Therapists should use mostly evidence based treatments unless the client is participating in a study or the treatment has been reasonably determined as the client’s last resort. With treatment a client becomes emotionally and financially invested. The client’s time and money should be valued. Insurance companies will most likely not offer payment for a treatment without substantial evidence and is isn’t really fair to charge a client for a treatment that may or may not work if they have other evidence based options. If the therapist can prove that the non evidence based treatment is medically necessary and the only reasonable treatment for the client, then the insurance company should pay for the treatment. Evidence based treatments are …show more content…
With the lawsuits in the counseling world, if a client for whatever reason decides to have a lawsuit against the practitioner, it would hurt the practitioner if they cannot prove that their counseling method was evidenced based. Furthermore, insurance companies who give out money to people need to feel confident their money is going towards treatment that is medically necessary. For a treatment to be considered evidence based, there needs to be scientific evidence through research and study, along with proven success which constitutes as evidence, that the practice works. There needs to be a thorough amount of proof to easily show the psychological world and to providers that this practice is worth their dollars. It may not sound fair that more easily explainable counseling methods are easier to prove then more complex theories, however there needs to be evidence on the table to show …show more content…
Evidence based treatments should be considered before anything else, but using a non-evidence based treatment could be alright to use. There is so much research and practice with cognitive behavioral therapy and so many models in it that if a counselor fully understands it and researches it, there is probably something with this large approach that could help the clients. In a case where cognitive behavioral therapy, behavioral therapy, or any other evidence based practice simply does not work for a client, and the counselor feels confident in a non evidence based practice to try with a client, it would be ethical, but the practitioner needs to notify the client of this, preferably with written consent, and their insurance company's policy if plausible should be considered. The best way to show the world that counseling is medically necessary, is through research and proven success that can be reportable to the public. Insurance companies should limit to certain evidence based practices like cognitive behavioral therapy since they are giving their money out for necessary
9). Based on the afore initiatives, the mental health professional must decide which therapy would be beneficial in treatment for the clients’ problems. Evaluations and reevaluations may be needed to be successful in treatment (Nurcombe, 2014,
Evidence Based Practice is a growing field in the social work arena. The essence of evidence-based practice is placing the client’s benefits first by posing specific questions of importance to the client, searching objectively and efficiently for the best evidence, and then using the evidence to guide one’s practice. In short, evidence-based practice is the integration of research into practice. In this paper I illustrate the steps of evidence-based practice from the formation of a COPES question to the identification of practice guidelines.
McHugh, R. Kathryn and David H. Barlow. “The Dissemination and Implementation of Evidence-based Psychological Treatments: A Review of Current Efforts.” American Psychologist 65.2(2010): 73-84. PsycARTICLES. Web. 10 Mar. 2010.
... practices are required as proof of effectiveness. Only time will tell if solution-focused therapy will prove to be evidence based practice (Norcross).
In general, treatments are not exclusively scientific or pseudoscientific and the list above is by no means comprehensive. However, it does provide a framework for evaluating possible therapy options. Evaluating a treatment based on the ten criteria cannot guarantee a treatment’s effectiveness but it can help establish its validity (Fin, Bothe, and Bramlett, 2005, p. 178).
“Evidence-based practice is the integration of best research evidence with clinical expertise and patient values” (ASHA). Staff of ASHA embarked upon the new idea of Evidence-Based Practice (EBP) in 2005. The goal of EBP is the integration of: clinical expertise/expert opinion, external scientific evidence, and client/patient/caregiver perspective to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve (ASHA). The four steps of EBP include: framing the clinical question, finding the evidence to suppose the question, assessing the evidence, and making the clinical decision. Researchers have studied the status of current implementation of EBP in the field, challenges to implement EBP, the debate of adopting EBP framework in our field, and the use of EBP in SLP practice and EBP knowledge.
(Wilcock ,2001) states that it is essential to break it down into occupations and science. Occupations are daily activities that provide structure for living, reflect cultural values and have meanings for individuals. In addition, the science aspect is the gathering of knowledge through systematic reviews, randomised controlled trials and available resources that informs practice. The information therapist seeks for is that which has been critically appraised by other authors for validity and interpretability when planning and implementing treatment.This evidence based practice is usually defined as'the conscientious, explicit,and judicious use of current best evidence in making decisions about the care of individual patients’ (Dirette et al, 2009).
...doing so appear to be putting the insurance company’s bottom line money concerns above the well being of the client? Some would feel evidence-based practice turns therapy into a moneymaking business rather than a healing process for clients, which is the ultimate goal of therapy. Health insurance companies could potentially use evidence-based practice research in order to minimize payment for a client’s treatment. Another ethical concern that needs to be addressed is the actual validity and reliability of evidence-based practices. As such, people are not static creatures; we are constantly changing and evolving, whereas evidence-based practices do not account for the constant changes that happen within a human being.
In social work evidence based practice is considered to be a decision making process and practitioners rely on the evidence when working with clients. According to Aveyard and Sharp (2013), evidence based practice is not easy to put into practice and there are many barriers to evidence based practice such as lack of time, lack of awareness of research, lack of support and cooperation, and lack of authority and inadequate facilities (p. 145). Although there are challenges to implementing evidence base practice this is still a doable task in the field of social work. Therefore, practitioners need to explore the motivation, knowledge and skills needed by the individual, the organizational motivation, learning
The idea behind conforming to evidenced based practices is that research is the most likely tool to improve patient
...le, “Recovery of evidence-based practice” highlights the importance of utilizing evidence-based practice to care for mentally ill patients. “They also found a similar consensus in requirements that mental health care be based on evidence, be focused on effective treatments and best practices, and result in measurable outcomes” (Gordon & Ellis, 2013, p. 4).
Evidence-based medicine (EBM) has been described as “the conscientious, explicit, and judicious use of current best evidence in making decision about the care of individual patients” . Evidence-Based Practice is a thoughtful integration of the best available evidence, coupled with clinical expertise. It enables one to address healthcare questions with an evaluative and qualitative approach. It is about applying the best available research evidence in provision of health, behavior and education services to enhance outcomes. Evidence-Based practice is about performing the best possible practice in order to provide the best possible care .
Walshe,K. & Rundall,T. 2001, Evidence based management:From theory to practice in health care ,Milbank Quarterly, Vol.79, PP.429-457
Dozois, D. A. (2013). Psychological treatments: Putting evidence into practice and practice into evidence. Canadian Psychology/Psychologie Canadienne, 54(1), 1-11. doi:10.1037/a0031125
Thyer, B. & Myers, L. 2011, ‘The quest for evidence-based practice: A view from the United States’, Journal of Social Work, vol. 11, no. 1, pp. 8-25.