Skip to main content
Erschienen in: Community Mental Health Journal 1/2019

16.03.2018 | Ethics in Community Mental Health Care

Becoming an Evidence-Based Practitioner

verfasst von: Mark M. Lowis, Jennifer Harrison, Steve Wiland

Erschienen in: Community Mental Health Journal | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

Mental health and substance use disorders co-occur frequently, and are associated with poorer outcomes in life domains including housing, employment, health, and recovery. Finding evidence-based interventions for engagement and recovery can be a challenge for practitioners and organizations, as it involves accepting new interventions, and then implementing and measuring the results. However, practitioners frequently use their opinions or non-generalizable experiences rather than evidence-based findings to guide their practice. Medication-assisted therapy programs, especially for individuals with co-occurring mental health and substance use disorders, is an area of treatment where there are solid evidence-based outcome findings and where, nonetheless, many practitioners continue to use less-, or non-effective treatment approaches. Conflict between groups of staff using two different approaches can have serious negative impact on treatment outcome. These can be effectively addressed through a combination of education and interventions aimed at resolving intra-staff conflict.
Literatur
Zurück zum Zitat Amodeo, M., Lundgren, L., Fernanda Beltrame, C., Chassler, D., Cohen, A.., & D’Ippolito, M. (2013). Facilitating factors in implementing four evidence-based practices: Reports from addiction treatment staff. Substance Use and Misuse, 48(8), 600–611.PubMedCrossRef Amodeo, M., Lundgren, L., Fernanda Beltrame, C., Chassler, D., Cohen, A.., & D’Ippolito, M. (2013). Facilitating factors in implementing four evidence-based practices: Reports from addiction treatment staff. Substance Use and Misuse, 48(8), 600–611.PubMedCrossRef
Zurück zum Zitat Amodeo, M., Lundgren, L., Cohen, A., Rose, D., Chassler, D., Beltrame, C., & D’Ippolito, M. (2011). Barriers to implementing evidence-based practices in addiction treatment programs: Comparing staff reports on motivational interviewing, adolescent community reinforcement approach, assertive community treatment, and cognitive-behavioral therapy. Evaluation and Program Planning, 34(4), 382–389.PubMedCrossRef Amodeo, M., Lundgren, L., Cohen, A., Rose, D., Chassler, D., Beltrame, C., & D’Ippolito, M. (2011). Barriers to implementing evidence-based practices in addiction treatment programs: Comparing staff reports on motivational interviewing, adolescent community reinforcement approach, assertive community treatment, and cognitive-behavioral therapy. Evaluation and Program Planning, 34(4), 382–389.PubMedCrossRef
Zurück zum Zitat Campbell, A., & Hemsley, S. (2009). Outcome Rating Scale and Session Rating Scale in psychological practice: Clinical utility of ultra-brief measures. Clinical Psychologist, 13(1), 1–9.CrossRef Campbell, A., & Hemsley, S. (2009). Outcome Rating Scale and Session Rating Scale in psychological practice: Clinical utility of ultra-brief measures. Clinical Psychologist, 13(1), 1–9.CrossRef
Zurück zum Zitat Drake, R. E., O’Neal, E. L., & Wallach, M. A. (2008). A systematic review of psychosocial research on psychosocial interventions for people with co-occurring mental and substance use disorders. Journal of Substance Abuse Treatment, 34, 123–138.CrossRef Drake, R. E., O’Neal, E. L., & Wallach, M. A. (2008). A systematic review of psychosocial research on psychosocial interventions for people with co-occurring mental and substance use disorders. Journal of Substance Abuse Treatment, 34, 123–138.CrossRef
