©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AM
SOWO 740 Final Exam (EBP/Joining & Engaging/MI/Measurement)
Questions and Answers (100% Pass)
evidence-based practice - ✔️✔️-should be distinguished from evidence-based treatment (EBT)
and evidence-informed interventions/practice (EII or EIP). It's a spectrum.
-combines the best evidence with client preferences and clinician expertise to provide
services that are both empirically sound and individualized.
three components of EBP - ✔️✔️-best practices, validated by evidence
-client preferences, values, experience
-practitioner's individual expertise
evidence based treatment (EBT) - ✔️✔️-treatment with empirically supported techniques that
have "produced therapeutic change in controlled trials."
-Gold standard = randomized control trials (RCTs)
-ex: CBT for depression, exposure therapy for anxiety.
-the most rigorously empirical approach, but also the most narrow and uniform
-can ignore diversity, client preferences, clinician's judgment, etc.
evidence informed interventions/practice (EIP) - ✔️✔️-takes a broader view that gives more
weight to client preferences and wishes.
-Includes research but favors individual/contextual factors.
-the most open and individualized approach, but also the least rigorously empirical.
-more "practitioner friendly"
main impetus for EBT - ✔️✔️-Managed care, health insurers, and clients wanted assurance of
effective treatment
-Clinicians wanted confidence
-Pressure to make social work scientific
-->all led to development of randomized control trials and manualized modalities.
Why is EBP needed? - ✔️✔️-Balances benefits of EBT without going too far. It responds to
the need for empirical evidence, but leaves room to tailor to clients and clinician
-EBT by itself is problematic because:
--Controlled trials are too limited, sample sizes small, normed to white college students
1
, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AM
--Client wishes may differ from what EBT prescribes
--Client needs are complex (multiple, overlapping diagnoses)
--Controlled trials ignore cultural contexts and conditions
--ignores what's already working in communities
-So, need EBP to integrate individual client factors and clinician judgement
-also, the argument that the essential problem with U.S. healthcare system is uniformed
practice and this would be resolved if health care professionals practiced in ways that are
consistent with research findings
what is evidence in EBP? - ✔️✔️-observational studies (surveys, cohort studies)
-experimental studies (RCTs, quasi-experimental, etc)
-clinical guidelines and systematic reviews that synthesize studies (meta-analyses)
-"empirical research, a diverse theoretical and clinical literature, effectiveness data that are
based on "real world outcomes in diverse communities"
where does EBP evidence come from? - ✔️✔️-academic journals
-SAMHSA EBP Resource Center
-Clinical practice guidelines
-Organizational websites
-CDC, NC databases, etc.
limitations of EBP - ✔️✔️-the evidence base is limited and lacking, especially w/ non-white
clients
-evidence base is often normed to white college students
-sample sizes are small
-can't control for everything (e.g. individual/family resilience)
-controlled trials ignore cultural contexts and conditions
-difficult to balance evidence w/ client preferences and clinician experiences
-there are challenges in implementation of EBPs
-challenges in conducting effectiveness (not efficacy) studies of EBPs (efficacy studies are
typically conducted in a controlled environ., see issues above)
-exclude clients with comorbid diagnoses
to what degree do healthcare costs in the US contribute to better care? - ✔️✔️-US spends more
per capita on healthcare than other countries, but this does not mean better healthcare
2
SOWO 740 Final Exam (EBP/Joining & Engaging/MI/Measurement)
Questions and Answers (100% Pass)
evidence-based practice - ✔️✔️-should be distinguished from evidence-based treatment (EBT)
and evidence-informed interventions/practice (EII or EIP). It's a spectrum.
-combines the best evidence with client preferences and clinician expertise to provide
services that are both empirically sound and individualized.
three components of EBP - ✔️✔️-best practices, validated by evidence
-client preferences, values, experience
-practitioner's individual expertise
evidence based treatment (EBT) - ✔️✔️-treatment with empirically supported techniques that
have "produced therapeutic change in controlled trials."
-Gold standard = randomized control trials (RCTs)
-ex: CBT for depression, exposure therapy for anxiety.
-the most rigorously empirical approach, but also the most narrow and uniform
-can ignore diversity, client preferences, clinician's judgment, etc.
evidence informed interventions/practice (EIP) - ✔️✔️-takes a broader view that gives more
weight to client preferences and wishes.
-Includes research but favors individual/contextual factors.
-the most open and individualized approach, but also the least rigorously empirical.
-more "practitioner friendly"
main impetus for EBT - ✔️✔️-Managed care, health insurers, and clients wanted assurance of
effective treatment
-Clinicians wanted confidence
-Pressure to make social work scientific
-->all led to development of randomized control trials and manualized modalities.
Why is EBP needed? - ✔️✔️-Balances benefits of EBT without going too far. It responds to
the need for empirical evidence, but leaves room to tailor to clients and clinician
-EBT by itself is problematic because:
--Controlled trials are too limited, sample sizes small, normed to white college students
1
, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AM
--Client wishes may differ from what EBT prescribes
--Client needs are complex (multiple, overlapping diagnoses)
--Controlled trials ignore cultural contexts and conditions
--ignores what's already working in communities
-So, need EBP to integrate individual client factors and clinician judgement
-also, the argument that the essential problem with U.S. healthcare system is uniformed
practice and this would be resolved if health care professionals practiced in ways that are
consistent with research findings
what is evidence in EBP? - ✔️✔️-observational studies (surveys, cohort studies)
-experimental studies (RCTs, quasi-experimental, etc)
-clinical guidelines and systematic reviews that synthesize studies (meta-analyses)
-"empirical research, a diverse theoretical and clinical literature, effectiveness data that are
based on "real world outcomes in diverse communities"
where does EBP evidence come from? - ✔️✔️-academic journals
-SAMHSA EBP Resource Center
-Clinical practice guidelines
-Organizational websites
-CDC, NC databases, etc.
limitations of EBP - ✔️✔️-the evidence base is limited and lacking, especially w/ non-white
clients
-evidence base is often normed to white college students
-sample sizes are small
-can't control for everything (e.g. individual/family resilience)
-controlled trials ignore cultural contexts and conditions
-difficult to balance evidence w/ client preferences and clinician experiences
-there are challenges in implementation of EBPs
-challenges in conducting effectiveness (not efficacy) studies of EBPs (efficacy studies are
typically conducted in a controlled environ., see issues above)
-exclude clients with comorbid diagnoses
to what degree do healthcare costs in the US contribute to better care? - ✔️✔️-US spends more
per capita on healthcare than other countries, but this does not mean better healthcare
2
