Docstoc

Slide Presentation _PPT_ - Title

Document Sample
Slide Presentation _PPT_ - Title Powered By Docstoc
					    NADD Meeting Spring 2008

            Partnerships to Integrate
            Evidence-Based Practice
 Implications for Social Work Education, Practice & Research


             Joan Levy Zlotnik, PhD, ACSW
Institute for the Advancement of Social Work Research
                  www.iaswresearch.org
                   jlziaswr@naswdc.org


            INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   1
Institute for the Advancement of
Social Work Research
• Develop social work                                        – Strengthen the
  research(ers)
                                                               bridges between
• Translate research into
                                                               research and
  effective practice and policy                                practice
                                                             – EBP efforts focus
• Translate practice issues into                               on defining,
  questions to be studied
                                                               identifying,
                                                               assessing, applying
                                                               and evaluating…..
                INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH                2
Why EBP?

                                                        EVIDENCE-BASED/
   EVIDENCE-BASED PRACTICE                             RESEARCH-TESTED/
                                                      EFFECTIVE PRACTICES

      How do we improve the                             How do we improve
      capacity of providers to                          the uptake of practices
      use research to best                              demonstrated to
      deliver care to                                   improve consumer/
      consumers/patients?                               patient outcomes?

    INTEGRATION                                                     INTEGRATION
                              INFORMED CLINICAL
                                DECISION-MAKING




                   EBP for Policy and Macro-practice Too
                   Chambers, D. (2007).

            INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH                 3
Why Evidence-Based Practice?

• Important for outcomes and accountability
   – costs, replicability, standards, efficiency, quality improvement.
• Connect research to practice and policy
   - usefulness, applicability, relevance, adoption.
• Important for effectiveness –
   – what works – for whom –
• Make optimal practice decisions made on research
• Balance effective interventions with diversity -
   – individual, culture and community.
• Ethical obligation to use what works


                INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   4
Definitions
• EBP is a process in which the practitioner combines
  well-researched interventions with (clinical) practice
  experience, ethics and client system preferences and
  culture - to guide and inform the delivery of treatments
  and services.
• EBP – specific practices
• EBP – specific programs




             INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   5
Definitions

• Evidence-based practice is defined by the Institute of
  Medicine as the integration of best researched evidence
  and clinical expertise with patient values. (IOM
  Committee on Quality of Health Care in America
  (2001). Crossing the Quality Chasm. Washington, DC:
  National Academies Press.)
• "Evidence-based practices are interventions for which
  there is consistent scientific evidence showing that they
  improve client outcomes." (Drake et al., 2001, p. 180)


              INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   6
EBP Processes
• Developing Evidence

    – Emphasize research with potential to “change practice”

    – Produce findings applicable to current service delivery

    – Involve clients/consumers/practitioners in research design and studies

• Disseminating Evidence
   – Transportability
   – Representativeness
• Adopting/Adapting Evidence
       • Adherence, access and preference
       • Health disparities


                  INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH        7
IASWR EBP Involvements
  Austin Initiative - Improving the teaching of evidence-based
   practice – special issue of Research on Social Work Practice --
   September 2007
  Child welfare and evidence-based practice in the context of
   cultural competence - http://ssw.cehd.umn.edu/EBP-
   CulturalCompetence.html
  NIMH – linking research and practice –
  Evidence-based behavioral practice – www.ebbp.org
  EBP – Family-centered health care – Health disparities
  Transporting Evidence-Based Practice to Community Settings
   – Collaboration with NASW
  EBP and Care Coordination – Collaboration with the New
   York Academy of Medicine

             INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   8
NIMH Initiative
Partnerships to Integrate Evidence-Based Mental Health
  Practices into Social Work Education and Research

   Office of Constituency Relations & Public Liaison

   Office for Special Populations

   Division of Services & Intervention Research

     Institute for the Advancement of SW Research


               INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   9
Purpose

• Develop strategies to expand and amplify existing
  activities integrating MH EBPs into social work
  education and research




             INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   10
Initiative Activities
• IASWR scan social work education and outreach to
  service providing organizations to identify current
  efforts to teach evidence-based practices in social work
  education
• Partnerships
   –   Among social work organizations
   –   Between social work and NIMH
   –   Between a discipline and service providers
   –   Between a discipline/service providers/consumers



                INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   11
Invited Stakeholders
•   Assn for Baccalaureate SW Program Directors
•   Anxiety Disorders Assn of America
•   Council on SW Education
•   Group for the Advancement of Doctoral Education
•   Institute for the Advancement of SW Research
•   Mental Health America
•   Nat. Assn of Deans & Directors of Schools of SW
•   National Association of Social Workers
•   Nat. Assn of State MH Program Directors (& NRI)
•   Society for SW and Research
•   Substance Abuse and MH Services Administration
•   The St. Louis Group

                INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   12
April 2007 Meeting Agenda
•   School Perspective (supply)
•   State Perspective (demand)

