Overrating or Dismissing the Value of Evidence-Based Practice: Consequences for Clinical Practice |
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Authors: | Luis H Zayas Brett Drake Melissa Jonson-Reid |
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Institution: | (1) Center for Latino Family Research, George Warren Brown School of Social Work, Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130, USA;(2) George Warren Brown School of Social Work, Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130, USA;(3) Center for Violence and Injury Prevention, George Warren Brown School of Social Work, Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130, USA |
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Abstract: | Current implementation of the evidence based practice (EBP) model in social work has focused on empirical evidence from efficacy
studies, with far less attention to practitioner judgment and client values. Among many clinical social workers the opposite
is often true: clinical judgment supersedes the use of scientifically tested techniques. Clinicians may reject EBP as coming
out of narrowly focused, possibly irrelevant research, and adherents of EBP run the risk of discounting psychotherapy techniques
derived from practice experience or the vast diversity of client situations—both positions threaten our effectiveness. Reasserting
clinical judgment and the centrality of clients’ experience into EBP, while enhancing traditional psychotherapy with strong
treatment-effectiveness evidence, will improve clinical social work practice, especially in addressing the wide array of human
problems and suffering that clients present, especially in the context of globalization and cultural diversity. |
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