Zurück zum Zitat Duncan, B. L., Miller, S. D., Sparks, J. A, Claud, D. A., Reynolds, L. R., Brown, J., & Johnson, L. D. (2003). The session rating scale: Preliminary psychometric properties of a “working” alliance measure. Journal of Brief Therapy, 3(1), 3–12. Duncan, B. L., Miller, S. D., Sparks, J. A, Claud, D. A., Reynolds, L. R., Brown, J., & Johnson, L. D. (2003). The session rating scale: Preliminary psychometric properties of a “working” alliance measure. Journal of Brief Therapy, 3(1), 3–12.
Zurück zum Zitat Fixsen, D. L., Naoom, S. F., Blasé, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature (FMHI Publication #231). Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network. Fixsen, D. L., Naoom, S. F., Blasé, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature (FMHI Publication #231). Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network.
Zurück zum Zitat Garner, B. R. (2009). Research on the diffusion of evidence-based treatments within substance abuse treatment: A systematic review. Journal of Substance Abuse Treatment, 36(4), 376–399.PubMedCrossRef Garner, B. R. (2009). Research on the diffusion of evidence-based treatments within substance abuse treatment: A systematic review. Journal of Substance Abuse Treatment, 36(4), 376–399.PubMedCrossRef
Zurück zum Zitat Green, A. I., Drake, R. E., Brunette, M. F., & Noordsy, D. L. (2007). Schizophrenia and co-occurring substance use disorder. American Journal of Psychiatry, 164(3), 402–408.PubMedCrossRef Green, A. I., Drake, R. E., Brunette, M. F., & Noordsy, D. L. (2007). Schizophrenia and co-occurring substance use disorder. American Journal of Psychiatry, 164(3), 402–408.PubMedCrossRef
Zurück zum Zitat Hasin, D., & Kilcoyne, B. (2012). Comorbidity of psychiatric and substance use disorders in the United States: Current issues and findings from the NESARC. Current Opinions in Psychiatry, 25, 165–171.CrossRef Hasin, D., & Kilcoyne, B. (2012). Comorbidity of psychiatric and substance use disorders in the United States: Current issues and findings from the NESARC. Current Opinions in Psychiatry, 25, 165–171.CrossRef
Zurück zum Zitat Hunt, G. E., Siegfried, N., Morley, K., Sitharthan, T., & Cleary, M. (2013). Psychosocial interventions for people with both severe mental illness and substance misuse. Cochrane Database of Systematic Reviews, 10, 1–258. Hunt, G. E., Siegfried, N., Morley, K., Sitharthan, T., & Cleary, M. (2013). Psychosocial interventions for people with both severe mental illness and substance misuse. Cochrane Database of Systematic Reviews, 10, 1–258.
Zurück zum Zitat Institute of Medicine (IOM). (2006). Improving the quality of health care for mental and substance-use conditions. Washington, DC: National Academies Press. Institute of Medicine (IOM). (2006). Improving the quality of health care for mental and substance-use conditions. Washington, DC: National Academies Press.
Zurück zum Zitat Kampman, K., & Jarvis, M. (2015). American Society of Addiction Medicine (ASAM) national practice guideline for the use of medications in the treatment of addiction involving opioid use. Journal of Addiction Medicine, 9, 1–10.CrossRef Kampman, K., & Jarvis, M. (2015). American Society of Addiction Medicine (ASAM) national practice guideline for the use of medications in the treatment of addiction involving opioid use. Journal of Addiction Medicine, 9, 1–10.CrossRef
Zurück zum Zitat Lai, H. M., & Sitharthan, T. (2012). Exploration of the comorbidity of cannabis use disorders and mental health disorders among inpatients presenting to all hospitals in New South Wales, Australia. American Journal of Drug & Alcohol Abuse, 38(6), 567–574.CrossRef Lai, H. M., & Sitharthan, T. (2012). Exploration of the comorbidity of cannabis use disorders and mental health disorders among inpatients presenting to all hospitals in New South Wales, Australia. American Journal of Drug & Alcohol Abuse, 38(6), 567–574.CrossRef
