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A growing number of empirically supported treatments are available to mental health practitioners, yet evidence-based practice requires knowledge and skills that are often overlooked in clinical training. This authoritative reference and text grounds the reader in the concepts, rationale, and methods of evidence-based practice.Clinicians and students are guided to consult and evaluate the research literature, use data to inform clinical decision making, consider the role of culture and context, craft sound case formulations, monitor progress and outcomes, and continuously develop their expertise. Of particular utility, the book includes rich, chapter-length case studies. Leading proponents of cognitive-behavioral therapy, dialectical behavior therapy, behavioral activation, and other approaches make explicit the ways they draw on evidence throughout the process of assessment and treatment.
A growing number of empirically supported treatments are available to mental health practitioners, yet evidence-based practice requires knowledge and skills that are often overlooked in clinical training. This authoritative reference and text grounds the reader in the concepts, rationale, and methods of evidence-based practice.Clinicians and students are guided to consult and evaluate the research literature, use data to inform clinical decision making, consider the role of culture and context, craft sound case formulations, monitor progress and outcomes, and continuously develop their expertise. Of particular utility, the book includes rich, chapter-length case studies. Leading proponents of cognitive-behavioral therapy, dialectical behavior therapy, behavioral activation, and other approaches make explicit the ways they draw on evidence throughout the process of assessment and treatment.
Introduction: Context, Intention, and Compassion
I. Context and Key Concepts
1. History and Process of Evidence-Based Practice in Mental Health,
Bonnie Spring, Sara Hoffman Marchese, & Jeremy Steglitz
2. History and Evolution of the NIH Stage Model: Overcoming Hurdles
to Create Behavioral Interventions to Improve the Public Health,
Lisa Onken
3. The Insufficiently Appreciated Raison d’être of Evidence-Based
Practice, Scott Lilienfeld, Lorie Ritschel, Steven Jay Lynn, &
Robert D. Latzman
II. Core Components of Evidence-Based Practice
4. Doing Right by Your Patients: What Do Clinicians Need to Know
about Randomized Clinical Trials?, Helena Chmura Kraemer &
Vyjeyanthi S. Periyakoil
5. Systematic Reviews in Mental Health, Pim Cuijpers & Ioana-Alina
Cristea
6. Clinical Practice Guidelines, Steven D. Hollon
7. Moving Beyond "One Size Fits All," Zachary D. Cohen, Yoni K.
Ashar, & Robert DeRubeis
8. The Role of Culture in Evidence-Based Practice, Manuel Barrera
Jr. & Felipe González Castro
9. Reaching the Unreached: The Importance of Context in
Evidence-Based Practice in Low-Resource Settings, Syed Usman
Hamdani & Atif Rahman
10. Clinical Expertise: A Critical Issue in the Age of
Evidence-Based Practice, Bruce E. Wampold, James W. Lichtenberg,
Rodney K. Goodyear, & Terrence J. G. Tracey
11. Working Smarter, Not Harder: Comparing Evidence-Based
Assessment to the Conventional Routine Assessment Process, Eric A.
Youngstrom & Ana Van Meter
III. Illustrations of Evidence-Based Practice in Action
12. An Idiographic Hypothesis-Testing Approach to Psychotherapy:
Using Case Formulation and Progress Monitoring to Guide Treatment,
Jacqueline B. Persons & Lisa Talbot
13. Collaborative Case Conceptualization: A Bridge between Science
and Practice, Shadi Beshai, Willem Kuyken, & Rob Kidney
14. Integrating Basic Research into a Phase Approach to Guide
Clinical Practice, Bethany A. Teachman & Rachel K. Narr
15. The Practice of Dialectical Behavior Therapy with
Multidiagnostic and Suicidal Patients, Chelsey R. Wilks & Marsha M.
Linehan
16. Implementing Cognitive-Behavioral Therapy to Treat a Fear of
Morphing in Obsessive–Compulsive Disorder, Roz Shafran, Eva Zysk, &
Tim Williams
17. Using an Experimental Therapeutics Approach to Target
Psychopathy, Emily Kemp & Arielle Baskin-Sommers
18. Sequential Repetitive Transcranial Magnetic Stimulation and
Mindfulness-Based Cognitive Therapy for Treatment-Resistant
Depression: Rationale and Clinical Illustration of Evidence-Based
Practice in Action, Evan Collins, Susan Abbey, Norman Farb,
Jonathan Downar, & Zindel Segal
19. Beyond Specialty Mental Health: Rationale and Clinical
Application of Behavioral Activation in Primary Care, Samuel H.
