Evidence based practices
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Evidence Based Practices. Violence Prevention Summer Institute 2005. What is it?. An Evidence Based Practice (or EBP) is a practice that has been shown to produce results in several settings (replication) and can be exported (manuals, etc.). SB 267. Does Senate Bill 267 apply to me?

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Evidence Based Practices

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Evidence based practices

Evidence Based Practices

Violence Prevention Summer Institute

2005


What is it

What is it?

  • An Evidence Based Practice (or EBP) is a practice that has been shown to produce results in several settings (replication) and can be exported (manuals, etc.).


Sb 267

SB 267

  • Does Senate Bill 267 apply to me?

    • Department of Corrections

    • Oregon Youth Authority

    • Oregon Commission on Children & Families

    • That part of the Department of Human Services that deals with Mental Health and Addiction issues

    • Oregon Criminal Justice Commission


Sb 267 timelines

SB 267 Timelines

  • By Sept. 30, 2004:

    • Conduct an assessment of existing programs and establish goals that enable the agency to meet the requirement of the law.

    • Submit a report to the legislature containing:

      • An assessment of each program on where the agency expends funds, including by not limited to whether the program is an evidence-base program.

      • The percentage of state moneys the agency receives for programs that is being expended on evidence-based programs.

      • The percentage of federal and other moneys the agency receives for programs that is being spent on evidence-based programs.

      • Description of efforts being made to comply.


Sb 267 2005 timelines

SB 267 2005 Timelines

  • For the biennium beginning July 1, 2005:

    • The five agencies shall spend at least 25 percent of state moneys that each agency receives for programs on evidence-based programs.

    • Submit a report to the interim legislative committee dealing judicial matters no later than Sept. 30, 2006.

    • Description of efforts to meet the requirements.


Sb 267 2007 timelines

SB 267 2007 Timelines

  • For the biennium beginning July 1, 2007:

    • The five agencies shall spend at least 50 percent of state moneys that each agency receives for programs on evidence-based programs.

    • Submit a report to the interim legislative committee dealing judicial matters no later than Sept. 30, 2008.

    • Description of efforts to meet the requirements.


Sb 267 2009 timelines

SB 267 2009 Timelines

  • For the biennium beginning July 1, 2009:

    • The five agencies shall spend at least 75 percent of state moneys that each agency receives for programs on evidence-based programs.

    • Submit a report to the interim legislative committee dealing judicial matters no later than Sept. 30, 2010.

    • Description of efforts to meet the requirements.


Levels of evidence for ebp

Levels of Evidence for EBP

  • Clinical practices and research are placed on an evidence continuum with six levels ranging from:

    • Multiple studies using randomized assignment of patients in clinical setting.

    • To no evidence that supports the efficacy or efficiency of the practice on the other.

    • To evidence that suggests that the practice is harmful.


Omhas levels of evidence

OMHAS Levels of Evidence

  • The Office of Mental Health and Addiction Services (OMHAS) suggests that the first three levels (I-III) of evidence describe practices that meet sufficient scientific standards to be defined asevidence-based practices.


Level 1

Level 1

  • Level I – A prevention or treatment practice, regimen, or service that is:

    • Grounded in consistent scientific evidence showing that it improves client/participant outcomes in both scientifically controlled and routine care settings and

    • Sufficiently documented through research to permit the assessment of fidelity


Level 1 key points

Level 1 Key Points

  • Level I – Key Points

    • Supported by scientifically sound randomized controlled studies that have shown consistently positive outcomes.

    • Positive outcomes have been achieved in scientifically controlled and in routine care settings.

    • Level 2 is similar to Level 1 with one setting demonstrated (routine care or scientifically controlled).


Level 3

Level 3

  • Modified or adapted for a population or setting that is different from the one in which it was formally developed and documented.

  • The modification’s effect on outcomes is measured and documented.

  • Based on the results of the outcomes, elements of the service are continually adapted or modified to achieve outcomes similar to those in the original practice.

  • Sufficiently documented to provide a framework for replication of the practice and outcomes in a similarly modified setting.


Level 4

Level 4

  • Level 4–A prevention or treatment service or practice not yet sufficiently documented and/or replicated through scientifically sound research procedures.

    • Practice is building evidence through documentation of procedures and outcomes.

    • Intended to fill a gap in the service system.

    • Not yet sufficiently researched for the development of a fidelity tool.


Level 5

Level 5

  • Level 5 –A prevention or treatment service based solely on clinical opinion and/or non-controlled studies without comparison groups.

    • Has not produced a standardized set of procedures or elements that allow for replication of the service.

    • Has not produced consistently positive measured outcomes.


Key points

Key Points

  • Standardization-An intervention must be standardized so that it can be replicated elsewhere. Standardization typically involves a manual or book that clearly defines the practice and measures to assess if the intervention is being practiced accurately.

  • Replication -Replication of research findings means that more than one study finds similar positive effects when consumers receive the service.


Key points1

Key Points

  • Presence of a Fidelity Scale- A fidelity scale is used to verify that an intervention is being implemented in a manner consistent with the treatment model.

  • Meaningful Outcomes -Effective interventions must show that they can help consumers achieve important goals or outcomes related to impairments and/or risk factors.


Follow up questions

Follow Up Questions?

  • Pamela Clark

  • Chief Drug and Alcohol Research Analyst

  • Oregon Office of Mental Health and Addiction Services, 500 NE Summer St. E86 Salem OR 97301.

  • [email protected] (with an underscore between clark and pamela)

  • 503-805-9668


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