Utilization Of Evidence-Based Treatment

For the purpose of this paper, this writer, will use the APA Task force on Evidence-Based Practices (2006, p. 273), definition, beginning with the foundation and expanding it to mental health, defined evidence-based practice as “the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences” (Norcross, Hogan, & Koocher, 2008). According to Dr. Norcross, counseling is a dynamic process, with many moving parts, and the clinical experience is the integration of parts (pillars), the actual work in progress, which creates an opportunity for the best clinical outcomes and improved quality of life (Laureate Education Producer, n.d.).

When the info-graphics site Visually was hired to put together information related to drug abuse in the state, one could only imagine the startling information that was discovered. To begin with, drug is considered the #1 cause of accidental deaths with 11 people dying everyday from a drug overdose. Each year, an estimated 40,000 emergency room visits are drug related, and 3 of every 10 auto accident fatalities are as a result of drug use. Sadly, only 15% of the state's addicts are said to ever receive treatment. These numbers point out the need for educating residents about the availability of outpatient and inpatient addiction treatment services (drug and alcohol rehab) throughout the state and other parts of the country.

Bruce A. Thyer, P. (n.d.). What Is Evidence-Based Practice? Brief Treatment and Crisis Intervention Vol. 4, No. 2, 167-176.

The Smith family is an African American family currently residing in Bartlett, TN. The family owns a home in an established, middle class neighborhood. The Smith’s home is clean, updated and organized. John and Jane Smith, 48 and 45 respectively, live in the home with their 18 year old son, Junior. Both Mr. and Mrs. Smith are college graduates and have been financially preparing for their son’s matriculation to college. Mr. Smith was diagnosed with Amyotrophic Lateral Sclerosis (ALS) in the fall of 2015. Mr. Smith has recently been terminated from his job, leaving Mrs. Smith as the sole wage earner. Mrs. Smith is suffering from acute anxiety and is experiencing panic

Substance abuse and addiction can impact every aspect of a person’s daily life, relationships, employment, and can have a profound impact on the user’s overall health. The certified professionals at the addiction treatment centers in Silver Spring, Maryland are uniquely qualified to mitigate the physical aspects of detox and withdrawl, but also help the individual to work through and resolve the many issues that evolve out of addiction. The addiction treatment centers in Baltimore, Maryland, and the surrounding area, offer inpatient services, outpatient care, and residential treatment options.

Measures used to evaluate the outcome of the evidence-based practice (EBP) change will be reviewing quarterly dashboard data. To ensure inter-rater reliability, the infection control nurse, and only the infection control nurse, will monitor ongoing efforts of data collection of CAUTI, and be an integral part of the feedback loop responsible of giving on-sight feedback to clinicians and team members. Also, the infection control nurse along with other team members will revisit the literature to see if any new knowledge focused triggers will be considered. The quarterly dashboard will inform of outcome indicators which may, or may not, affect the process indicators. Process and outcome indicators will be used for improvement purposes within the unit. The quarterly dashboard report also allows questions to be asked by team members and stakeholders, which stimulates more discussion and advanced thought toward quality improvement of the EBP change. The dashboard will assist in

Substance abuse has been a known topic which has not been recognized and fully treated the way it should. Unlike general medicine, substance abuse treatments have their own facility and services apart from general settings, making it harder to get the recognition and the assistance needed to help the individuals in need. Both the Affordable Care Act and the Substance Abuse and Mental Health Service Administration (SAMHSA), which is a part of the US Department of Health and Human Services have promoted and established ways to enhance the quality of the treatment and the amount of treatment given.

