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Efficacy and Effectiveness: From Regulatory to Public Health Models

Efficacy and Effectiveness: From Regulatory to Public Health Models C HAPT ERl Efficacy and Effectiveness: From Regulatory to Public Health Models BA""Y D. LEBOW ITZ & H ERBERT W. H ARRIS A DULT/ C f:RI ,\TR IC TREATMENT & PREVENT ION RESEARCH BRA NC H N ·\T I()!\.AL I NSTITUT E OF MENTAL H EALT H INTROD UCTI ON Treatment work s . A ge neration of research has led to thi s inescapable con­ clusion. A vast body of literature, including complete textbooks, chapters, Clod aggress iw public a nd professional education campaigns, fully expli­ cates thi s posi ti vt' rn ess<1ge (Ge riatri c Psychiatry Alliance, 1997; Niederehe & Sc hneid e r, IqqR; Salzman , 1998 ). Yet, among ourselves, we are generally less pos iti ve n bllu l the impa ct o f our treatments on OUf patients' li ves. We \,,'ill agree that most patients do pretty well most of the time on most treat­ me nts. But Wt' wi!! a lso ag ree that thi s is no t nea rly good e nou g h and that mu ch morl? need s ttl be learned about how trea tments work. What, in particular, d on' t we kn o http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annual Review of Gerontology & Geriatrics Springer Publishing

Efficacy and Effectiveness: From Regulatory to Public Health Models

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Publisher
Springer Publishing
ISSN
0198-8794
eISSN
1944-4036
DOI
10.1891/0198-8794.19.1.3
Publisher site
See Article on Publisher Site

Abstract

C HAPT ERl Efficacy and Effectiveness: From Regulatory to Public Health Models BA""Y D. LEBOW ITZ & H ERBERT W. H ARRIS A DULT/ C f:RI ,\TR IC TREATMENT & PREVENT ION RESEARCH BRA NC H N ·\T I()!\.AL I NSTITUT E OF MENTAL H EALT H INTROD UCTI ON Treatment work s . A ge neration of research has led to thi s inescapable con­ clusion. A vast body of literature, including complete textbooks, chapters, Clod aggress iw public a nd professional education campaigns, fully expli­ cates thi s posi ti vt' rn ess<1ge (Ge riatri c Psychiatry Alliance, 1997; Niederehe & Sc hneid e r, IqqR; Salzman , 1998 ). Yet, among ourselves, we are generally less pos iti ve n bllu l the impa ct o f our treatments on OUf patients' li ves. We \,,'ill agree that most patients do pretty well most of the time on most treat­ me nts. But Wt' wi!! a lso ag ree that thi s is no t nea rly good e nou g h and that mu ch morl? need s ttl be learned about how trea tments work. What, in particular, d on' t we kn o

Journal

Annual Review of Gerontology & GeriatricsSpringer Publishing

Published: Jan 1, 1999

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