Ch3 Current Issues in Clinical Psychology

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Ch.3: Current Issues in Clinical Psychology

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Ch. 3: Current Issues In Clinical Psychology Models of Training Professional Regulation & Credentialing Health Care Revolution Prescription Privileges Multicultural Treatment

Scientist-Practitioner or Boulder Model of Training : 

Scientist-Practitioner or Boulder Model of Training Boulder, CO (1949)–conf in grad edu in clinical Competence as a Scientist/Researcher & Clinician Ph.D. (Doctor of Philosophy) required and best trained at a University Dept. not at an affiliated school or hospital Majority of Ph.D. programs have this Emphasis Today- heavier emphasis in Science/Research Training Jobs – suited for academia/research or clinical work

Scholar-Practitioner or Vail Model of Training : 

Scholar-Practitioner or Vail Model of Training Vail, CO (1973)–conf in alt. training models PsyD Competence as a Scholar & Clinician. Typically less training in science/research, but same or heavier emphasis in Clinical-Practice Training Programs offered through Depts. in Universities (30%), in professional schools (41%), or free-standing psychology schools (29%). Majority of Psy.D. (Doctor of Psychology) programs have this Emphasis

Professional Regulation & Credentialing : 

Professional Regulation & Credentialing Differs depending on: Required Education and Experience Required State/National Examination (e.g., EPPP) Administrative Requirements (e.g., no felonies) Specialty Requirements

Professional Regulation & Credentialing : 

Professional Regulation & Credentialing Certification (e.g., School Psych - Ed.S., A.A. Sport Psych) Licensure (e.g., LP, LPA, LPP, LPCC) ABPP Certification (American Board of Professional Psychology – Post Ph.D., Psy.D.) National Register

Managed Health Care (MHC) Revolution : 

Managed Health Care (MHC) Revolution

Managed Health Care (MHC) Revolution : 

Managed Health Care (MHC) Revolution Purpose/Goal – MHC integrated models for delivery and financing of health services Common Features Impact on Mental Health Care

Some Common Features of Managed Health Care (MHC) Organizations : 

Some Common Features of Managed Health Care (MHC) Organizations Business Entity with Corp Structure Particular delivery/provider model: - HMO: limited providers, fixed costs - PPO: more providers, discounted cost Utilization and Care Management Mechanisms (e.g., pre-authorizations, eligibility/service limits, EOBs) Adapted from Babbit et al (1998)

Impact of Health Care Revolution on the Practice of Clinical Psychology : 

Impact of Health Care Revolution on the Practice of Clinical Psychology Cost effective & Patient Accountability Restriction in Some Services Case Rate, Specialized, Restricted Services Briefer, Group, Intermittent Tx Integrated and MA Providers Increased Use of Community Services

Prescription Authority for Psychologists : 

Prescription Authority for Psychologists Arguments Pro/Con and KY Data Current States with Prescription Authority: New Mexico and Louisiana

Pros/Cons of Prescription Authority for Psychologists : 

Pros/Cons of Prescription Authority for Psychologists PRO - Greater Access to High Quality Comprehensive Pharmacotherapy PRO - Integrated, Continuous, & Cost- Effective Care AGAINST – Unsafe, Greedy, AGAINST - Change ALL PSY, PSY Grad Training, Higher Insurance,

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Kentucky Psychological Association Task Force on Psychopharmacology, 2004

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Kentucky Psychological Association Task Force on Psychopharmacology, 2004

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Kentucky Psychological Association Task Force on Psychopharmacology, 2004

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Kentucky Psychological Association Task Force on Psychopharmacology, 2004

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Kentucky Psychological Association Task Force on Psychopharmacology, 2004

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Culturally Sensitive Mental Health Services “Culturally skilled counselors are able to engage in a variety of verbal and nonverbal helping responses” (Sue et al., 1998, p. 41). “It is not necessary to develop an entirely new repertoire of psychological skills to practice in a culture-centered manner... there will likely be situations where culture-centered adaptations in interventions and practices will be more effective” (APA, 2003, p. 390).