Evidence-Based Practice in Action
Bridging Clinical Science and Intervention
Edited by Sona Dimidjian
Request a free digital professor copy on VitalSource ?“'Evidence-based practice' has become the mantra of mental health care delivery systems, yet few professionals truly grasp its implications for their practices—or even the basic meaning of the term. In this much-needed book, Dimidjian has assembled the world's experts in this area to provide answers. Readers will learn what is really meant by evidence-based practice, and—using actual cases—how it can be implemented in practice. The closing section on training is particularly important. Everybody with an interest in research, practice, or consumption of mental health services will benefit from this book.”
—David H. Barlow, PhD, ABPP, Professor Emeritus of Psychology and Psychiatry and Founder, Center for Anxiety and Related Disorders, Boston University
“Dimidjian has provided a truly stunning compendium of the state of the science in evidence-based practice for mental health. Each and every chapter is practical, insightful, far-reaching, and important. I wholeheartedly recommend this book as essential reading for all who are concerned about the prevalence and severity of mental health problems.”
—Allison G. Harvey, PhD, Department of Psychology, University of California, Berkeley
“Evidence-based practice is hard; this book makes it easy! With an outstanding group of contributors and easy-to-read chapters, this book offers an incredibly practical guide to help apply our best scientific theories, findings, and methods to improve patients’ lives. This is an indispensable guide for practitioners and an outstanding teaching tool. Graduate students in clinical, counseling, and school psychology; social work; and professional counseling programs need to read this volume as they learn about therapy, and to keep it close by in the years that follow!”
—Mitchell J. Prinstein, PhD, ABPP, John Van Seters Professor of Psychology and Neuroscience, University of North Carolina at Chapel Hill
“This book helps therapists tackle a central challenge in evidence-based practice—distilling the corpus of available knowledge and using it to inform what they do with a particular client. It contains useful frameworks for utilizing the literature on best practices (across empirical outcome studies, clinical practice guidelines, and clinical expertise), formulating an evidence-based conceptualization, and implementing evidence-based treatment across a number of modalities. The extended case studies integrating these steps provide excellent concrete examples. This book could serve as a core text in a foundational Evidence-Based Practice course for clinical, counseling, or MFT graduate students. It could also serve as a resource for established therapists seeking to strengthen the connections between the scientific foundations of clinical psychology and their clinical practice with specific clients.”
—Brian D. Doss, PhD, Department of Psychology, University of Miami
Table of Contents
Introduction: Context, Intention, and CompassionI. Context and Key Concepts
1. History and Process of Evidence-Based Practice in Mental Health, Bonnie Spring, Sara Hoffman Marchese, & Jeremy Steglitz
2. History and Evolution of the NIH Stage Model: Overcoming Hurdles to Create Behavioral Interventions to Improve the Public Health, Lisa Onken
3. The Insufficiently Appreciated Raison d’être of Evidence-Based Practice, Scott Lilienfeld, Lorie Ritschel, Steven Jay Lynn, & Robert D. Latzman
II. Core Components of Evidence-Based Practice
4. Doing Right by Your Patients: What Do Clinicians Need to Know about Randomized Clinical Trials?, Helena Chmura Kraemer & Vyjeyanthi S. Periyakoil
5. Systematic Reviews in Mental Health, Pim Cuijpers & Ioana-Alina Cristea
6. Clinical Practice Guidelines, Steven D. Hollon
7. Moving Beyond "One Size Fits All," Zachary D. Cohen, Yoni K. Ashar, & Robert DeRubeis
8. The Role of Culture in Evidence-Based Practice, Manuel Barrera Jr. & Felipe González Castro
9. Reaching the Unreached: The Importance of Context in Evidence-Based Practice in Low-Resource Settings, Syed Usman Hamdani & Atif Rahman
10. Clinical Expertise: A Critical Issue in the Age of Evidence-Based Practice, Bruce E. Wampold, James W. Lichtenberg, Rodney K. Goodyear, & Terrence J. G. Tracey
11. Working Smarter, Not Harder: Comparing Evidence-Based Assessment to the Conventional Routine Assessment Process, Eric A. Youngstrom & Ana Van Meter
III. Illustrations of Evidence-Based Practice in Action
12. An Idiographic Hypothesis-Testing Approach to Psychotherapy: Using Case Formulation and Progress Monitoring to Guide Treatment, Jacqueline B. Persons & Lisa Talbot
14. Integrating Basic Research into a Phase Approach to Guide Clinical Practice, Bethany A. Teachman & Rachel K. Narr
15. The Practice of Dialectical Behavior Therapy with Multidiagnostic and Suicidal Patients, Chelsey R. Wilks & Marsha M. Linehan
16. Implementing Cognitive-Behavioral Therapy to Treat a Fear of Morphing in Obsessive–Compulsive Disorder, Roz Shafran, Eva Zysk, & Tim Williams
