The Trump administration has abruptly halted work on a highly regarded program to help physicians, families, state and local government agencies, and others separate effective “evidence-based” treatments for substance abuse and behavioral health problems from worthless interventions.
The program, called the National Registry of Evidence-Based Programs and Practices, was launched in 1997 and is run by the Substance Abuse and Mental Health Services Administration. Its website lists 453 programs in behavioral health — aimed at everything from addiction and parenting to HIV prevention, teen depression, and suicide-hotline training — that have been shown, by rigorous outcomes measures, to be effective and not quackery. The most recent were added last September.
In an email dated Jan. 4 and sent to program developers, the contractor hired by SAMHSA to work on the registry said, “It is with great regret that we write to inform you that on December 28, 2017, we received notification from SAMHSA that the NREPP contract is being terminated for the convenience of the government. This cancellation means that we can no longer make any updates to your program profile. … We are deeply saddened by the government’s sudden decision to end the NREPP contract, under which we have been able to provide and strengthen science-based information about mental health and substance use treatment and prevention programs.”
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Quite funny…” The guidance, for example, suggested that instead of describing a policy or decision as “evidence-based,” the CDC says that it
“bases its recommendations on science in consideration with community standards and wishes.”,,,,,,what…….Lol…. what it means….” community standards and wishes”………..like we wish, as a community…….therefore, it will be useful……Lol….
THIS IS WHAT I MEAN WHEN I SPEAK OF A POLITICAL”SOFT GENOCIDE” (targeting sub-populations, slowly worked into law ) EMERGING FROM CURRENT GOV ADMIN POLICIES. I had a 30+ year career in behavioral health and the NREEP was invaluable in assisting states to determine, based on results, where to best allocate limited dollars for community-based programs to effectively, actually, HELP PEOPLE.
The ‘Evidence Based” movement is a potential threat to government. Can you imagine the consequences of governing based on evidence rather than onpopulism?
Well, that gravy train just ran off the tracks. No more big grants for you!!
Fake news.
Listen, I am not a Trump voter, but there is nothing evidence based about treatments for mental health that still roll on the yet unproven theory, despite 2 decades of studies trying desperately to prove it, that mental illness is due to a chemical imbalance. If your treatments are based on an unprovable theory, they are not evidence based in the slightest. Furthermore, the whole field is a scientific sham. Every mental illness has been voted into existence by a panel based on opinions, no science involved. Stop lying, pretending anything about this is legitimate and just Trump attacking science.
Although not a huge fan of Trump,,I am very very happy they are no-longer funding ,”price tag on human life,” research,,JMO,,it has been my experience as a patient,,the Evidence Based medicine dam near killed me,,and right now,,E.B.M…is forcing me into a life time of forced physical pain..How,,u ask,,,well,,for 15 freaken years,,,no test,,no image test,no ultra sound,,no mri,,,showed a single thing wrong w/my upper gastic region,E.B.M. stated ,”nothing wrong,”send her to a shrink,or no pain medicine for me,,,Well 1.5years ago,,after 15 year of idiots who could not think outside their own Evidence Base Medicine box, finally I passed out,,still don’t know why,,but,,someone did a blood test for the 1st time in 15 years,,a lipase test,,1497,,,,Hey E.B.M idiots,,,what does that mean??!!!Ct w/contrats that night,,,labeled ,”normal,” by u E.B..M,,,,,however lipase just kept rizen,,,Sooo a surgeoun goes in,,now remember,,all testing except blood,,label normal by u E,B,M,,,idiots 48 hours earlier,,Surgeon tells me after surgery,,,”Gallbladder completely calcified,looked like a dame gravel pit,all internal organs visable w/the human eye,,”badly beaten up,,,and some sorta bacteria covering all my organs,,,gee,,,,maybe why ultra sounds,,x-rays,,contrast had no effect on seeing all this,,,unless u believe a organ can calcify over night and fill w/stones..Well,,,,after 15 years of idiots,,,E.B./M,,,,dam near killed me,,,I have asked again for a surgeon to go back in,,for a lot of the physical pain is still there,,,what does this idiot do,,,he re-runs the same tests that showed ,”normal,” 48 hours before his surgery,,,claims everything ,”normal,” again,,Sooo I see E/B/M…..really does take away any common sense the human body can teach you all!!!!Me ,,, still stuck in a lot of physical pain,,,being denied access to my medicines and denied access to effective test a,laparoscope,,that I KNOW WILL SHOW THE PROBLEMS.. surgeons excuse ,”I am tooo much of a risk,” to your E,B,M…maryw,,,
I could only get through about half of this rant. If you want to be taken seriously, write coherently. You may have great points, but nobody can understand you.
