Evidence-based Practice



CaseStudy and Identification of the critical elements to guide inpractice

The case study presented is about Francesco, who is suffering fromanxiety. He seems to be undergoing depression based on the issuesthat are affecting him. Notably, he is a low-income earner asdepicted by the fact that he is attending a healthcare clinic of thesame status. Further, he is facing challenges at work in addition tothe fact that he has relationship issues. The doctor has identifiedthat he is suffering from alcoholism. The case presented negates theneed to come up with a framework that would guide in carrying outpractice. The first element regards the need to provide quality careto the patient. The quality care should be based on meeting theindividual needs of the client. The client offering the service needsto be competent enough to be sure that the service they are offeringis up to the client’s expectation. The next critical element is theidentification by the practitioner that they have limitationsregarding experience and training (Norcross, 2002). For example inthe case of Francesco, the healthcare provider is see referring himto a more qualified service provider. The same is a reflection of thefact that the healthcare provider is aware of the limitations that hehas when it comes to addressing Francesco’s case resulting in himreferring him for professional help. Further, there is the element ofclarification of the rights of the practitioner and that of theclient as a way of creating a good relationship conducive to working.Through the same, it would be possible for the client to getprofessional help without controversy.

Research Article: Wellness Counseling: The Evidence Base forPractice

The research study aims at the formation of evidence-based practicefor the counseling practice. The research aims at developing modelsand the review of studies done by the use of models while at the sametime looking at the implication of the study. The information fromthe same is used to inform clinical practice in counseling. Theresearch does relate to the study being conducted by Francesco. Forthe study, the emphasis is put on wellness counseling where themodels are applied to the formation of EBP. The case presented byFrancesco is one that puts the healthcare provider in a state wherethey have to use evidence-based practice to counseling. For example,the healthcare provider handling the case of Francesco does identifythe fact that he has limited capabilities when it comes to helpingFrancesco. Apart from the conditions presented by the clientregarding his anxiety state, it becomes evident that he may have beensuffering from alcoholism. Through the identification of the factthat he has limited capabilities in handling alcoholism issues, hedecides to refer him further to a more qualified healthcare provider(Myers, &amp Sweeney, 2008). Further, aspects of evidence-basedpractice become apparent when the client focuses on identifying thepossible issues that may be affecting Francesco. Information that hegathers from the moment Francesco reaches the hospital serves thepurpose of guiding the counselor in making informed decisions. It isout of the definition of the problem that is affecting Francesco thatthe counselor tries to come up with the possible interventions thatwould help Francesco with one of them being seeking help from morequalified personnel.

Ethical, sociocultural and legal issues that are presented

Ethical issues are imminent in the case presented for Francesco. Thefirst ethical issue presented regards the concept of confidentiality.The presentation of Francesco to the healthcare institution binds theservice provider to keep whatever discussions that they have betweenthem. However, the same is not a limit for the healthcare provider torefer Francesco to another counselor whom he feels will bewell-placed to help him out of the problems that he may be sufferingfrom as shown by his previous alcoholic dependent nature. Socialissues are evident in the case that has been presented for Francesco.Notably, there is the issue of the kind of healthcare institutionthat Francesco visits. It is stated that it is a healthcareinstitution that invites clients with a low income. Such is areflection of the issue of social problems presenting in the case.Further, in the case study, Francesco is has been depicted to havehad issues with his wife resulting in them getting a divorce. It isfurther a presentation of the concept of sociocultural issues.

There are legal issues that apply in the case of Francesco. Thedecision to have the counselor refer him to another more qualifiedhealthcare professional should be preceded by consent from Francescoeither verbal or written. The legal issue is that the first counseloris acting on a personal initiative to refer the client to anotherprofessional (Vera &amp Speight, 2003). However before the same isdone, it is vital that the first counselor gets permission fromFrancesco otherwise, it can be described as the sharing of personalinformation of a client to people who may not have authorization.


Myers, J. E., &ampSweeney, T. J. (2008). Wellness counseling: The evidence base forpractice.

Journal ofCounseling &amp Development, 86(4), 482-493.

Norcross, J. C.(2002). Psychotherapy relationships that work: Therapistcontributions and

responsivenessto patients. Oxford University Press.

Vera, E. M., &ampSpeight, S. L. (2003). Multicultural competence, social justice, andcounseling

psychology:Expanding our roles. The Counseling Psychologist, 31(3),253-272.