getting lab knowledge out to the real world

In a timely serendipity, I read the following two posts the same day: NIMH · Making the Most of our Interventions Research and FBT in the Real World. The complaint that research is done so artificially and in such rarified circumstances that it can't be used in real life is important critique. It's true, and yet, it's also an excuse.

Insel and CCED are saying something that the best in the field have also told me: that a team approach is essential. Not just any team, and not just a bunch of people with the right initials by their names: a team that is using the same approach, messages, mutual support, and scientific grounding - in seamless coordination. As good as an individual clinician may be, if the patient is also being exposed to other professionals who are using other information and not making sure there is a full and coordinated circle of safety and communication, that clinician's work may be wasted or even counterproductive.

This goes for parents, too - and our role on the team, acknowledged or not. No matter how great and informed we are the results are dependent on making sure everyone else is dancing the same step. If the parent is excluded from the treatment team: same problem. It grieves me daily to see the lost opportunities due to poor coordination and mutual respect between home and clinicians. The "real world" for patients includes all the players!


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