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?
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?
The American healthcare system is in the process of reinventing itself
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
"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
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
•
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
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
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)
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
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
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