EVIDENCE-BASED PRACTICE: RESOURCES AND STRATEGIES FOR CITIZEN REVIEW PANELS Alicia Luckie, MS Edi Winkle, MSW 1 Evidence-Based Practices Approaches to practice that are validated by some form of documented scientific evidence. These practices can range from supported to well-supported based on the strength of the research design. 2 Evidence-Based Programs A program that uses a defined curriculum or set of services that, when implemented with fidelity, have been validated by some form of documented evidence. These can range from supported to well-supported based on the strength of the evidence. 3 Evidence Informed Practices Practices that use the best available research and practice knowledge to guide program design and implementation within context. 4 EBP &EIP Shared Components: Logic Model Manual/Protocol Not Harmful Accepted Practice Commitment to CQI &Ongoing Evaluation EvidenceInformed Emerging •Ongoing collection of pre/post Data •Peer Review Supported Promising •All elements of •All elements of emerging, plus: promising, plus: •1 study, quasiexperimental design with control or comparison group •Document all implementation activities •model fidelity Evidence Informed •2 randomized trials or 2 between group studies (or comparable methodology) Well Supported •All elements of supported, plus: •Multiple site replication •one year sustained effect 5 Evidence-Based Practices VS. Programs EB practices could be skills, techniques, and strategies that can be used in various settings EB programs consist of collections of practices that are done within known parameters 6 Best Practices Best Practices = Evidence-Informed Practices Different term but same concept Do the best practice and program design we can with the knowledge and information we have access to 7 Evidence-Based Limitations Small body of research in our type of work Diversity of potential target population Cookie cutter fit Ethical issues in research design Cost Feasibility of program design Core component availability Staff available to deliver services Other program constraints 8 Stop, Need to Know KNOW How do you find detailed info on a specific model/practice? What are the intervention components? Needs of Community Who should we talk to? What about adaptation and fit? Target Population Where do we find information on EB/EI? Targeted Outcomes Then Consider… 9 Getting Started in Exploring EB/EI Where do we find information about them? •Registries •Developer Materials •Journals •Other Lists 10 Registries Typically a searchable online resource with programs and practices that have been reviewed and rated Assist the public in identifying approaches that have been scientifically tested Information may be • Rigorously reviewed • Only voluntary • Independent and objective 11 Using Registries A Few Favorites Multiple Registries Available California Evidence-Based Clearinghouse for Child Welfare They each use different criteria SAMHSA Model Programs Guide (NREPP) Programs will be ranked differently between registries Promising Practices Network A few to get you started with… Wisconsin Clearinghouse for Prevention Resources 12 Practice Examples Parent Training Incredible Years Safe Care Circle of Security 13 Current Picture Potential Program Program Outcomes Target Population Population Eligibility Program Setting Type of Service Staff/Training Qualifications Length of Program Resources and Costs Program Materials Availability and Support 14 PROGRAM COMPARISON EXAMPLE Sections Getting Started in Exploring EB/EI Where do we find information about them? •Registries •Developer Materials •Journals •Other Lists 15 Other Resources Child Welfare Information Gateway • Clearinghouse for a wealth of information • Search feature that allows user to narrow terms and time frames • User friendly • Librarians on staff www.childwelfare.gov Understanding Evidence “The Matrix” • Evidence based decision-making as you think about ways to prevent violence in your community • Offers local practitioners and others working to prevent violence knowledge and resources for using evidence in their decision making process • CBCAP Evidence-Based Program and Practice Matrix • Ranks programs in the CBCAP/PART continuum according to review by other registries • Only a guide for reporting and identifying potential programs http://vetoviolence.cdc.gov/evidence/ #&panel1-1 www.friendsnrc.org 16 Challenges Multi-Disciplinary Groups • Diverse Systems • Educating across systems (definitions and language) • Fragmented System (services) Focus/Planning • • • • Where to start? (w/limited resources, time, etc.) Multiple programs Determining levels of evidence Educating Stakeholders 17 Strategies to Address Challenges 1) Multi-disciplinary Group – consider who is at the table. (law enforcement, judges, doctors, mental health, etc.) 2) Use Registries/other resources to show programs that work. (CEBC, Child Trends, CDC) 3) Encourage Teams – Focus on a topic area such as infant mental heath/substance abuse/shaken baby. 4) Focus on 1 Evidence-Based Program each year. 5) Add prevention programs and other service providers to CRPs. They help teams to produce better outcomes. 6) Create a Learning to Action Network (ie. Strengthening Families/protective factors) 7) Advocate for Policy Changes – (ie. Home Visiting Legislation and Child Sexual Abuse Prevention) 8) Statewide Prevention Plan – include CBCAP Lead and other prevention partners. 18 Edi Winkle bb ewinkle@friendsnrc.org (918) 279-6682 Alicia Luckie aluckie@friendsnrc.org (334) 567-3291 19