Effects of waiting time on appointment attendance with clinical psychologists and length of treatment

1997 ◽  
Vol 14 (2) ◽  
pp. 49-54 ◽  
Author(s):  
Konstantinos S Loumidis ◽  
Julia M Shropshire
Keyword(s):  
Waiting Time ◽  
Clinical Psychology ◽  
Psychological Treatment ◽  
Previous Treatment ◽  
Young Age ◽  
Clinical Psychologists ◽  
Appointment Attendance ◽  
Treatment History ◽  
Complex Problems ◽  
C Complex

AbstractObjective: With the increasing demand for clinical psychology services and the existing shortage of clinical psychologists, it is theoretically and clinically important to identify variables associated with non-attendance for clinical psychology appointments. The study reported here attempted to: (a) examine the effect of waiting time for an appointment on non-attendance to clinical psychology services; (b) investigate variables associated with prolonged waiting time; (c) explore the nature of the relationship between waiting time and length of psychological treatment.Method: The records of 49 3 patients offered an appointment to attend a clinical psychology service over a period of 24 months were analysed. Subsequently information on sex, age, type of referring problem, previous treatment history, treatment venue and waiting time for appointment, was collected and statistically analysed.Results: Non-attendance was significantly related to prolonged waiting time and young age. Controlling for the effects of waiting time and age, patients with complex problems and new patients wh o had never sought psychological treatment in the past were less likely to attend. Length of waiting time was higher in groups with previous treatment history, patients seen at a hospital based department, and patients with complex problems and anxiety disorders. Finally, length of psychological treatment (total number of sessions required) was not affected by prolonged waiting time.Conclusion: Non-attendance for clinical psychology appointments was associated with (a) young age, (b) prolonged waiting time (over six months), (c) complex psychological problems, and (d) new patients. The limitations and clinical implications of these findings are critically discussed.

scholarly journals The Heterogeneity of National Regulations in Clinical Psychology and Psychological Treatment in Europe

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Anton-Rupert Laireiter ◽  
Cornelia Weise
Keyword(s):  
Clinical Psychology ◽  
Postgraduate Training ◽  
Psychological Treatment ◽  
Bologna Process ◽  
Postgraduate Education ◽  
International Perspective ◽  
Clinical Psychologists ◽  
European Countries ◽  
Significant Heterogeneity ◽  
Politics And Education

The Bologna Process was initiated to harmonize study processes and contents throughout Europe in order to facilitate communication and cross-border study exchange. However, when it comes to postgraduate education and practical work in clinical psychology, no such harmonization exists - there is still significant heterogeneity between European countries. To initiate the section Politics and Education, we analysed the current situation in Europe with regard to national regulations on education, training and practice in clinical psychology and psychological treatment and give a brief summary on the status quo. There are extensive differences across Europe regarding governmental and national regulations for psychologists in general, and clinical psychologists in particular. Whereas some countries have very detailed regulations including a description of reserved activities for clinical psychologists, others leave the profession widely unregulated. When it comes to psychological treatment, some countries define it as an independent activity allowed to be applied by different professions, others clearly restrict access to the profession of psychotherapists. A great diversity in national regulations and practical issues related to clinical psychology and psychological treatment exists across Europe. Our results underline the importance of the Politics and Education section in the journal Clinical Psychology in Europe in order to strengthen the development of an international perspective on clinical psychology. National regulations for clinical psychologists differ significantly between European countries. Structure and contents of postgraduate training in clinical psychology vary widely across Europe. In some countries, treatment is reserved to psychologists, in others it's open for further professions. The Politics and Education section shall foster understanding, communication and cooperation. National regulations for clinical psychologists differ significantly between European countries. Structure and contents of postgraduate training in clinical psychology vary widely across Europe. In some countries, treatment is reserved to psychologists, in others it's open for further professions. The Politics and Education section shall foster understanding, communication and cooperation.

Introduction to the special section on Increasing Replicability, Transparency, and Openness in Clinical Psychology

2019 ◽  
Author(s):  
Jennifer L Tackett ◽  
Josh Miller
Keyword(s):  
Empirical Evidence ◽  
Data Sharing ◽  
Clinical Psychology ◽  
Special Section ◽  
Psychological Research ◽  
Open Science ◽  
Clinical Psychologists ◽  
Existing Problems

As psychological research comes under increasing fire for the crisis of replicability, attention has turned to methods and practices that facilitate (or hinder) a more replicable and veridical body of empirical evidence. These trends have focused on “open science” initiatives, including an emphasis on replication, transparency, and data sharing. Despite this broader movement in psychology, clinical psychologists and psychiatrists have been largely absent from the broader conversation on documenting the extent of existing problems as well as generating solutions to problematic methods and practices in our area (Tackett et al., 2017). The goal of the current special section was to bring together psychopathology researchers to explore these and related areas as they pertain to the types of research conducted in clinical psychology and allied disciplines.

