Adapting Evidence-Based Practice for Sexual and Gender Minorities

2019 ◽  
pp. 3-22
Author(s):  
John E. Pachankis ◽  
Steven A. Safren
Keyword(s):  
Mental Health ◽  
Evidence Based Practice ◽  
Scientific Evidence ◽  
Future Research ◽  
Evidence Based ◽  
Psychotherapy Process Research ◽  
Gender Minorities ◽  
Evidence Based Treatments ◽  
History Of ◽  
And Gender

This chapter reviews the history of scientific evidence regarding sexual and gender minority (SGM) mental health, from the unscientific, homophobic theories of the early 20th century to the pioneering research that paved the way for the accurate evidence on SGM mental health that researchers currently possess and continue to acquire. This chapter also discusses historical impediments to creating evidence-based treatments for SGM mental health, including a lack of clear treatment targets and treatment studies specific to SGM, as well as the recent progress toward overcoming these barriers as illustrated in the chapters throughout this handbook. The chapter offers several justifications for the widespread use and dissemination of evidence-based treatments with SGM, including ethical, professional, and scientific considerations in this pursuit. Finally, it provides suggestions for future research to advance evidence-based practice for SGM, spanning psychiatric epidemiology to psychotherapy process research.

Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities

2019 ◽  
Keyword(s):  
Mental Health ◽  
Dialectical Behavior Therapy ◽  
Mental Health Problems ◽  
Evidence Based ◽  
Sexual And Gender Minorities ◽  
Health Practice ◽  
Mental Health Practice ◽  
Gender Minorities ◽  
Evidence Based Treatments ◽  
And Gender

The Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities represents the first compendium of evidence-based approaches to sexual and gender minority (SGM)-affirmative mental health practice. In the past several years, clinical researchers have begun developing and adapting evidence-based mental health treatment approaches to be affirmative of SGM individuals’ unique mental health. Because these approaches draw on research documenting unique psychosocial processes underlying SGM individuals’ mental health as well as adapt existing evidence-based treatments to impact these processes, these treatments can be considered evidence-based. Because these approaches promote effective coping with stigma-related stress and are often developed with feedback from SGM community members, these treatments can also be considered SGM-affirmative. This handbook compiles these approaches, including evidence-based treatments for specific populations within the SGM community (e.g., youth, transgender individuals, same-sex couples, parents, and bisexuals), for specific mental health problems (e.g., anxiety, depression, substance abuse, trauma, eating disorders, sexual health), and using novel modalities (e.g., group therapy; acceptance-based, dialectical behavior therapy; attachment-based, transdiagnostic therapy). Each chapter includes conceptual background and practical guidance so that mental health practitioners, researchers, educators, and students can both understand how to implement each of these approaches and develop future tests of their efficacy and the efficacy of other SGM-affirmative approaches.

scholarly journals Provider Resistance to Evidence-Based Practice in Schools: Why It Happens and How to Plan for It in Evaluations

2019 ◽  
Author(s):  
Lissette M. Saavedra ◽  
Antonio A. Morgan-Lopez ◽  
Anna C. Yaros ◽  
Alex Buben ◽  
James V. Trudeau
Keyword(s):  
Mental Health ◽  
Evidence Based Practice ◽  
Service Providers ◽  
Evidence Base ◽  
Future Research ◽  
Evidence Based ◽  
Health Service Provision ◽  
Early Implementation ◽  
Evidence Based Treatments ◽  
Mental Health Service Provision

Evidence-based practice is often encouraged in most service delivery settings, yet a substantial body of research indicates that service providers often show resistance or limited adherence to such practices. Resistance to the uptake of evidence-based treatments and programs is well-documented in several fields, including nursing, dentistry, counseling, and other mental health services. This research brief discusses the reasons behind provider resistance, with a contextual focus on mental health service provision in school settings. Recommendations are to attend to resistance in the preplanning proposal stage, during early implementation training stages, and in cases in which insufficient adherence or low fidelity related to resistance leads to implementation failure. Directions for future research include not only attending to resistance but also moving toward client-centered approaches grounded in the evidence base.

Affirmative Mental Health Practice with Bisexual Clients

2019 ◽  
pp. 149-172
Author(s):  
Andrew Young Choi ◽  
Tania Israel
Keyword(s):  
Mental Health ◽  
Sexual Minority ◽  
Evidence Based Practice ◽  
Minority Group ◽  
Future Research ◽  
Evidence Based ◽  
Case Conceptualization ◽  
Health Practice ◽  
Mental Health Practice ◽  
Quantitative Descriptive

Bisexuals represent the largest sexual minority group, and they experience disproportionate mental and behavioral health risks compared to monosexuals. There is a dearth of psychotherapy and intervention research focused specifically on bisexuals, although evidence-based practice for this population can draw on professional expertise, qualitative and analog research, quantitative descriptive studies, and randomized controlled trials that include bisexual participants. This chapter reviews these literatures and offers guidance for practice and future directions for research. Informed and reflective practice is recommended to develop a strong working alliance, enhance case conceptualization and collaboration, and adapt manualized treatments. Validation, social support, and attention to bisexual-specific mental health stressors may be especially important, given the pervasiveness of binegativity, bisexual stereotypes, and invisibility of bisexuality. Evidence-based practice with this population will be strengthened by future research that specifically investigates bisexuality in mental health practice.

