Week 2: Generating Support for Evidence-Based Practices
In week 1, we explored evidence-based practices and problems that can arise in implementing them.
In Week 2, we refine our examination of evidence-based practices to assess what type of evidence based-practice may be most appropriate and effective for a particular client.
The discussion in Week 2 involves a series of steps. Work through them slowly and methodically to arrive at your conclusions.
When treating clients, social workers must ensure that the evidence-based practice is appropriate for the client and the problem for which the client seeks your help.
First, the social worker must identify evidence-based practices that fit the client’s problem, culture, developmental level, circumstances, values, and preferences – a tall order!
Second, the social worker should get the support of the client and other stakeholders to apply the selected evidence-based practice. This may require the social worker to request authorization from third-party payers and the approval of the supervisor to apply the treatment.
To earn support to use the selected evidence-based practice, the social worker should present the client and stakeholders with a plan for implementation and evidence that the intervention is effective and appropriate by
- demonstrating that they have carefully considered the steps necessary to implement the evidence-based practice and are prepared to perform them
- identifying factors in the client and environment that support implementation of the evidence-based practice
- addressing conditions that may hinder the successful implementation of the evidence-based practice.
Goal of the discussion:
For this week’s Discussion, you will take on the role of the social worker who is choosing and justifying an evidence-based intervention for the client in the Levy Episode case study from Plummer et al. (2014) Social Work Case Histories: Concentration Year.
In the video on the Dashboard for this week, a social worker presents an idea for therapy to her supervisor. The supervisor challenges her choice, reminding her that evidence-based practice has three fundamental requirements:
(1) she must meet the client, assess his needs, and determine if an alternative therapy may be effective;
(2) she must research alternative therapies and determine if any are evidence based and pertinent to the client’s problem, values, experiences, and culture;
(3) she must plan a method to gain the support of the client and stakeholders for implementing the evidence-based alternative therapy with her client.
A note about stakeholders: many definitions exist for the term stakeholder. When we discuss the influence of stakeholders, we are including individuals from groups that have an interest in the success of the program, activity, or service or are indirectly affected by the outcomes.
This course will use an inclusive definition for stakeholders adapted from McGrath and Whitty (2017) that include individuals or organizations who have some control of the activity or service delivered by the social worker or social service agency such as third-party payers and government agencies that contract or oversee the service delivery. Another group of stakeholders includes those who are likely to be affected by the treatment provided, such as the families of the client.
Rationale for this week’s discussion:
When treating clients, social workers must ensure that the evidence-based practice is appropriate for the client and the problem. Then, the social worker must get the client and other stakeholders to support the selected evidence-based practice. To earn that support, the social worker should present the client and stakeholders with a plan for implementation and evidence of the evidence-based practice efficacy and appropriateness. Social workers must demonstrate that they have carefully considered the steps necessary to implement the evidence-based practice, identified factors in the current environment that support implementation of the evidence-based practice, and addressed those factors that may hinder the successful implementation. (Walden University. SOCW 6311 Dashboard for the Week 2 Discussion.)
What you will do for this discussion:
1. You will locate a peer-reviewed research article describing an evidence-based practice that appears to be appropriate for your client.
2. You will evaluate the evidence-based practice for appropriateness be reviewing the details of the treatment described in the research article.
3. You will explain the reasons that the evidence-based practice described in your selected article may or may not be effective with your client.
What to read and watch this week:
1. Read the Levy Episode from Sessions: Case Studies (Plummer et al., 2014) and watch the related video in the learning resources for this week. In this video, the social worker is interested in working with a veteran and is eager to try a non-traditional therapy, such as art therapy, yoga, or meditation.
2. Skim items listed in the learning resources for Week 2. The chapters from the Evidence-Based Practice KIT will help you to become familiar with the details involved in creating an evidence-based program. Apply these details to your own experience.
