Implementation of an Evidence-Based Practice

Implementation of an Evidence-Based Practice (EBP) within an organization

Students will have the opportunity to experience what is required to implement an EBP within an
organization. The goal will be to learn how to implement organizational change- within the
organizational context. Clinical supervisors are critical to these of efforts.
The assignment will consist of multiple layers:
Part I- Proposal: Write a brief proposal to Organizational leadership regarding the benefits of
introducing a new Evidence-Based Practice.
Part II- Clinical memo: Writing a formal memo to the clinical social worker department (your
department) outlining the EBP being introduced.
Part III- Supervision Plans: Completion of a Professional Development Plan for each (3) staff
member.

Part IV-Supervision narrative: A brief narrative training plan for each staff member
To complete this assignment, students will be given an organizational script inclusive of three
supervisees; each of which has varying levels of skill and experience.
Context
The Washington Circle is a think tank of leading clinicians and clinical researchers across the
country. Their findings and opinions influence block grant funding through the Substance Abuse
Mental Health Services Administration (SAMHSA); likely the largest funder of mental health and
addictions treatment services in America ($3.6 billion in 2015). Through years of research, this think tank has identified “access to” and retention in” treatment services as the leading indicators of
positive clinical success.

Retention in services has long been an issue for treatment providers. Some agencies experience
client high “no-show” rates individual appointments. Nationally, over 50% of clients do not
complete treatment at all. So here’s the crux of the matter•
We know people are more likely to receive positive benefits from treatment if they
complete treatment as prescribed;
• Most people don’t complete treatment.
With this concept in mind, there are many evidence-based practices which do well to keep people
retained in treatment. Motivational Interviewing and Contingency Management are among these,
and Cognitive Behavioral Therapy.
Elements of the assignment:

The Proposal:

You are to write 3-4 page proposal to the agency executive director outlining your rationale for
introducing the specific EBP. The proposal should include:
• Cited research (3 citations) on how the new model can elevate client outcomes and
increase client retention
• The potential training cost for yourself and three staff
)
• How long it may take to implement the plan once approved.
The proposal is a formal internal document and should be written in memo format. Memo writing
is an important skill to have as a supervisor. Clinical memo:
Assuming you received approval based on your stellar proposal (above) to organizational
leadership.
Citations are available —

Review Date: December 2007
Documents Reviewed
The documents below were reviewed for Quality of Research. The research point of contact can provide information regarding the studies reviewed and the availability of additional materials, including those from more recent studies that may have been conducted.

Study 1
Senft, R. A., Polen, M. R., Freeborn, D. K., & Hollis, J. F. (1997). Brief intervention in a primary care setting for hazardous drinkers. American Journal of Preventive Medicine, 13(6), 464-470. Pub Med icon

Study 2
Baer, J. S., Kivlahan, D. R., Blume, A. W., McKnight, P., & Marlatt, G. A. (2001). Brief intervention for heavy-drinking college students: Four-year follow-up and natural history. American Journal of Public Health, 91(8), 1310-1316. Pub Med icon

Marlatt, G. A., Baer, J. S., Kivlahan, D. R., Dimeff, L. A., Larimer, M. E., Quigley, L. A., et al. (1998). Screening and brief intervention for high-risk college student drinkers: Results from a 2-year follow-up assessment. Journal of Consulting and Clinical Psychology, 66(4), 604-615. Pub Med icon

Study 3
Monti, P. M., Colby, S. M., Barnett, N. P., Spirito, A., Rohsenow, D. J., Myers, M., et al. (1999). Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department. Journal of Consulting and Clinical Psychology, 67(6), 989-994. Pub Med icon

Study 4
Bernstein, J., Bernstein, E., Tassiopoulos, K., Heeren, T., Levenson, S., & Hingson, R. (2005). Brief motivational intervention at a clinic visit reduces cocaine and heroin use. Drug and Alcohol Dependence, 77(1), 49-59. Pub Med icon

Study 5
Carroll, K. M., Ball, S. A., Nich, C., Martino, S., Frankforter, T. L., Farentinos, C., et al. (2006). Motivational interviewing to improve treatment engagement and outcome in individuals seeking treatment for substance abuse: A multisite effectiveness study. Drug and Alcohol Dependence, 81(3), 301-312. Pub Med icon

http://www.motivationalinterviewing.org