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What can therapists learn from the CIA? Experts versus the "Wisdom of the Crowd"
What can we therapists learn from the CIA? In a phrase, “When it comes to making predictions about important future events, don’t rely on experts!” After a spate of embarrassing, high-profile intelligence failures, a recent story showed how a relatively small group of average people made better predictions about critical world events than highly-trained analysts with access to classified information. … — read more
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How not to be among the 70-95% of practitioners and agencies that fail
Our field is full of good ideas, strategies that work. Each year, practitioners and agencies devote considerable time and resources to staying current with new developments. What does the research say about such efforts? When it comes to the implementation of new, evidence-based practices, traditional training strategies routinely produce only 5% to 30% success rates. Said another way, 70-95% of training fails… — read more
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Do you do psychotherapy?
You know psychotherapy works. Forty years of research evidence backs up your faith in the process. And yet, between 1998 and 2007, psychotherapy use decreased by 35%. People still sought help, they just went elsewhere to get it. For instance, use of psychotropic drugs is up 40% over the last decade. A recent article in… — read more
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Evidence-based Practice is a Verb not a Noun
Evidence-based practice (EBP). What is it? Take a look at the graphic above. According to American Psychological Association and the Institute of Medicine, there are three components: (1) the best evidence; in combination with (2) individual clinical expertise; and consistent with (3) patient values and expectations. Said another way, EBP is a verb. Why then… — read more
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What to Pay Attention to in Therapy?
A week or so ago, I received an email from my friend, colleague, and mentor Joe Yeager. He runs a small listserve that sends out interesting and often provocative information. The email contained pictures from a new and, dare I say, ingenious advertising campaign for Colgate brand dental floss. Before I give you any of… — read more
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S.A.M.S.H.A. designates Feedback-Informed Treatment an "Evidence-based Practice"
February 2, 2013 Chicago, Illinois USA I am honored to announce that Feedback-Informed Treatment (FIT) has been added to SAMSHA’s official database of evidence-based practices (EBP) known as NREPP (the National Registry of Evidence-based Programs and Practices). Briefly, NREPP is a searchable online registry of behavioral health interventions that have been reviewed and rated by… — read more
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Feedback Informed Treatment as Evidence-Based Practice
Back in November, I blogged about the ICCE application to SAMSHA’s National Registry for consideration of FIT as an official evidence-based approach (EBP). Given the definition of EBP by the Institute of Medicine and the American Psychological Association, Feedback Informed Treatment seems a perfect, well, FIT. According to the IOM and APA, evidence-based practice means… — read more
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Feedback-Informed Treatment as Evidence-based Practice: APA, SAMSHA, and NREPP
What is evidence-based practice? Visit the UK-based NICE website, or talk to proponents of particular theoretical schools or therapeutic models, and they will tell you that being "evidence-based" means using the approach research has deemed effective for a particular diagnosis (e.g., CBT for depression, EMDR for trauma). Over the last two decades, numerous organizations and… — read more