From these learning resources, jot down elements that facilitate or pose obstacles for the application of a new evidence-based treatments and factors that are necessary for successful implementation at a real or fictional agency or worksite .
What to DO this week
1. Using the Walden library or Google Scholar, find a research article outlining an evidence-based therapeutic intervention could be used by social workers to help clients like the client described in the Levy Family study (Plummer et al. (2014), in Sessions: Case Histories: Concentration Year). You may choose an individual or group evidence-based treatment or an evidence-based program.
You will need an article that describes ONE evidence-based treatment conducted on more than one client for this discussion.
Do not select an article that is a meta-analysis or a review of the literature because those articles include multiple studies with different features in their reports. Likewise, avoid single case studies because they don’t provide enough evidence of generalization of the effects of the therapy.
(Note: Everyone must choose a different social work practice to discuss. Read the original discussions that your fellow scholars have already posted so you are sure to select a different evidence-based practice for your discussion.
The easiest way to find a relevant treatment may be to search the Walden library, entering these three search terms – veterans, psychotherapy, and evidence-based – in the boxes at the top of the page in the library search page:
Scroll down the page to the menu on the left side that indicates the type of material you want. Choose Peer Reviewed Scholarly Articles by clicking on the box in front of this item. Do not select books because they may not have been peer-reviewed.)
Locate information in the article regarding the participants, procedures, problems, and effectiveness of the treatment or program using the Assessment of an Evidence-Based Treatment Model form which has been developed for your use.
Evaluate the evidence-based treatment. Determine if it may be appropriate for a client described in the Levy study (Plummer et al., 2014).
Review your selected research article with this handout, Assessment of an Evidence-Based Treatment Model . Scan the article to find as many answers to the prompts that you can find, then make a judgment about the suitability of the treatment for the client.
What to WRITE.
Write an original post (due by Wednesday at 11:59 PM, Mountain Time). Please put a header at the top of this entry labeled \\\\\\\”Original Post.\\\\\\\” Please follow the format provided below.
To keep the discussion orderly, please number your responses as indicated. Provide clear, rich details without jargon or vague terms that can be interpreted in different ways to enable clear, full understanding by all readers.
1. Proposed evidence-based practice: An evidence-based practice that may be appropriate for Jake’s case is ______________________, described as _____ (quote or paraphrase this description directly from the article) in (cite the author(s), year, and page). Complete this information in 1 sentence.
Example: An evidence-based practice that may be appropriate for Jake’s case is psychodrama, described as a means “to talk about trauma and one’s reactions in a symbolic way that is not as fearful as traditional talk therapy” (Shallcross, 2010, p. 28). [At the end of your discussion, include the full citation in your reference list.]
Find the evidence of effectiveness reported in the study, usually located in a section marked \\\\\\\”Results\\\\\\\” or \\\\\\\”Discussion\\\\\\\”, then select the wording in brackets that completes this sentence:
2. Results from the evidence-based treatment: The researchers reported these results from this treatment: [describe the results presented in the discussion section – no numbers are needed here, just words. You may copy and paste information about effectiveness into your post, if you cite properly with quotation marks around the copied section and the authors’ last name and date of the article. Be as brief as possible; your responses will vary, depending on how the authors presented their findings in the research article].
Effectiveness of the evidence-based treatment: The findings of the study indicate that the methods used [select one: were/ were not] effective in reducing the symptoms of _________ (the client’s problem for which you are seeking an evidence-based treatment).
Report on the similarity of the research participants’ characteristics and problems as described in the article to Jake, as described in the Levy video under \\\\\\\”Week 2\\\\\\\” in the Dashboard. Provide your findings using this sentence:
3. The client’s similarity to research participants: The participants described in the study were like Jake in that they also were ____________ and had experienced ______________.
