Marriage & Family Therapy Assignment: WEEK 10 Discussion: Discussing EBP and PEB

Week 10 – Discussion: Discussing EBP and PEB Part 1 For part one of this week’s assignment, you will prepare a discussion entry in which you address four issues: 1. Forecast how EBP will be integrated into future clinical work. 2. Discuss possible ways to contribute to the MFT knowledge base as a clinician? 3. What did you learn from Clement (2013) that you could use to evaluate your future clinical work? 4. In light of the comments in the video from Barry Duncan, how might you obtain feedback from your clients to determine if you are on track? Length: 450-500 words Your response should demonstrate thoughtful consideration of the ideas and concepts presented in the course by providing new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards. Post your discussion response in the discussion field below. Source: Family process [Fam Process] 2011 Sep; Vol. 50 (3), pp. 280-92. Publication Type: Journal Article; Review Language: English Journal Info: Publisher: Family Process Country of Publication: United States NLM ID: 0400666 Publication Model: Print Cited Medium: Internet ISSN: 1545-5300 (Electronic) Linking ISSN: 00147370 NLM ISO Abbreviation: Fam Process Subsets: MEDLINE Imprint Name(s): Publication: New York, NY : Family Process Original Publication: Baltimore [etc.] MeSH Terms: Couples Therapy* Psychology, Clinical* Research* Humans ; Practice Patterns, Physicians’ ; Treatment Outcome Abstract: As has been true in every other realm of psychotherapy, couple therapy research generally has had very little impact on the day-to-day practice of couple therapists. To a significant degree, this unfortunate disconnection may be attributable to an overemphasis by researchers in the field on treatment packages and therapeutic methods/techniques. Insufficient attention has been paid to other important sources of influence on treatment outcomes, especially the couple therapist herself/himself. It is argued that effective couple therapy requires a good “fit” between the person of the therapist and her primary theoretical orientation, and that couple therapists may be more influenced by research that addresses process aspects of the therapeutic approaches to which they have their primary theoretical allegiances. (2011 © FPI, Inc.) Entry Date(s): Date Created: 20110903 Date Completed: 20120127 Latest Revision: 20151119 Update Code: 20200827 DOI: 10.1111/j.1545-5300.2011.01360.x PMID: 21884071 Database: MEDLINE Complete Practice-Based Evidence: 45 Years of Psychotherapy’s Effectiveness in a Private Source: American Journal of Psychotherapy; 2013, Vol. 67 Issue 1, p23-46, 24p Document Type: Article Subjects: Evidence-based psychotherapy; Psychotherapy practice; Psychotherapists; Treatment effectiveness; Adolescent psychotherapy Author Supplied Keywords: evidence-based practice practice-based evidence private practice treatment effect size treatment effectiveness Abstract: Of 2,259 patients seen during 45 years of private practice, outcome data was produced for 1,599 cases. The mean (SD) number of sessions per case was 18.82 (29.89). The dropout rate was 18.76%. Of all treated cases with outcome data 4 (0.25%) were rated as Much Worse; 11 (0.69%), Worse; 497 (31.08%), No Change from Intake; 546 (34.15%), Improved; and 541 (33.83%), Much Improved. The mean (SD) pre-/post-treatment effect size (ES) was 1.90 (1.61), the median was 1.62, and the range was from -2.91 to +15.22. Patients and parents of minors rated outcomes more positively than the therapist did. Outcome varied significantly across diagnostic categories. There was a significant, positive relationship in length of treatment and outcome. The therapist’s effectiveness did not improve across the years. Years with the largest patient caseloads or the greatest proportion of patients with managed-care insurance tended to show the poorest outcomes. [ABSTRACT FROM AUTHOR] Copyright of American Journal of Psychotherapy is the property of Association for the Advancement of Psychotherapy and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder’s express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) ISSN: 00029564 DOI: 10.1176/appi.psychotherapy.2013.67.1.23 Accession Number: 93476349 Database: OmniFile Full Text Select (H.W. Wilson) # (3) https://www.youtube.com/watch?v=bqdVx7ZoXao&feature=youtu.behttps://www.yo utube.com/watch?v=bqdVx7ZoXao&feature=youtu.be Part 2 For part two of this week’s assignment, you will reply to one other student’s discussion post for this week. In your reply, please specify (a) one thing that was interesting to you or resonated with you from their post, and (b) provide the author of the post with at least one question or comment to consider. Length: 100-150 words Your response should demonstrate thoughtful consideration of the ideas and concepts presented in the course by providing new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards. PLEASE RESPOND TO THE FOLLOWING POST FROM JACKSON .J 5106 POST #1 ● JacksonJ5106-10 ● Contains unread posts ● Jamaul Jackson posted Apr 5, 2020 8:15 PM ● Subscribe 4. Forecast how EBP will be integrated into future clinical work.