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primarily for adult populations, that met those criteria. As of the last of the other two reports (Chambless et al., 1996, 1998), 71 EBPs had been identified. In addition, the task force published a series in the Division 12 journal, The Clinical Psychologist. In it, experts describe the EBPs, the models underpinning them, the empirical work supporting them, and information on protocols and training (Sanderson & Woody, 1995; Woody & Sanderson, 1998). Division 12 has also disseminated this information to state psychological associations and psychology training programs. The task force was transformed into a standing committee of the Division in 1999 (i.e., the Committee on Science and Practice) and continues its efforts today. Other professional efforts to identify EBPs have since been undertaken. For example, another task force within Division 12, The Task Force on Effective Psychosocial Interventions: A Lifespan Perspective, identified EBPs and prevention programs for children. Results can be found in Spirito (1999). The Division also commissioned a book, A Guide to Treatments that Work, now in its second edition (Nathan & Gorman, 1998, 2002). In these edited volumes, various content experts review and identify psychosocial and pharmacological EBPs. In a special section of the Journal of Consulting and Clinical Psychology, Kendall and Chambless (1998) report results of EBP reviews for adults, children, marital, and family therapies. In addition, EBPs for problems common to the elderly have been offered by Gatz and colleagues (1998), as have those for treatment of chronic pain conditions (J. Wilson & Gil, 1996). Outside the United States, EBP reviews have taken place in England (Roth & Fonagy, 1996) and Canada (Hunsley, Dobson, Johnston, & Mikail, 1999). Chambless and Ollendick (2001) review the results of each of these efforts, the criteria used to make their determinations, and address putative concerns raised by the efforts.

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One such test is called the Situational Competence Test (SCT), and using this to assess use of skills in imaginal, or simulated, situations in session can yield useful information about the client s skill level or use of skills In the SCT, which was initially developed for use among people with alcohol problems (Chaney, O Leary, & Marlatt, 1978), the therapist describes a problem or stressful situation that could place the client at high risk for drug use, and then asks the client what she or he would do to solve the problem if in this situation What the client says about solving these problems can provide you with a great deal of information about whether the client has the ability to skillfully cope without losing control in these high-risk circumstances The SCT is scored in terms of how effectively the client solves the imaginal problem.

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5. Whenever possible, use simulation and experimental design to perform trade offs as methods that rely heavily on engineering judgment rating scales are more subject to bias and error. 6. Have the customer make all value judgments in trade offs.

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In addition, responses are timed to discover how long it takes for the client to begin to answer (solve the problem) after you have described the problem, and slower response times for solving a problem have been found by researchers to be related to poorer outcomes after treatment Slow responses likely mean that the client has not considered how to respond skillfully to a particular situation (ie, shows inappropriate use of skills) or does not know how to respond (ie, shows lack of skills) In any case, a slow response or a poor response suggests that further skills training may be needed to prepare a client to cope rapidly and appropriately with crisis situations without resorting to drug use..

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