Describe any differences between the research participants in the article and Jake, such as gender, age, personal characteristics, military branch, (or whatever details are provided) by completing the following sentence:
4. Differences between the study participants and Jake included ________ ]
These similarities and differences suggest that the treatment described in the study [would/ would not] be appropriate for treating Jake\\\\\\\’s [select which applies: symptom(s), problem with ____, or goal(s)] (2-3 sentences).
Describe the strength of the evidence supporting the evidence-based practice in the article, using the summary on page 4 of the handout. Choose from the options listed in the blanks to complete this sentence and provide your rationale:
5. Strength of the evidence for the proposed therapy: The evidence supporting this evidence-based practice is [select one: weak, moderate, strong, very strong] based on [select the criteria from the last box in the handout – numbers of participants, repetitions of the study, outcomes, and/or satisfaction]
Considering the evidence from my selected study, I propose that the evidence for this [treatment/program] [is/is not – choose one] strong enough to support the use of this treatment to assist Jake to meet his goals. My decision is based on ______ (1-2 sentences to explain why you conclude that the treatment is or is not appropriate, justifying your decision with details from the scenario and the article).
Consider factors that could aid or impede your use of any evidence-based practice, if Jake Levy was your client. You may describe the evidence-based practice in the article you chose or one with which you may be familiar. If you are not working in a setting that uses behavioral health interventions, you may describe what you imagine that those factors might be. List them in the following sentence. Factors may be found in Family Psychoeducation: Getting Started with Evidence-based Practices. This booklet contains many factors that require consideration when implementing a new treatment. Choose factors that others have not yet chosen on the discussion board if possible.
6. Three factors that might [specify: facilitate or pose obstacles] for me in applying a new evidence-based treatment in my [present or future] agency or worksite in addition to funds for training are (1)__________, (2) ____________ & (3) ________________(
Complete the following sentence, listing two conditions that would be necessary for your successful implementation of an evidence-based practice.
7. Two factors that would be necessary for me to implement a new evidence-based practice in my [present or future] workplace are (1) __________ and (2) _________________. These are important because ________. Lack of these factors may result in ______________ (2-3 sentences).
Offer one suggestion for reducing an obstacle to evidence-based practice in an actual or fictional . worksite
8. One approach for reducing the obstacles to evidence-based practice in my [present, future, or fictional] work setting might be ________________.
Discussion: Generating Support for Evidence-Based Practices
When treating clients, social workers must ensure that the evidence-based practice is appropriate for the client and the problem. Then, the social worker must get the client and other stakeholders to support the selected evidence-based practice. To earn that support, the social worker should present the client and stakeholders with a plan for implementation and evidence of the evidence-based practice efficacy and appropriateness. Social workers must demonstrate that they have carefully considered the steps necessary to implement the evidence-based practice, identified factors in the current environment that support implementation of the evidence-based practice, and addressed those factors that may hinder the successful implementation.
For this week’s Discussion, you will take on the role of the social worker in the Levy case study. You will choose an evidence-based practice and attempt to gain the support of both the client and supervisor. To do so, you will address its efficacy, appropriateness, and factors that may impact implementation of the evidence-based practice that you chose.
To prepare for this Discussion, review Levy Episode 2. Then using the registries provided in this week’s resources and the Walden Library, locate an evidence-based practice that you believe would be appropriate for Jake’s case. Then, review the Evidence-Based Practice kit for Family Psycho Education from the SAMHSA website from the resources. Note all the steps and considerations involved in implementing the evidence-based practice and which of these considerations apply to this case. Consider issues such as agency support, resources, and costs that might support or limit the application of the evidence-based intervention that you select.
By Day 3
Post an evaluation of the evidence-based practice that you selected for Jake. Describe the practice and the evidence supporting it. Explain why you think this intervention is appropriate for Jake. Then provide an explanation for the supervisor regarding issues related to implementation. Identify two factors that you believe are necessary for successful implementation of the evidence-based practice and explain why. Then, identify two factors that you believe may hinder implementation and explain how you might mitigate these factors. Be sure to include APA citations and references.