scholarly journals Professionalism and Evidence-Based Mental Health Care: The Roadblocks and New Ways

2019 ◽  
Vol 11 (11) ◽  
pp. 33
Author(s):  
Oyeyemi Olajumoke Oyelade ◽  
Agathe Uwintonze ◽  
Munirat Olayinka Adebiyi
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Nursing Care ◽  
Evidence Based Practice ◽  
Scientific Evidence ◽  
World Health Organisation ◽  
World Health ◽  
Evidence Based ◽  
Evidence Based Care

BACKGROUND: Knowledge acquisition and knowledge update through research remains an important factor to ensure quality and cost-effective care, which is the hallmark of professionalism and evidence-based care. Knowledge is vital in nursing due to the centrality of nursing to health care. More importantly is mental health because mental health is primary to general health, just as nursing is the heartbeat of health care. This makes the issue of mental health care, a necessary service that cannot be overemphasised. The World Health Organisation declares mental health as the essential form of health that needs to be acquired without which all others form of health may not be achieved. Further to this, the global emphasis on care and recovery of lost mental health is on the increase. This, therefore, makes evidence-based mental health care, a necessity and not a choice. AIM: To discuss evidence-based nursing, the benefits, challenges and opportunities. METHODOLOGY: This article adopts the traditional review method to assess the concept of discussion on mental health care, evidence-based practice and professionalism. FINDINGS: The term evidence-based care Is gaining recognition in a variety of professions and organisations. The use of evidence in nursing care is influenced by policies, knowledge of time management, availability of human resources, practice autonomy and attitude of professionals. However, the use of evidence-based practice is not debatable. CONCLUSION: The use of scientific evidence for validating nursing care is germane. This article exposed the barriers to evidence-based mental health nursing and the way forward. 

Assessment and Case Conceptualization

2018 ◽  
Author(s):  
Bryce D. McLeod ◽  
Julia R. Cox ◽  
Ruben G. Martinez ◽  
Lillian M. Christon
Keyword(s):  
Children And Adolescents ◽  
Evidence Based Practice ◽  
Psychosocial Treatment ◽  
Future Research ◽  
Evidence Based ◽  
Case Conceptualization ◽  
Assessment Data ◽  
Research Directions ◽  
Evidence Based Treatments ◽  
Future Research Directions

Evidence-based assessment and case conceptualization are two important components of evidence-based practice. Using assessment data gathered over the course of treatment to inform case conceptualization helps clinicians tailor evidence-based treatments to meet the needs of individual children and adolescents. The main goal of this chapter is to describe and illustrate the roles evidence-based assessment and case conceptualization play in informing the process of psychosocial treatment for children and adolescents from the initial intake through termination. a framework guided by six principles for using assessment to inform the treatment process is presented. Then, how this framework can be used to develop and refine a science-informed case conceptualization through a series of five sequential stages is discussed. This process is illustrated with a case example. The chapter concludes with future research directions for assessment and case conceptualization to better inform evidence-based practice.

scholarly journals Social sustainability and mental health: a threat to evidence-based practice?

2016 ◽  
Vol 13 (1) ◽  
pp. 4-5 ◽  
Author(s):  
Daniel Maughan ◽  
Mark Burgess
Keyword(s):  
Mental Health ◽  
Evidence Based Practice ◽  
Scientific Evidence ◽  
Social Sustainability ◽  
Evidence Based ◽  
Considerable Influence ◽  
The Social ◽  
Mental Health Treatments ◽  
Ethics And Politics

The availability and use of mental health treatments are influenced by many different factors. Prominent among these are scientific evidence, cost, ethics and politics. However, the social sustainability of treatments can also have a considerable influence on their use.

HIV/AIDS and Mental Health among Sexual and Gender Minority Populations

2020 ◽  
pp. 393-405
Author(s):  
Molly Silvestrini ◽  
Colleen C. Hoff ◽  
Y. Darin Witkovic ◽  
Crystal Madriles
Keyword(s):  
Mental Health ◽  
Minority Groups ◽  
Mental Health Problems ◽  
The United States ◽  
Gender Minorities ◽  
History Of ◽  
Mental Health Interventions ◽  
And Gender ◽  
Hiv Acquisition ◽  
Hiv Aids

HIV/AIDS is a disease that significantly affects the health outcomes of sexual and gender minorities (SGMs) and the LGBTQ community globally. HIV is frequently associated with mental health issues among many vulnerable populations, such as depression, anxiety, stigma, substance abuse, and discrimination. In addition, risk factors for HIV acquisition often include mental health problems, lack of social support, and experiences of stigma and discrimination. This chapter focuses on the history of HIV/AIDS, current HIV health disparities in SGM communities in the United States and globally, mental health among HIV-positive vulnerable and understudied populations, and future directions for the improvement of HIV prevention programs and mental health interventions. Understudied populations include women who have sex with women, transgender men, and SGM belonging to racial and ethnic minority groups. This chapter aims to summarize the interaction of HIV/AIDS and mental health over the past two decades in order to demonstrate the importance of this subject in current research.

