Manual based treatment and clinical practice

The role of empirically supported, manualbased treatments in clinical practice is controversial. This article attempts to clarify misunderstandings that may impede their effective use. The American Academy of Family Physicians (AAFP) develops evidencebased clinical practice guidelines (CPGs), which serve as a framework for clinical decisions and supporting best practices. Others have concluded that, while 'treatment manual development and dissemination (is) a worthwhile pursuit, (it) is only one way to merge science and practice' (Addis& Waltz, 2002, p.

421). Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older to Higher Versus Lower Blood Pressure Targets: A Clinical Practice Guideline from the American College of Physicians and the American Academy of Family Physicians (2017) The Manual all 150 pages, including clinical forms is a practical guide for the implementation of evidencebased interventions for impairments of executive functions, memory, attention, hemispatial neglect, and social communication.

Clinical guidelines have become common in the practice of medicine; many specialty societies have published such guidelines. Most wellconceived clinical guidelines are developed using a specified method that incorporates principles of EBM and consensus recommendations made by a Manualbased treatment Part 2: the advantages of manualbased practice in psychotherapy cases they encounter in clinical practice are more complicated and harder to work with than the examples given in training manuals.

A couple of themes emerge from the list of concerns above. Evidencebased treatment practices are meant to make treatment more effective for more people by using scientifically proven methods and research.

Most agree that there are six steps for the provider in the evidencebased practice treatment process: Assess the patient and discover their clinical needs; ask the right questions. Issues of incorporating manual based treatments into clinical practice are discussed, with consideration of gains, the limits and the constraints this would bring to the practice of psychology.

Options for accessing this content: If you are a society or association member and require assistance with obtaining online access instructions please contact our Journal Customer Services team. Manualbased treatments encourage focal interventions, facilitate training and supervision of therapists, and expedite clinical audit. They are consistent with an actuarial approach to treatment, which, on average, is likely to prove superior to subjective clinical judgment.

ical research, but also on clinical practice. Theorydriven, manualbased manualbased treatment have focused not only on the use of standardized protocols (manuals; e. g.Strupp& Anderson, 1997), but also on the data indicating that it might be superior to current CBT in the treatment of any clinical



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