NADD%20Meeting%20Spring%202008

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NADD Meeting Spring 2008

• Partnerships to Integrate
• Evidence-Based Practice
• Implications for Social Work Education, Practice
  Research
• Joan Levy Zlotnik, PhD, ACSW
• Institute for the Advancement of Social Work
  Research
• www.iaswresearch.org
• jlziaswr_at_naswdc.org

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Institute for the Advancement of Social Work
Research

• Develop social work research(ers)
• Translate research into effective practice and
  policy
• Translate practice issues into questions to be
  studied

• Strengthen the bridges between research and
  practice
• EBP efforts focus on defining, identifying,
  assessing, applying and evaluating..

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Why EBP?
EBP for Policy and Macro-practice Too Chambers,
D. (2007).
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Why Evidence-Based Practice?

• Important for outcomes and accountability
• costs, replicability, standards, efficiency,
  quality improvement.
• Connect research to practice and policy
• - usefulness, applicability, relevance,
  adoption.
• Important for effectiveness
• what works for whom
• Make optimal practice decisions made on research
• Balance effective interventions with diversity -
  
• individual, culture and community.
• Ethical obligation to use what works

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Definitions

• EBP is a process in which the practitioner
  combines well-researched interventions with
  (clinical) practice experience, ethics and client
  system preferences and culture - to guide and
  inform the delivery of treatments and services.
• EBP specific practices
• EBP specific programs

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Definitions

• Evidence-based practice is defined by the
  Institute of Medicine as the integration of best
  researched evidence and clinical expertise with
  patient values. (IOM Committee on Quality of
  Health Care in America (2001). Crossing the
  Quality Chasm. Washington, DC National
  Academies Press.)
• "Evidence-based practices are interventions for
  which there is consistent scientific evidence
  showing that they improve client outcomes."
  (Drake et al., 2001, p. 180)

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EBP Processes

• Developing Evidence
• Emphasize research with potential to change
  practice
• Produce findings applicable to current service
  delivery
• Involve clients/consumers/practitioners in
  research design and studies
• Disseminating Evidence
• Transportability
• Representativeness
• Adopting/Adapting Evidence
• Adherence, access and preference
• Health disparities

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IASWR EBP Involvements

• Austin Initiative - Improving the teaching of
  evidence-based practice special issue of
  Research on Social Work Practice -- September
  2007
• Child welfare and evidence-based practice in the
  context of cultural competence -
  http//ssw.cehd.umn.edu/EBP-CulturalCompetence.htm
  l
• NIMH linking research and practice
• Evidence-based behavioral practice www.ebbp.org
• EBP Family-centered health care Health
  disparities
• Transporting Evidence-Based Practice to Community
  Settings Collaboration with NASW
• EBP and Care Coordination Collaboration with
  the New York Academy of Medicine

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NIMH Initiative

• Partnerships to Integrate Evidence-Based Mental
  Health Practices into Social Work Education and
  Research
• Office of Constituency Relations Public Liaison
• Office for Special Populations
• Division of Services Intervention Research
• Institute for the Advancement of SW Research

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Purpose

• Develop strategies to expand and amplify existing
  activities integrating MH EBPs into social work
  education and research

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Initiative Activities

• IASWR scan social work education and outreach to
  service providing organizations to identify
  current efforts to teach evidence-based practices
  in social work education
• Partnerships
• Among social work organizations
• Between social work and NIMH
• Between a discipline and service providers
• Between a discipline/service providers/consumers

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Invited Stakeholders

• Assn for Baccalaureate SW Program Directors
• Anxiety Disorders Assn of America
• Council on SW Education
• Group for the Advancement of Doctoral Education
• Institute for the Advancement of SW Research
• Mental Health America
• Nat. Assn of Deans Directors of Schools of SW
• National Association of Social Workers
• Nat. Assn of State MH Program Directors ( NRI)
• Society for SW and Research
• Substance Abuse and MH Services Administration
• The St. Louis Group

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April 2007 Meeting Agenda

• School Perspective (supply)
• State Perspective (demand)
• EB Psychotherapy
• Existing Models at SW Schools
• Culturally Appropriate Care
• National Workforce Development (SAMHSA)
• Stakeholder Perspective (employer)
• Consumer Perspective
• Roundtable Discussions

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School Agency Leverage Points

• Identifying and accessing EBTs
• Accepting and adopting EBTs
• Implementing EBTs in practice
• Evaluating effectiveness of EBTs
• Proctor, E, Research on
  Social Work Practice (Special Issue) 2007

