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She hired a speaker to explain EBP and a consultant to help workers
find best evidence. The process of basing their treatment on best evi-
dence had a decidedly positive impact on the workers, who now feel
that what they're doing has a scientific base. There is also clear evi-
dence that the clients are doing better.
8. Having been promoted directly from practice with no training in
management, Laura took a series of courses offered in the schools of
business, counseling, education, public health, and social work on
middle management and management. She is developing a level of
expertise she didn't have before she took an initial workshop on
CBM. She now realizes that being a good therapist doesn't ensure that
she'll be a good supervisor and has decided to hire a management
consultant to act as a mentor, just as she hired a consultant to help her
with practice. This has not only resulted in better supervisory skills,
but it has given her needed support to do her job.
A meeting with her unit to find out how things were going indicated
that Laura was surer of herself, which translated into less stress for the
workers. They liked the meetings they'd had to resolve problems and the
fact that Laura was treating them as equals. They thought firing the two
workers was needed, but that it had a negative effect initially since it
made many people worried that they'd be next. They also felt that Laura
had begun acting like a boss, albeit a warm and effective one, rather than
a therapist providing therapy to workers. One of the workers said, “It's
pretty difficult to take a supervisor seriously who thinks that the best way
to get you to do good work is to analyze your behavior and help you
develop insight. We need someone who helps us to do our best work,
and that's someone who has knowledge and can communicate it effec-
tively to others. We're all reading the research on best practice evidence
now, and if Laura did one thing that has made a difference, it's to force us
to think in rational ways and not to use treatment approaches just because
they feel good. And it's prompted a lot of healthy discussion and interac-
tion we never had before when there was only one way to do things and,
whether or not it made sense or worked, that was that.”
1. Isn't it difficult to be creative when we're expected to use treatment
protocols and manuals and don't most of us use our own ways of
doing things, regardless of the evidence? If that's true, why go through
all the time and trouble to do reviews of the research?
2. Laura is saint-like in her ability to work with others who resist change.
Do you think most of us would be able to control our emotions and
be as rational as Laura is when faced with a poorly functioning unit of
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