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Research on Social Work Practice, Vol. 16, No. 2, 224-232 (2006)
DOI: 10.1177/1049731505282981
© 2006 SAGE Publications

The Art of Evidence-Based Practice

David E. Pollio

Washington University

The purpose of this article is to discuss evidence-based practice (EBP) from the perspective of a self-identified evidence-based practitioner. Discussion of EBP includes choosing an initial intervention and evaluation procedures, the iterative process of rechoosing and refining an intervention over the treatment life span, and the importance of evidence within the specific clinical situation. Two illustrative case studies are presented. Practice principles include (a) explaining EBP clearly, including an ability to deconstruct key elements; (b) creating an evaluation that yields useful outcome data for practitioner and client and is realistic given the characteristics of the client system; (c) refining intervention and evaluation efforts, based on increased knowledge of the client system and as their willingness to participate changes; and (d) understanding relevant evidence about specific techniques, incorporating evidence developed as part of the intervention, and being critical consumers of both types of evidence in specific situations with clients and client systems.

Key Words: evidence-based practice • therapy • clinical practice


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