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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

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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