EBIs Flashcards
define evidence-based therapies
any therapeutic technique which has been
shown to be effective
fill in the blank
EB as a medical movement was started in early … by Canadian epidemiologist,David Sackett
1980s
what was Canadian epidemiologist,
David Sackett famously known for in terms of EB practise (2 marks)
● Encouraged clinical decision-making that was grounded in evidence
● His ideas spread throughout medicine, including psychiatry (EB movement)
why did the EBT movement in psychology adopt the FDA evidence model
● Psychiatry guidelines tended to underplay the value of psychological treatments - FDA model lent validity to the discipline
why was EB psychology developed and what did it focus on (2 marks)
● Developed to give psychological treatments greater perceived validity
● Focused on brief, focal treatments for specific disorders
>Involvement of insurance -> was perceived as cheap + effective + short-term
In 2006 APA released a policy on EB practice in psychology. What are 3 criticisms?
■ Conception + treatment of mental illnesses heavily influenced by culture.
■ Disorders constructed in different ways
■ Prescription of capitalism + West in EBT
fill in the blank
2006: APA released policy on EB practice in psychology:
“This policy emphasises integrating the best-available research with .. in the ..of the patient’s… , individual …, and personal ..”
-clinical expertise
-context
-culture
-characteristics
-preferences
best research evidence=?
data from a range of research methodology
name 5 data from a range of research methodologies
○ randomised controlled trials
○ effectiveness studies
○ process studies
○ single-case reports
○ systematic case studies
say whether the following is true or false:
● Policies about EB practice in psychologyare intended to minimize patients’ choices about treatment
false
its intended to maximize
fill in the blank
○ Globally, lifetime rates of psychiatric disorders range from …
○ SASH (Williams et al., 2008) showed 12 month prevalence rate of ..for
CMDs and a lifetime prevalence of ….(Herman et al., 2009)
-12-47%
-16%
-30%
what is estimated to be leading cause of disability worldwide by 2030
depression, Ahead of cardiovascular disease, car accidents, and HIV/AIDS
mental disorders lead to….
a greater impairment than chronic medical disorders
true or false
In SA, 23.6 days spent ‘out of role’; days when people unable to work or
carry out usual daily activities due to mental illness (Mall et al., 2014)
true, Direct + indirect costs to individuals, communities and economies are enormous.
fill in the blank
Loss of income for South Africans with CMDs is $….
THe total annual cost to SA is $…. in lost income
-$4,798
-$3.6 billion
public health expenditure of US$150
per capita serves 84% of the population, while private expenditure is ten times as much, serving only 16% of South Africans (Benatar, 2013)
what does this reflect about South Africa health care expenditure (two marks)
●South African healthcare expenditure reflects the country’s profound socioeconomic inequalities
● Overrepresented private sector -> most resources
what is the ratio of psychologists and psychiatrist to every 100 000 people in the public service
a ratio of 0.32 psychologists and 0.28 psychiatrists for every 100 000 people in public service
true or false:
Access to care is equal
Access to care is NOT equal: Treatment gap of up to 90% in LMICs.
In SA, treatment gap is 75% (SASH)
when was the global health movement established
2007
what is the Global Mental Health (GMH) movement
a movement to improve mental health services (especially in low-middle-income countries
(LMIC)
what are the Two principles that are fundamental to the mental health movement
scientific evidence + human rights.
what are the two primary goals of the mental health movement
○ address human rights issues in mental health
○ only support interventions / programmes / treatments that are based on
scientific evidence
the best research evidence=?
data from a range of research methodology
name 5 research methodology that evidence based data can come from
1.meta-analyses,
2.randomised controlled trials,
3.effectiveness studies,
4.process studies,
5. single-case reports,
MREPS