17. Using an Experimental Therapeutics Approach to Target Psychopathy, Emily Kemp & Arielle Baskin-Sommers
18. Sequential Repetitive Transcranial Magnetic Stimulation and Mindfulness-Based Cognitive Therapy for Treatment-Resistant Depression: Rationale and Clinical Illustration of Evidence-Based Practice in Action, Evan Collins, Susan Abbey, Norman Farb, Jonathan Downar, & Zindel Segal
19. Beyond Specialty Mental Health: Rationale and Clinical Application of Behavioral Activation in Primary Care, Samuel H. Hubley, Christopher R. Martell, & Jennifer Carty
20. E-Behavioral Activation in Primary Care for Depression: A Measurement-Based Remission-Focused Treatment, Joseph M. Trombello & Madhukar H. Trivedi
21. A "Real-Life" Biopsychosocial Psychotherapy Case, Christine M. Nezu, Arthur M. Nezu, & Meghan Colosimo
22. Clinical Decision Making in Combined Pharmacotherapy and Psychotherapy with Complex Clients: Adopting an Evidence-Based Approach in a Partial Hospitalization Setting, Catherine D'Avanzato & Mark Zimmerman
IV. Training, Supervision, and Consultation to Promote Evidence-Based Practice
23. Mental Health Training: Implications of the Clinical Science Model, Robert W. Levenson
24. The Role of the Consultation Team in Supporting Therapists and Preventing Burnout, Charles R. Swenson
25. Why Therapists Need to Take a Good Look at Themselves: Self-Practice/Self-Reflection as an Integrative Training Strategy for Evidence-Based Practices, James Bennett-Levy & Beverly Haarhoff
26. Augmenting Cognitive-Behavioral Therapy with Alliance-Focused Training: A Research Informed Case Study, Jessica Kraus, Jeremy D. Safran, & J. Christopher Muran
27. Training Evidence-Based Practitioners: Recommendations for the Improvement of Instructional Design and Delivery, Donna M. Sudak & R. Trent Codd III
About the Editor
Sona Dimidjian, PhD, a clinical psychologist, is Director of the Renée Crown Wellness Institute and Professor in the Department of Psychology and Neuroscience at the University of Colorado Boulder. She is a widely recognized expert on women’s mental health; the clinical application of contemplative practices, such as mindfulness meditation; and cognitive and behavioral approaches. She has developed successful prevention and treatment programs to promote mental health and wellness in health care, education, and community settings. Dr. Dimidjian is a recipient of multiple awards and the author of widely cited scholarly papers. She is coauthor of the self-help resource Expecting Mindfully as well as Behavioral Activation for Depression and Behavioral Activation with Adolescents (for mental health professionals).Contributors
Susan E. Abbey, MD, Centre for Mental Health, University Health Network, and Department of Psychiatry, University of Toronto, Toronto, Ontario, CanadaYoni K. Ashar, PhD, Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado
Manuel Barrera, Jr., PhD, Department of Psychology, Arizona State University, Tempe, Arizona
Arielle Baskin-Sommers, PhD, Department of Psychology, Yale University, New Haven, Connecticut
James Bennett-Levy, PhD, University Centre for Rural Health (North Coast), The University of Sydney, Sydney, Australia
Shadi Beshai, PhD, Department of Psychology, University of Regina, Regina, Saskatchewan, Canada
Jennifer N. Carty, PhD, Department of Psychiatry, Michigan State University, East Lansing, Michigan
Felipe González Castro, PhD, MSW, Center for Health Promotion and Disease Prevention, College of Nursing and Health Innovation, Arizona State University, Tempe, Arizona
Richard Trent Codd III, EdS, LPC, BCBA, Cognitive-Behavioral Therapy Center of Western North Carolina, Asheville, North Carolina
Zachary D. Cohen, PhD, Department of Psychiatry, University of California, Los Angeles, Los Angeles, California
Evan Collins, MD, Centre for Mental Health, University Health Network, and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
Meghan M. Colosimo, MS, Department of Psychology, Drexel University, Philadelphia, Pennsylvania
Ioana A. Cristea, PhD, Department of Clinical Psychology and Psychotherapy, Babes-Bolyai University, Cluj-Napoca, Romania
Pim Cuijpers, PhD, Department of Clinical, Neuro, and Developmental Psychology, Amsterdam Public Health Research Institute, VU University Amsterdam, Amsterdam, The Netherlands
Catherine D’Avanzato, PhD, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University and Rhode Island Hospital, Providence, Rhode Island
Robert J. DeRubeis, PhD, Department of Psychology, University of Pennsylvania, Philadelphia, Pennsylvania
Sona Dimidjian, PhD, Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado
Jonathan Downar, MD, PhD, Centre for Mental Health, University Health Network; Institute of Medical Science; and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
Norman Farb, PhD, Department of Psychology, University of Toronto Mississauga, Mississauga, Ontario, Canada
Rodney K. Goodyear, PhD, Department of Counseling and Human Services and Center for Advanced Professional Education, University of Redlands, Redlands, California
