1. Why Do I Have to Study Research? Sharon L. Young, Ph.D,
L.C.S.W. [email protected]
2. Is social work an art or science? Is social work an art or
science? What makes it an art? What do you bring to your practice?
How to do you engage clients? What makes it science? How do you
chose your intervention? How do you know your intervention
works?
3. Treatment?
4. How do we know? What is the best way to treat depression?
how do you justify your approach to your client? What is the best
intervention to prevent teen pregnancy? Same geographically? Same
demographically?
5. Holding Therapy Myeroff, R. G. M. J. G. (May 01, 2000).
Comparative effectiveness of holding therapy with aggressive
children. Sage Family Studies Abstracts, 22, 2.) This study was
undertaken to assess the effects of holding therapy on children who
have a history of aggressive and delinquent behaviors. The study
design was a prospective, pre-post, quasi- experimental controlled
study. The subjects were recruited through the Attachment Center at
Evergreen, Colorado. All children had a history of aggressive and
delinquent behaviors. Findings resulted in significant decrease in
the outcome variables (aggression and delinquency) for the
treatment group within this study.
6. Demonstration of Holding Therapy Demonstration of Neil
Feinberg, social worker doing Holding Therapy :
7. Lets take a closer look at the Study
8. Holding Therapy Pignotti and Mercer (2007): Holding Therapy
and Dyadic Developmental Psychotherapy Are Not Supported and
Acceptable Social Work Interventions: A Systematic Research
Synthesis Revisited Holding therapy, is shown to be potentially
physically harmful to children. Detailed evidence is offered to
show that holding therapy and dyadic developmental psychotherapy
are not appropriately categorized as supported and acceptable
interventions.
9. What are our ways of knowing? Practice wisdom Experience How
else do we know Interventions to choose Which interventions work
with what population? what we are doing is effective?
10. What is evidenced based practice? EBP is: the
conscientious, explicit, and judicious use of the best available
scientific evidence in making decisions about the care of
individual patients - Sackett and colleagues
11. Steps to Evidenced Based Practice 1. Transform practice
problems and challenges searchable questions. 2. Using key works
and data basis to track down the best evidence 3. Evaluate the
quality of the evidence 4. Discuss the evidence with clients,
taking into account client preferences and setting constraints 5.
Implement (use) the evidence in practice 6. Monitor and evaluate
the intervention's effectiveness with the particular client with
whom one is working. Source: Gambrell/Gibbs
12. Pitfalls of EBP Time constraints Lack of access to research
Lack of time and resources Supervisors prefer practice wisdom Lack
of agency support of EBP Resistance to EBP process
13. Benefits of EBP Without evidence: practice susceptible to
fads malpractice litigation Accepted by managed care/third party
payers. Allows client to review the evidence and decide with the
practitioner the best treatment for him/her.