Improving the Evidence-Based Practice Movement

We know that a problem solving approach is outcome-focused, data-driven, integrally linked to intervention, and context-specific.

Evidenced-Based Practice (EBP) as a problem solving approach “refers to a body of scientific knowledge, defined usually by reference to research methods or designs, about a range of service practices (e.g., referral, assessment, case management, therapies, or support services)”. It is directly related to applying data-orientated problem solving to students’ mental health and social-emotional needs. When deciding which type of EBP is appropriate in the school setting, we can take into consideration some of the most effective strategies:

· Parent Management Training (PMT)
· Cognitive Behavioral Therapy (CBT)

(For additional information on PMT and CBT please see the link below:)
http://draweb.njcu.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=pdh&AN=ccp-60-5-733&site=ehost-live
· Psychopharmacology (using psychostimulants/medication)

These are only three of many new approaches developing among contemporary literature. With all the different types of methods of intervention and prevention under the EBP umbrella, how do we decide which one will work best for us? Seeing that this method of practice is fairly new, how can we begin to shift the paradigm from traditional to an EBP approach? Do you agree that practicing school psychologists traditionally trained (i.e., relying on clinical judgment rather than the scientific method or the empirical literature) are the primary offenders of underidentification and misidentification of mental health problems in school settings?

This blog was created by Jamie Cowan and Tahina Reyes

I CAN"T TAKE IT ANYMORE....

Suicide is one of the three leading causes of death among adolescents. It is estimated that in 2001 there were approximately 9.9 completed suicides per 100,000 adolescents in the 15-to24-year age group and 1.3 suicides per 100,000 children in the 10-to14-year age group (National Institute of Mental Health, 2004).

Suppose you had a 17 year old female student come to your office. She is terribly distraught that her boyfriend that she has been with for the past year has cheated on her and wants nothing to do with her. She can hardly keep her composure and keeps saying that she wants to die and she is going to kill herself. She tells you exactly how she will go about taking her own life. She states that she is going to take a bottle of aspirin and down it with a pint of vodka. How would you assess this situation? What do you think is the degree of lethality of this suicidal ideation? What would be your course of action?

This blog was created by Desiree Antas.