Clinical Pathways Resource Guide - CEIC
Clinical Pathways Resource Guide - CEIC
Clinical Pathways Resource Guide - CEIC
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Issues in EBP Transferability (continued)<br />
(continued)<br />
�� the tendency is to assume more robust treatment effects than can be produced;<br />
unrealistically optimistic promises must be guarded against, even even<br />
when the treatment<br />
technique or model has clear evidentiary support— support in general, psychosocial<br />
interventions have weak to moderate effects (which may be one reason reason<br />
why repeated<br />
episodes of care appear beneficial), and a specific individual’s individual s response to treatment<br />
is not assured. A magic bullet has not been found for the treatment treatment<br />
of substance<br />
abuse or co-occurring co occurring disorders, although addiction treatment outcomes are no no<br />
less<br />
positive than those for diabetes, asthma, and hypertension (McLellan, (McLellan,<br />
Lewis, O’Brien O Brien<br />
& Kleber, 2000);<br />
�� evidence-based evidence based practice evaluations must assess the intervention’s intervention s usefulness in<br />
“real real world” world community programs, and additional study may be necessary to<br />
determine the effectiveness of research-based research based interventions in community-based<br />
community based<br />
program settings— settings efficacy established in federally funded research does not<br />
necessarily equate with effectiveness in real world settings, at least partly because<br />
studies typically use highly qualified treatment staff under close close<br />
supervision to<br />
preserve the fidelity of the intervention, conditions that are not not<br />
common to clinical<br />
settings.<br />
Adapted from COCE Overview Paper Consensus- and Evidence-Based Practices<br />
162