group2 final proj lesson1

ADOPTING AND PLANNING FOR

IMPLEMENTATION OF EVIDENCE-BASED

PRACTICE

Adopting Evidence-Based PracticeLesson 1

Framing Evidence-Based PracticeLesson 2

Identifying an Evidence RepositoryLesson 3

Developing a Persuasion PlanLesson 4

COURSE OVERVIEW

ADOPTING EVIDENCE-BASED PRACTICE

VIDEO

What would you do?

EVIDENCE BASED PRACTICE

…May be the solution to many problems faced by mental health agencies today.

ARE THESE ISSUES RELEVANT TO YOUR

ORGANIZATION?

Low funding

Poor quality of service

Minimal opportunities for continuing education

Others?

LESSON OBJECTIVES

Recognize mental health funding patterns and trends Assess the impact of funding trends on own agency Recognize the importance of funding changes to

agency’s sustainability Understand that EBP involves a series of steps to take

when using a strict definition Discern the difference in meanings and connotations

of different terms that are used to describe the use of evidence in mental health practice

Identify the benefits of EBP to the agency, clinicians and clients; and

Feel satisfied that concerns about EBP were recognized and supported by the trainers

MENTAL HEALTH FUNDING PATTERNS AND

TRENDS

How does funding play a role in your organization?

Types:

Federal

State

Private insurance

DECLINING FUNDS

012345678

Dollars (billions)

2007 2008 2009 2010

Year

Mental Health Funding

State

Federal

Insurance

YOUR TURN

Identify 2 trends that affect the funding of

community health organizations in your state.

IMPACT OF FUNDING TRENDS ON THE AGENCY

FUNDING TRENDS

Example

Declining state funding

Impact

Less resources for small group programs

THINK ABOUT YOUR AGENCY…

Your typical workday

How will this trend affect your workplace? And your daily routines?

ON A SCALE OF 1 TO 10…

…Changes in State and Private funding will mean that our agency must reduce or eliminate services

1 = very unlikely

10 = very likely

AGENCY’S SUSTAINABILITY: A FUNDING PERSPECTIVE

BANKRUPT

Eastern Panhandle Training Center Martinsburg, WV Focus on Developmental Disabilities 1 of 4 in the state

Preferred Alternatives Incorporated Wilmington, NC All NC branches closing

Tri-City Mental Health Claremont, CA Outpatient facility Operated by 3 cities

MAKING CHANGES

Ohio’s Center for Innovative Practices

Evolving an infrastructure to support EBP

Colorado’s Center for Effective Interventions

Operates regionally in 6 states

Evolving implementation support structure or EBP

ON A SCALE OF 1 TO 10…

…How urgent is the need for your agency to alter its way of doing business in the next year?

1 = not urgent

10 = very urgent

EVIDENCE-BASED PRACTICE AND YOUR PRACTICE

RECALL

Basic elements of EBP

EBP’s relationship to mental health practice

BUYING A HOUSE

Numerous steps

Organize finances

Determine wants/needs

Search for the house

Make an offer

These steps can be flexible

5 STEPS OF EBP

1. Formulate a well-built question

2. Identify articles and other evidence-based resources that answer the question

3. Critically appraise the evidence to assess its validity

4. Apply the evidence

5. Re-evaluate the application of evidence and areas for improvement

IN GROUPS OF 4…

…Develop an acronym for the 5 steps of EBP

DIFFERENT TERMS USED TO DESCRIBE EBP

YOUR TURN

Identify 2 ways in which EBP may be

referred by someone who finds the practice

valuable

BENEFITS OF EBP

BENEFITS

Clients

Receive high quality, all encompassing service

Clinicians

Opportunities for continuous learning

Agency

Aligns with funding programs for optimum state and federal funding

YOUR TURN

Share one benefit of EBP

Which group (clients, clinicians, agency) does the benefit affect?

No repeats

CONCERNS ABOUT EBP

TYPICAL CONCERNS

Too rigid

Not personalized care

WHAT ARE YOUR CONCERNS?

IN THIS LESSON WE HAVE DISCUSSED…

mental health funding patterns and trends

their affect on the agency

the importance of funding changes

the steps involved in EBP

different connotations of terms used to describe EBP

benefits of EBP

and concerns about adopting EBP

SUCCESS!

Johns Hopkins University

ROLE PLAYING ACTIVITY