SCOTT D Miller - For the latest and greatest information on Feedback Informed Treatment

  • About
    • About Scott
    • Publications
  • Training and Consultation
  • Workshop Calendar
  • FIT Measures Licensing
  • FIT Software Tools
  • Online Store
  • Top Performance Blog
  • Contact Scott
info@scottdmiller.com 773.404.5130

Practice-Based Evidence Goes Mainstream

September 5, 2009 By scottdm 4 Comments

welcome-to-the-real-worldFor years, my colleagues and I have been using the phrase “practice-based evidence” to refer to clinicians’ use of real-time feedback to develop, guide, and evaluate behavioral health services. Against a tidal wave of support from professional and regulatory bodies, we argued that the “evidence-based practice”–the notion that certain treatments work best for certain diagnosis–was not supported by the evidence.

Along the way, I published, along with my colleagues, several meta-analytic studies, showing that all therapies worked about equally well (click here to access recent studies children, alcohol abuse and dependence, and post-traumatic stress disorder). The challenge, it seemed to me, was not finding what worked for a particular disorder or diagnosis, but rather what worked for a particular individual–and that required ongoing monitoring and feedback.  In 2006, following years of controversy and wrangling, the American Psychological Association, finally revised the official definition to be consistent with “practice-based evidence.” You can read the definition in the May-June issue of the American Psychologist, volume 61, pages 271-285.

Now, a recent report on the Medscape journal of medicine channel provides further evidence that practice-based evidence is going mainstream. I think you’ll find the commentary interesting as it provides compelling evidence that an alternative to the dominent paradigm currently guiding professional discourse is taking hold.  Watch it here.

Filed Under: Behavioral Health, evidence-based practice, Practice Based Evidence Tagged With: behavioral health, conference, deliberate practice, evidence based medicine, evidence based practice, mental health, Therapist Effects

Comments

  1. Jason Seidel says

    September 6, 2009 at 12:24 am

    Hi Scott-
    It’s encouraging to see a psychiatrist like David Hellerstein endorsing the importance of collecting evidence from our own actual clients to determine whether we are really making a difference in our clients’ lives rather than relying on treatment guidelines and fantasizing that this is all we need to do. Unfortunately, while I share your hope about our field turning the corner, we have such a long way to go with many in the mainstream mental health culture.

    A recent issue (Sept/Oct 2009) of The National Psychologist quoted the APA president, James Bray, as saying, “We have heard from the insurance industry and policy makers that we are shooting ourselves in the foot by not having treatment guidelines for psychotherapy…” While another leader emphasized linking guidelines with outcomes, we know from experience (and from that debate between Bruce Wampold and David Hollon) that for most in our field, “accountability” means using a treatment that in the hands of other clinicians and with other clients was helpful. And we know from the data that it simply isn’t anywhere near valid to do so. There is still a broad assumption that by “doing what the experts did” we can be assured of achieving similar outcomes. Wrong. The data have spoken: Know Thine Own Outcomes.

    Reply

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

 

SEARCH

Subscribe for updates from my blog.

loader

Email Address*

Name

Upcoming Training

May
31

FIT CAFÉ May/June 2022


Jun
21

FIT CAFÉ Summer 2022


Aug
01

FIT Implementation Intensive 2022


Aug
03

Feedback Informed Treatment (FIT) Intensive ONLINE

FIT Software tools

FIT Software tools

LinkedIn

Topics of Interest:

  • behavioral health (4)
  • Behavioral Health (112)
  • Brain-based Research (2)
  • CDOI (14)
  • Conferences and Training (67)
  • deliberate practice (31)
  • Dodo Verdict (9)
  • Drug and Alcohol (3)
  • evidence-based practice (66)
  • excellence (63)
  • Feedback (40)
  • Feedback Informed Treatment – FIT (217)
  • FIT (29)
  • FIT Software Tools (12)
  • ICCE (26)
  • Implementation (7)
  • medication adherence (3)
  • obesity (1)
  • PCOMS (11)
  • Practice Based Evidence (39)
  • PTSD (4)
  • Suicide (1)
  • supervision (1)
  • Termination (1)
  • Therapeutic Relationship (9)
  • Top Performance (40)

Recent Posts

  • The Most Important Psychotherapy Book
  • Naïve, Purposeful, and Deliberate Practice? Only One Improves Outcomes
  • Study Shows FIT Improves Effectiveness by 25% BUT …
  • Seeing What Others Miss
  • How Knowing the Origins of Psychotherapy Can Improve Your Effectiveness

Recent Comments

  • Jeffrey Von Glahn on The Most Important Psychotherapy Book
  • James Venneear on The Most Important Psychotherapy Book
  • Asta on The Expert on Expertise: An Interview with K. Anders Ericsson
  • Michael McCarthy on Culture and Psychotherapy: What Does the Research Say?
  • Jim Reynolds on Culture and Psychotherapy: What Does the Research Say?

Tags

addiction Alliance behavioral health brief therapy Carl Rogers CBT cdoi common factors conferences continuing education denmark evidence based medicine evidence based practice Evolution of Psychotherapy excellence feedback feedback informed treatment healthcare holland icce international center for cliniclal excellence medicine mental health meta-analysis Norway NREPP ors outcome measurement outcome rating scale post traumatic stress practice-based evidence psychology psychometrics psychotherapy psychotherapy networker public behavioral health randomized clinical trial SAMHSA session rating scale srs supershrinks sweden Therapist Effects therapy Training