Ethics for Community Psychiatry: Evidence-Based Policies and Procedures

2012 ◽  
pp. 607-612
Author(s):  
H. Steven Moffic ◽  
Herb Bateman
2012 ◽  
Vol 26 (2) ◽  
pp. 74-86 ◽  
Author(s):  
Elaine Becker ◽  
Vivien Dee ◽  
Anna Gawlinski ◽  
Theresa Kirkpatrick ◽  
Mary Lawanson-Nichols ◽  
...  

1999 ◽  
Vol 20 (10) ◽  
pp. 695-705 ◽  
Author(s):  
Candace Friedman ◽  
Marcie Barnette ◽  
Alfred S. Buck ◽  
Rosemary Ham ◽  
Jo-Ann Harris ◽  
...  

AbstractIn 1997 the Association for Professionals in Infection Control and Epidemiology and the Society for Healthcare Epidemiology of America established a consensus panel to develop recommendations for optimal infrastructure and essential activities of infection control and epidemiology programs in out-of-hospital settings. The following report represents the Consensus Panel's best assessment of requirements for a healthy and effective out-of-hospital-based infection control and epidemiology program. The recommendations fall into 5 categories: managing critical data and information; developing and recommending policies and procedures; intervening directly to prevent infections; educating and training of health care workers, patients, and nonmedical caregivers; and resources. The Consensus Panel used an evidence-based approach and categorized recommendations according to modifications of the scheme developed by the Clinical Affairs Committee of the Infectious Diseases Society of America and the Centers for Disease Control and Prevention's Healthcare Infection Control Practices Advisory Committee.


Author(s):  
Michelle Boisvert ◽  
Nerissa Hall ◽  
Mary Andrianopoulos ◽  
Jeanne Chaclas

Telepractice is a method of service delivery in which professionals provide intervention, assessment and consultation services to individuals through the use of telecommunication technologies.  In response to the nationwide school-based shortage of speech-language pathologists, telepractice has emerged as a viable way to reach underserved clients. Telepractice has the potential to extend to populations in need of services, including those diagnosed with autism.  This paper examines an evidence-based clinical model for the delivery of telepractice services and describes the policies and procedures required for assessing individual need, confidentiality, technology, training and documentation within a telepractice program.  Two clinical case studies involving individuals diagnosed with autism are described and provide initial evidence for the use of telepractice as a practical method for direct and consultative service delivery. Results indicated that both the student receiving direct services, and the treating clinician receiving consultative services via telepractice, demonstrated an increased skill level in target domains.


2021 ◽  
Vol 51 (6) ◽  
pp. 266-271
Author(s):  
Samuel Dotson ◽  
Lucy Ogbu-Nwobodo ◽  
Derri Shtasel

Author(s):  
Emily S. Patterson ◽  
Courtney M. Dewart ◽  
Kurt Stevenson ◽  
Awa Mbodj ◽  
Mark Lustberg ◽  
...  

Our objective is to operationalize a novel antibiotic advisor, called the personalized weighted incidence syndromic combination antibiogram (pWISCA), intended to help physicians with initial antibiotic choice in hospitals. Clinical decision support tools are a promising technology for providing evidence-based guidance that incorporates data about patients from electronic health records. Nevertheless, congruence with policies and procedures and local experts’ opinions, as well as taking into account local resistance data for the medical center’s patient population, is needed when selecting and ordering the antibiotic medication options provided by pWISCA. This paper presents findings from applying a mixed methods approach to identify and prioritize antibiotic medications and associated contextual data to display in a CDS tailored to the local hospital. We discuss implications of these findings.


2021 ◽  
pp. 009385482110364
Author(s):  
Brandy L. Blasko ◽  
Liana R. Taylor ◽  
Jill Viglione ◽  
Faye S. Taxman

Studies of implementation of evidence-based supervision policies and procedures often report minimal to moderate adherence to evidence-based models. The few studies that exist examine the degree to which characteristics of probation officers, individuals on supervision, and supervision processes have an impact on rearrest (outcomes). Using administrative data on 7,326 probationers and surveys from 161 probation officers employed by five agencies, hierarchical linear models were used to identify the features of supervision processes that are most important to reduce recidivism. The findings clarify that no one evidence-based supervision feature (i.e., a validated risk and need assessment tool, case planning, treatment, compliance management, etc.) can achieve recidivism reductions. The best results can be achieved by using all features, although a risk-based case management approach that prioritizes employment and/or reducing the criminogenic needs creates similar outcomes. This article discusses the implications of prioritizing which supervision processes are used to impact positive supervision outcomes.


2017 ◽  
Vol 6 (3) ◽  
pp. 188-199 ◽  
Author(s):  
Renée J. Mitchell ◽  
Stuart Lewis

Purpose The purpose of this paper is to argue that police research has reached a level of acceptance such that executive management has an ethical obligation to their communities to use evidence-based practices. Design/methodology/approach Using an Evidence-Based Medicine (EBM) framework the authors apply an ethical-based decision-making model to policing decisions. EBM does not allow physicians to ignore research when giving guidance to patients. The authors compare the two professional approaches to decision making and argue policing has reached a level of research that if ignored, just like medicine, should be considered unethical. Police interventions can potentially be harmful. Rather than do no harm, the authors argue that police managers should implement practices that are the least harmful based on the current research. Findings The authors found policing has a substantial amount of research showing what works, what does not, and what looks promising to allow police executives to make decisions based on evidence rather than tradition, culture, or best practice. There is a deep enough fund of knowledge to enable law enforcement leadership to evaluate policies on how well the policies and procedures they enforce prevent crime with a minimum of harm to the communities they are sworn to protect and serve. Originality/value Policing has yet to view community interventions as potentially harmful. Realigning police ethics from a lying, cheating, stealing, lens to a “doing the least harm” lens can alter the practitioner’s view of why evidence-based policing is important. Viewing executive decision from an evidence-based ethical platform is the future of evaluating police executive decisions.


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