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Words of wisdom on evidence-based treatment.(Letters)
I recently read an excellent online article from David Mee-Lee, MD, on evidence-based treatment. I have been a licensed clinical alcohol and drug counselor and nurse specialist in addictions for many years, and I must say this evidence-based practice "trend" is driving me to exhaustion reading about it.
Trendy approaches leave me frantic with concern, because newcomers in the counseling field do not get a chance to practice the tools of their trade because of time constraints and healthcare inspectors demanding impossible "tasks to be completed." Instead of observing the quality of the treatment and the therapeutic milieu, inspectors grill counselors and nurses about proving that their approaches are "evidence-based."
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Meanwhile, the rest of us who are practicing in addiction treatment also are being forced to comply with programs and protocols that might be ineffective for our clients, because some research paper declared that their findings were evidence-based for excellence. The survey methods are often skewed for ...
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