SOCW 6311 WK 2 responses
Respond to at least two colleagues each one has to be answered separately name first then response
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Respond to at least two colleagues by doing all of the following:
Identify strengths of your colleagues analyses and areas in which the analyses could be improved. Address his or her evaluation of the efficacy and applicability of the evidence-based practice, his or her identification of factors that could support or hinder the implementation of the evidence-based practice, and his or her solution for mitigating those factors.
Offer additional insight to your colleagues by either identifying additional factors that may support or limit implementation of the evidence-based practice or an alternative solution for mitigating one of the limitations that your colleagues identified.
Respond to at least two colleagues ( 2 peers posts are provided) by doing all of the following:
Identify strengths of your colleagues analyses and areas in which the analyses could be improved.
Your response
Address his or her evaluation of the efficacy and applicability of the evidence-based practice,
Your response
[Evaluate] his or her identification of factors that could support or hinder the implementation of the evidence-based practice,
Your response
And [evaluate] his or her solution for mitigating those factors.
Your response
Offer additional insight to your colleagues by either identifying additional factors that may support or limit implementation of the evidence-based practice or an alternative solution for mitigating one of the limitations that your colleagues identified.
Your response
References
Your response
PEER 1
Cedric Brown
RE: Discussion – Week 2
Post an evaluation of the evidence-based practice that you selected for Jake. Describe the practice and evidence supporting it.
The evidence-based practice that I chose for Jake was Yoga Practice. The study was done on one participant, and it focused on the effects of yoga practice on brain function as well as PTSD symptoms. The practice of yoga was done over an eight week period and documented the improvements of the individual along the way (Yoga, 2015). The evidence that supports this practice is the participant had improved in several categories such as, anxiety levels, PTSD symptoms, abilities to focus, as well as multitasking skills (Yoga, 2015). It also made the individual participating in the study feel less angry and frustrated than he did at the beginning of his recovery process. He also attributed his success to the Yoga Practice and is now more comfortable practicing yoga (Yoga, 2015).
Explain why you think this intervention is appropriate for Jake.
I believe Yoga practice will offer positive effects for Jake for a number of reasons.
The first being that Jake and the participant share some of the same symptoms from PTSD. So, the idea would be to focus on mindfulness and see if this practice is compatible with Jake. Another reason is because it is new and innovative and Jake may be interested in trying something new because of how young he is. Lastly, the practice was utilized on a military veteran who was suffering from PTSD and he had successful results, offering hope that the intervention would offer Jake similar results.
Then, provide an explanation for the supervisor regarding issues related to implementation.
The explanation for implementation of this evidence-based practice is that I think it would be beneficial for Jake and other people like him. Even though the practice is in its infancy phase, I think ruling anything out would be a disservice to any potential client. Every practice has to start somewhere, and this is no different. Also, having a variety of evidence-based programs for the community to choose from is a benefit (Substance Abuse, 2012).
Identify two factors that you believe are necessary for successful implementation of the evidence-based practice and explain why.
Two factors that I believe are necessary for successful implementation of the evidence-based practice are the financial cost and the community needs. The financial cost to the organization has to be considered because trainings, staff, and other needs will have to be implemented in order for it to be successful. The community must also have a need for the service or it will not be successful, and if there is no need then there will be no one to serve.
Then, identify two factors that you believe may hinder implementation and explain how you might mitigate these factors.
Two factors that may hinder implementation of the practice are cost and the amount of research that has been done on the practice. The cost could hinder the implementation because if the funds are unavailable, then you cannot fully implement any practice. The minimal research offered using Yoga as an evidence-based practice could also hinder the implementation. A way to mitigate those potential challenges include raising funds and know that you have enough money to carry the practice before you even start. Also, with the lack of history on the practice, you have to focus on the success rate of the data and evidence that you do have.
References
Substance Abuse and Mental Health Services Administration. (2012). A road map to
implementing evidence-based programs. Retrieved from
http://web.archive.org/web/20151010063916/http://www.nrepp.samhsa.gov/Courses/ImplementaImple/resources/imp_course.pdf
Yoga promotes mindful recovery for veterans experiencing ptsd. (2015). Retrieved March 6, 2021, from https://www.samhsa.gov/homeless-programs-resources/hpr-resources/yoga-promotes-mindful-recovery
Peer 2
shelly Barr
RE: Discussion – Week 2
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Post an evaluation of the evidence-based practice that you selected for Jake.
There are several interventions that may be of benefit for veterans such as Jake Levy who has developed PTSD after serving active duty military. However, Cognitive Processing Therapy (CPT) is trauma-focused cognitive behavioral therapy and emphasizes the role of maladaptive trauma-related cognitions (problematic assimilation and accommodation of cognitive schema) in the development and maintenance of PTSD, and uses Socratic questioning and cognitive restructuring to correct distorted, maladaptive, trauma-related cognitions (Goetter, Blackburn, Stasko, Brenner,Lejeune, Tanev, Spencer, & Wright, 2020).
