The impact of EBM in medicine has been remarkable. The problem is to evaluate the benefits, but also the risks and its implications for clinical practice.
There's a related article published recently in JAMA which may be helpful:
Article Evidence-Based Pragmatic Psychiatry—A Call to Action
The number one thing I have viewed and believe to be the most important is that there is a huge decrease in the willingness of providers and insurance companies in "giving up" on certain patients. The old ideas of "we have tried everything possible" so we Quit, or just give up and put the patient to bed and allow him / her to die, is now long gone from the systems with good reputations. Most patients are no longer "fired" from their assigned practitioners and relapse is understood as a part of the disease process and the field has finally become a caring one. Research rocks!!
Have a look at the literature on "Measurement-based care", starting with
1. Zimmerman M. Does the Adequacy of Clinicians’ Diagnostic Practice in Routine Clinical Settings Matter? J Clin Psychiatry. 2015 Jul 22;:e888–90.
2. Trivedi MH, Rush AJ, of SWAJ, 2006. Evaluation of outcomes with citalopram for depression using measurement-based care in STAR* D: implications for clinical practice. Am Psychiatric Assoc. 2006 Jan;163(1):28–40.
3. Guo T, Xiang Y-T, Xiao L, Hu C-Q, Chiu HFK, Ungvari GS, et al. Measurement-Based Care Versus Standard Care for Major Depression: A Randomized Controlled Trial With Blind Raters. American Journal of Psychiatry. 2015 Oct;172(10):1004–13.
4. Fortney JC, Unützer J, Wrenn G, Pyne JM, Smith GR, Schoenbaum M, et al. A Tipping Point for Measurement-Based Care. Psychiatric services (Washington, DC). 2017 Feb;68(2):179–88.
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