Let’s Clearly Distinguish Evidence-based Practice and Empirically Supported Treatments

Drisko, James W.; Friedman, Anne

doi:10.1080/00377317.2019.1706316

Cited by 10 publications

(11 citation statements)

References 27 publications

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“…A cynical view would be that there is little commitment to a real evidence-based approach, and that vagueness in guidelines for evidence-based interventions would allow any kind of intervention if it can be connected to some form of research (Drisko & Friedman, 2019). Vagueness in the use of terminology can also lead to situations where that terminology becomes meaningless, and as such, interventions may be evidence-based in name only (Drisko & Friedman, 2019). Vagueness may be a drawback for those looking for more direct guidance.…”

Section: Discussionmentioning

confidence: 99%

“…This is not a problem if a term is appropriately defined in a source that is readily accessible but could be problematic if the external sources become inoperative or out of date. The use of “internal definitions” may be more desirable since clear communication about expectations around EBIs is a key factor in supporting EBI implementation within a state (Bruns et al, 2016; Drisko & Friedman, 2019; Fagan et al, 2019; Hallfors & Cho, 2007; Rieckmann, et al, 2015; Yingling & Mallinson, 2020). The drawback to including such detailed language is that unless the legislators or their staff have a strong research background or hire research savvy consultants, it is likely that the “definitions” they create would not capture the criteria and standards appropriate to identify meritorious or worthwhile interventions (Malekinejad, et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…However, the treatment and prevention of behavioral health problems involves a complex system of policies, programs, practices, and information gathering by service providers and agency staff that relies on empirically validated information and principles of action (Maranda et al, 2021). Thus, the present manuscript uses the term “evidence-based interventions” (Drisko & Friedman, 2019) to encapsulate the wide range of evidence-based approaches to behavioral healthcare.…”

Section: Introductionmentioning

confidence: 99%

“…A key aspect of support for the implementation of EBIs is the degree to which a state legislature clearly communicates its expectations to its various constituent agencies (Bruns et al, 2016; Drisko & Friedman, 2019; Fagan et al, 2019; Hallfors & Cho, 2007; Rieckmann, et al, 2015). One aspect of such communication should be the clear and consistent use of terminology, again preferring definitions that utilize multiple tiers of evidence.…”

Section: Introductionmentioning

confidence: 99%

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Variations in Definitions of Evidence-Based Interventions for Behavioral Health in Eight Selected U.S. States

2022

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Background U.S. state legislatures fill a vital role in supporting the use of evidence-based interventions (EBIs) through statutes and regulations (mandates). Objective The study determined the terms used by selected states to describe EBIs and how those terms are defined in mandates. Research Methods The mandates of eight purposely selected states were accessed and coded using the Westlaw Legal Research Database. Results Considerable variation was found in the terms used by states to describe EBIs. Although “evidence-based” was the most frequently utilized term (60% of mandates), an additional 29 alternative terms appeared with varying frequencies. Most terms were simply mentioned, with no further definition or elaboration. When terms were further defined or elaborated, the majority were defined using numerous and different types of external sources or references. Three approaches were found in the mandates defining EBIs: “single definition,” “hierarchies of evidence levels,” and “best available evidence”; the states differed considerably in the approaches used in their mandates. Conclusions The variations in EBI-related terminology across states and within states, coupled with a lack of elaboration on the meaning of important terms and the predominant use of external rather than internal guidelines, may be a source of confusion for behavioral health provider agencies that seek direction about what constitutes an EBI. Prior studies indicate that many agencies may lack staff with the technical ability to adequately evaluate what constitutes an EBI. Thus, lack of clear guidance from official state government mandates may impede the implementation of EBIs within states.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Variations in Definitions of Evidence-Based Interventions for Behavioral Health in Eight Selected U.S. States

2022

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“…Although EBP is often conflated with ESTs (Drisko & Friedman, 2019), it is implemented through a multistep process most often described from the professional practitioner’s perspective (Drisko & Grady, 2019; NASW, 2019; Rubin & Bellamy, 2012). Following a thorough assessment (Grady & Drisko, 2014), Step 1 of EBP is to identify a practice question based on the assessment, Step 2 is to efficiently locate the best available relevant research information, and Step 3 is to evaluate quality of the located research results and their relevance to the specific client and situation.…”

Section: Ebpmentioning

confidence: 99%

Incorporating Evidence-Based Practice Into Informed Consent Practice

Drisko

2020

Families in Society

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This conceptual article argues that evidence-based practice (EBP) is best understood as a component of the informed consent process preceding treatment. The legally mandated informed consent/consent to treat process requires that professionals disclose to clients the nature of services along with potential risks, benefits, and alternatives. Informed consent is a long-standing part of professional practice ethics with over a century of legal precedents. The more recent EBP process also requires discussion with the client of the best research-supported treatments, which are explored in combination with the client’s values and preferences and the professional’s expertise, to develop a treatment plan. Yet, EBP has not been clearly linked to informed consent for treatment. EBP can be usefully understood as part of the more comprehensive informed consent ethics process. New practice and ethics competencies are examined.

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