To Karissa,,,no ranting,,just factual truth of the harm E.B M will cause,,,as far as my writing perhaps your not capable of logically truthful thought?or not adhereing to a cookie cutter way of writing,,4 me,,I write as I see it. E.B.M does not work,,,,Or u are incapable of connecting the dots of someones who does nor agree w/u?,I understand my writing perfectly,,,but for you I will SPELLL IT OUT,,,
EVIDENCE BASE MEDICINE IS NOTHING MORE THEN A COST CUTTING MEASURE FOR INSURANCE COMPANIES BY DENYING PATIENT ACCESS TO NEEDED TREATMENT,,,THUS CUTTING THEE INSURANCE COMPANIES COST…EVIDENCE BASE MEDICINE DAM NEAR KILLED ME,,,BECAUSE DOCTORS TOO MUCH RELY ON MEDICAL IMAGES/TESTING FOR ALL THEIR ANSWERS,,,,,IF A X-RAY SHOWS NOTHING,,THEN MANY DOCTORS TAKE THAT EVIDENCE of a X-RAY SHOWING ”NORMAL”,,THUS EVERYTHING IS NORMAL IN THAT PATIENTS BODY,,,BUT THE PATIENT IS STILL IN AGONIZING PHYSICAL PAIN,,,,DOCTORS USE EVIDENCE BASE MEDICINE SOLELY,TO COVER THEIR ASS ON PAPER,IT LOOKS GOOD ON PAPER,X-RAY PROVED EVERYTHING NORMAL,,AND FORGET COMMON SENSE…MY CASE PROVES EVIDENCE BASE MEDICINE IS A CROCK OF SH-T,,,,,EVERY MEDICAL IMAGE TEST DONE ON ME,48 HOURS BEFORE SURGERY BASICALLY SHOWED ,;NORMAL,,,,,NOT UNTIL A BLOOD TEST WAS DONE,,IE LIPASE 1500,,,DID A DOCTOR RELUCTANTLY GO IN TO FIND OUT WHY,,,SO AGAIN,,,UNLESS U BELIEVE A ORGAN CAN CALCIFY IN 48 HOURS,,FILL COMPLETELY W/STONES,,IE,,LOOKED LIKE A DAM GRAVEL PIT,,PANCREATITS,, OVER NITE,, IF U BELIEVE THAT CAN ALL HAPPEN OVER NITE,,PLEASE DON’T GO INTO THE FEILD OF MEDICINE,,,,,,FACT IS,,EVIDENCE BASE MEDICINE,,WILL KILL MORE PEOPLE THEN IT WILL EVER SAVE,,,,,,UNDERSTAND THAT,,??MARYW
The problem with your post is the grammar and all those commas. Responding with another long post with all the same issues of discombobulated thoughts and so many commas doesn’t change anything. And worse this time YOU’RE YELLING..Just stop.
To R Lee, Sorry if your incapable of seeing truth,logic,,,,As far as yelling,,anyone that knows me,,knows my vision sucks,but u keep on using tactics to avoid the truth,,the true message,Hospitals,Hospital CEO’s,Doctors,Nurses,and Professional medical staff use E.B.M,to disregard truth,to cover there ass’s,,ie,,,x-ray normal,,thus nothing wrong here,,Ive witness 100 times..They use E.B.M,,,to simple cya,,To justify no further testing,,cost cutting,,,,soo good riddance to E.B,M,,,,IS WAS JUST A TOOL,,,FOR THE CORRUPT TO USE,,,TO JUSTIFY HARMING THE TRUELY MEDICALLY ILL,,,,IT TOOK AWAY HUMANITY, HUMANE TREATMENT,,,,AND R.LEE,,,,,I’LL NEVER ,”STOP,” TELLING THE TRUTH,,,ON HOW CORRUPTED,INHUMANE,,,THE MEDICAL FEILD HAS BECOME,,,THE CRUELITY SOME IN THE FEILD OF MEDICINE HAS ALLOWED IS SICKENING,,,TORTUREING MEDICALLY ILL TO DEATH,,,SHAME IS WHAT E.B.M BROUGHT TO THE FIELD OF MEDICINE,,FOR IT ALLOWED CRUEL,INHUMANE TREATMENT OF THE MEDICALLY ILL,,tough,,,if don’t like the truth to be told!!,,maryw
omg STOP ‘YELLING’ TAKE YOUR KEYBOARD OFF CAPS. Then try actually reading what the hell me and the other poster wrote to you. We’re telling you to say your point in complete cohesive sentences and stop using so many fekking commas. Nobody understands what you’re saying cos you’re yelling and not writing coherently. Have someone you know read this so they can explain it to you really slowly.
If you respond with the same yelling, a million commas, and ranting, I’m done, dude. smh
I hate to see the National Registry of Evidence-Based Programs and Practices go. In evaluating practices, it considering their plausibility, which is a key feature lacking in other such programs.
And Trump also stopped the much needed project to improve forensic testing methods which have been for decades woefully lacking a sound basis in science.
There will be casualties…
Why are the GOP Congressional leaders so hesitant to start investigating whether the 25th Amendment should be applied to 45??
Is it because they are on the take as well from the corporate lobbyists & plutocrat dark money (virtually bribes)?? Or that they are as mentally & ethically unfit to serve just as he is???
Dear Kay: There is a good discussion about the 25th amendment by Sally Satel and Peter Kramer here:
http://www.aei.org/publication/who-decides-whether-trump-is-unfit-to-govern/
Just because you don’t agree with someone, doesn’t mean they are crazy. There is no basis for the 25th with Trump. I work in the behavioral health field. I know the rules on evaluation. There’s no basis, here.
Further? Most of what has been thwarted in this decision SHOULD have been. There is a lot of social theory out there that is accepted as “evidence based” that is, in reality, unreplicated and is conjecture at best. It’s pretty clear to me that you know nothing about the field and probably shouldn’t comment on a public thread until you do.
I hope our elected senators and representative read your article and take action. We should stop ranting and raving about Trump but rather focus on the terrible harm his administration is doing in the world and in our country. He and his crew are so regressive in their thinking. They are pulling the rug out from everyone except the plutocrats. Would be good for you at STAT to focus on the many things his administration is doing to diminish health care here at home with their rollback of research funds.etc.
Waaaa, Trump took away our broken toys. Case in point and why I agree with Mary and understand her posting. Diagnosing thyroid problems via bloodwork is not evidence enough and can cause undetected problems to become bigger. A simple thermometer under the arm in the morning registers abnormality. One does this simple test every morning beforecgetting out of bed. Track every day before a doctor’s visit. Present the evidence.