Psychiatric services have shifted dramatically in the past decade, largely in response to economic survival. Services once delivered solely on an inpatient basis are now delivered through partial hospitalization and day treatment programs, intensive outpatient programs, and community-based centers. Fewof these program changes, however, are developed on the basis of research or outcomes data, despitethe embraced expectation for such data. This article argues the critical need for evidence-based practice and outlines steps for establishing a successful program of study. The authors share their experiences and lessons learned in initiating a psychiatric outcomes program. Collaboration and use ofadvanced practice nurses are highlighted. (J Am Psychiatr Nurses Assoc [2000]. 6, 112-118.)
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