Describe the practice and the evidence supporting it.
Cognitive Processing Therapy (CPT) has been widely circulated by the Veterans Health Administration and studies have proven CPT effective among veterans who completed eight sessions of CPT, as there was a 50% probability of experiencing clinically meaningful improvement in PTSD symptoms (Stirman, Gutner,Gamarra, Suvak, Vogt, Johnson , Wachen, Dondanville, Yarvis, Mintz, Peterson, Young-McCaughan, & Resick, 2020).
Explain why you think this intervention is appropriate for Jake.
Jake Levy is an Iraq War veteran who has been diagnosed with post-traumatic stress disorder (PTSD) and reports having trouble sleeping, heart palpitations, and moodiness and drinks to cope with This. Cognitive processing therapy (CPT) is a manualized, trauma-focused cognitive-behavioral treatment for PTSD and comorbid symptoms (Wachen et al., 2021, p. 143). The premise of CPT is that it supports shifting unhelpful beliefs to be more balanced and evidence-based, and distressing emotions that result from these maladaptive beliefs (i.e., manufactured emotions) are relieved (Wachen et al., 2021, p. 143). Through CPT Jake may experience improvements in some of his co-occurring symptoms of depression and anxiety, affect functioning, guilt distress, and social adjustment as CPT data indicates CPT benefits more than just PTSD symptoms (Wachen et al., 2021)
Then provide an explanation for the supervisor regarding issues related to implementation.
CPT was originally designed for 12 sessions. Moreover, a flexible approach to the number of treatment, sessions may be a more effective strategy for providing CPT; also this approach may also create difficulty in determining how long to proceed with treatment, particularly when an individual has not yet improved (Stirman, Gutner,Gamarra, Suvak, Vogt, Johnson , Wachen, Dondanville, Yarvis, Mintz, Peterson, Young-McCaughan, & Resick, 2020). Also, with the implementation of any EBP, there are most likely challenges that need to be critically thought through. These include limited resources and commitment; knowledge deficits, attitudes, and biases; and limited practice accountability at provider, facility, and system levels (Frueh, Grubaugh, Cusack, & Elhai, 2009).
Identify factors that you believe are necessary for successful implementation of the evidence-based practice and explain why.
As part of this information sharing process, its important to inform veterans that eight sessions of CPT may be required for many to experience clinically meaningful improvement. This may help veterans to understand the needed commitment to psychotherapy to begin to experience benefit, accurately anchor treatment expectations, and dissuade concerns that treatment is not working early in treatment (Stirman, et al., 2020).
Then, identify two factors that you believe may hinder implementation and explain how you might mitigate these factors.
Some veterans may require more than eight sessions to begin to experience clinically meaningful gain, it may be useful to use session eight as an effective point in treatment for providers to reflect on their treatment plan and consider if adjustments need to be made (Stirman, et al., 2020).
Also, considering some of the noted challenges above, proposed strategies for overcoming these challenges include setting clear goals, nurture broad-based organizational commitment and key stakeholder involvement, implement specialty training efforts to provide information and change attitudes, provide ongoing supervision, conduct fidelity monitoring, and ensure accountability to the extent possible (Frueh, Grubaugh, Cusack, & Elhai, 2009).
References
Frueh, B. C., Grubaugh, A. L., Cusack, K. J., & Elhai, J. D. (2009). Disseminating Evidence-Based Practices for Adults With PTSD and Severe Mental Illness in Public-Sector Mental Health Agencies. Behavior Modification, 33(1), 66.
Goetter, E. M., Blackburn, A. M., Stasko, C., Han, Y., Brenner, L. H., Lejeune, S., Tanev, K. S., Spencer, T. J., & Wright, E. C. (2020). Comparative effectiveness of prolonged exposure and cognitive processing therapy for military service members in an intensive treatment program. Psychological Trauma: Theory, Research, Practice, and Policy. https://doi-org.ezp.waldenulibrary.org/10.1037/tra0000956
Stirman, S. W., Gutner, C. A., Gamarra, J., Suvak, M. K., Vogt, D., Johnson, C., Wachen, J. S., Dondanville, K. A., Yarvis, J. S., Mintz, J., Peterson, A. L., Young-McCaughan, S., & Resick, P. A. (2020). A Novel Approach to the Assessment of Fidelity to a Cognitive Behavioral Therapy for PTSD Using Clinical Worksheets: A Proof of Concept With Cognitive Processing Therapy. Behavior Therapy.
Wachen, J. S., Evans, W. R., Jacoby, V. M., & Blankenship, A. E. (2021). Cognitive processing therapy for moral injury. In J. M. Currier, K. D. Drescher, & J. Nieuwsma (Eds.), Addressing moral injury in clinical practice. (pp. 143161). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000204-009
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