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Related Experiment Videos

Evidence-based practices: setting the context and responding to concerns.

Susan M Essock1, Howard H Goldman, Laura Van Tosh

  • 1Division of Health Services Research, Department of Psychiatry, Box 1230, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029-6574, USA. susan.essock@mssm.edu

The Psychiatric Clinics of North America
|January 9, 2004
PubMed
Summary

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This summary is machine-generated.

The evidence-based practice movement in mental health care faces stakeholder concerns about science limitations, funding, costs, and control. Integrating research evidence with clinical expertise and consumer values requires inclusive dialogue for effective reform.

Area of Science:

  • Mental Health Care Reform
  • Evidence-Based Practice Movement

Background:

  • The evidence-based practice (EBP) movement gained prominence in mental health care reform during the early 2000s.
  • Progress in general medicine influenced the adoption of EBP in mental health.

Purpose of the Study:

  • To discuss concerns regarding the implementation of evidence-based practices in mental health care.
  • To identify challenges from the perspectives of various stakeholder groups.

Main Methods:

  • Convened leaders from the evidence-based practice movement.
  • Gathered input from six key stakeholder groups: consumers, family members, practitioners, administrators, policymakers, and researchers.

Main Results:

  • Identified recurrent themes of concern including the limits of scientific evidence.

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  • Noted issues related to funding diversion, increased costs, feasibility, and prior investments.
  • Observed concerns about shifts in power and control within the mental health system.

    • Conclusions:

    • Emphasized the need for continued dialogue among all stakeholder groups.
    • Recommended the integration of research evidence, clinical expertise, and consumer values for successful practice development.