Implementing Evidence-Based Practice Training in a Scientist-Practitioner Program

1. Implementing Evidence-Based Practice Training in a Scientist-Practitioner Program David DiLillo Director of Clinical Training University of Nebraska-Lincoln

2. Clinical Psychology at the University of Nebraska-Lincoln • History • Seven core clinical faculty • Scientist-practitioner model • Clinical Intervention I & II

3. Training Context for EBP • Clinical psychology as a health care profession • Focus on “psychological treatments”

4. The EBP Model Best available research evidence EBP Patient preferences and values Clinical expertise

5. The EBP Model • Relevant Abilities: • Adopt a scientific view of clinical psychology • Knowledge of clinical research design and methods • Strategies for accessing best available research • Ability to evaluate relevant evidence Best available research evidence

6. The EBP Model • Relevant Abilities: • View therapy as a collaborative endeavor • Knowledge of specific diverse groups • Ability to ascertain patient values and preferences • Respond effectively to patient preferences and values Patient preferences and values

7. The EBP Model • Relevant Abilities: • Understand role and limits of clinical judgment • Skills in relationship building • Assessment and diagnostic skills • Skills to implement EST’s (e.g., specific therapeutic techniques) • Integration of EST with client characteristics Clinical expertise

8. Infusion of EBP Into Training • Highlight existing consistencies • Coursework • Introduce EBP early and often • Review course content • Evidence-Based Clinical Interviewing

9. Infusion of EBP Into Training • Practicum training • Clinical Intervention • Clinic procedures • Clinical Comps

10. Measuring Outcomes: Clinical Comps • Identify relevant empirical literature for the case • Understand the relevant empirical literature and is able to apply it appropriately to the case. • Identify client’s values and individual characteristics that should impact assessment and treatment planning. • Incorporate client values and individual characteristics into the conceptualization • Demonstrate clinical expertise appropriate to this point in training to the case conceptualization, assessment and treatment planning.

11. Measuring Outcomes: Clinical Comps • Develop a case conceptualization that follows from the empirical literature, clinical judgment and client characteristics that can guide assessment, treatment planning, and implementation.

12. Challenges to Implementing EBP • Evolving model of EBP • Faculty know how and “buy in” • Integration of outside supervisors • Measuring long-term outcomes