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Promoting EBP Strategies and Challenges

• Curriculum
• Foundation and advanced research courses
• Standard practice curricula
• Advanced clinical practice electives
• Life-long learning
• Keep pace with new findings
• For non-responders or unknown areas
• Field setting issues
• Staff knowledge
• Limits for new training
• Limited resources
• Staff turnover

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Program Models

• UNIVERSITY OF MICHIGAN
• Field Specific Collaboratives
• Team students, faculty agency to reduce
  implementation barriers
• Information Literacy Competencies
• Library developed website to assist practitioners
• Mini-Courses
• For students and professionals, on EBPs

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Program Models

• NEW YORK STATE CONSORTIUM
• STATE OMH AND DEANS DIRECTORS

School survey Field focus groups Program
development among five schools syllabus,
placement matching, field colloquia Pilot
Implementation certificate and job referral
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Program Models

• UNIVERSITY OF SOUTHERN CALIFORNIA
• Partner with LA Co. DMH to Transform Public MH
  Services
• FIELD UNIT TRAINING
• Train students to implement EBPs
• Educational exchange for administrators field
  supervisors
• Prime agencies for service innovation

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OTHER MODELS

• ?????????????????????
• Curricula inclusion
• Community-based practice
• Family/agency partnerships
• Rural practice
• Front-line staff
• Access to EBP

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Potential Action Steps

• PARTNERSHIPS FOR RESEARCH, EDUCATION AND
  WORKFORCE DEVELOPMENT
• Transfer info from workforce development in other
  fields (child welfare/aging, etc.)
• Encourage MH/SW ED state level partnerships
• Agenda setting
• Conferences
• Implementing services research agendas
• Use academic library resources
• Encourage faculty development at the national
  level IASWR/NRI summer workshops
• Link to field education and teaching of EBPs
• Certificate programs
• SW guidelines across the educational continuum

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Potential Action Steps

• DOCTORAL EDUCATION IN SOCIAL WORK
• Provide opportunities to learn about EBP, EBPTS
  and to develop relevant research agendas.
• Teach to use EBP process across fields of practice

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Potential Action Steps

• ENHANCEMENT AND SUSTAINABILITY
• Conference grants to further address EBP issues,
  strategies to educate faculty about culturally
  relevant EBP and EBTs, and promote partnership
  models and transfer from model projects
• National clearinghouse on sw relevant EBTs and
  EBP resources, strategies to use toolkits.
• National taskforce

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Potential Action Steps

• RESEARCH
• Systems level research to address organizational
  and structural issues to adopt and adapt EBP
  EBTs
• Research on co-morbidity
• Agency/university research partnerships
• Translational research to link university, public
  health and mental health systems.
• Research workforce training program with rigorous
  methods that focus on dissemination and
  implementation into real world settings
• Encourage collaborative and participatory
  research models.

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REACH-SW

• Curriculum enhancement tool to increase the use
  of empirical mental health research in social
  work practice.
• Field testing now
• Supported by NIMH Division of Services
  Intervention Research
• SBIR Phase I Contract 9/2003 3/2004
• SBIR Phase II Contract 9/2004 9/2008

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REACH-SW Curriculum Tool

• Objective To support social work faculty in
  teaching students the lifelong skills needed to
  find, assess, and apply EBP approaches to social
  work practice in real-world settings.

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Project Team

• Danya
• Cynthia Baker, Ph.D., Principal Investigator
• Nicole Owings-Fonner, M.A., Project Director
• Laurie Brockmann, M.P.H., M.S.W., Content Writer
• NIMH
• Adam Haim, Ph.D., Program Official
• Denise Juliano-Bult, M.S.W., Program Chief,
  Systems Research Program

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Project Team

• Advisory Panel
• Edward Mullen, D.S.W., Columbia University
• Enola Proctor, Ph.D., Washington University
• Wynne Sandra Korr, Ph.D., University of Illinois
  at Urbana-Champaign
• Mary Ruffolo, Ph.D., University of Michigan
• Betsy Schafer Vourlekis, Ph.D., University of
  Maryland Baltimore County
• Content Development Resource Consultants
• Joan Zlotnik, Ph.D., A.C.S.W., Executive Director
  of IASWR
• Anita Rosen, Ph.D., Independent Consultant
• Guest Editors/Contributors
• Edward Mullen, D.S.W., Columbia University School
  of Social Work
• Enola Proctor, Ph.D. , Washington University in
  St. Louis
• Phyllis Solomon, Ph.D., University of
  Pennsylvania
• Deborah Gioia, Ph.D., University of Maryland
• John Brekke, Ph.D., University of Southern
  California
• Haluk Soydan, Ph.D., University of Southern
  California

