Evidence-based Medicine in Mental Health: Towards Better and Fairer Treatment?

2005 ◽  
pp. 65-75
Author(s):  
Andreas Reis ◽  
Christian Lenk ◽  
Cristiane Reis-Streussnig ◽  
Nikola Biller-Andorno
Keyword(s):  
Mental Health ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Based Medicine

scholarly journals Psychiatry in the future

2004 ◽  
Vol 28 (8) ◽  
pp. 277-278
Author(s):  
Frank Holloway
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Evidence Based Medicine ◽  
Cochrane Collaboration ◽  
Routine Clinical Practice ◽  
Evidence Based ◽  
Policy Makers ◽  
The Future ◽  
The Cochrane Collaboration ◽  
Based Medicine

In an era of evidence-based medicine, policy-makers and researchers are preoccupied by the task of ensuring that advances in research are implemented in routine clinical practice. This preoccupation has spawned a small but growing research industry of its own, with the development of resources such as the Cochrane Collaboration database and journals such as Evidence-Based Mental Health. In this paper, I adopt a philosophically quite unfashionable methodology – introspection – to address the question: how has research affected my practice?

Cowboys and Pirates in Mental Health Care: A Musical Autoethnography

2020 ◽  
pp. 153270862097065
Author(s):  
David Carless
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Evidence Based Medicine ◽  
Spoken Word ◽  
Evidence Based ◽  
Health Care Professions ◽  
Personal Consequences ◽  
Or Organization ◽  
Based Medicine

A cowboy can be defined as “an unscrupulous tradesman” and a pirate can be “a person or organization broadcasting without official authorisation.” Looking through a subversive lens, I see both cowboys and pirates operating within the mental health care professions. Cowboys can be validated, authorized, rewarded, and empowered through the machinery of evidence-based medicine. Pirates may be criticized, restricted, marginalized, or dismissed by the same machinery. Through a layered performance of song and spoken word, I explore some of the personal consequences of all this for those living—and suffering—within differing paradigms of health care.

Fundamental principles of evidence-based medicine applied to mental health care

2003 ◽  
Vol 26 (4) ◽  
pp. 811-820 ◽  
Author(s):  
Robert E Drake ◽  
Stanley D Rosenberg ◽  
Gregory B Teague ◽  
Stephen J Bartels ◽  
William C Torrey
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Based Medicine

The Limits of Evidence-Based Medicine and Its Application to Mental Health Evidence-Based Practice: Part One

2013 ◽  
Vol 15 (1) ◽  
pp. 18-34 ◽  
Author(s):  
Tomi Gomory
Keyword(s):  
Mental Health ◽  
Clinical Judgment ◽  
Evidence Based Medicine ◽  
Process Model ◽  
Best Practice ◽  
Political Process ◽  
Community Treatment ◽  
Evidence Based ◽  
Systematic Analysis ◽  
Based Medicine

The present article outlines the major limitations of evidence-based medicine (EBM) and through a close review demonstrates that the three component EBM process model is a pseudoscientific tool. Its “objective” component is the collection, systematic analysis, and listing of “effective” treatments applying a research hierarchy from most rigorous (systematic reviews of randomized controlled trials [RCTs]) to least rigorous (expert opinion). Its two subjective components are the clinical judgment of helping professionals about which “evidence-based” treatment to select and the specific and unique relevant personal preferences of the potential recipients regarding treatment. This procedural mishmash provides no more rigor in choosing “best practice” than has been provided by good clinical practitioners in the past because both turn out to be subjective and authority based. The article also discusses EBM’s further methodological dilution in the National Institute of Mental Health (NIMH) endorsed Evidence-Based Mental Health Practice (EBP) movement. In EBP, the allegedly rigorous EBM protocol is altered. Instead of systematic expert protocol-driven EBM reviews of RCTs, NIMH sanctioned expert consensus panels decide “evidence-based practices.” This further problematizes the development of best practices in mental health by converting it to a political process. The article concludes with some observations on these issues. In a second article (part two) forthcoming, assertive community treatment (ACT) is examined as an example of an EBP that fails as a scientifically effective treatment despite its EBP certification and general popularity among practitioners.

