Evidence-based practices: setting the context and responding to concerns.
After nearly 20 years of progress in general medicine, the evidence-based practice movement is becoming the central theme for mental health care reform in the first decade of 2000. Several leaders in the movement met to discuss concerns raised by six stakeholder groups: consumers, family members, practitioners, administrators, policy makers, and researchers. Recurrent themes relate to concerns regarding the limits of science, diversion of funding from valued practices, increased costs, feasibility, prior investments in other practices, and shifts in power and control. The authors recommend that all stakeholder groups be involved in further dialog and planning to ensure that practices emerge that represent the integration of the best research evidence with clinical expertise and consumer values.
Essock
Susan M
SM
Division of Health Services Research, Department of Psychiatry, Box 1230, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029-6574, USA. susan.essock@mssm.edu
Goldman
Howard H
HH
Van Tosh
Laura
L
Anthony
William A
WA
Appell
Charity R
CR
Bond
Gary R
GR
Dixon
Lisa B
LB
Dunakin
Linda K
LK
Ganju
Vijay
V
Gorman
Paul G
PG
Ralph
Ruth O
RO
Rapp
Charles A
CA
Teague
Gregory B
GB
Drake
Robert E
RE
D003256:Community Participation; D019317:Evidence-Based Medicine; D006801:Humans; D001523:Mental Disorders / Q000628:therapy; D008605:Mental Health Services / Q000592:standards; D010818:Practice Patterns, Physicians'; D011570:Psychiatry / Q000592:standards