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Started by Jason Washburn
Fri, 09 Jan 1998 00:00
Practice Guideline Coalition
Author: Jason Washburn
Date: Fri, 09 Jan 1998 00:00
Date: Fri, 09 Jan 1998 00:00
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I received this from the AAAPP list, and though it might be of interest to
the group. Feel free to pass it on to other lists or interested parties.
Jason Washburn
DePaul University
e-mail: jwashbur@wppost.depaul.edu
Forwarded message:
Input Requested for Clinical Guidelines Effort
The following message asks for your input to an important project. The
Practice Guideline Coalition is a multi-disciplinary, multi-organizational
partnership that is dedicated to better behavioral health care through the
dissemination of clinical practice guidelines that are brief, based on a
broad consensus about the best available, readily understandable by
practitioners, focused on core clinical processes and measurable
outcomes,
nationally disseminated, multi-disciplinary, and available in the public
domain. Practice guidelines are coming, whether we are comfortable
with
that idea or not; the PGC effort is designed to bring everyone to the
table to try to develop a consensus about the core material they should
contain. Representatives from about 45 professional and scientific
associations, behavioral health care provider groups, consumer groups,
managed care associations, and government agencies have participated
so
far in the coalition building process (a partial list is given below). By
the summer of 1998 PGC will develop two demonstration guidelines in the
areas of panic disorder and the management of chronic pain. If the
projects are successful, the PGC will be organized as a formal
membership
organization, and a more extensive program of guideline development will
commence. All groups with missions relevant to behavioral health care
are
welcome to participate.
The purpose of this message is to ask for your help in identifying
groups that should be involved and to ask that they provide input to the
demonstration projects (e.g., supply articles or clinical evidence,
recommend panel members) and participate in the coalition building
process. The PGC website is located at www.unr.edu/psych/pgc and
details
about the history of the coalition, and the kinds of evidence that are
being requested can be found there. If you can forward this message to
relevant officers or staff of significant groups, they can then access the
website. If you would prefer to have the PGC staff contact a group that
you think might be interested, send a short email note about who should
be
contacted to jeng@scs.unr.edu or mail a note to the Practice Guidelines
Coalition, Department of Psychology/296, University of Nevada, Reno, NV
89557. Time is of the essence, since input on the two panels is due
shortly after the holidays and evidentiary input is due by the end of
February.
The following are the groups that have been involved up to this point in
formal meetings regarding the coalition. Please note that no one has been
asked yet to endorse the process and no one will be asked until
concrete
products are produced; thus these group should be viewed as
interested and
involved parties, not necessarily supporters. The list of additional
groups that have been suggested by others and have been sent
materials or
have indicated interest can be found at the website.
Academy of Psychological Clinical Science
Agency for Health Care Policy Research
American College of Mental Health Administration
American Academy for Child and Adolescent Psychiatry
American Association for Marriage and Family Therapy
American Association of Applied and Preventive Psychology
American Managed Behavioral Health Association
American Psychiatric Association
American Psychological Association
American Psychological Society
American Society of Addiction Medicine
Association for Advancement of Behavior Therapy
Association for Ambulatory Behavioral Health
Association for Behavior Analysis
Association of Child and Adolescent Psychiatric Nurses
Center for Mental Health Services
CHAMPUS
Consortium for Clinical Excellence
Council of Behavioral Group Practices
Department of Defense
National Council on Quality Assurance
Division 12 (Clinical) of the American Psychological Association
Division 17 (Counseling) of the American Psychological Association
Division 33 (MRDD) of the American Psychological Association
Expert Consensus Consortium
Gerontological Society of America
Institute for Behavioral Health Care
International Society of Psychiatric Consulting Liaison Nurses
Mental Health Programs
NAMI
National Association of Psychiatric Health Care Systems
National Association of Social Workers
National Council of Community Behavioral Health Care
National Institute on Drug Abuse
OBSSR Committee on Use of Behavioral Procedures
Office of Behavioral and Social Sciences Research, National Institutes of
Health
Park Nicollet Guideline Project
Society for a Science of Clinical Psychology
Society for Behavioral Medicine
Society for Education and Research in Psychiatric Nursing
Society for Social Work and Research
Substance Abuse and Mental Health Services Administration
The Health Maintenance Organization Group
Veteran's Administration
The main PGC staffer is:
Jennifer Gregg
Dept of Psychology/298
University of Nevada
Reno, NV 89557
Phone/Fax: (702)746-2013
email: jeng@scs.unr.edu
Contact Jen for any additional information you may need
Steven C. Hayes
Kirk Strosahl
Ian Shaffer
Re: Practice Guideline Coalition
Author: Jason Seidel
Date: Fri, 09 Jan 1998 00:00
Date: Fri, 09 Jan 1998 00:00
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Hi, everybody on the PSYCGRAD listserv. I'd like to respond to the forwarded email that Jason Washburn just sent on the Practice Guideline Coalition. Count me out. I am saddened by the helplessness portrayed by the authors of the message when they say: "Practice guidelines are coming, whether we are comfortable with that idea or not; the PGC effort is designed to bring everyone to the table to try to develop a consensus about the core material they should contain." There is nothing so sad as someone saying, "Well, we're going to be shackled anyway, so we may as well take an active role in picking the types of shackles used." No one has a gun to our heads. The idea that we aid or not protest the very premise of universal guidelines for DSM categories, as if this has anything to do with the personal realities of real individuals who are suffering is preposterous to me. Empirical research deals with sample-wide characteristics and yields sample-wide attributes of effects. Probabilities yielded by null-hypothesis testing are not predictors of good clinical work for individual people. People are not "actuarial" as insurance companies would like to treat us. The notion of taking general research findings as guidelines for individual treatment is absurd considering the obvious problems of publication bias of positive effects, biases generated by differential research budgets for different treatment models, etc. Even those who treat the more clearly definable physical disorders take into account individual histories, environmental variables, etc. in generating treatment plans. You can't give every diabetic the same form of treatment. Some don't need insulin, they need nutritional counseling. You can't give every insomniac Klonapin, simply because it's empirically validated. No clinician in their right mind, medical, psychological, or otherwise, could subscribe to such a ridiculous program. Saying that we should help construct it because it will happen whether we want it or not is totally irresponsible. To the extent that we allow it to develop without protesting these basically unethical premises, we deserve what we reap from our assent. Feel free to forward this message. -Jason Seidel University of Denver
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