Gene mutation and drug resistance of M. tuberculosis in the patients followed up in the city of Moscow

2020 ◽  
Vol 97 (12) ◽  
pp. 34-44
Author(s):  
M. A. Krasnova ◽  
E. M. Belilovsky ◽  
S. E. Borisov ◽  
A. A. Khakhalina ◽  
Yu. D. Mikhaylova ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Statistical Significance ◽  
Molecular Genetic ◽  
Previous Treatment ◽  
Repeated Treatment ◽  
Phenotypic Resistance ◽  
Therapy Regimen ◽  
Treatment History ◽  
History Of ◽  
Relationship Of

The article describes a retrospective study of the results of microbiological and molecular genetic tests of 685 M. tuberculosis cultures isolated from 685 adult tuberculosis patients registered for dispensary follow-up in Moscow in 2014.The following was identified during the study: phenotypic drug resistance (FDR) of MTB to rifampicin, isoniazid, fluoroquinolones, kanamycin, amikacin, and capreomycin in groups of patients with different treatment history; the frequency of FDR to the above anti-tuberculosis drugs in strains with mutations being drug resistance markers; the frequency of various mutations in case of FDR of mycobacteria in the patients from different groups; the relationship of FDR or the presence of a particular mutation with various characteristics of the patients and their treatment history.The history of previous treatment was determined as statistical significance to provide the greatest influence on the spread of drug resistant MTB: patients undergoing repeated treatment had FDR more often and also a much more pronounced variety of mutations being markers of FDR to certain anti-tuberculosis drugs.The results of the study showed that the detection of genetic mutations in MBT associated with FDR was a reliable tool for predicting phenotypic resistance and should be used as the main method for selecting anti-tuberculosis drugs when compiling the etiotropic therapy regimen.

Enhancing the contribution of clinical psychology: an under-utilised workforce in public mental health services

2021 ◽  
pp. 103985622199264
Author(s):  
Henry Jackson ◽  
Caroline Hunt ◽  
Carol Hulbert
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Psychology ◽  
Public Mental Health ◽  
Psychological Theory ◽  
Clinical Psychologists ◽  
Pathways To Care ◽  
Mental Health Training ◽  
Public Mental Health Services

Objective: Clinical psychologists are practitioners with expertise in mental health, who apply advanced psychological theory and knowledge to their practice in order to assess and treat complex psychological disorders. Given their robust specialised mental health training, clinical psychology is an integral component of the Australian mental health workforce, but is under-utilised. Recent reviews have identified significant problems with Australia’s mental health system, including unequal access to clinical psychology services and fragmentation of service delivery, including convoluted pathways to care. Conclusions: Clinical psychology is well placed to contribute meaningfully to public mental health services (PMHS). We describe what clinical psychologists currently contribute to team-based care in PMHS, how we could further contribute and the barriers to making more extensive contributions. We identify significant historical and organisational factors that have limited the contribution made by clinical psychologists and provide suggestions for cultural change to PMHS.

Research Mentoring and Women in Clinical Psychology

2002 ◽  
Vol 26 (2) ◽  
pp. 163-167 ◽  
Author(s):  
Faith-Anne Dohm ◽  
Wendy Cummings
Keyword(s):  
Clinical Psychology ◽  
American Psychological Association ◽  
Practical Experience ◽  
Clinical Psychologists ◽  
Clinical Psychologist ◽  
Main Question ◽  
American Psychological ◽  
Research Mentoring ◽  
Research Mentor

The main question explored in this study is whether a woman's choice to do research during her career as a clinical psychologist is associated with having had a research mentor. A sample of 616 women, all members of the American Psychological Association holding a Ph.D. in Clinical Psychology, completed a survey about their experience with a research mentor. The data show that research mentoring is positively related to a woman in clinical psychology doing research and whether she, in turn, becomes a research mentor for others. The responses of the participants suggest that a model of mentoring that involves relevant training and practical experience in research may increase the likelihood that female clinical psychologists will choose to do research as part of their careers.

A situation analysis of clinical psychology services in South Africa’s public rural primary care settings

2016 ◽  
Vol 47 (2) ◽  
pp. 260-270 ◽  
Author(s):  
Johannes H De Kock ◽  
Basil J Pillay
Keyword(s):  
Mental Health ◽  
Human Resources ◽  
Primary Healthcare ◽  
Clinical Psychology ◽  
Secondary Data ◽  
Clinical Psychologists ◽  
Public Hospitals ◽  
Healthcare Sector ◽  
Primary Data ◽  
Situation Analysis

