Developing and Delivering Practice-Based Evidence : A Guide for the Psychological Therapies

by Barkham, Michael; Hardy, Gillian E.; Mellor-Clark, John

• ISBN13: 9780470032350
• ISBN10: 0470032359
• Format: Paperback
• Copyright: 2010-03-29
• Publisher: Wiley-Blackwell

Summary

Evidence-based practice is the model currently endorsed by UK and other authorities for, amongst other things, psychological interventions. Yet because it places value on randomised control trials and meta-analytic studies above other methodologies, it can be divorced from reality and is not always relevant to practitioners. Client outcomes can be improved by combining evidence-based practice with practice-based research, which seeks to ascertain the value of an intervention when administered by a real individual or team to a real client under real circumstances and conditions. This important book outlines the approach in six easy-to-use sections: Concepts; Measurement; Methods; Collaborative Approaches; Quality Impacts; and Synthesis.

Author Biography

Michael Barkham is Professor of Clinical Psychology and Director of the Centre for Psychological Services Research at the University of Sheffield. He has published approximately 150 scientific papers and 30 book chapters in the fields of clinical psychology, counselling, and psychotherapy and has an abiding commitment to strengthening the paradigm of practice-based evidence. Gillian E. Hardy is Professor of Clinical Psychology and Director of the Clinical Psychology Unit and the Doctorate in Clinical Psychology training programme, at the University of Sheffield. She has published extensively in the field of psychotherapy outcome and process research. John Mellor-Clark has been engaged in the evaluation of UK psychological therapies and counselling for the past 20 years. Throughout the mid-1990s, he led the development of the CORE System as the first standardized quality, evaluation system in the UK for psychological therapy. Today this system is used by over 250 services and 3,500 clinicians to help measure, monitor, and manage therapy outcomes.

Table of Contents

List of Contributors	p. xi
Foreword	p. xvii
Preface	p. xxi
Acknowledgements	p. xxv
Evidence-Based Practice And Practice-Based Evidence	p. 1
The Current View of Evidence and Evidence-Based Practice	p. 3
Building a Rigorous and Relevant Knowledge Base for the Psychological Therapies	p. 21
Methodological Pluralism For Individual Practitioners	p. 63
Scientific, Practical and Personal Decisions in Selecting Qualitative Methods	p. 65
Theory-Building Case Studies as Practice-Based Evidence	p. 91
Single Case Quantitative Methods for Practice-Based Evidence	p. 109
Measurement Systems for Individual Practitioners and Services	p. 139
Outcome Questionnaire System (The OQ System): Development and Practical Applications in Healthcare Settings	p. 141
Treatment Outcome Package (TOP) – Development and use in Naturalistic Settings	p. 155
Clinical Outcomes in Routine Evaluation (CORE) – The CORE Measures and System: Measuring, Monitoring and Managing Quality Evaluation in the Psychological Therapies	p. 175
Monitoring Strategies For Individual Practitioners and Services	p. 221
Using Benchmarks and Benchmarking to Improve Quality of Practice and Services	p. 223
Constructing and Disseminating Outcome Data at the Service Level: Case Tracking and Benchmarking	p. 257
Managing Improvement Via Organizations and Practice Networks	p. 285
Organizational and Conceptual Framework for Practice-Based Research on the Effectiveness of Psychotherapy and Psychotherapy Training	p. 287
Practice Research Networks and Psychological Services Research in the UK and USA	p. 311
Developing and Delivering Practice-Based Evidence	p. 327
Improving Practice and Enhancing Evidence	p. 329
Index	p. 355
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