The penultimate chapter picks up on the influence of research; a theme which the reader was first asked to consider in Chapter 1. Evidence-based practice is a contemporary phrase that began life among medical circles but has since been adopted more widely. In this chapter the reader is asked to consider evidence; is it, put simply those facts that are found in research upon which approved mental health practitioners base decisions, or is this description too simplistic? In order to explore further, the author uses evidence arising from research relevant to approved mental health practice. Initially, as in Chapter 1, the reform of mental health legislation highlighted the limited availability of research, or evidence, about approved mental health practice. In turn its use resulted in different outcomes in each nation; such divergence a recurrent strand in this book. The reader is encouraged to reflect upon what evidence is and question whether approved mental health practitioners make decisions based upon evidence made available from research or rather is the process a more pragmatic one based on circumstance? Ultimately practitioners do make decisions but are these based on any certainty arising from the evidence or are other factors also important. The author in this chapter suggests that evidence even if used does not bring certainty and in so doing produces a platform for the final chapter.
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