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Background: Posttraumatic Stress Disorder (PTSD) is a serious mental health condition with substantial costs to individuals and society. Among military veterans, the lifetime prevalence of PTSD has been estimated to be as high as 20%. Numerous research studies have demonstrated that short-term cognitive-behavioral psychotherapies, such as Cognitive Processing Therapy (CPT), lead to substantial and sustained improvements in PTSD symptoms. Despite known benefits, only a minority of clinicians provide these therapies. Transferring this research knowledge into clinical settings remains one of the largest hurdles to improving the health of veterans with PTSD. Attending a workshop alone is insufficient to promote adequate knowledge transfer and sustained skill; however, relatively little research has been conducted to identify effective post-training support strategies. Methods: The current study investigates whether clinicians receiving post-workshop support (six-month duration) will deliver CPT with greater fidelity (i.e., psychotherapy adherence and competence) and have improved patient outcomes compared with clinicians receiving no formal post-workshop support. The study conditions are: technology-enhanced group tele-consultation; standard group tele-consultation; and fidelity assessment with no consultation. The primary outcome is independent assessment (via audio-recordings) of the clinicians' adherence and competence in delivering CPT. The secondary outcome is observed changes in patient symptoms during and following treatment as a function of clinician fidelity. Post-consultation interviews with clinicians will help identify facilitators and barriers to psychotherapy skill acquisition. The study results will inform how best to implement and transfer evidence-based psychotherapy (e.g., CPT) to clinical settings to attain comparable outcomes to those observed in research settings. Discussion: Findings will deepen our understanding of how much and what type of support is needed following a workshop to help clinicians become proficient in delivering a new protocol. Several influences on clinician learning and patient outcomes will be discussed. An evidence-based model of clinical consultation will be developed, with the ultimate goal of informing policy and influencing best practice in clinical consultation. Trial registration: ClinicalTrials.gov: NCT01861769 ; Wiltsey Stirman, S., Shields, N., Deloriea, J., Landy, M. S. H., Belus, J. M., Maslej, M. M., & Monson, C. M. (2013). A randomized controlled dismantling trial of post-workshop consultation strategies to increase effectiveness and fidelity to an evidence-based psychotherapy for posttraumatic stress disorder. Implementation Science : IS, 8, 82.

Autor se vpráci zamýšlí nad metodami a postupy zastánců praxe založené na důkazech. Zdůrazňuje důležitost práce sdůkazy kpodložení praxe, ale současně zpochybňuje současné představy o tom, co to jsou "nejlepší důkazy". Nesouhlasí spřehnaným důrazem na kvantitativní důkazy kvůli tomu, že je experimentální výzkum (RCT) vyzdvihován jako "zlatý standard". Také nesouhlasí stím, že se zastánci praxe založené na důkazech tolik zaměřují na porovnávání efektivity a výsledků různorodých forem terapie, i když výzkum naznačil, že rozdíly mezi jednotlivými terapeutickými metodami jsou méně důležité než terapeutický vztah, který je u všech přístupů klíčový. Autor dále představuje jím upřednostňovanou podobu praxe založené na důkazech. Prosazuje specifický typ důkazů podložených praxí, a to důkazy kvalitativní povahy, které se soustředí na terapeutický vztah. Také usiluje o to, aby se výzkum více zabýval terapeutickým procesem (a ne jen jeho výsledky), aby se ukázalo, jak se terapie vyvíjí vprůběhu léčby. Autor je přesvědčen, že pro terapeuty je důležité vykonávat každodenní praxi spocitem, že se věnují činnosti považované za stejně uznávanou jako výzkum a že se věnují něčemu, co má význam pro klienty i pro celou profesi. Kontextuálním pozadím příspěvku je současná "politická" situace ve Velké Británii, její obsah se však podle autora vztahuje na všechny evropské národy a hlavně na USA, které jako první získávaly zkušenosti s "řízenou péčí" a jejími důsledky. Práce je mírně upravenou čtvrtou kapitolou připravované knihy Relational Centred Research for Psychotherapists: Exploring Meanings and Experience, která vyjde vzáří 2009 vnakladatelství Wiley-Blackwell. Kromě K. R. Evanse je spoluautorkou knihy Dr. Lindoa Inlay. ; The author of the article critiques the current preoccupations and practices of the evidence based practice movement. He emphasises the importance of work with evidence to back up practice, but at the same time he challenges existing assumptions about what constitutes 'best' evidence. He takes issue with the ...

