To Be or Not To Be... Evidence Based?
This is the question confronting providers, families, payers, policy makers, researchers, and advocates in the field of children’s mental health. Evidence-based practice is an emerging concept and reflects a nationwide effort to build quality and accountability in health and behavioral health care service delivery. Underlying this concept is (1) the fundamental belief that children with emotional and behavioral disorders should be able to count on receiving care that meets their needs and is based on the best scientific knowledge available, and (2) the fundamental concern that for many of these children, the care that is delivered is not effective care. Some have identified this movement to evidence-based practice as the new “revolution” in health care that focuses on assessment and accountability (Kiesler, 2000). While there is much reason for optimism and hope in this movement towards evidence-based practice in children’s mental health, there is also reason for much concern and caution. Some of these concerns and challenges are presented below. (Authors)
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Special Issue # 6