Making it Work: Strategies for Success

Sustaining an evidence-based culture requires the support and facilitation of practitioners, supervisors, administrators, and families and youth.

Many mental health practitioners describe their therapeutic approach as “eclectic” (i.e., using a mix of theoretical principals and therapeutic techniques). Hesitation and resistance to using manualized approaches stem from the perception that EBPs are overly prescriptive, not sufficiently individualized, and do not allow for practitioner expertise and flexibility.  Accordingly, practitioners may choose not to adopt evidence-based practices.  Although using eclectic approaches can improve outcomes for youth and families, evidence-based approaches and treatments increase the likelihood of achieving proven outcomes. Hayes (2005) points out that provider attitudes toward EBPs have more to do with uptake of EBPs than the strength of the evidence. Gregory Aarons’ study on provider attitudes regarding the implementation of evidence-based practices has shown that factors include: appeal of an EBP, requirement to use an EBP, openness of provider to new practices, and the perceived difference between usual practices and an EBP.   

This section of the Resource Guide contains information, resources, and links that illustrate the pivotal role of practitioners in promoting an evidence-based culture:

• Professional Development
• Training in Specific EBPs
• Coaching and Supervision
• Monitoring Fidelity and Outcomes

References:

Hayes, R. A. (2005). Introduction to evidence-based practices. In C. E. Stout & R. A. Hayes (Eds.). The evidence-based practice: Methods, models, and tools for mental health professionals (pp. 1-9). Hoboken, New Jersey: John Wiley & Sons.