Implementing Evidence Based Practice Training in a ScientistPractitioner

Implementing Evidence. Based Practice Training in a Scientist-Practitioner Program David Di. Lillo Director of Clinical Training University of Nebraska-Lincoln

Clinical Psychology at the University of Nebraska-Lincoln History n Seven core clinical faculty n Scientist-practitioner model n Clinical Intervention I & II n

Training Context for EBP Clinical psychology as a health care profession n Focus on “psychological treatments” n

The EBP Model Best available research evidence EBP Patient preferences and values Clinical expertise

The EBP Model Relevant Abilities: • Adopt a scientific view of clinical psychology Best available research evidence • Knowledge of clinical research design and methods • Strategies for accessing best available research • Ability to evaluate relevant evidence

The EBP Model Relevant Abilities: • View therapy as a collaborative endeavor Patient preferences and values • Knowledge of specific diverse groups • Ability to ascertain patient values and preferences • Respond effectively to patient preferences and values

The EBP Model Relevant Abilities: • Understand role and limits of clinical judgment • Skills in relationship building Clinical expertise • Assessment and diagnostic skills • Skills to implement EST’s (e. g. , specific therapeutic techniques) • Integration of EST with client characteristics

Infusion of EBP Into Training Highlight existing consistencies n Coursework n Introduce EBP early and often n Review course content n Evidence-Based Clinical Interviewing n

Infusion of EBP Into Training n Practicum training Clinical Intervention n Clinic procedures n Clinical Comps n

Measuring Outcomes: Clinical Comps Identify relevant empirical literature for the case 2. Understand the relevant empirical literature and is able to apply it appropriately to the case. 3. Identify client’s values and individual characteristics that should impact assessment and treatment planning. 4. Incorporate client values and individual characteristics into the conceptualization 5. Demonstrate clinical expertise appropriate to this point in training to the case conceptualization, assessment and treatment planning. 1.

Measuring Outcomes: Clinical Comps • Develop a case conceptualization that follows from the empirical literature, clinical judgment and client characteristics that can guide assessment, treatment planning, and implementation.

Challenges to Implementing EBP Evolving model of EBP n Faculty know how and “buy in” n Integration of outside supervisors n Measuring long-term outcomes n