evidence-based practice: resources and strategies for citizen review panels
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EVIDENCE-BASED PRACTICE: RESOURCES AND STRATEGIES FOR CITIZEN REVIEW PANELS
Alicia Luckie, MSEdi Winkle, MSW
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Evidence-Based Practices
Approaches to practice that are validated by some form of
documented scientific evidence. These practices can range from
supported to well-supported based on the strength of the research design.
2
Evidence-Based Programs
A program that uses a defined curriculum or set of services that, when
implemented with fidelity, have been validated by some form of documented
evidence. These can range from supported to well-supported based on
the strength of the evidence.
3
Evidence Informed Practices
Practices that use the best available research and practice knowledge to guide program design and implementation
within context.
4
EBP &EIPShared Components:
Commitment to CQI &Ongoing Evaluation
Logic ModelManual/Protocol
Not HarmfulAccepted Practice
Evidence-InformedEmerging
•Ongoing collection of pre/post Data•Peer Review•Document all implementation activities
Promising•All elements of emerging, plus:•1 study, quasi-experimental design with control or comparison group•model fidelity
Supported•All elements of promising, plus:•2 randomized trials or 2 between group studies (or comparable methodology)•one year sustained effect
Well Supported•All elements of supported, plus:•Multiple site replication
Evidence Informed Evidence-Based 5
The House
Practices VS. Programs
EB practices could be skills, techniques, and strategies that can be
used in various settings
EB programs consist of collections of practices
that are done within known parameters
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Best Practices
Do the best practice and program design we can with the knowledge and information we have access to
Different term but same concept
Best Practices = Evidence-Informed Practices
7
Evidence-Based Limitations
Small body of research in our type
of work
Ethical issues in research design
Diversity of potential
target population
Cost
Cookie cutter fit
Feasibility of program
design
Staff available to deliver services
Core component availability
Other program
constraints
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Stop, Need to Know
KNOW Needs of Community
Target Population
Targeted Outcomes
Then Consider…
Where do we find information on
EB/EI?
Who should we talk to?
How do you find detailed info on a specific model/practice?
What are the intervention
components?
What about adaptation and fit?
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Getting Started in Exploring EB/EI
•Registries•Developer Materials•Journals•Other Lists
Where do we find
information about
them?10
RegistriesAssist the public in identifying approaches that have been scientifically tested
Information may be• R
igorously reviewed
• Only voluntary
• Independent and objective
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Using Registries
Multiple Registries Available
They each use different criteria
Programs will be ranked differently between registries
A few to get you started with…
California Evidence-Based Clearinghouse for Child Welfare
SAMHSA Model Programs Guide (NREPP)
Promising Practices Network
Wisconsin Clearinghouse for Prevention Resources
A Few Favorites
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Practice Examples
Parent Training
Incredible Years
Safe Care Circle of Security
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PROGRAM
COM
PARISON
EXAMPLE
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Sections Current Picture Potential Program
Program Outcomes
Target Population
Population Eligibility
Program Setting
Type of Service
Staff/Training Qualifications
Length of Program
Resources and Costs
Program Materials Availability and Support
Getting Started in Exploring EB/EI
•Registries•Developer Materials•Journals•Other Lists
Where do we find
information about
them?15
Other Resources
Child Welfare Information Gateway• Clearinghouse for a wealth of
information• Search feature that allows
user to narrow terms and time frames
• User friendly• Librarians on staff
www.childwelfare.gov
Understanding Evidence• Evidence based decision-making as
you think about ways to prevent violence in your community
• Offers local practitioners and others working to prevent violence knowledge and resources for using evidence in their decision making process
http://vetoviolence.cdc.gov/evidence/#&panel1-1
“The Matrix”• CBCAP Evidence-Based
Program and Practice Matrix• Ranks programs in the
CBCAP/PART continuum according to review by other registries
• Only a guide for reporting and identifying potential programs
www.friendsnrc.org
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Challenges
Multi-Disciplinary Groups
• Diverse Systems • Educating across systems (definitions and language) • Fragmented System (services)
Focus/Planning
• Where to start? (w/limited resources, time, etc.)• Multiple programs• Determining levels of evidence• Educating Stakeholders
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Strategies to Address Challenges1) Multi-disciplinary Group – consider who is at the table. (law enforcement, judges, doctors, mental health, etc.)
2) Use Registries/other resources to show programs that work. (CEBC, Child Trends, CDC)
3) Encourage Teams – Focus on a topic area such as infant mental heath/substance abuse/shaken baby.
4) Focus on 1 Evidence-Based Program each year.
5) Add prevention programs and other service providers to CRPs. They help teams to produce better outcomes.
6) Create a Learning to Action Network (ie. Strengthening Families/protective factors)
7) Advocate for Policy Changes – (ie. Home Visiting Legislation and Child Sexual Abuse Prevention)
8) Statewide Prevention Plan – include CBCAP Lead and other prevention partners.
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Edi Winkle bb ewinkle@friendsnrc.org (918) 279-6682 Alicia Luckie aluckie@friendsnrc.org (334) 567-3291
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