Evidence-Based Practice (EBP) combines clinical research, the clinician’s expertise, and the client’s personal preferences and values to provide a framework for therapeutic practice.
In this way, clinicians utilize their own expertise and experience to determine which research-backed method is most appropriate for each individual client based on the client’s unique culture and needs.
This three-pronged approach was created to address the complexities of clinical practice. Unfortunately, this framework has been difficult to implement in the professional settings that truly need it.
Some of the roadblocks to implementing EBP
Many clinicians shudder at the thought of EBP. There is a misconception that EBP is a one-size-fits all approach that minimizes the role of the clinician and fails to consider the person who is showing up for treatment. Do not fear—we promise we are not asking you to follow a manual word-by-word that supposedly fixes your client’s every need!
Both clinicians and clients are overwhelmingly problem-focused. The usual intake process gets a detailed history of the issues but fails to collect information about a client’s values, goals, and wishes for the future- an integral component of EBP.
With a sea of literature and more research being published by the minute, it is impossible for a clinician to stay up-to-date with the specific treatment recommendations.
Given that supervisors and clinicians are still people, we often have reactions and biases come up in our work. Without a framework of self-awareness and evaluation, these attitudes and feelings may get in the way of serving clients.
HOW WE CAN HELP
The C.R.E.A.T.E. Outcomes Model integrates the three parameters of EBP while still allowing for clinicians to be flexible within the framework. The model takes a person- centered approach and supports clinicians to practice based off of the unique needs of their clients. The client’s personal preferences and values are considered through collaboration with the clinician.
The model does not ask the clinician to accomplish all of this on her own. Rather, the model implements an organizational structure where responsibility is placed with everyone—supervisors, clinicians, and patients are accountable and necessary for positive outcomes.
The model tracks and evaluates progress, keeping the whole team on track. It is obvious when an intervention is not working and easy to adjust. The entire process is collaborative and transparent. You can implement evidence-based practice!
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