Being new in the field of clinical work, and having mostly the educational background where every reading states the importance of delivering evidence-based treatment to our clients/patients as the root of having a trustworthy and well developed treatment facility. I have always tried to use evidence-based treatment; not only do I believe that by providing this kind of practice it allows me to utilize tools that have been tested to have worked in prior cases, but it also allows me to acquire more information needed to assess the suitability of treatment provided to the client (Walker, Collins & Mowery, 2014, p. 126).
The greatest weakness faced at my current setting is that is a sole identity facility, where no other health professionals are involved. If referrals are provided, its very hard to follow up as we are 100% anonymous service under the Army Pastoral Council. Additionally, clients may only come for one time visit or come in on an irregular basis, which makes it harder to assess the true suitability of the evidence-based treatment provided.
To offset the limitations faced in the current setting where client/patients may not be committed to a long term services or that may not be ready for treatment, I have printed several psychoeducational readings keeping in mind some foreground and background questions as presented by Walker, Collins & Mowery, 2014. Information that can provide to the client a general information on the problem or diagnosis, and the different treatments, settings/comparison and outcomes (Walker, Collins & Mowery, 2014, p. 130).
In looking forward to providing evidence-based practice in primary care environment, possible success of treatment provided will be based on the understanding of the population-based served, competencies, and skills of the provider. One of the skills expected from a BHC is the ability to see a high volume of patients and yet making sure the BHC is providing treatment that will make the most sense to the patient with the highest level of satisfaction and recovery (Robinson & Reiter, 2015, p. 74). Other obstacles will present themselves as limitations due to cost, time and patient compliance.
Robinson, P. J., & Reiter, J. T. (2015). Behavioral consultation and primary care: A guide to integrating services. New York, NY: Springer.
Walker, B. B., Collins, C., & Mowery, H. C. (2014). Evidence-based practice: Concepts and techniques for translating research into practice. In C. M. Hunter, C. L. Hunter, & R. Kessler (Eds.), Handbook of clinical psychology in medical settings: Evidence-based assessment and intervention (pp. 125-147). New York, NY: Springer