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Understanding the Common Elements of EBP June 18, 2007

Posted by rickbarth in Uncategorized.
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Bruce Chorpita and colleagues have a seminal paper out in JAACAP on the common elements of EBP. This paper reviews evidence supported interventions (ESI) and looks at their components and details which components are most common across interventions. Recognizing that many problems do not have a ESI their approach offers some ideas about what elements of child and adolescent interventions might make sense to try–insofar as they are components of ESIs for other, possibly related, problems. As part of this paper they offer a DMM model (distillation and matching model) which identifies the way that a large number of interventions are based on a relatively modest number (n = 24) of component parts.  According to Chorpita, there is good reason to believe that if clinicians knew these elements and incorporated elements into their treatment plans they would be likely to generate effective services even if they did not follow a manual. Using DMM preserves the benefits of manualization but the flexibility often called for in clinical judgment. He and his colleagues also address myths of this approach. They have been using this in Hawaii with some success for the last 4 years.

 If you take one paper to the beach, this summer, this might be the one–it’s short and very rewarding. Here’s the citation.

Corpita, B. F., Becker, K. D., Daleiden, E. L. (2007). Understanding the common elements of evidence-based practice: Misconceptions and Clinical Examples.  Journal of American Academy of Child and Adolescent Psychiatry, 46, 647-652