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Evidence-Based Practice. What is it & what do we do with it? Barrett Johnson CWDA Child Welfare Conference Monterey, CA May 29 th , 2008 . What do we think EBP means?. Some Definitions:. EBP “is the integration of best research evidence with clinical expertise and [client] values”

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Evidence-Based Practice

What is it & what do we do with it?

Barrett Johnson

CWDA Child Welfare Conference

Monterey, CA

May 29th, 2008



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Some Definitions:

EBP “is the integration of best research evidence with clinical expertise and [client] values”

Sackett, Straus, Richardson, Rosenberg & Haynes (2000). Evidence-Based Medicine: How to practice and teach EBM (2nd ed.)

“It is the conscientious, explicit and judicious use of current best evidence in making decision about the care of individual [clients]”

Sackett, et al. (1997)


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Definitions, cont.

Gilgun’s 4 ‘Cornerstones’ of EBP:

  • Research and Theory

  • Practice wisdom, or what we and other professionals have leaned from our clients

  • The person of the practitioner (personal assumptions, values, biases and world views)

  • What clients bring to the situation

    Gilgun, J.F. (2005). The four cornerstones of evidence-based practice in social work. Research on Social Work Practice, 15(1).


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Definitions, Cont.

Practice that is informed and ‘mindful’ of:

  • Best available research evidence;

  • Best Clinical Experience;

  • Client values and preferences.


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Evidence-Based Practice vs Evidence-Based Interventions/Treatments

  • Evidence-Based Interventions or Treatments refer to “the interventions or techniques (e.g. cognitive therapy for depression, exposure therapy for anxiety) that have produced therapeutic change in controlled trials.”

    Kazden, A. (2008). Evidence-based treatment and practice. American Psychologist, 63 (3) p. 147.


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Evidence-Based Interventions/ Treatments Interventions/Treatments

  • Almost all of the evidence in CWS falls under this category

  • Not what the child welfare worker does, but what other people do.


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CEBC Areas Currently Interventions/Treatments

  • Casework Practice

  • Domestic/Intimate Partner Violence: Batterer Intervention Programs

  • Domestic/Intimate Partner Violence: Services for Women and their Children

  • Home Visiting for School Readiness

  • Interventions for Neglect

  • Motivation and Engagement

  • Parent Training

  • Placement Stabilization

  • Prevention (Secondary)

  • Reunification

  • Substance Abuse (Parental)

  • Supervised Visitation (3 @ level 4: Effectiveness Unknown)

  • Trauma Treatment for Children

  • Youth Transitioning into Adulthood


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2 Aspects to Consider: Interventions/Treatments

  • Building evidence

  • Applying/translating the evidence that we have to practice


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Building Evidence Interventions/Treatments


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Building Evidence: Interventions/TreatmentsThe Research and Training Network

Results so far:

  • Four statewide symposia

  • Established Research Agenda that has been adopted by CWDA, CalSWEC and CFPIC

  • Aligned CalSWEC’s research and development grants to the agenda

  • REVISED Agenda currently under review


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Building Evidence Discussions Interventions/Treatments

Divide into Safety, Permanence and Well-being:

  • Review the proposed Agenda

  • Which are most important to you?

  • Why?

  • How might you think about studying this?


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Translating Evidence Interventions/Treatmentsinto Practice


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Translating Evidence: Interventions/TreatmentsWhat we know

  • Most EB Interventions are not implemented

  • We have only begun to look at creating an atmosphere in the workplace for Evidence-Based Practice

  • The organizational Culture and Climate influence both of these things


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Translating Evidence: Interventions/TreatmentsSome Definitions

Organizational Culture

  • “the way things are done around here”

  • The shared norms, beliefs and behavioral expectations that drive behavior and communicate what is valued in an organization

    Summary of definitions from:

    Hemelgarn, Glisson and James. (2006) Organizational culture and climate: implications for services and interventions research. Clinical Psychology: Science and Practice. 13(1).


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Translating Evidence: Some Definitions Interventions/Treatments

Organizational Climate

  • “How it feels to work here”

  • The agreed upon (i.e. not just individual) perception of the psychological impact of the work environment

    Summary of definitions from:

    Hemelgarn, Glisson and James. (2006) Organizational culture and climate: implications for services and interventions research. Clinical Psychology: Science and Practice. 13(1).


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Translating Evidence Discussions Interventions/Treatments

Divide into groups:

  • Review the definitions of culture and climate

  • What is the current culture of the CWS agency about EBP? About EB Interventions?

  • What could you do to change this?

  • How might the organizational climate influence attitudes toward EBP/EB I?

  • How might you change this?


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What can we do for you? Interventions/Treatments


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For more information about EBP and training: Interventions/Treatments

http://calswec.berkeley.edu/

www.cfpic.org

www.cachildwelfareclearinghouse.org


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