The need for research that is designed to support decisions in the delivery of mental health services.

Abstract

(1995) argued that traditional approaches to mental health services research fail to provide useful information to consumers and practitioners, particularly in an environment increasingly dominated by managed care. The authors recommend 4 guidelines for designing a research program so that the results can support the decisions of the major stakeholders (clients-families, practitioners, service managers, and policymakers): (a) Research must be targeted and programmatic and encompass a strategy of complementary efficacy, effectiveness, and cost-effectiveness studies; (b) study design and measure selection must be sensitive to describe who, and in what context, is best served by which intervention; (c) the design must inform stakeholders as to the type and amount of effort that is required to achieve a behavioral criteria," and (d) the strategy should inform researchers how information should be formatted to best support the decisions of the key stakeholders.

A comparison of dose–response curves in cognitive–behavioral and psychodynamic psychotherapies

“…Goldfried and Wolfe (1996) have pointed out the trade-off inherent in this choice, increasing generalizability but decreasing interpretability. Other authors, such as Barlow (1996), Howard, Moras, Brill, Martinovich, and Lutz (1996), and Newman and Tejeda (1996), advocate that effectiveness studies be conducted to add to the findings obtained in the more interpretable, but less "real-world" applicable, efficacy studies already designed. Clarke (1995) specifically suggests that heterogeneous groups of patients be used in effectiveness studies to provide information that may address the needs of patients seen in community-based clinical settings.…”

Practice‐based Evidence as a Complement to Evidence‐based Practice: From Dichotomy to Chiasmus

“…Thus, the focus is on issues of context, therapist and client characteristics and how these variables mediate and moderate outcomes within a service setting. There have been calls for this form of research to more directly inform mental health decision making (for example, Newman & Tejeda, 1996).…”

Pesquisas em psicoterapia: seções especiais de periódico (1995 a 2005)

“…As pressões para o desenvolvimento de ensaios clínicos controlados foram aumentadas com a publicação do Relatório do Consumidor (Consumer Reports) em 1995(VandenBos, 1996. Em 1996, uma seção especial no American Psychologist evidenciava, em síntese, a importância sentida em considerar a opinião pública quanto à eficácia dos tratamentos oferecidos (Barlow, 1996;Newman & Tejeda, 1996). Contudo, na opinião de Seligman (1996), há falhas metodológicas no estudo do Relatório do Consumidor induzindo a conclusões que podem servir apenas às necessidades de diminuir os gastos com o atendimento à saúde mental -tendência evidente na seção especial de 2000 -, com prejuízos tanto para o desenvolvimento do conhecimento em psicoterapia quanto para o próprio atendimento da população.…”