Mental health treatment outcome expectancies in Burundi

2016 ◽  
Vol 54 (1) ◽  
pp. 46-65 ◽  
Author(s):  
Pacifique Irankunda ◽  
Laurie Heatherington
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Global Mental Health ◽  
Spiritual Healing ◽  
Traditional Healing ◽  
Future Research ◽  
Evidence Based ◽  
Treatment Expectancies ◽  
Values And Beliefs ◽  
Evidence Based Treatments

Best practices in global mental health stress the importance of understanding local values and beliefs. Research demonstrates that expectancies about the effectiveness of a given treatment significantly predicts outcome, beyond the treatment effect itself. To help inform the development of mental health interventions in Burundi, we studied expectancies about the effectiveness of four treatments: spiritual healing, traditional healing, medication, and selected evidence-based psychosocial treatments widely used in the US. Treatment expectancies were assessed for each of three key syndromes identified by previous research: akabonge (a set of depression-like symptoms), guhahamuka (a set of trauma-related symptoms), and ibisigo (a set of psychosis-like symptoms) . In individual interviews or written surveys in French or Kirundi with patients ( N = 198) awaiting treatment at the clinic, we described each disorder and the treatments in everyday language, asking standard efficacy expectations questions about each (“Would it work?” “Why or why not?”). Findings indicated uniformly high expectancies about the efficacy of spiritual treatment, relatively high expectancies for western evidence-based treatments (especially cognitive behavior therapy [CBT] for depression-like symptoms), lower expectancies for medicine, and especially low expectancies for traditional healing (except for traditional healing for psychosis-like symptoms). There were significant effects of gender but not of education level. Qualitative analyses of explanations provide insight into the basis of people’s beliefs, their explanations about why a given treatment would or would not work varied by type of disorder, and reflected beliefs about underlying causes. Implications for program development and future research are discussed.

Comparative Analysis: The State of Colorado Study, Part II

2004 ◽  
Vol 9 (2) ◽  
pp. 1-16
Author(s):  
Christopher R. Brigham ◽  
Kathryn Mueller ◽  
Douglas Van Zet ◽  
Debra J. Northrup ◽  
Edward B. Whitney ◽  
...  
Keyword(s):  
Daily Living ◽  
Scientific Evidence ◽  
Pain Syndrome ◽  
Evidence Based ◽  
Clinical Assessments ◽  
Physician Judgment ◽  
History Of ◽  
Key Terms ◽  
Causation Analysis ◽  
Work Interference

Abstract [Continued from the January/February 2004 issue of The Guides Newsletter.] To understand discrepancies in reviewers’ ratings of impairments based on different editions of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), users can usefully study the history of the revisions as successive editions attempted to provide a comprehensive, valid, reliable, unbiased, and evidence-based system. Some shortcomings of earlier editions have been addressed in the AMA Guides, Fifth Edition, but problems remain with each edition, largely because of the limited scientific evidence available. In the context of the history of the different editions of the AMA Guides and their development, the authors discuss and contextualize a number of key terms and principles including the following: definitions of impairment and normal; activities of daily living; maximum medical improvement; impairment percentages; conversion of regional impairments; combining impairments; pain and other subjective complaints; physician judgment; and causation analysis; finally, the authors note that impairment is not synonymous with disability or work interference. The AMA Guides, Fifth Edition, contrasts impairment evaluations and independent medical evaluations (this was not done in previous editions) and discusses impairment evaluations, rules for evaluations, and report standards. Upper extremity and lower extremity impairment evaluations are discussed in terms of clinical assessments and rating processes, analyzing important changes between editions and problematic areas (eg, complex regional pain syndrome).

Refining Evidence-Based Treatments for Late-Life Depression

GeroPsych ◽  
2015 ◽  
Vol 28 (2) ◽  
pp. 67-76
Author(s):  
Grace C. Niu ◽  
Patricia A. Arean
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Brain Plasticity ◽  
Late Life ◽  
Aging Population ◽  
The United States ◽  
Future Research ◽  
Evidence Based ◽  
Late Life Depression ◽  
Evidence Based Treatments

The recent increase in the aging population, specifically in the United States, has raised concerns regarding treatment for mental illness among older adults. Late-life depression (LLD) is a complex condition that has become widespread among the aging population. Despite the availability of behavioral interventions and psychotherapies, few depressed older adults actually receive treatment. In this paper we review the research on refining treatments for LLD. We first identify evidence-based treatments (EBTs) for LLD and the problems associated with efficacy and dissemination, then review approaches to conceptualizing mental illness, specifically concepts related to brain plasticity and the Research Domain Criteria (RDoc). Finally, we introduce ENGAGE as a streamlined treatment for LLD and discuss implications for future research.

Sign in / Sign up

Export Citation Format

Share Document