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Clinical Pathways Resource Guide - CEIC

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Issues in Evidence-Based Evidence Based Practices<br />

Context Context<br />

When the circumstances surrounding the application of the practice practice<br />

change to<br />

the extent that the practice must be modified, the original evidence evidence<br />

or<br />

consensus base may well prove to be insufficient. Specifically, the<br />

generalization of findings across settings and populations can be be<br />

problematic<br />

when:<br />

�� the supporting evidence has been accumulated in the treatment of one disorder,<br />

but the application in question is for treatment of clients with combined or multiple<br />

disorders;<br />

�� the supporting evidence has been established in one field (either (either<br />

the mental<br />

health field or the substance abuse field), but the application of the treatment<br />

technique is in the other;<br />

�� the supporting evidence has been demonstrated for a co-occurring co occurring disorders<br />

population with particular characteristics (e.g., homeless) and in a particular<br />

setting (e.g., shelters), but the application in question is among among<br />

a co-occurring<br />

co occurring<br />

disorders group of clients with differing characteristics (women and children)<br />

and/or in another setting (prisons);<br />

�� the supporting evidence has been found to be effective among a subgroup subgroup<br />

of<br />

clients with co-occurring co occurring disorders who have specific demographic characteristics,<br />

characteristics,<br />

but the application is to be generalized to another subgroup who have different<br />

background characteristics (e.g., age, culture, language).<br />

Adapted from COCE Overview Paper Consensus- and Evidence-Based Practice<br />

160

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