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ADOPTING AND PLANNING FOR
IMPLEMENTATION OF EVIDENCE-BASED
PRACTICE
Adopting Evidence-Based PracticeLesson 1
Framing Evidence-Based PracticeLesson 2
Identifying an Evidence RepositoryLesson 3
Developing a Persuasion PlanLesson 4
COURSE OVERVIEW
ADOPTING EVIDENCE-BASED PRACTICE
VIDEO
What would you do?
EVIDENCE BASED PRACTICE
…May be the solution to many problems faced by mental health agencies today.
ARE THESE ISSUES RELEVANT TO YOUR
ORGANIZATION?
Low funding
Poor quality of service
Minimal opportunities for continuing education
Others?
LESSON OBJECTIVES
Recognize mental health funding patterns and trends Assess the impact of funding trends on own agency Recognize the importance of funding changes to
agency’s sustainability Understand that EBP involves a series of steps to take
when using a strict definition Discern the difference in meanings and connotations
of different terms that are used to describe the use of evidence in mental health practice
Identify the benefits of EBP to the agency, clinicians and clients; and
Feel satisfied that concerns about EBP were recognized and supported by the trainers
MENTAL HEALTH FUNDING PATTERNS AND
TRENDS
How does funding play a role in your organization?
Types:
Federal
State
Private insurance
DECLINING FUNDS
012345678
Dollars (billions)
2007 2008 2009 2010
Year
Mental Health Funding
State
Federal
Insurance
YOUR TURN
Identify 2 trends that affect the funding of
community health organizations in your state.
IMPACT OF FUNDING TRENDS ON THE AGENCY
FUNDING TRENDS
Example
Declining state funding
Impact
Less resources for small group programs
THINK ABOUT YOUR AGENCY…
Your typical workday
How will this trend affect your workplace? And your daily routines?
ON A SCALE OF 1 TO 10…
…Changes in State and Private funding will mean that our agency must reduce or eliminate services
1 = very unlikely
10 = very likely
AGENCY’S SUSTAINABILITY: A FUNDING PERSPECTIVE
BANKRUPT
Eastern Panhandle Training Center Martinsburg, WV Focus on Developmental Disabilities 1 of 4 in the state
Preferred Alternatives Incorporated Wilmington, NC All NC branches closing
Tri-City Mental Health Claremont, CA Outpatient facility Operated by 3 cities
MAKING CHANGES
Ohio’s Center for Innovative Practices
Evolving an infrastructure to support EBP
Colorado’s Center for Effective Interventions
Operates regionally in 6 states
Evolving implementation support structure or EBP
ON A SCALE OF 1 TO 10…
…How urgent is the need for your agency to alter its way of doing business in the next year?
1 = not urgent
10 = very urgent
EVIDENCE-BASED PRACTICE AND YOUR PRACTICE
RECALL
Basic elements of EBP
EBP’s relationship to mental health practice
BUYING A HOUSE
Numerous steps
Organize finances
Determine wants/needs
Search for the house
Make an offer
These steps can be flexible
5 STEPS OF EBP
1. Formulate a well-built question
2. Identify articles and other evidence-based resources that answer the question
3. Critically appraise the evidence to assess its validity
4. Apply the evidence
5. Re-evaluate the application of evidence and areas for improvement
IN GROUPS OF 4…
…Develop an acronym for the 5 steps of EBP
DIFFERENT TERMS USED TO DESCRIBE EBP
YOUR TURN
Identify 2 ways in which EBP may be
referred by someone who finds the practice
valuable
BENEFITS OF EBP
BENEFITS
Clients
Receive high quality, all encompassing service
Clinicians
Opportunities for continuous learning
Agency
Aligns with funding programs for optimum state and federal funding
YOUR TURN
Share one benefit of EBP
Which group (clients, clinicians, agency) does the benefit affect?
No repeats
CONCERNS ABOUT EBP
TYPICAL CONCERNS
Too rigid
Not personalized care
WHAT ARE YOUR CONCERNS?
IN THIS LESSON WE HAVE DISCUSSED…
mental health funding patterns and trends
their affect on the agency
the importance of funding changes
the steps involved in EBP
different connotations of terms used to describe EBP
benefits of EBP
and concerns about adopting EBP
SUCCESS!
Johns Hopkins University
ROLE PLAYING ACTIVITY