•   EB Psychotherapy
• Existing Models at SW Schools
• Culturally Appropriate Care
• National Workforce Development (SAMHSA)
• Stakeholder Perspective (employer)
• Consumer Perspective
• Roundtable Discussions

                  INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   13
School & Agency Leverage Points

• Identifying and accessing EBTs

• Accepting and adopting EBTs

• Implementing EBTs in practice

• Evaluating effectiveness of EBTs
       Proctor, E, Research on Social Work Practice (Special Issue) 2007




                  INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH    14
Promoting EBP Strategies and
Challenges
Curriculum
   • Foundation and advanced research courses
   • Standard practice curricula
   • Advanced clinical practice electives
Life-long learning
   • Keep pace with new findings
   • For non-responders or unknown areas
Field setting issues
   •   Staff knowledge
   •   Limits for new training
   •   Limited resources
   •   Staff turnover

                   INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   15
Program Models
UNIVERSITY OF MICHIGAN
• Field Specific Collaboratives
   Team students, faculty & agency to reduce implementation
     barriers

• Information Literacy Competencies
   Library developed website to assist practitioners

• Mini-Courses
  For students and professionals, on EBPs



               INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   16
Program Models
NEW YORK STATE CONSORTIUM
STATE OMH AND DEANS & DIRECTORS

  School survey; Field focus groups

  Program development among five schools
        syllabus, placement matching, field colloquia

  Pilot Implementation
          certificate and job referral




              INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   17
Program Models
UNIVERSITY OF SOUTHERN CALIFORNIA
Partner with LA Co. DMH to Transform Public MH
  Services
• FIELD UNIT TRAINING
• Train students to implement EBPs

• Educational exchange for administrators & field
  supervisors

• Prime agencies for service innovation

             INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   18
OTHER MODELS
?????????????????????
• Curricula inclusion
• Community-based practice
• Family/agency partnerships
• Rural practice
• Front-line staff
• Access to EBP




            INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   19
Potential Action Steps
PARTNERSHIPS FOR RESEARCH, EDUCATION AND
  WORKFORCE DEVELOPMENT
• Transfer info from workforce development in other fields (child
  welfare/aging, etc.)
• Encourage MH/SW ED state level partnerships
   – Agenda setting
   – Conferences
   – Implementing services research agendas
   – Use academic library resources
   – Encourage faculty development at the national level – IASWR/NRI
     summer workshops
   – Link to field education and teaching of EBPs
   – Certificate programs
   – SW guidelines across the educational continuum

                INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   20
Potential Action Steps
DOCTORAL EDUCATION IN SOCIAL WORK
• Provide opportunities to learn about EBP, EBPTS and to
  develop relevant research agendas.
• Teach to use EBP process across fields of practice




             INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   21
Potential Action Steps
ENHANCEMENT AND SUSTAINABILITY
• Conference grants to further address EBP issues,
  strategies to educate faculty about culturally relevant
  EBP and EBTs, and promote partnership models and
  transfer from model projects
• National clearinghouse on sw relevant EBTs and EBP
  resources, strategies to use toolkits.
• National taskforce



              INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   22
Potential Action Steps
RESEARCH
• Systems level research to address organizational and structural
  issues to adopt and adapt EBP & EBTs
• Research on co-morbidity
• Agency/university research partnerships
• Translational research to link university, public health and mental
  health systems.
• Research workforce training program with rigorous methods that
  focus on dissemination and implementation into real world
  settings
• Encourage collaborative and participatory research models.

                INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   23
REACH-SW
• Curriculum enhancement tool to increase the use
  of empirical mental health research in social
  work practice.
• Field testing now
• Supported by NIMH Division of Services
  Intervention Research
   – SBIR Phase I Contract: 9/2003 – 3/2004
  – SBIR Phase II Contract: 9/2004 – 9/2008

           INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   24
REACH-SW Curriculum Tool

 Objective: To support social
  work faculty in teaching
  students the lifelong skills
  needed to find, assess, and apply
  EBP approaches to social work
  practice in real-world settings.
        INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   25
Project Team

Danya
  Cynthia Baker, Ph.D., Principal Investigator
  Nicole Owings-Fonner, M.A., Project Director
  Laurie Brockmann, M.P.H., M.S.W., Content Writer




NIMH
  Adam Haim, Ph.D., Program Official
  Denise Juliano-Bult, M.S.W., Program Chief, Systems Research
   Program


              INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   26
Project Team
Advisory Panel
    Edward Mullen, D.S.W., Columbia University
    Enola Proctor, Ph.D., Washington University
    Wynne Sandra Korr, Ph.D., University of Illinois at Urbana-Champaign
    Mary Ruffolo, Ph.D., University of Michigan
    Betsy Schafer Vourlekis, Ph.D., University of Maryland Baltimore County

Content Development Resource Consultants
    Joan Zlotnik, Ph.D., A.C.S.W., Executive Director of IASWR
    Anita Rosen, Ph.D., Independent Consultant

Guest Editors/Contributors
    Edward Mullen, D.S.W., Columbia University School of Social Work
    Enola Proctor, Ph.D. , Washington University in St. Louis
    Phyllis Solomon, Ph.D., University of Pennsylvania
    Deborah Gioia, Ph.D., University of Maryland
    John Brekke, Ph.D., University of Southern California
    Haluk Soydan, Ph.D., University of Southern California

                  INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH        27
REACH-SW Purpose
 REACH-SW is designed to help faculty incorporate the
  application of EBP into their existing course content using an
  infusion model.

