Evidence-based practice (EBP) is an orientation to practice that values evidence as a resource for clinical decision making while recognizing that evidence alone is never sufficient to make a clinical decision. Critics of EBP typically ignore, negate, or misrepresent the role of practitioner thinking processes and expertise in clinical settings. The authors believe that, far from being a mechanistic process that ignores practitioner expertise, reflection and critical thinking are essential to implementing EBP in real-world clinical practice. The purpose of this article is to provide guidance for how practitioners bring their expertise to bear when engaging in the process of EBP. The authors use a social work practice scenario to illustrate the application of practitioner expertise in each of the five steps of EBP.
Achenbach, T.M. (1991). Manual for the Child Behavior Checklist/4-18 and 1991 profile. Burlington: University of Vermont Department of Psychiatry.
2.
Barlow, D.H. (2004). Psychological treatments. American Psychologist, 59, 869-878.
3.
Berlin, S.B., & Marsh, J.C. (1993). Informing practice decisions. New York: Macmillan.
4.
Bond, G.R., & Jones, A. (2005). Supported employment. In R. E. Drake, M. R. Merrens, & D. W. Lynde (Eds.), Evidence-based mental health practice: A textbook (pp. 367-394). New York: Norton.
5.
Cohen, J.A., Deblinger, E., Mannarino, A.P., & Steer, R.A. (2004). A multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 393-402.
6.
Comas-Diaz, L. (2006). Cultural variation in the therapeutic relationship . In C. D. Goodheart, A. E. Kazdin, & R. J. Sternberg (Eds.), Evidence-based psychotherapy: Where practice and research meet (pp. 81-105). Washington, DC: American Psychological Association.
7.
Corrigan, P.W., & Boyle, M.G. (2003). What works for mental health system change: Evolution or revolution? Administration and Policy in Mental Health , 30, 379-395.
8.
Corrigan, P.W., Luchins, D.J., Malan, R.D., & Harris, J. (1994). User-friendly continuous quality improvement for the mental health team. Medical Interface, 7(12), 89-95.
9.
Corrigan, P.W., & McCracken, S.G. (1997). Interactive staff training: Rehabilitation teams that work. New York: Plenum.
10.
Corrigan, P.W., Williams, O.B., McCracken, S.G., Kommana, S., Edwards, M., & Brunner, J. (1998). Staff attitudes that impede the implementation of behavioral treatment programs. Behavior Modification, 22, 548-562.
11.
Dreyfus, H.L., & Dreyfus, S.E. (2005). Expertise in real world contexts. Organization Studies, 26, 779-792.
12.
Ericsson, K.A., Charness, N., Hoffman, R.R., & Feltovich, P.J. (2006). The Cambridge handbook on expertise and expert performance. Cambridge, UK: Cambridge University Press.
13.
Fixsen, D.L., Naoom, S.F., Blase, K.A., Friedman, R.M., & Wallace, F. (2005). Implementation research: A synthesis of the literature (FMHI publication no. 231). Tampa: University of South Florida, Louis de la Parte Florida Mental Health Institute, National Implementation Research Network.
14.
Gambrill, E. (2006). Social work practice: A critical thinker's guide (2nd ed.). New York: Oxford.
15.
Gellis, Z. & Reid, W.J. (2004). Strengthening evidence-based practice. Brief Treatment and Crisis Intervention, 4, 155-165.
16.
Gill, K.J., & Pratt, C.W. (2005). Clinical decision making and the evidence-based practitioner. In R. E. Drake, M. R. Merrens, & D. W. Lynde (Eds.), Evidence-based mental health practice: A textbook (pp. 95-122). New York: Norton .
17.
Gibbs, L.E. (2003). Evidence-based practice for the helping professions . Pacific Grove, CA: Brooks/Cole .
18.
Guyatt, G., & Rennie, D. (2002). Users' guides to the medical literature: Essentials of evidence-based clinical practice. Chicago: American Medical Association.
19.
Hall, G.E., & Hord, S.M. (1987). Change in schools: Facilitating the process. Albany: State University of New York.
20.
