CCPTP Presentation General Session (Stern)

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Questions to Get us Going

What implications does the changing healthcare system mean for our training programs?

What role do counseling psychologists play different from other Health Care

Professionals, especially clinical psychology?

 In other words, what is our value beyond other Health Care Professionals?

More Questions

How could an emphasis on health strengthen counseling psychology’s position in colleges of education?

 Do you have some recommendations to help students become more competitive for healthrelated internships?

 Are there areas we can import from health psychology training councils?

 Can you discuss culturally-sensitive healthcare and how we can better align with it? For example, health care disparities, translation issues, better cooperation with the medical model?

Change

The American healthcare system is in the process of reinventing itself

Psychology’s

Paradigm Shift

Can Counseling Psychology

Successfully Transition from a

Mental Health to a Health

Profession?

Practicing Psychology Must

Embrace this Paradigm Shift

For Psychology’s Survival

 For Quality Patient Care

 Medicine has accepted patient centered care and inter-professional practice and is training the next generation of physicians in that model

 Attends to all of the patient’s concerns

Increases access to quality treatment

 Reduces stigma

 If psychology does not embrace this paradigm shift, other mental health professionals will serve in this role on the health care teams of the future

 Increases patient satisfaction

 Reduces cost

A Recent Recommendation

"We recommend that CCPTP in conjunction with the

SCP Health Psychology section develop a blueprint to integrate health psychology into counseling psychology programs that includes curricula materials, strategies for developing behavioral health practicum training options, and increased attention to preparing students for internships with health psychology major and minor rotations. We believe the ramifications of the growing job market for psychologists within an integrated health care delivery system requires focused attention by counseling psychology educators"

From the APA CPY Handbook(2012) by Forrest and Campbell on

Emerging Trends in CPY education and training

Counseling Health Psychology:

The Time is Ripe

 Counseling psychology ’ s commitment to wellness and prevention, multiculturalism, social justice, career development are all in line with the changes to health care

Broad and General Training

Ongoing “ essential tension ” (Roberts, 2006) between broad and general (counseling psychology), and unique and specialized (health psychology).

 Not a unique Tension to counseling health psychology

Key Findings from Recent

Survey

Is CHP an emerging identity?

Widespread general interest in CHP

95% of TD reported students at least somewhat interested in CHP

1 out of 6 graduates pursuing CHP-related employment

Counseling Health Psychologists

 Clinical practice:

 14% employed in VA medical centers & 9% in general hospitals

Assessment, diagnostic and treatment roles in:

 Coronary heart disease

Pain management

 Neuropsychology

 Eating disorders

 Infertility

 Chronic disease

Cancer

 HIV/AIDS

 Research:

 68% of websites of APA counseling psychology programs report faculty involvement in health psychology

Summary

 Interest in HP within CP programs, yet minority offer structured HP curricula.

Revise counseling health psychology curriculum

 Need for practicum sites offering HP related experience

Secure and implement practice opportunities for students specific to health

 Need to identify research areas where counseling psychologists can make unique contributions

 Provide opportunities for conducting research with a health focus.

Challenges in Finding Appropriate

Health Psychology Practicum Sites

 Developmental competencies and finding appropriate placements

Financial constraints of the institutions

Lack of qualified supervisors

Three Strategies for Practicum

Site Development

 Utilizing the academic training clinic for beginninglevel skill development

 Partnering with community health-care organizations where health psychology services are lacking

 Collaborating with medical school colleagues within the university

Future Directions:

“ Tele stuff ” and Practicum Placement

 Tele-health

 Primary care tele-consultation

Primary care tele-supervision

Noteworthy Trends

Recognition of the role of Behavioral Risk Factors on Psychological and Physical Health

Growth in Technology

 Shift Towards Community or Population

Interventions 

Making changes in a large number of people, rather than large changes in a small number of people

(AMA, 2002)

Public Law 111-148

Patient Protection & Affordable Care Act (ACA)

 Continues to address “acute” “medical healthcare needs but underscores “system of care,” “holistic approaches,” and “patient centeredness”

Focus on Access to services, Patient safety, Health care quality and efficiency, and Quality Improvement 

Strengthening of the primary care workforce

Creates more opportunities for Interdisciplinary Care , but requires us to redesign our views of practice

New opportunities for psychologists in integrated care

Primary Care Mental Health

Focuses on an Interdisciplinary Team clinical approach

Has not explicitly included psychologists or other mental health professionals – but behaviorist implied

Must provide screening for mental health, substance abuse and health behaviors

 Must have evidence based protocols

Summary

Use Competencies Cube as guide

Be aware of CRSPPP specialty definitions & taxonomy

Emphasis, Experience, Exposure

Consult with existing programs for help (BSU, VCU,

Miami, Denver)

 Adapt to your local setting

Council for clinical Health Psychology

Training Programs Mission

 The purpose of the CCHPTP is to promote the advancement of graduate and postgraduate education and training within the field of clinical health psychology.

 Consistent with this purpose, CCHPTP member programs shall strive to educate and train future clinical health psychologists to promote human welfare and to advance the growth of health psychology science and practice.

 CCHPTP espouses graduate and postdoctoral education and training that produces a clinical health psychologist capable of functioning as a scientific investigator and as a practitioner, consistent with the highest standards of clinical health psychology.

 MEMBERSHIP: http://community.wvu.edu/~ktl000/CCHPTP/membership.htm

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