"Evidence-based medicine is the conscientious, explicit, and judicious use of
current best evidence in making decisions about the care of individual patients.
The practice of evidence based medicine means integrating individual clinical
expertise with the best available external clinical evidence from systematic research. "
- Sackett et al., (1996, 71-72)
Evidence-based Practice is "the integration of the best available research with
clinical expertise in the context of patient characteristics, culture and preferences."
- American Psychological Association (2006, p. 273)
"Evidence-based practice is the integration of best research evidence with clinical expertise and patient values."
- Institute of Medicine (2001)
Understanding Evidence-based Practice
Evidence-based practice, often referred to as EBP, integrates the best current available research with client/patient unique circumstances in order to provide the best possible outcome. EBPs are validated by rigorous research requirements which measure validity, reliability, intervention fidelity, and empirical results. This scientific research model is designed to ensure the effectiveness of practices and interventions. Effectiveness is typically measured in terms of symptom reduction and improvement in functioning. EBPs most often require uniform training, use of standardized treatment manuals, and supervision oversight to assure that providers follow treatment protocol and procedures.
Behavioral health care providers who incorporate evidence-based interventions and practices are using the very best treatment technology for the people they serve. Where EBPs are used, outcomes in mental health and substance abuse services improve.
The adoption and successful implementation of evidence-based practices is beneficial to both providers and clients. The mission of the Utah Technical Assistance Center for Children’s Services (UTACCS) is to improve outcomes in behavioral health care across the state of Utah by promoting and supporting the use of evidence-based practices.
Literature on EBP
Evidence-Based Mental Health Treatments and Services: Examples to Inform Public Policy
Lehman, Goldman, Dixon, & Churchill. 2004.
Implementing Evidence-Based Social Work Practice
Mullen, Bledsoe, & Bellamy. 2008.
Report on Fidelity Measures for Evidence-based Practice
Trabin, Minden, EBP Technical Expert Workgroup, and DS2000+ Team. 2006.
Evidence-Based Practice in Child and Adolescent Mental Health Services
Hoagwood, Burns, Kiser, Ringeisen, & Schoenwald. 2001.
Evidence-Based Practices and Multicultural Mental Health
NAMI, June 2008
Disseminating Evidence-Based Practice For Children and Adolescents: A Systems approach to enhancing care
APA Task Force on Evidence-Based Practice with Children and Adoelscents, August 2008
Implementing EBPs
EBP and Macro-Practice
The principles of Evidence-Based Practice can be utilized in both Micro and Macro areas of Practice to improve overall outcomes.
- Eileen Gambrill
- Bruce A. Thyer
- Maria Roberts-DeGennaro
- F. Ellen Netting & Mary Katherine O'Connor
- Elizabeth A. Mulroy