Just as Weed lists the various levels of evidence, The American Psychological Association (APA) went a step further by establishing a task force to judge good evidence for a range of psychological disorders. According to Rosen and Proctor (2003), as taken from the APA, the most basic criterion used by this task force is that well established and empirically validated data requires a design that involves two or more rigorous studies that support the proposed intervention.
History of EBP
Newly gained interest in EBP makes it appear as a fairly new phenomenon to the social work and social services field. In fact, EBP was derived from medicine in general. Some in fact argue that the application of a standard that is derived as a tool for something such as a drug trial may not be a reasonable fit for social work, as the outcomes and answers are rarely as discrete as say, the drug removed the pain, or lowered blood pressure, or the trial surgical procedure healed faster and had less risk of failure than an older procedure. Relapse is far less common in such discrete issues than it is in fields associated with the human mind driven to action or inaction, based on thoughts and feelings.
Rosen (2003) states that EBP has been advocated in a number of human services professions, first in medicine, and more recently in psychiatry, clinical psychiatry and now social work. Early scholars in the field of social work education such as Edith Abbott, Sophonisba Breckinridge, Porter Lee, and Gordon Hamilton have long advocated for research based on practice (Shoemaker, 1998). Conversely, the implied assumption is that such research would then be used to improve practice at a later date, or even in the present research group. Yet, it is also clear that for the most part the rigors of science and data set searches were not likely at the forefront of their minds. As early as the late 1800's, social welfare advocates Anna Dawes and Mary Richmond, began moving toward an organized method of training new social workers, when they did so they also implied that there was a way to train, that involved experience and application, again a simplified support for EBP, in its most rigorous form, and mostly a simple goal of attaining professionalism through at least some standardization of practice. In this quest schools were where applied philanthropy was taught (Shoemaker, 1998). Yet, it is likely that in these classrooms and clinical settings a great deal of "you will get a feel for it," was espoused by these "applied philanthropists."
Bridging health and human services with scientific research inquiry, emerged as a trend toward the end of the 20th century and spread world wide within the 21st century throughout major universities, treatment facilities and medical and mental health centers throughout the world (Roberts and Yeager, 2004). In today's world of technology, the research industry plays a major role in the perceptions that consumers have for products being advertised and delivered and accountability is the key to consumer driven thought. This holds true for the field of social work and supports the emergence of EBP and its importance to the field of social work and other community service fields. Yet, it also makes sense that such a system as EBP, as it applies to social work would emerge in a climate of "accountability" as in the development of a culture that sees only "raw" data as a real gage of success and/or failure of a system, individual or organization. This is certainly not to say the EBP is essentially in error, as this would be another invalid certainty, as it is clear that evidence and knowledge must be utilized to the best degree possible when developing client interventions and that to do so requires rigor, it is also fair to say that many practitioners would like to see a bit of converse flexibility.
Per Yunong and Fengzhi (2009), observe that many scholars in the field of social work utilize the five steps of EBP originally formulated by a seminal work by Satchell et al. In 2000. The five steps include; 1 Converting one's need for information into an answerable question. 2. Searching for the best evidence to answer that question. 3. Critically evaluating the evidence. 4. Integrating the critical expertise and with the patient's unique biology, values, and circumstances, and finally 5 Evaluating one's own effectiveness and efficiency in undertaking the previous steps and to strive for self-improvement. The core of these principles, themselves certainly do not seem to denote judgment,...
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