title: Evidence-based practices: setting the context and responding to concerns.
abstract: 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.
authors.affiliation: 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
authors.forename: Susan M
authors.initials: SM
authors.lastname: Essock
authors.forename: Howard H
authors.initials: HH
authors.lastname: Goldman
authors.forename: Laura
authors.initials: L
authors.lastname: Van Tosh
authors.forename: William A
authors.initials: WA
authors.lastname: Anthony
authors.forename: Charity R
authors.initials: CR
authors.lastname: Appell
authors.forename: Gary R
authors.initials: GR
authors.lastname: Bond
authors.forename: Lisa B
authors.initials: LB
authors.lastname: Dixon
authors.forename: Linda K
authors.initials: LK
authors.lastname: Dunakin
authors.forename: Vijay
authors.initials: V
authors.lastname: Ganju
authors.forename: Paul G
authors.initials: PG
authors.lastname: Gorman
authors.forename: Ruth O
authors.initials: RO
authors.lastname: Ralph
authors.forename: Charles A
authors.initials: CA
authors.lastname: Rapp
authors.forename: Gregory B
authors.initials: GB
authors.lastname: Teague
authors.forename: Robert E
authors.initials: RE
authors.lastname: Drake
mesh_terms: 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