1. 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
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2. 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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3. Why EBP? EBP for Policy and Macro-practice Too Chambers, D. (2007).
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4. 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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5. 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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6. 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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7. 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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8. 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 -
NIMH – linking research and practice –
Evidence-based behavioral practice –
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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9. 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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10. Purpose
Develop strategies to expand and amplify existing activities integrating MH EBPs into social work education and research
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11. 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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12. 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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13. 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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14. 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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15. 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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16. 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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17. 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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18. 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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19. OTHER MODELS ????????????????????? Curricula inclusion
Community-based practice
Family/agency partnerships
Rural practice
Front-line staff
Access to EBP
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20. 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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21. 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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22. 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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23. 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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24. 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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25. 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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26. Danya NIMH Project Team 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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27. Project Team Advisory Panel Content Development Resource Consultants
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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28. 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 member’s 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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29. 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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30. Training Strategies Three levels of training: Individual Training
Training-of-Trainer
Faculty/Department-Wide Training
Or Just Do It!
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31. Evaluation (Currently Ongoing)
Objective: To assess the effectiveness of the REACH-SW program and determine the added value of in-person training workshops.
N=36 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)
Well over 100 faculty applied for only 36 spots
Range of new/inexperienced to well seasoned teachers
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32. 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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33. 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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34. 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
Well over 100 faculty applied for only 36 spots
Range of new/inexperienced to well seasoned teachers
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35. For More Information IASWR - www.iaswresearch.org
Partnerships to Integrate Evidence-Based Mental Health Practices into Social Work Education and Research
NIMH -
The Road Ahead: Research Partnerships to Transform Services
National Association of State Mental Health Program Directors Research Institute (NRI-INC) –
Substance Abuse and Mental Health Services Administration –
National Registry of Evidence-based Programs & Policies -
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36. For More Information Joan Levy Zlotnik, IASWR jlziaswr@naswdc.org
Cynthia Baker, DANYA
Denise Juliano-Bult, NIMH
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