Mental health care increasingly faces a challenge to be 'evidence based'. However, despite much policy activity in the UK, it's still not clear what sort of evidence researchers should be producing for mental health services, or what purchasers should be looking for. Evidence in Mental Health Care evaluates a range of different research methodologies and types of 'evidence', and includes:
* a historical and conceptual analysis of what was regarded as evidence in the past, and what impact it has had in mental health care
* a presentation of different methodological approaches, and a discussion of their strengths and weaknesses in providing evidence
* how evidence is applied in different treatment and care modalities
* different angles on the way forward for providing appropriate evidence to improve current mental health care.
Evidence in Mental Health Care will prove vital for the successful extension of evidence-based evaluation to mental health services in general. It will be essential reading for researchers, students and practitioners across the range of mental health disciplines, health service managers and purchasers of services.
Table of Contents
Knowledge in the Human Sciences. Evidence in Mental Health - A Historical Analysis. Influence of Evidence on Mental Health Care over the Last 200 Years. The Influence of Evidence on Mental Health Care Developments in the UK Since 1980. The Influence and Role of Evident in the US. Evidence - The Postmodern Perspective. Randomised Controlled Trials - Misunderstanding, Fraud and Spin. Systematic Reviews and Meta-analysis. Mental Health Service Research. Conceptual RCT Limitations. The Role of Qualitative Research Methods in Evidence Based Mental Health Care. Studying Psychiatric Practice without P-values. What is the Place of Anthropological Inquiry? Individual Case Studies. Applying the Evidence - Pharmocotherapy. The Outcome of Psychoanalysis. Applying the Evidence in Psychological Therapies. Evidence in Social Care - The Policy Context. The User/Survivor Perspective - What's Behind The ? The Policy Perspective - What Evidence in Influential? - The Researcher Perspective - Which Evidence Can Be Delivered? - Evidence in the 21st Century - The Way Forward.
Stefan Priebe is Chair of Social and Community Psychiatry at St Bartholomew's Hospital, London and the Royal London School of Medicine and Dentistry.
Mike Slade is Lecturer in Clinical Psychology at the Institute of Psychiatry, London.