A thesis submitted to the University of Bedfordshire, in partial fulfilment of the reqiurements for the degree of Doctor of Philosophy. ; An abiding criticism of youth work is the inability of its practitioners either to articulate the theoretical basis of their practice or evidence its practical impact (House of Commons, Services for Young People: Third Report of Session 2010-12). This study explores whether, and to what extent, youth workers can articulate their practice wisdom in a form that can generate a body of 'practice-based evidence'; sufficiently robust to persuade both those responsible for formulating youth work policy and those commissioning services of its efficacy. It develops a model which aims to assist youth workers in this endeavour, designed to support them in contributing to critical debates about the nature of their practice. This thesis is based upon a case study undertaken with a large voluntary sector youth organisation in the north of England. A number of research methods were used in the study including the design of an Economic and Social Research Council (ESRC) funded knowledge exchange event, the administration of questionnaires to student youth workers at the University of Bedfordshire and semi-structured interviews with practitioners. The study uses Interpretative Phenomenological Analysis (IPA) as the lens through which the findings are derived from the data. The findings suggest that youth workers are able to conceptualise and articulate their practice wisdom and that the opportunity to engage in knowledge transfer activities is methodologically extremely helpful. It appears that practice-based evidence can be generated via such a process which helps to make explicit the nature of the work and its impact upon young people. On the basis of these findings, the author presents a model describing the key prerequisites for the generation of practice-based evidence in youth work. However, the current social, political and economic climate in England has meant that the applicability of such a model is entirely dependent upon the political and administrative context in which youth work is practiced. The imposition of tightly demarcated targets and narrowly defined outcomes, together with the individualisation of much service provision for young people requiring case work interventions, has meant that youth work's phronetic intentions have become obscured, and for some organisations, lost. This is against the backcloth of the needs of the young people being targeted by youth services becoming more complex, requiring a more specialist, therapeutic intervention. The author suggests that the time has come for bolder initiatives utilising critical social pedagogy as a threshold concept which, she asserts may allow the profession to embark upon a process of 'reclaiming' its professional roots.

A complete and mindfully developed blueprint for implementing evidence-based practice (EBP) in social work should include a full complement of coordinated goals and strategies for all stakeholders, including future social workers. To this end, schools of social work should teach students to be lifelong learners; teach students what is currently known and not known about the efficacy and effectiveness of social work practices and programs; teach students to be knowledgeable and skillful with the empirically supported practices in their area of specialty; teach current practitioners new knowledge and skills through evidence-based continuing education programs. This article describes these strategies and draws on examples from the classroom and a pilot training project designed to support EBP in social work agencies.

Front Cover -- Culturally Adapting Psychotherapy for Asian Heritage Populations -- Copyright Page -- Contents -- Preface -- Clinical Trial Sites -- Focus Group Contributions -- Research Staff -- References -- I. Understanding the science of culturally adapting psychotherapy -- 1 Why Is It Important to Culturally Adapt Therapy for Asian Heritage Populations? -- Why Write This Book for Asian Heritage Populations? -- Who Do We Mean by Asian Heritage Populations? -- Understanding Asian Heritage Populations in the United States -- Mind-Body Divergence Between the East and the West

"The book fully integrates evidence based practice methodology into the heart of the text, rather than in a single chapter. In addition to presenting the key concepts needed for the research methods text, the book helps students not only understand the research process, but it also equips them with the skills needed to a) evaluate studies b) translate relevant behavioral science into practice principles and implement evaluation procedures in their daily practice. The book begins with an introduction and rationale for using evidence based practice and the basic roles of an evidence based practitioner. Next the book covers evaluating research into practice generalizations. Then the authors cover designs for evaluation of practice, traditional designs, application of statistical techniques in evaluation of practice and advanced statistical techniques in social work research. Next the book covers the research process in preparing for research, developing and formulating quality proposals, developing management information systems for Human Services and emerging trends and issues"--

Despite growing awareness of & enthusiasm for evidence-based practice (EBP) among front-line social care staff employed by member agencies of the Centre for Evidence-based Social Services, using evidence in practice is a demanding task. This article highlights some of the challenges to evidence-based practice experienced by those involved in its implementation, which can be characterised as cultural, infrastructural & practical. Despite these hurdles, creative, practical steps have been taken by social care staff to promote EBP within their workplaces, & these are briefly summarised. 8 References. Adapted from the source document.