delivery strategies. It is ultimately a holistic process that integrates three key elements: scientific research, a health care professional’s own expertise, and the perspective and preferences of the patient.
Which of the following is an example of evidence-based practice in mental health?
Cognitive-behavioral therapy (CBT) is the grandaddy of evidence-based treatment. CBT seeks to give patients the ability to recognize when their thoughts might become troublesome, and gives them techniques to redirect those thoughts. DBT helps patients find ways to accept themselves, feel safe, and manage their emotions to help regulate potentially destructive or harmful behaviors. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications. Merriam-Webster dictionary defines pseudoscience as: a system of theories, assumptions, and methods erroneously regarded as scientific. Cognitive behavioral therapists tend to take great pride in providing evidence-based therapy and CBT is considered the gold-standard of treatment for anxiety, OCD and depression. CBT instills the notion that your faulty or irrational thought patterns are responsible for maladaptive behavior and mental health problems. If one accepts this premise, then some practitioners may dismiss the other factors which play a part in mental illness such as genetics and biology.
Why is evidence-based practice in mental health important?
Evidence-based practices are interventions for which there is scientific evidence consistently showing that they improve client outcomes. Evidence-based practice is a process that involves five distinct steps which we call the five ‘A’s: Ask, Access, Appraise, Apply, Audit. Evidence Based Practice Models and Using the Guide EBP is a problem-solving approach to clinical decision-making within a health care organization. It integrates the best available scientific evidence with the best available experiential (patient and practitioner) evidence. Disadvantages of evidence-based practice include the shortage of evidence, the oversight of common sense, and the length of time and difficulty of finding valid credible evidence. Basing practice on evidence requires there to be some kind of evidence on your disease, issue, or question.
What are evidence-based prevention programs?
Evidence-based prevention refers to prevention programs, strategies, and policies that have been rigorously tested under research conditions and found to be effective in changing adolescent drug use behavior and attitudes. Research-based – Parts or components of the program or method are based on practices demonstrated effective through Research. Evidence-based – The entire program or method has been demonstrated through Research to be effective. Peer-reviewed journals are the best source of research evidence. They’re where health researchers publish results of research studies testing the effectiveness of drugs, interventions, and practices. Evidence-based practice (EBP) prevents unsafe/inefficient practices and improves healthcare quality, but its implementation is challenging due to research and practice gaps.
What is an example of evidence-based therapy?
Some examples of evidence-based treatments include: Cognitive Behavioral Therapy (CBT): This approach is considered the gold standard in mental health, based on the number of studies that show its effectiveness for a wide range of conditions. For Patients & Families CBT has been demonstrated to be effective for a range of problems including depression, anxiety disorders, and posttraumatic stress disorder. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications. For treatment decisions, there is a consensus that the most reliable primary study is the randomized controlled trial (RCT). In this type of study, patients are randomly assigned to have either the treatment being tested or a comparison treatment (sometimes called the control treatment). In some cases cognitive behavior therapy stresses the therapy technique over the relationship between therapist and patient. If you are an individual who is sensitive, emotional, and desires rapport with your therapist, CBT may not deliver in some cases. Trauma-focused cognitive behavioral therapy (TF-CBT) is an evidence-based treatment approach shown to help children, adolescents, and their parents (or other caregivers) overcome trauma-related difficulties, including child maltreatment. Dialectical behavior therapy (DBT) is especially effective for people who have difficulty managing and regulating their emotions. DBT has proven to be effective for treating and managing a wide range of mental health conditions, including: Borderline personality disorder (BPD). Self-harm.
What is evidence-based practice in psychology?
Evidence-based practice is the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences. Peer-reviewed journal articles based on research studies are your best sources of evidence-based information. In the Johns Hopkins Health System, we use the Johns Hopkins Evidence-Based Practice (JHEBP) model. It is a three-phase approach referred to as the PET process: practice question, evidence, and translation. EBP is not: Focussed only on randomised controlled trials. EBP uses ‘best available’ evidence, because ‘best possible’ may be unavailable or not appropriate. When quality evidence is sparse or not available, clinicians need to use the evidence available, even if it is limited. To formulate questions in Evidence Based Practice, use the PICOT format. PICOT stands for: Population/ Patient Problem: Who is your patient? (Disease or Health status, age, race, sex) Intervention: What do you plan to do for the patient? (Specific tests, therapies, medications) Systematic Reviews and Meta Analyses Well done systematic reviews, with or without an included meta-analysis, are generally considered to provide the best evidence for all question types as they are based on the findings of multiple studies that were identified in comprehensive, systematic literature searches.
What are evidence-based strategies in counseling?
Evidence-Based Practice can be best described as the application of research based treatments, that are tailored by an experienced therapist to meet the individual needs, preferences, and cultural expectations of those receiving them. If sufficient research suggests that the program or practice is effective, it may be deemed “evidence-based.” Evidence-Informed (or Research-Based) Practices are practices that were developed based on the best research available in the field. Evidence-Based Program: A collection of practices that, when used together, has been proven to work through experimental research studies or large-scale research field studies. Evidence-supported interventions are well-defined practices, programs, services, or policies that have been shown, through rigorous evaluation, to improve outcomes for children and families in comparison to one or more alternatives. Scientific-mindedness, critical thinking, integrative capacity and relational skills all must be modeled and practiced across the curriculum so that they become part of the language and culture of evidence-based professional practice. The four sources of evidence for management decision-making include the best available scientific evidence, organizational evidence, experiential evidence and stakeholders’ and patient’s expectations (1–3).