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International Handbook of Psychology Learning and Teaching
to study the evolution of clinical psychology
This chapter provides an overview of the structure and content of clinical psychology training, the main settings in which clinical psychologists work and types of work they do. It also describes some of the major issues relevant to training and practice in light of some current debates. These include the challenges arising out of likely changes to the structure of the NHS and developments in the provision of some areas of service; key contributions of clinical psychology to national health and social priorities; important aspects such as appropriate models for training and the relationship between the personal and professio nal; and the uncertainty for training courses at times of financial and political upheaval. In the context of recent government policies (such as National Institute for Clinical Excellence guidelines, New Ways of Working for Applied Psychologists, and the Improv ing Access to Psychological Therapies initiative) and changes in statutory registration, clinical psychology is at a crucial stage in its development as a key profession in the NHS in the area of healthcare.
Gaining knowledge and understanding through the world of clinical psychology practices. Providing one with descriptions and functions of clinical psychology, presented through discussion amid the deeper look of the fields history and evolving nature. Embracing the significant role of research and statistics the world of clinical psychology has to offer focusing on the practice. Portraying the fields journey of diversity and complexity through an understanding among clinical psychology practices and other mental health professions.
A survey of all clinical psychologists employed by eight health boards in the Republic of Ireland in 1994 and 1995 was conducted and the response rate was 54%. The views of the 67 respondents on their actual, desired and expected future work roles are described in this paper. There were clear differences between the actual roles of respondents and their desired roles. Respondents wanted more responsibilities in the areas of service planning and organization; teaching and supervision; research and evaluation; and public relations. They wanted fewer face-to-face clinical responsibilities in the areas of child protection assessment and therapy; child psychiatric difficulties and child learning difficulties. They also wanted less routine administration. Differences between respondents' actual roles and the roles they realistically expected they would be required to fulfil in the future were similar to those between their actual and desired role responsibilities with a few notable exceptions. They expected there would be little change in their responsibilities for child protection assessment and therapy, despite their desire to reduce their responsibilities in these areas. A content analysis of responses to open-ended questions underlined respondents' view that the unique contribution of clinical psychology to the Health Boards may shift from the current emphasis on face-to-face clinical service delivery to the provision of a broader consultancy service in the future.
Psychological Science in the Public Interest, 2008
The escalating costs of health care and other recent trends have made health care decisions of great societal import, with decision-making responsibility often being transferred from practitioners to health economists, health plans, and insurers. Health care decision making increasingly is guided by evidence that a treatment is efficacious, effective–disseminable, cost-effective, and scientifically plausible. Under these conditions of heightened cost concerns and institutional–economic decision making, psychologists are losing the opportunity to play a leadership role in mental and behavioral health care: Other types of practitioners are providing an increasing proportion of delivered treatment, and the use of psychiatric medication has increased dramatically relative to the provision of psychological interventions. Research has shown that numerous psychological interventions are efficacious, effective, and cost-effective. However, these interventions are used infrequently with pati...
Differences and similarities between clinical and counseling disciplines.
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