Beverly Haarhoff, PhD, School of Psychology, Massey University, Auckland, New Zealand
Syed Usman Hamdani, PhD, Human Development Research Foundation, Islamabad, Pakistan; Institute of Psychology, Health and Society, University of Liverpool, Liverpool, United Kingdom
Steven D. Hollon, PhD, Department of Psychology, Vanderbilt University, Nashville, Tennessee
Sam Hubley, PhD, Department of Family Medicine, University of Colorado Anschutz Medical Center, Aurora, Colorado
Emily Kemp, BS, Department of Psychology, Louisiana State University, Baton Rouge, Louisiana
Rob Kidney, DClinPsych, College of Life and Environmental Sciences, University of Exeter, Exeter, United Kingdom
Helena Chmura Kraemer, PhD, Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California
Jessica Kraus, PhD, Department of Psychology, The New School, New York, New York
Willem Kuyken, PhD, Department of Psychiatry, University of Oxford, Oxford, United Kingdom
Robert D. Latzman, PhD, Department of Psychology, Georgia State University, Atlanta, Georgia
Robert W. Levenson, PhD, Department of Psychology, University of California, Berkeley, Berkeley, California
James W. Lichtenberg, PhD, ABPP, Department of Educational Psychology, University of Kansas, Lawrence, Kansas
Scott O. Lilienfeld, PhD, Department of Psychology, Emory University, Atlanta, Georgia
Marsha M. Linehan, PhD, ABPP, Department of Psychology, University of Washington, Seattle, Washington
Steven Jay Lynn, PhD, ABPP, Department of Psychology, Binghamton University, The State University of New York, Binghamton, New York
Sara Hoffman Marchese, MS, Department of Preventive Medicine, Northwestern University, Chicago, Illinois
Christopher R. Martell, PhD, ABPP, Psychological Services Center, University of Massachusetts Amherst, Amherst, Massachusetts
J. Christopher Muran, PhD, Gordon F. Derner Institute of Advanced Psychological Studies, Adelphi University, Garden City, New York
Rachel K. Narr, MA, Department of Psychology, University of Virginia, Charlottesville, Virginia
Arthur M. Nezu, PhD, Department of Psychology, Drexel University, Philadelphia, Pennsylvania
Christine M. Nezu, PhD, Department of Psychology, Drexel University, Philadelphia, Pennsylvania
Lisa S. Onken, PhD, National Institute on Aging, National Institutes of Health, Bethesda, Maryland
Vyjeyanthi S. Periyakoil, MD, Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Stanford, California
Jacqueline B. Persons, PhD, Oakland Cognitive Behavior Therapy Center, Oakland, California; Department of Psychology, University of California, Berkeley, Berkeley, California
Atif Rahman, PhD, Institute of Psychology, Health and Society, University of Liverpool, Liverpool, United Kingdom
Lorie A. Ritschel, PhD, Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
Jeremy D. Safran, PhD (deceased), Department of Psychology, The New School, New York, New York
Zindel V. Segal, PhD, Department of Psychological Clinical Science, University of Toronto Scarborough, Toronto, Ontario, Canada
Roz Shafran, ClinPsychol, PhD, UCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom
Bonnie Spring, PhD, Department of Preventive Medicine, Northwestern University, Chicago, Illinois
Jeremy Steglitz, PhD, private practice, Washington, DC
Donna M. Sudak, MD, Department of Psychiatry, Drexel University College of Medicine, Philadelphia, Pennsylvania
Charles R. Swenson, MD, Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts
Lisa S. Talbot, PhD, Peninsula Behavioral Health, Palo Alto, California; Department of Psychiatry and Behavioral Science, Stanford University School of Medicine, Stanford, California
Bethany A. Teachman, PhD, Department of Psychology, University of Virginia, Charlottesville, Virginia
Terence J. G. Tracey, PhD, Department of Counseling and Counseling Psychology, Arizona State University, Tempe, Arizona; Departments of Educational and Counselling Psychology and Special Education, University of British Columbia, Vancouver, British Columbia, Canada
Madhukar H. Trivedi, MD, Center for Depression Research and Clinical Care, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas
Joseph M. Trombello, PhD, Center for Depression Research and Clinical Care, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas
Anna Van Meter, PhD, Feinstein Institute for Medical Research, Glen Oaks, New York
Bruce E. Wampold, PhD, ABPP, Department of Counseling Psychology, University of Wisconsin–Madison, Madison, Wisconsin; Modum Bad Psychiatric Center, Vikersund, Norway
Chelsey R. Wilks, PhD, Department of Psychology, University of Washington, Seattle, Washington
Tim Williams, PhD, School of Psychology and Clinical Language Sciences, University of Reading, Reading, United Kingdom
Eric A. Youngstrom, PhD, Department of Psychology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
Mark Zimmerman, MD, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University and Rhode Island Hospital, Providence, Rhode Island
Eva Zysk, PhD, Department of Psychology, University of British Columbia, Vancouver, British Columbia, Canada