| June 7th, 2012 |
| June 7, 2012: Agency for Healthcare Research and Quality |
Beginning in the late 1990s, the Agency for Healthcare Research and Quality (formerly known as the Agency for Health Care Policy and Research—AHCPR) awarded contracts to institutions in the United States and Canada to serve as Evidence Based Practice Centers (EPCs). The EPCs were created to review relevant scientific literature on clinical, behavioral, organizational, and financial topics and to produce reports on their findings. The link to the homepage of this initiative is: http://www.ahrq.gov/clinic/epc/ The RTI-UNC EPC report included a review of the effectiveness of community and population-based interventions to prevent tobacco use; efforts to increase consumer demand for and implementation of effective cessation interventions; the impact of smokeless tobacco marketing on smoking; use of those products; and population harm. Directions for future research were discussed. http://www.ncbi.nlm.nih.gov/books/NBK38122/ The State of Minnesota EPC examined models of integrated care (e.g., mental health and substance abuse in primary care settings) used in the United States and assessed how the integration of mental health services into primary care settings had an impact on patient outcomes. In addition, this EPC examined barriers to program implementation, the use of health information technology (HIT), and how current reimbursement models influence integrated care programs. http://www.ncbi.nlm.nih.gov/books/NBK38632/ The RTI-UNC EPC produced an important technical report, Criteria for Distinguishing Effectiveness from Efficacy Trials in Systematic Reviews. The stated objective of this review was “to propose and test a simple instrument based on seven criteria of study design to distinguish effectiveness (pragmatic) from efficacy (explanatory) trials while conducting systematic reviews”. This is an excellent technical report that is relevant to our work. http://www.ahrq.gov/downloads/pub/evidence/pdf/efftrials/efftrials.pdf |
| Posted in Updates |
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Flo A. Stein, MPH NC PIC Project Manager Chief, Community Policy Management Division of MH/DD/SAS
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| EBP Quick Links |
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MH#1: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) Mental Health Bulletin #1 - Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) was developed to treat post-traumatic stress and related emotional and behavioral problems in children and adolescents. |
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MH#2: Integrated Dual Disorders Treatment (IDDT) Mental Health Bulletin #2 - Integrated Dual Disorders Treatment (IDDT) requires that mental health and substance abuse treatment be delivered concurrently by a team of cross-trained clinicians within the same program. |
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MH#3: Wellness Management and Recovery (WMR) Mental Health Bulletin #3 - The National Institute of Mental Health estimates that approximately 6% of the U.S. population has severe mental illness (SMI). For North Carolina, that percentage translates to approximately 200,000 people who suffer from severe psychiatric disorders. |
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MH#4: Family Psychoeducation Mental Health Bulletin #4 - Persons with severe mental illness (SMI) often rely on family members for the majority of their needed support, and it is estimated that 35-60% of adults with SMI live with family members. |
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SA#1: Contingency Management (CM) Substance Abuse Bulletin #1 - Contingency management (CM) is a motivational incentive intervention in which clients with substance use disorders receive small rewards for attending treatment, taking prescribed medication, providing negative urine samples, or complying with other defined treatment-related goals. |
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SA#2: Strengthening Families Program (SFP) Substance Abuse Bulletin #2 - The Strengthening Families Program (SFP) is a parenting and family strengthening program for high risk families. It combines science-based (1) parenting-skill training, (2) child life-skill building, and (3) family lifeskill education into a program that improves the child's social/life skills and family functioning and protects the children from the long-term risks of drug abuse. |
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SA#3: Seeking Safety Substance Abuse Bulletin #3 - Post-Traumatic Stress Disorder (PTSD) is an anxiety disorder that may result from exposure and sometimes multiple exposures to highly traumatic events such as child abuse, accidents, violent personal assaults, military combat, or natural or human caused disasters. |
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SA#4: Matrix Intensive Outpatient Treatment Substance Abuse Bulletin #4 - Matrix was developed in the 1980s by researchers at the University of Southern California and clinicians at the Matrix Institute on Addictions who found that clients addicted to stimulants were challenging the existing treatment system. |
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SA#5: The Seven Challenges Substance Abuse Bulletin #5 - The Seven Challenges program was developed in the early 1990s by Dr. Robert Schwebel who recognized the lack of age appropriate substance abuse treatment models for adolescents. |
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Developing Effective, High-Quality Community Mental Health and Substance Abuse Services: A Guide for Local Management Entities by Beth Melcher, Ph.D. This manual seeks to clarify and provide guidance to LMEs on how to successfully engage in the service development role. It promotes the implementation of evidence-based and best practice services and supports. |
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National Registry of Evidence-based Programs and Practices NREPP is a searchable database of interventions for the prevention and treatment of mental and substance use disorders. SAMHSA has developed this resource to help people, agencies, and organizations implement programs and practices in their communities. |
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