\ ● Now more than ever I feel that EBP should be integrated into therapy practices based on the amount of information that proves studies to be accurate. With the rapid growth in the field along with the efforts to hold the ethics to a high standard, the therapist is more confident in their abilities to provide safe treatment no matter the client. EBP will be the benchmark based on the data that prove effectiveness. All clients won’t benefit from EBP, as long as the basic of the practice is understood by the clinician, interventions and practices can be tailored to provide the best care possible. 4. Discuss possible ways to contribute to the MFT knowledge base as a clinician? ● I have not yet had the chance to work with clients but look forward to helping clients in the future. First, developing a clinical question to answer and then conducting the necessary research to answer the question. Especially scenarios/cases that I’m not familiar with to improve my abilities as a therapist. Additionally, I plan on adding to already established sources to help all therapists stay informed with the ever-changing landscape of therapy and community trends. 4. What did you learn from Clement (2013) that you could use to evaluate your future clinical work? ● Bridging the gap of research to practice to improve the outcome of therapy is a way for me to evaluate my future clinical work (Clement, 2013). Wanting the best care for clients, using tactics sure as motivational therapy to persuade the client to agree/carry out an idea that they may not want or not feel motivated to do. That would put the therapeutic process in jeopardy of not working and essentially not help the client at all. It’s important to bridge the gap of research to therapist just as much as it is important for bridging the gap between therapist and client. Well-intentioned care should be our priority and to evaluate our care as clinicians assessments and evaluations that include questions such as What works? How does it work? Is there an improvement overall? (Clements, 2013). 4. In light of the comments in the video from Barry Duncan, how might you obtain feedback from your clients to determine if you are on track? ● Being direct and engaging with the clients to participate in periotic evaluations could be beneficial to my work as a clinician. As stated in the video, most clinicians feel they are performing better than they actually are. A way to effectively challenge the theory is for feedback by past and present clients to help in identifying areas where the therapist lacks knowledge or practice. Being open to change is important and my goal overall as a therapist would be to improve my abilities to be the best I can be. ● Clement, P. (2013). Practice-based evidence: 45 years of psychotherapy’s effectiveness in private practice. American Journal of Psychotherapy, 67(1), 23. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/23682512 ● The good, the bad, and the ugly of psychotherapy: Practice-based evidence to the rescue. (2009).[Video/DVD] ● less ● ● References ● Clement, P. (2013). Practice-based evidence: 45 years of psychotherapy’s effectiveness in a private practice. American Journal of Psychotherapy, 67(1), 23-46. doi: 10.1176/appi.psychotherapy.2013.67.1.23. ● Duncan, B. (2009). The good, the bad, and the ugly of psychotherapy: Practice based evidence to the rescue. ● Williams, L., Patterson, J., & Edwards, T.M. (2014). Clinician’s guide to research methods in family therapy: Foundations of evidence-based practice. The Guilford Press: New York, NY. ● more ● https://youtu.be/bqdVx7ZoXao The Good, the Bad, and the Ugly of Psychotherapy: Practice Based Evidence to the Rescue 8,796 views•Oct 19, 2009 20 1 SHARE SAVE The Good, the Bad, and the Ugly of Psychotherapy: Practice Based Evidence to the Rescue 8,796 views•Oct 19, 2009 20 1 SHARE SAVE https://youtu.be/bqdVx7ZoXao py: The Good Practice based evidence to the rescue.

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