Implementing Evidence-Based Practice Training in a Scientist-Practitioner Program

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Implementing Evidence-Based Practice Training in
a Scientist-Practitioner Program

• David DiLillo
• Director of Clinical Training
• University of Nebraska-Lincoln

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Clinical Psychology at the University of
Nebraska-Lincoln

• History
• Seven core clinical faculty
• Scientist-practitioner model
• Clinical Intervention I II

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Training Context for EBP

• Clinical psychology as a health care profession
• Focus on psychological treatments

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

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

Best Available Research Evidence
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The EBP Model

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

Patient Preferences and Values
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The EBP Model

• Relevant Abilities
• Understand role and limits of clinical judgment
• Skills in relationship building
• Assessment and diagnostic skills
• Skills to implement ESTs (e.g., specific
  therapeutic techniques)
• Integration of EST with client characteristics

Clinical Expertise
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Infusion of EBP Into Training

• Highlight existing consistenciess
• Coursework
• Review course content
• Evidence-Based Clinical Interviewing class
• Specific readings, papers, exams

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Infusion of EBP Into Training

• Practicum training
• Clinical Intervention
• Clinic procedures
• Clinical Comps

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Measuring Outcomes Clinical Comps

• Identify relevant empirical literature for the
  case
• Understand the relevant empirical literature and
  is able to apply it appropriately to the case.
• Identify clients values and individual
  characteristics that should impact assessment and
  treatment planning.
• Incorporate client values and individual
  characteristics into the conceptualization
• Demonstrate clinical expertise appropriate to
  this point in training to the case
  conceptualization, assessment and treatment
  planning.

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Measuring Outcomes Clinical Comps

• Develop a case conceptualization that follows
  from the empirical literature, clinical judgment
  and client characteristics that can guide
  assessment and treatment planning and
  implementation.
• Develop and implement an appropriate treatment
  plan.
• Demonstrate how therapy progress is monitored and
  modified as needed in light of the data.

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Challenges to Implementing EBP

• Evolving model of EBP
• Faculty know how and buy in
• Integration of outside supervisors
• Measuring long-term outcomes