EBMH notebook

All authors at Dartmouth Medical School, New Hampshire, USA

Key Words: evidence-based medicine

The term `evidence-based medicine‘ was coined in 1990. Since then, the systematic use of scientific evidence in clinical decision-making has expanded.¹ The evidence-based medicine movement inspired parallel developments in mental health. Administrators, clinicians, advocates and researchers generally agree that they are obligated to provide the most effective mental health treatments. Implementing evidence-based practices in routine treatment settings is a crucial part of this.^2–5

The key question is: how do we implement evidence-based practices? Routine mental health settings are generally deficient in evidence-based practices.^2–5 To redress this, we must understand broad-scale implementation in diverse treatment systems. Working with state mental health systems and researchers throughout the United States, we have been engaged in a multi-state demonstration, the National Evidence-Based Practices Project.^6–9 We used several sources to understand implementation: literature on changing healthcare practices; focus groups and interviews with stakeholders; the experience of advocacy groups, and the collective experiences of mental health . . . [Full text of this article]

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