Translating ethical principles into outcome measures for mental health service research

1999 ◽  
Vol 29 (4) ◽  
pp. 761-767 ◽  
Author(s):  
GRAHAM THORNICROFT ◽  
MICHELE TANSELLA
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Outcome Measures ◽  
Evidence Based Medicine ◽  
Health Service Research ◽  
Ethical Principles ◽  
Service Research ◽  
Evidence Based ◽  
Based Medicine

Background. Mental health service research continues to use only outcome measures that are available rather than develop measures that are important. This paper argues that it is necessary to select and then define a set of ethical principles that can be operationalized and validated as outcome measures to provide a wider balance of information for health policy and clinical service decisions.Methods. The method used is to adopt a five stage procedure: (i) to select ethical principles most directly relevant for mental health services and their evaluation at the local level; (ii) to propose definitions of these principles; (iii) to validate these definitions; (iv) to translate the defined principles into operationalized outcome measures; and (v) to use these outcome measures in mental health services research, within the context of evidence-based medicine.Results. We address steps (i) and (ii) of this five-stage procedure. Nine principles are selected and defined: autonomy, continuity, effectiveness, accessibility, comprehensiveness, equity, accountability, coordination and efficiency. These principles can together be referred to as the three ACEs.Conclusions. Of these nine principles, only two (effectiveness and efficiency) have so far been fully translated into quantitative outcome measures, upon which the evidence-based medicine approach depends. We propose that further concepts also be developed into a more complete multi- dimensional range of fully operationalized outcome measures.

scholarly journals Pengantar Evidence-Based Case Reports

Sari Pediatri ◽  
2016 ◽  
Vol 11 (6) ◽  
pp. 385
Author(s):  
Partini Pudjiastuti
Keyword(s):  
Mental Health ◽  
Medical Journal ◽  
British Journal ◽  
Case Report ◽  
British Medical Journal ◽  
Evidence Based Medicine ◽  
Case Reports ◽  
Evidence Based ◽  
Based Medicine

Evidence-based case report (EBCR) merupakan suatu metode penulisan atau pelaporan sebuah kasus atau masalah klinis dengan pendekatan berbasis bukti. Metode atau desain pelaporan kasus EBCR merupakan bentuk aplikasi evidence-based medicine (EBM) yang telah banyak dipublikasikan di jurnal internasional, seperti Journal of Evidence-Based Medicine, Evidence-Based Mental Health, British Medical Journal and British Journal of Psychiatry. Naskah EBCR umumnya ditulis secara ringkas dengan jumlah kata maksimum 2500, mengandung 4 ilustrasi (grafik, tabel, foto pasien) dan 24 rujukan atau referens. Sebagai layaknya sebuah laporan kasus, maka EBCR terdiri atas beberapa bagian.a. Pendahuluanb. Kasus atau skenario klinisc. Rumusan masalahd. Metode /strategi penelusuran buktie. Hasil penelusuran buktif. Diskusig. Kesimpulanh. Daftar pustaka

scholarly journals Management of chronic fatigue syndrome in children

2000 ◽  
Vol 6 (2) ◽  
pp. 145-152 ◽  
Author(s):  
Barry Wright ◽  
Ian Partridge ◽  
Christine Williams
Keyword(s):  
Mental Health ◽  
Chronic Fatigue Syndrome ◽  
Evidence Based Medicine ◽  
Chronic Fatigue ◽  
The Internet ◽  
Evidence Based ◽  
Fatigue Syndrome ◽  
Self Help ◽  
Self Help Groups ◽  
Based Medicine

Certain areas of child and adolescent mental health generate a degree of polarised debate, both within and outside the profession. Media attention, the development of self-help groups and the Internet lead to the publishing of papers and opinion, which exist alongside peer-reviewed research and evidence-based medicine. Parents reading such material may find it hard to know what advice is best. One area that falls into this category is chronic fatigue syndrome (CFS).

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