Training in Evidence-Based Practice Across the Professional Continuum

Leffler, Jarrod M.; Jackson, Yo; West, Amy E.; McCarty, Carolyn A.; Atkins, Marc S.

Professional Psychology: Research and Practice, Jul 2 , 2012, No Pagination Specified.

The benefits of evidence-based practice (EBP) and the utilization of evidence-based treatments (EBTs) is well documented in the professional practice and training literature.

However, the literature explaining methods by which to train and supervise professionals in these areas is less clear.

To facilitate the highest level of clinical care, mental-health trainees, professionals, and those who educate and supervise, clinicians will benefit from identifying and evaluating effective and efficient methods for implementing EBP and EBTs.

This manuscript reports on three programs across the training and professional continuum that provide training and supervision/consultation on EBT. Commonalities among the programs include an individualized training approach, the use of active learning strategies, and measuring individuals’ progress in learning and/or outcomes.

Data regarding student responses to EBP and EBT training in graduate study are provided. In addition, a model for internship training in clinical research and clinical practice is described. Finally, pilot data are provided regarding training methods for preparing professional clinicians to provide an EBT.

The development of models addressing EBP and EBT in academic, training and professional practice areas is instrumental in developing skilled clinicians and researchers able to address the clinical needs of their clients.

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Good news when the profession of psychology moves towards evidence-based practice.

What does that mean for psychotherapists who practice dynamic therapy that stresses reliving trauma & searching unvalidated and questionable memory recall? Will that make them and their treatment regimes obsolete? Of course not – too much financial gain to be made.

Shifting to evidence-based treatment will extinguish beliefs in marginal therapies based on belief.

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15 Comments

  1. Altus

     /  07/10/2012

    Doug, damned glad you have your blog too. That you have taken on Neil Brick, Colin Ross, and the claims of the TM industry, who have all threatened to, if not, sued you and you continue unscathed gives hope. Looking forward to more entries. You and James Randi rock!

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  2. “Why don’t ordinary therapists do anything?”
    They see how it has played out for others. They see how nasty and divisive the whole issue is, and they are too weak to bother themselves with it. After all, they may find themselves the target of idiotic paranoid speculations online. They may have see senseless accusations that they are defending child abusers. They may even find themselves sued by an infantile over-middle-aged little shit who likes to pretend he is an elite warrior combating the very forces of Evil. My outlook is, I think, decidedly more negative because I don’t feel it takes any uncanny moral fortitude or even “balls” to speak up for what’s right. I do think, however, that it takes an incredible lack of character and overall worthlessness to NOT do so while others needlessly suffer.
    …And so many decline to do so.

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    • Well said, Doug.

      It reminds me when my lawyer and I were deciding whom to ask to testify on my behalf for the medical malpractice and negligence suit against Dr. Who? There was only one nurse, Kathleen, who was unwavering about testifying against the psychiatrist. She was warned repeatedly by her peers Not to do so telling her she would be black-balled by her peers in Philadelphia. Kathleen was the only person of the hundreds I’d met in 7 years who had fortitude and a solid character to do the right thing. Other nurses and people who came forward to offer my lawyer information slinked into the shadows after having their say and “clearing their consciences”.

      Poor showing for the psychiatric community when it comes to providing mental health patients with the care they deserve. In my case, their pensions & standing in the community were worth more to them than my life and the lives of women who suicided during treatment. Hopefully a loved one of theirs does not fall the same fate as I did and they need help to obtain justice. Hey, good luck with that.

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      • Patients needlessly suffer? Yes many suffer. Mental health care employees who work under the direction of psychiatrists would be insubordinate if they failed to carry out written orders. That was part of the problem with my case. There were several nurses who levied a written complaint against Dr. Who? but it was buried and nothing done. At depositions, the head of the hospital, and my former psychiatrist, lied saying that there were no complaints.

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