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REACH-SW Purpose

• REACH-SW is designed to help faculty incorporate
  the application of EBP into their existing course
  content using an infusion model.
• EBP content is incorporated into existing course
  materials, augmenting the faculty members
  expertise with ready-made resources to adapt to
  specific course content (e.g., student classroom
  activities, case examples, and assignments).
• This approach is designed to help faculty bring
  an evidence-based approach into every course,
  rather than having to require new courses to
  cover this content or adding on content.

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Approach

• REACH-SW supports social work faculty and
  programs in helping students to
• Understand the importance, value, benefits, and
  limitations of EBP approaches.
• Learn how to conduct EBP as a process (Gibbs
  7-step model) in real-world settings.
• Learn how to find, evaluate, adapt, and apply
  evidence-based practices (or EBIs, EBT, etc.).
• Develop critical thinking skills as a lifelong
  learner.
• Increase scientific literacy.

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Training Strategies

• Three levels of training
• Individual Training
• Training-of-Trainer
• Faculty/Department-Wide Training
• Or Just Do It!

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Evaluation (Currently Ongoing)

• Objective To assess the effectiveness of the
  REACH-SW program and determine the added value of
  in-person training workshops.
• N36 social work faculty from around the nation
• All levels of education (BSW, MSW, DSW)
• Four research groups
• Self-guided (no in-person training CD only)
• Individual training
• Training-of-Trainer
• Control (no REACH-SW materials)

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REACH-SW Trainings

• One-day pre-conference workshops at annual
  meetings of relevant organizations (CSWE, BPD,
  SSWR).
• Regional trainings throughout the year.
• Department-/faculty-wide trainings upon request.
• CEUs available.
• Technical Assistance and Ongoing Support
• Ongoing support (online technical assistance,
  booster sessions, etc.) will be provided to those
  who have attended a training on an as-needed
  basis.

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Product and Training Availability

• CD-ROMs will be available for purchase by summer
  2008
• Discussions underway to provide training/Faculty
  Development Institutes at CSWE (October 2008,
  Philadelphia)
• Intend to offer if possible for BPD, SSWR
• Other types of training will also be available
• Social work educators from different regions of
  the country and a variety of universities
• Develop REACH-SW trainers
• Different levels of expertise in EBP Social
  work educators
• Operate as consultants to Danya
• Certified by REACH-SW master trainer and
  standardized certification training process

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Participating Programs

• University of Texas at Austin
• Methodist University
• Virginia Commonwealth University
• Southern University
• Arizona State University
• Florida Atlantic University
• Florida State University
• Springfield College
• Southern Ct. Sate University
• NC State University
• University of Hawaii
• Smith College
• Boise State
• University of North Carolina Wilmington
• California State University Long Beach
• Ohio State University
• Portland State University
• Missouri State University

• New York University
• Bennett College for Women
• University of Maryland at Baltimore
• California University of Pennsylvania
• Simmons College
• University of Chicago
• Loma Linda University
• University of South Florida
• University of Denver
• San Jose State University
• University of Central Missouri
• Edinboro University
• Savannah State University
• Hawaii Pacific University
• Hunter College
• University of Minnesota
• University of Tennessee
• Hunter College

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For More Information

• IASWR - www.iaswresearch.org
• Partnerships to Integrate Evidence-Based Mental
  Health Practices into Social Work Education and
  Research
• http//charityadvantage.com/iaswr/EvidenceBasedPra
  cticeSummary.pdf
• NIMH - www.nimh.nih.gov
• The Road Ahead Research Partnerships to
  Transform Services
• http//www.nimh.nih.gov/about/advisory-boards-and-
  groups/namhc/reports/road-ahead.pdf
• National Association of State Mental Health
  Program Directors Research Institute (NRI-INC)
  www.nri-inc
• Substance Abuse and Mental Health Services
  Administration www.samhsa.gov
• National Registry of Evidence-based Programs
  Policies - www.nrepp.samhsa.gov

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For More Information

• Joan Levy Zlotnik, IASWR jlziaswr_at_naswdc.org
• Cynthia Baker, DANYA
• cbaker _at_danya.com
• Denise Juliano-Bult, NIMH
• djuliano_at_mail.nih.gov