Zurück zum Zitat Lai, H. M., Sitharthan, T., & Huang, Q. R. (2012). Exploration of the comorbidity of alcohol use disorders and mental health disorders among inpatients presenting to all hospitals in New South Wales, Australia. Substance Abuse, 33(2), 138–145.PubMedCrossRef Lai, H. M., Sitharthan, T., & Huang, Q. R. (2012). Exploration of the comorbidity of alcohol use disorders and mental health disorders among inpatients presenting to all hospitals in New South Wales, Australia. Substance Abuse, 33(2), 138–145.PubMedCrossRef
Zurück zum Zitat Mee-Lee, D., & Harrison, J. (2010). Tips and topics: Opening the toolbox for transforming services and systems. The Change Companies: Carson City, NV. Mee-Lee, D., & Harrison, J. (2010). Tips and topics: Opening the toolbox for transforming services and systems. The Change Companies: Carson City, NV.
Zurück zum Zitat Mueser, K. T., Noordsy, D. L., Drake, R. E., & Fox, L. (2003). Integrated treatment for dual disorders: A guide to effective practice. New York: The Guilford Press. Mueser, K. T., Noordsy, D. L., Drake, R. E., & Fox, L. (2003). Integrated treatment for dual disorders: A guide to effective practice. New York: The Guilford Press.
Zurück zum Zitat Ogden, T. A., & Fixsen, D. L. (2014). Implementation science: A brief overview and a look ahead. Journal of Psychology, 222(1), 4–11. Ogden, T. A., & Fixsen, D. L. (2014). Implementation science: A brief overview and a look ahead. Journal of Psychology, 222(1), 4–11.
Zurück zum Zitat Sackett, D. L., Straus, S. E., Richardson, W. C., Rosenberg, W., & Haynes, R. M. (2000). Evidence-based medicine: How to practice and teach EBM. New York: Churchill Livingstone. Sackett, D. L., Straus, S. E., Richardson, W. C., Rosenberg, W., & Haynes, R. M. (2000). Evidence-based medicine: How to practice and teach EBM. New York: Churchill Livingstone.
Zurück zum Zitat Schmidt, L. M., Hesse, M., & Lykke, J. (2011). The impact of substance use disorders on the course of schizophrenia—A 15-year follow-up study: Dual diagnosis over 15 years. Schizophrenia Research, 130(1–3), 228–233.PubMedCrossRef Schmidt, L. M., Hesse, M., & Lykke, J. (2011). The impact of substance use disorders on the course of schizophrenia—A 15-year follow-up study: Dual diagnosis over 15 years. Schizophrenia Research, 130(1–3), 228–233.PubMedCrossRef
Zurück zum Zitat Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2014). The NSDUH report: Substance use and mental health estimates from the 2013 National Survey on Drug Use and Health: Overview of findings. Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2014). The NSDUH report: Substance use and mental health estimates from the 2013 National Survey on Drug Use and Health: Overview of findings. Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality.
Zurück zum Zitat Tyrer, P., & Weaver, T. (2004). Desperately seeking solutions: The search for appropriate treatment for comorbid substance misuse and psychosis. Psychiatric Bulletin, 28(1), 1–2.CrossRef Tyrer, P., & Weaver, T. (2004). Desperately seeking solutions: The search for appropriate treatment for comorbid substance misuse and psychosis. Psychiatric Bulletin, 28(1), 1–2.CrossRef
Zurück zum Zitat Warren, J. I., Stein, J. A., & Grella, C. E. (2007). Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders. Drug and Alcohol Dependence, 89(2–3), 267–274.PubMedPubMedCentralCrossRef Warren, J. I., Stein, J. A., & Grella, C. E. (2007). Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders. Drug and Alcohol Dependence, 89(2–3), 267–274.PubMedPubMedCentralCrossRef
Metadaten
Titel
Becoming an Evidence-Based Practitioner
verfasst von
Mark M. Lowis
Jennifer Harrison
Steve Wiland
Publikationsdatum
16.03.2018
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 1/2019
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-018-0261-9

Weitere Artikel der Ausgabe 1/2019

Community Mental Health Journal 1/2019 Zur Ausgabe

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.