Haynes, R.B., Devereaux, P.J., & Guyatt, G.H. (2002). Clinical expertise in the era of evidence-based medicine and patient choice. Evidence-Based Medicine, 7, 36-38. Retrieved November 24, 2006, from http//ebm.bmj.com/cgi/content/full/7/2/36
21.
Heneghan, C., & Badenoch, D. (2006). Evidence-based medicine toolkit (2nd ed.). Malden, MA: Blackwell.
22.
Hogarth, R.M. (1987). Judgment and choice: The psychology of decision . New York: John Wiley.
23.
Lambert, M.J., & Barley, D.E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy, 38, 357-361.
24.
Lieberman, A.F., Van Horn, P., & Ippen, C.G. (2005). Toward evidence-based treatment: Child-parent psychotherapy with preschoolers exposed to marital violence. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 1241-1248.
25.
McCracken, S.G., & Corrigan, P.W. (2004). Staff development in mental health. In H. E. Briggs & T. L. Rzepnicki (Eds.), Using evidence in social work practice: Behavioral perspectives (pp. 232-256). Chicago: Lyceum.
26.
McCracken, S.G., Steffen, F., & Hutchins, E. (2007, January). Implementing EBP in a large metropolitan family service agency: Preparing the organization for change. Roundtable conducted at the Society for Social Work and Research Annual Conference, San Francisco.
27.
Mieg, H.A. (2001). The social psychology of expertise: Case studies in research, professional domains, and expert roles. Mahwah, NJ: Lawrence Erlbaum.
28.
Moher, D., Schulz, K.F., & Altman, D. (2001). The CONSORT statement: Revised recommendations for improving the quality of reports of parallel-group randomized trials. Journal of the American Medical Association, 285, 1987-1991.
29.
Mullen, E.J., & Bacon, W.F. (2003). Practitioner adoption and implementation of practice guidelines and issues of quality control. In A. Rosen & E. K. Proctor (Eds.), Developing practice guidelines for social work intervention: Issues, methods, and research agenda (pp. 223-235). New York: Columbia University.
30.
Nisbett, R.E., & Ross, L. (1980). Human inference: Strategies and shortcomings of social judgment. Englewood Cliffs, NJ: Prentice Hall.
31.
Proctor, E.K., & Rosen, A. (2006). Concise standards for developing evidence-based practice guidelines. In A. R. Roberts & K. R. Yeager (Eds.), Foundations of evidence-based social work practice (pp. 93-102). New York: Oxford.
32.
Randolph, E. (1997). Manual for the Randolph Attachment Disorder Questionnaire . Evergreen, CO: Attachment Center Press.
33.
Sackett, D.L., Rosenberg, W.M.C., Gray, J.A.M., Haynes, R.B., & Richardson, W.S. (1996). Evidence-based medicine: What it is and what it isn't (editorial). British Medical Journal, 312, 71-72.
34.
Sackett, D.L., Straus, S.E., Richardson, W.S., Rosenberg, W., & Haynes, R.B. (2000). Evidence-based medicine: How to practice and teach EBM (2nd ed.). Edinburgh, UK: Churchill Livingstone.
35.
Sheppard, M., Newstead, S., Di Caccavo, A., & Ryan, K. (2000). Reflexivity and the development of process knowledge in social work: A classification and empirical study. British Journal of Social Work, 30, 465-488.
36.
Straus, S.E., Richardson, W.S., Glasziou, P., & Haynes, R.B. (2005). Evidence-based medicine: How to practice and teach EBM (3rd ed.). Edinburgh, UK: Elsevier.
37.
Toth, S.L., Maughan, A., Manly, J.T., Spagnola, M., & Cicchetti, D. (2002). The relative efficacy of two interventions in altering maltreated preschool children's representational models: Implications for attachment theory. Development and Psychopathology, 14, 877-908.
38.
Weisz, J.R., & Addis, M.E. (2006). The research-practice tango and other choreographic challenges: Using and testing evidence-based psychotherapies in clinical care settings. In C. D. Goodheart, A. E. Kazdin, & R. J. Sternberg (Eds.), Evidence-based psychotherapy: Where practice and research meet (pp. 179-206). Washington, DC: American Psychological Association.
