SOWO 740 FINAL EXAM (EBP/JOINING &
ENGAGING/MI/MEASUREMENT) QUESTIONS AND
VERIFIED ANSWERS
evidence-based practice - CORRECT ANSWER✅✅✅-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 - CORRECT ANSWER✅✅✅-best practices, validated by evidence
-client preferences, values, experience
-practitioner's individual expertise
evidence based treatment (EBT) - CORRECT ANSWER✅✅✅-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) - CORRECT ANSWER✅✅✅-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 - CORRECT ANSWER✅✅✅-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? - CORRECT ANSWER✅✅✅-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
--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? - CORRECT ANSWER✅✅✅-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? - CORRECT ANSWER✅✅✅-academic journals
-SAMHSA EBP Resource Center
-Clinical practice guidelines
-Organizational websites
-CDC, NC databases, etc.
limitations of EBP - CORRECT ANSWER✅✅✅-the evidence base is limited and lacking, especially w/
non-white clients
-evidence base is often normed to white college students
ENGAGING/MI/MEASUREMENT) QUESTIONS AND
VERIFIED ANSWERS
evidence-based practice - CORRECT ANSWER✅✅✅-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 - CORRECT ANSWER✅✅✅-best practices, validated by evidence
-client preferences, values, experience
-practitioner's individual expertise
evidence based treatment (EBT) - CORRECT ANSWER✅✅✅-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) - CORRECT ANSWER✅✅✅-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 - CORRECT ANSWER✅✅✅-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? - CORRECT ANSWER✅✅✅-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
--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? - CORRECT ANSWER✅✅✅-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? - CORRECT ANSWER✅✅✅-academic journals
-SAMHSA EBP Resource Center
-Clinical practice guidelines
-Organizational websites
-CDC, NC databases, etc.
limitations of EBP - CORRECT ANSWER✅✅✅-the evidence base is limited and lacking, especially w/
non-white clients
-evidence base is often normed to white college students