The goal of our study was to provide a situation analysis of clinical psychology services in South Africa’s public rural primary healthcare sector. In this setting, the treatment gap between human resources for and the burden of disease for mental illness is as high as 85%. The majority of South Africa’s mental health specialists – clinical psychologists and psychiatrists – practice in the country’s urban and peri-urban private sector. At the advent of South Africa’s democracy, public clinical psychological services were negligible, and the country is still facing challenges in providing human resources. The study was based on the analysis of both primary and secondary data. Primary data were collected by interviewing the heads of 160 public hospitals classified as rural by the Department of Health, while secondary data comprised a literature review. The number of clinical psychologists working in the public sector indicated a substantial growth over the last 20 years, while the number employed and/or doing out-reach to public rural primary healthcare areas shows a shortfall. Clinical psychology’s numbers, however, compare favourably to that of other mental health specialists in public rural primary healthcare settings. Since the National Mental Health Summit of 2012, strategies have been implemented to improve access to mental health care. In clinical psychology’s case relating to human resources, these strategies have showed encouraging results with a substantial amount of participating institutions reporting that clinical psychologists form a part of their proposed future staff establishment.

scholarly journals Training Psychiatrists in Behavioural Psychotherapy—Dispelling Myths

1986 ◽  
Vol 10 (8) ◽  
pp. 219-220
Author(s):  
Roger Farmer ◽  
David Miller ◽  
John Green ◽  
Joe Herzberg
Keyword(s):  
Health Service ◽  
Royal College ◽  
Clinical Psychology ◽  
Clinical Psychologists ◽  
Psychological Services ◽  
Psychiatric Outpatients ◽  
Health Authorities

Behavioural psychotherapy is probably now the preferred treatment in as many as 25% of neurotic patients or 12% of adult psychiatric outpatients. It is, of course, part of some psychiatrists' therapeutic repertoire already. However, more widespread use of behavioural methods by psychiatrists would seem to be desirable and this is particularly so as clinical psychologists remain thin on the ground in many places. Indeed clinical psychology remains one of the smallest health-service professions. In 1981 there were 1,105.7 qualified clinical psychologists (whole time equivalents) in England. Moreover this overall figure conceals enormous disparities between Health Authorities, some of which provide good psychological services while others provide virtually nothing. In recognition of the importance of behavioural techniques, the Royal College of Psychiatrists has recommended that experience of them should be an integral part of any psychiatrist's training.

A History of Clinical Psychology

2014 ◽  
pp. 22-33
Author(s):  
Donald K. Routh
Keyword(s):  
Sigmund Freud ◽  
Clinical Psychology ◽  
Academic Discipline ◽  
Clinical Psychologists ◽  
Evidence Based ◽  
Practical Intelligence ◽  
Scientific Model ◽  
Ancient Greek ◽  
History Of ◽  
19Th Century France

To be memorable, a history such as this might best be organized under a small number of headings. Accordingly, this chapter is structured around the work of seven pioneers who arguably had the greatest influence on the development of the field. Lightner Witmer is generally considered to have founded clinical psychology in 1896 (McReynolds, 1987, 1997; Routh, 1996; Watson, 1956). Hippocrates was the ancient Greek founder of medicine, always a close professional cousin of clinical psychology and a scientific model for psychology in general. Theodule Ribot led the development of psychology as an academic discipline in 19th-century France, as one primarily focused on clinical issues. Alfred Binet, also in France, devised the first practical “intelligence” test in 1905; administering such tests was among the most common activities of early clinical psychologists. Leta Hollingworth was an early practitioner who played a large role in the development of organized clinical psychology beginning in 1917 (Routh, 1994). Sigmund Freud founded psychoanalysis, the first influential form of psychotherapy practiced by clinical psychologists, among others. Finally, Hans Eysenck was among the earliest to conceptualize behavior therapy and to promote the use of what have come to be known as evidence-based methods of intervention in clinical psychology.

The Future of Clinical Psychology

2014 ◽  
pp. 898-919
Author(s):  
David H. Barlow ◽  
Jenna R. Carl
Keyword(s):  
Clinical Psychology ◽  
Psychological Treatment ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Major Focus ◽  
Psychological Treatments ◽  
Personal Adjustment ◽  
Assessment And Treatment ◽  
Clinical Outcomes Assessment ◽  
Treatment Manuals

In this chapter, we speculate on near to immediate future trends in clinical psychology and make ten predictions in the broad areas of training, diagnosis and assessment, and treatment. These include: (1) an increased focus on competencies in training; (2) the implications of evidence-based practice as a new major focus of training; (3) changes in the accreditation of training programs; (4) a move to dimensional conceptions of diagnosis; (5) clinical outcomes assessment as an integral part of practice, as well as a more individual focus in clinical research; (6) the increasing recognition and dissemination of psychological treatments; (7) the end of single-diagnosis psychological treatment manuals; (8) the development of drugs that specifically enhance the mechanisms of action of psychological treatments; (9) an expanded role for technology in service delivery; and (10) a clearer delineation of the terms “psychological treatments,” referring to interventions directed at psychopathology and pathophysiology in the context of our health-care delivery system, and, “psychotherapy,” increasingly based on data from positive psychology, but directed at enhancing personal adjustment and growth.

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