 EBP content is incorporated into existing course materials,
  augmenting the faculty member’s expertise with ready-made
  resources to adapt to specific course content (e.g., student
  classroom activities, case examples, and assignments).


 This approach is designed to help faculty bring an evidence-based
  approach into every course, rather than having to require new
  courses to cover this content or adding on content.

                INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   28
Approach
• REACH-SW supports social work
  faculty and programs in helping
  students to:
   Understand the importance, value, benefits, and limitations of
    EBP approaches.
   Learn how to conduct EBP as a process (Gibbs 7-step model)
    in real-world settings.
   Learn how to find, evaluate, adapt, and apply evidence-based
    practices (or EBIs, EBT, etc.).
   Develop critical thinking skills as a “lifelong learner.”
   Increase scientific literacy.

              INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   29
Training Strategies
 Three levels of training:
   1.Individual Training
   2.Training-of-Trainer
   3.Faculty/Department-Wide Training
  Or Just Do It!




            INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   30
Evaluation (Currently Ongoing)
 Objective: To assess the effectiveness of the REACH-SW
  program and determine the added value of in-person training
  workshops.
 N=36 social work faculty from around the nation
 All levels of education (BSW, MSW, DSW)
 Four research groups:
     1. Self-guided (no in-person training; CD only)
     2. Individual training
     3. Training-of-Trainer
     4. Control (no REACH-SW materials)


               INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   31
REACH-SW Trainings

 One-day pre-conference workshops at annual meetings of
  relevant organizations (CSWE, BPD, SSWR).
 Regional trainings throughout the year.
 Department-/faculty-wide trainings upon request.
 CEUs available.
 Technical Assistance and Ongoing Support
 Ongoing support (online technical assistance, booster
  sessions, etc.) will be provided to those who have attended a
  training on an as-needed basis.


              INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   32
Product and Training Availability
 CD-ROMs will be available for purchase by summer 2008
 Discussions underway to provide training/Faculty Development
  Institutes at CSWE (October 2008, Philadelphia)
 Intend to offer if possible for BPD, SSWR
 Other types of training will also be available
 Social work educators from different regions of the country
  and a variety of universities
 Develop REACH-SW trainers
    Different “levels” of expertise in EBP Social work educators
    Operate as consultants to Danya
    Certified by REACH-SW “master trainer” and standardized certification
     training process

                INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH    33
Participating Programs
•University of Texas at Austin                             •     New York University
•Methodist University                                      •     Bennett College for Women
•Virginia Commonwealth University                          •     University of Maryland at Baltimore
•Southern University                                       •     California University of Pennsylvania
•Arizona State University                                  •     Simmons College
•Florida Atlantic University                               •     University of Chicago
•Florida State University                                  •     Loma Linda University
•Springfield College                                       •     University of South Florida
•Southern Ct. Sate University                              •     University of Denver
•NC State University                                       •     San Jose State University
•University of Hawaii                                      •     University of Central Missouri
•Smith College                                             •     Edinboro University
•Boise State                                               •     Savannah State University
•University of North Carolina Wilmington                   •     Hawaii Pacific University
•California State University Long Beach                    •     Hunter College
•Ohio State University                                     •     University of Minnesota
•Portland State University                                 •     University of Tennessee
•Missouri State University                                 •     Hunter College

                   INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH                                 34
For More Information
IASWR - www.iaswresearch.org
   Partnerships to Integrate Evidence-Based Mental Health Practices into Social
   Work Education and Research
    – http://charityadvantage.com/iaswr/EvidenceBasedPracticeSummary.pdf
NIMH - www.nimh.nih.gov
   The Road Ahead: Research Partnerships to Transform Services
    – http://www.nimh.nih.gov/about/advisory-boards-and-
       groups/namhc/reports/road-ahead.pdf
National Association of State Mental Health Program Directors Research Institute
   (NRI-INC) – www.nri-inc
Substance Abuse and Mental Health Services Administration – www.samhsa.gov
National Registry of Evidence-based Programs & Policies -
   www.nrepp.samhsa.gov

                   INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH           35
For More Information
• Joan Levy Zlotnik, IASWR
  jlziaswr@naswdc.org

• Cynthia Baker, DANYA
  cbaker @danya.com

• Denise Juliano-Bult, NIMH
  djuliano@mail.nih.gov
          INSTITUTE FOR THE ADVANCEMENT OF SOCIAL WORK RESEARCH   36

				
DOCUMENT INFO