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Defining the Boundaries of Evidence-based Family Treatments and the Complex Contexts in which they are Practiced AFTA Clinical Research Conference 2007 Address Jay Lebow, Ph.D., ABPP Family Institute at Northwestern 618 Library Place Evanston, Illinois 60202 e-mail j-lebow@northwestern.edu Goals for This Presentation Examine evidence based practice in couple and family therapy and the interface between EBP and systemic practice. Look at how clinicians can improve the process and outcome of treatment by informing practice with research findings and how researchers can make their research more relevant to clinical practice Describe the dialogue among the Division of Family Psychology’s Task Force on Evidence Based Couple and Family Therapy and the Directions of the Committee Some Questions In what ways and how much does evidence based methods add to the quality of the clinical practice of couple and family therapy? How does evidence based practice interface with systemic thinking? Is evidence based practice in the context of a systemic understanding the equivalent of an oxymoron? What are the best ways to apply evidence based practice in different treatment contexts? Do these ways vary across context and client population? First Framework-Evidence based Practice applied to Psychotherapy Practice is evidence based which utilizes scientific research findings and/or methods of assessing therapy process and outcome in some way to inform clinical practice. Criteria for Effective Treatment The Standard of Common Practice The Principle of the Respectable Minority Scientific Evidence Rationale for Evidence Based Treatment Improve quality and accountability for health care practice Develop shared vocabulary and concepts for cross disciplinary, biopsychosocial practice, research and health care policy Stimulate development of evidence base for behavioral treatments Kinds of Evidence Based Treatment Idiographic Evidence based practice Focus on decision making about indiv