Hubley, Christopher R. Martell, & Jennifer Carty
20. E-Behavioral Activation in Primary Care for Depression: A
Measurement-Based Remission-Focused Treatment, Joseph M. Trombello
& Madhukar H. Trivedi
21. A "Real-Life" Biopsychosocial Psychotherapy Case, Christine M.
Nezu, Arthur M. Nezu, & Meghan Colosimo
22. Clinical Decision Making in Combined Pharmacotherapy and
Psychotherapy with Complex Clients: Adopting an Evidence-Based
Approach in a Partial Hospitalization Setting, Catherine D'Avanzato
& Mark Zimmerman
IV. Training, Supervision, and Consultation to Promote
Evidence-Based Practice
23. Mental Health Training: Implications of the Clinical Science
Model, Robert W. Levenson
24. The Role of the Consultation Team in Supporting Therapists and
Preventing Burnout, Charles R. Swenson
25. Why Therapists Need to Take a Good Look at Themselves:
Self-Practice/Self-Reflection as an Integrative Training Strategy
for Evidence-Based Practices, James Bennett-Levy & Beverly
Haarhoff
26. Augmenting Cognitive-Behavioral Therapy with Alliance-Focused
Training: A Research Informed Case Study, Jessica Kraus, Jeremy D.
Safran, & J. Christopher Muran
27. Training Evidence-Based Practitioners: Recommendations for the
Improvement of Instructional Design and Delivery, Donna M. Sudak &
R. Trent Codd III
Sona Dimidjian, PhD, a clinical psychologist, is Director of the Renée Crown Wellness Institute and Professor in the Department of Psychology and Neuroscience at the University of Colorado Boulder. She is a widely recognized expert on women’s mental health; the clinical application of contemplative practices, such as mindfulness meditation; and cognitive and behavioral approaches. She has developed successful prevention and treatment programs to promote mental health and wellness in health care, education, and community settings. Dr. Dimidjian is a recipient of multiple awards and the author of widely cited scholarly papers. She is coauthor of the self-help resource Expecting Mindfully as well as Behavioral Activation for Depression and Behavioral Activation with Adolescents (for mental health professionals).
"'Evidence-based practice' has become the mantra of mental health
care delivery systems, yet few professionals truly grasp its
implications for their practices--or even the basic meaning of the
term. In this much-needed book, Dimidjian has assembled the world's
experts in this area to provide answers. Readers will learn what is
really meant by evidence-based practice, and--using actual
cases--how it can be implemented in practice. The closing section
on training is particularly important. Everybody with an interest
in research, practice, or consumption of mental health services
will benefit from this book."--David H. Barlow, PhD, ABPP,
Professor Emeritus of Psychology and Psychiatry and Founder, Center
for Anxiety and Related Disorders, Boston University
"Dimidjian has provided a truly stunning compendium of the state of
the science in evidence-based practice for mental health. Each and
every chapter is practical, insightful, far-reaching, and
important. I wholeheartedly recommend this book as essential
reading for all who are concerned about the prevalence and severity
of mental health problems."--Allison G. Harvey, PhD, Department of
Psychology, University of California, Berkeley
“Evidence-based practice is hard; this book makes it easy! With an
outstanding group of contributors and easy-to-read chapters, this
book offers an incredibly practical guide to help apply our best
scientific theories, findings, and methods to improve patients’
lives. This is an indispensable guide for practitioners and an
outstanding teaching tool. Graduate students in clinical,
counseling, and school psychology; social work; and professional
counseling programs need to read this volume as they learn about
therapy, and to keep it close by in the years that
follow!”--Mitchell J. Prinstein, PhD, ABPP, John Van Seters
Professor of Psychology and Neuroscience, University of North
Carolina at Chapel Hill
“This book helps therapists tackle a central challenge in
evidence-based practice--distilling the corpus of available
knowledge and using it to inform what they do with a particular
client. It contains useful frameworks for utilizing the literature
on best practices (across empirical outcome studies, clinical
practice guidelines, and clinical expertise), formulating an
evidence-based conceptualization, and implementing evidence-based
treatment across a number of modalities. The extended case studies
integrating these steps provide excellent concrete examples. This
book could serve as a core text in a foundational Evidence-Based
Practice course for clinical, counseling, or MFT graduate students.
It could also serve as a resource for established therapists
seeking to strengthen the connections between the scientific
foundations of clinical psychology and their clinical practice with
specific clients."--Brian D. Doss, PhD, Department of Psychology,
University of Miami -
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