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Building an evidence-informed service array: Considering evidence-based programs as well as their practice elements.

Adam Bernstein1, Bruce F Chorpita2, Eric L Daleiden1

  • 1PracticeWise, LLC.

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This summary is machine-generated.

Defining treatments as practice elements, not just programs, significantly expands evidence-informed care options for youth. This approach ensures more clients receive treatments supported by scientific evidence.

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Area of Science:

  • Clinical Psychology
  • Health Services Research
  • Evidence-Based Practice

Background:

  • Designing effective clinical service systems requires maximizing the use of evidence-based treatments.
  • The definition of
  • treatment
  • influences the selection of interventions and the proportion of clients who can be served.

Purpose of the Study:

  • To compare strategies for building an evidence-informed service array.
  • To determine the optimal set of treatments that serve the largest client percentage.
  • To evaluate the impact of defining treatments as programs versus practice elements.

Main Methods:

  • Treatments were conceptualized as either distinct programs or collections of practice elements.
  • Data from government-sanctioned registries and clinical trials were analyzed.
  • Relevance mapping methodology identified optimal sets of programs and practice elements.

Main Results:

  • Practice elements provided evidence-informed treatment options for 11%-22% of a diverse youth population.
  • Registry-listed programs alone did not cover this client segment.
  • A hybrid approach combining "best" programs with practice elements offered broader coverage.

Conclusions:

  • Conceptualizing treatments impacts the reach of evidence-informed care.
  • Practice elements significantly enhance the ability to serve clients with evidence-supported interventions.
  • Flexible treatment definitions are crucial for optimizing service array planning.