One objective by Healthiest Wisconsin 2020 involves reducing unhealthy and risky alcohol and other drug use by changing attitudes, knowledge, and policies, and by supporting services for prevention, screening, intervention, treatment, and recovery (Wisconsin Department of Health Services). One plan to decrease alcohol and illicit drug use is by using the process of screening, brief intervention, and referral to treatment (SBIRT). The goal of SBIRT is to target at risk individuals and intervene as more of a preventive measure before the situation increases to full on substance abuse and/ or dependency. The University of Massachusetts Medical School researched the effectiveness of having Remote Brief Intervention and Referral to Treatment (R-BIRT), where at risk individuals are connected with a R-BIRT interventionalist by telephone or two-way phone call to at risk patients while in the Emergency Room. The R-BIRT health coach completes an assessment, engages in brief motivational counseling, and refers the patient to follow-up if needed. The results of this exploratory study showed a positive impact. 58% of those in the study completed a consultation with the health coach, with patients who were enrolled in a model where the consult occurred during the Emergency Room visit, as opposed to after the visit, much more likely to a consult, 90% to 10%. If Emergency Departments had more of a

The reading entitled “The Treatment Plan” focuses on developing treatment plans, particularly for those in substance abuse rehabilitation programs. First, the interdisciplinary team, which consists of a variety of professionals such as doctors, nurses, and therapists, writes a summary of the client at intake to determine the problems, how they came about, and the potential solutions. Next, a problem list is created. The problem statement is one sentence explaining the problem, which is abstract and not tangible. Therefore, signs and symptoms are also listed underneath, such as history of DUI and the blood alcohol level. These are used as evidence to back-up the problem statement. After, for each problem statement, several goals are listed that

According to Stevens (2013), the call to develop and implement evidence-based practice (EBP) within all healthcare disciplines is fueled by legislative demands for improvement in standard medical metrics such as mortality and morbidity. However, increasing demands by the public for evidence related to the metrics and outcomes of such concepts as quality of life illustrate what may be more important to the client (Stevens, 2013). This client-directed focus has resulted in patient-centered outcomes research (PCOR) (Stevens, 2013). "The Patient-Centered Outcomes Research Institute (PCORI) helps people make informed health care decisions, and improves health care delivery and outcomes, by producing and promoting high integrity, evidence-based information

Stevens, P., & Smith, R. L. (2013). Substance abuse counseling: Theory and practice (5th ed.). Upper Saddle River, NJ: Pearson Education, Inc.

There are many contributing factors and political issues that address substance abuse. Throughout the years, many researchers have designed many interventions and social policies designed to treat people who have used, abused, and became addicted to substances. Today, there are many new studies that address substance abuse at the individual, group, family, and community or policy levels. Today, there are many services that are effective for decreasing recidivism in youth who have completed a substance abuse program. A substance abuse treatment program or center is the best way to treat individuals who have abused substances.

In this essay I will explore the evidence based care of the patient in the above case. It will outline the assessment of an infant with acute bronchiolitis using a suitable framework to determine the appropriate therapeutic intervention. The pathophysiology associated with deterioration and the impact of communication between the family and multi disciplinary team will be explored. This essay will to focus on the initial stages of Joe’s care in the first hour of his admission to the children’s assessment unit.

Psychologists have been behind evidence-based therapies since the beginning. In the beginning evidence-based therapy was mostly about patient care, now it has evolved to so much more. The American Psychological Association has undertaken the task of the development of evidence-based therapies and practice by establishing a task force with the Board of Scientific Affairs, the Board of Professional Affairs, and the Committee for the Advancement of Professional Practice (?). Evidence-based therapies are therapies that have been empirically supported from other research. This research must have been controlled and easy to conclude that the results were due to the treatment alone and not due to any other outside sources or confounds (Chambless

Through this study, the researchers found that addiction-centered faculty were more likely to be found in clinical programs with grants and training clinics. They also found that 46% of all clinical programs offered no addiction training at all. It was found that around the same amount of PhD and PsyD programs offered a specialized clinical site in addictive behaviors or substance abuse. In the PhD programs, the programs with APCS memberships were more likely to have at least one addiction focused faculty member. Programs located in the five largest cities which includes New York, Los Angeles, Washington D.C., Dallas and Chicago are just as unlikely to offer treatment clinics with addiction training as the other programs. The authors correlated the grants, faculty and clinics over fourteen years through seven data points. From 1999, 2001, 2003, 2005, 2007, 2009 and 2013, there was no significant change in the percentages and amounts. The authors claim that the “representation of addiction training has remained fairly stable from 1999 through 2013” (691).