Practice guidelines: Not yet ideal.

Nathan, Peter E.

doi:10.1037/0003-066x.53.3.290

Cited by 97 publications

(90 citation statements)

References 58 publications

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“…In fact, EVTs may be less inherently effective than useful in the same way that all the therapies are (Hubble et al, 1999). Though promising, further debate on 'efficacy' is alive and well (Canadian Psychologist, 1999;Nathan, 1998). In this light narrative should continue to stand as counterpoint against the systemizing tendencies of empirically validated therapy guidelines.…”

Section: Empirically Informed Pragmatic Therapy As An N Ofmentioning

confidence: 99%

Why narrative therapy need not fear science and ‘other’ things

Amundson

2001

Journal of Family Therapy

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Narrative psychotherapy was developed to question traditional, essentialist, foundational epistemologies of clinical practice. However, the very practices it sought to take on may be sneaking in through the back door. Narrative however might escape historical tendencies of reification and dominance. In fact these tendencies are only a slight miscue in its development. Instead of succumbing to old habits of perfectability, or certainty, narrative can relax, and just learn to relate. This article presents three key points in this regard: concentrate on what is useful, work backwards from what people want to achieve and 'widen the circle'.

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Section: Empirically Informed Pragmatic Therapy As An N Ofmentioning

confidence: 99%

Why narrative therapy need not fear science and ‘other’ things

Amundson

2001

Journal of Family Therapy

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Section: Evidence-based Treatmentmentioning

confidence: 99%

“…Opponents perceive manuals as inhibiting individualized treatment and restricting professional judgment and autonomy. Proponents, conversely, frame the manuals as treatment suggestions that facilitate efficacious treatment rather than prescriptions that must be followed without alteration (Institute of Medicine, 1992;Nathan, 1998).CTN protocols, moreover, documented the value of treatments that incorporate medications (Amass et al, 2004;Ling et al, 2005) and use motivational incentives (contingency management) to reduce use of stimulants among methadone patients (Peirce et al, 2006) and to increase retention in care among stimulant users in outpatient services (Petry et al, 2005). The CTN Workforce survey, therefore, included items assessing opinions toward the use of evidence-based treatments including manualized treatment, medications, mental health services, and motivational incentives as well as support for the use of confrontation and discharge for non-compliance.…”

mentioning

confidence: 99%

Organizational Readiness for Change and opinions toward treatment innovations

Fuller

Rieckmann

Nunes

et al. 2007

Journal of Substance Abuse Treatment

108

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Program administrators and staff in treatment programs participating in the National Drug Abuse Treatment Clinical Trials Network (CTN) completed surveys to characterize participating programs and practitioners. A two-level random effects regression model assessed the influence of Organizational Readiness for Change (ORC) and organizational attributes on opinions toward the use of four evidence-based practices (manualized treatments, medication, integrated mental health services, and motivational incentives) and practices with less empirical support (confrontation and noncompliance discharge). The ORC Scales suggested greater support for evidence-based practices in programs where staff perceived more program need for improvement, better Internet access, higher levels of peer influence, more opportunities for professional growth, a stronger sense of organizational mission and more organizational stress. Support for confrontation and noncompliance discharge, in contrast, was strong when staff saw less opportunity for professional growth, weaker peer influence, less Internet access, and perceived less organizational stress. The analysis provides evidence of the ORC's utility in assessing agency strengths and needs during the implementation of evidence-based practices. IntroductionThe Institute of Medicine's Crossing the Quality Chasm series recommended increased use of treatments with empirical evidence of efficacy and effectiveness for health care (Institute of Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Corresponding NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptMedicine, 2000;Institute of Medicine, 2001) and for the treatment of alcohol, drug, and mental health disorders (Institute of Medicine, 2006). There is, however, a significant lag between science-based treatment innovations and the widespread adoption of those strategies in health care (Balas & Boren, 2000;Institute of Medicine, 2001). A comprehensive review of implementation research identified six core components that must be present to initiate and sustain the use of proven programs in new locations and environments: 1) select staff who can implement the program, 2) train staff, 3) require ongoing coaching, 4) use supervision and fidelity assessments to provide performance feedback to staff, 5) evaluate overall program functioning, and 6) facilitate implementation and sustainability with administrative supports (Fixsen et al., 2005). Many programs neglect one or more core implementation components and struggle to develop the skills required to effectively ...

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“…These results are unusual, given that meta-analytic findings and other quantitative reviews rarely suggest such compelling evidence for one specific treatment modality over others (e.g., Nathan, 1998).…”

Section: Preliminary Findings: Cognitive-behavioral Therapy For Sadmentioning

confidence: 76%

Changes in cognitive-behavioral constructs across treatment modalities for seasonal affective disorder: Cognitive-behavioral therapy, light therapy and their combination

Lindsey¹

2003

PsycEXTRA Dataset

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Practice guidelines: Not yet ideal.

Cited by 97 publications

References 58 publications

Why narrative therapy need not fear science and ‘other’ things

Why narrative therapy need not fear science and ‘other’ things

Organizational Readiness for Change and opinions toward treatment innovations

Changes in cognitive-behavioral constructs across treatment modalities for seasonal affective disorder: Cognitive-behavioral therapy, light therapy and their combination

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