VA Puget Sound Telemental Health Service to rural veterans: a growing program

The VA Puget Sound Health Care System Telemental Health program connects veterans with psychologists, psychiatrists, and social workers via live clinical video teleconferencing. Providers deliver care to veterans in rural Veteran Affairs medical centers, community-based outpatient clinics and residences, and thus, increase access to specialty mental health care for rural and medically underserved veteran communities.     

Reflections on a do-it-yourself training program in clinical psychology

This paper is a somewhat modified version of the inaugural Rapaport—Klein Memorial Lecture at Austen Riggs Center presented June 21, 1974. The author describes the experiences, the series of “apprenticeships” and clinical exposures, which coalesced into his education, from teenage days in the New York Madison House settlement, through Harvard undergraduate and graduate work, to Worcester State Hospital as head of psychological services and research. In conclusion, the author discusses the effects of the kinds of training experiences he has described on the issues that arose in the formulation of formal standards of training in clinical psychology.     

Health psychology and clinical psychology: a comparison through content analysis.

Extension of a previous analysis of articles published in two journals representative of health psychology and two in health education showed some similarities and differences. The present analysis of 100 papers from two journals in health psychology and 495 from two in clinical psychology clearly shows health as a subspecialty of clinical psychology.     

Starting from scratch: Developing clinical psychology training and services in Bangladesh

Abstract

This paper outlines the author's personal experience of contributing to the development of the first ever training in clinical psychology in Bangladesh. This was part of a link project between University College London and Dhaka University. It examines the challenges posed by such an enterprise through the author's experience of teaching and assessing patients in the local psychiatric wards. It questions the validity of exporting Western models of psychotherapy – psychoanalysis in particular – to a non-Western culture.     

突发公共事件的心理健康服务体系的建构

突发公共事件的心理应急救助是我国心理健康服务体系的一个重要组成部分.突发公共事件需要心理救助,心理救助也是突发公共事件危机管理的组成部分.严重突发事件的心理健康服务包含事前的准备、应急和善后的完整建构.突发公共事件的心理健康服务的应急预案应包含完善的应急组织管理指挥、系统完整的过程评估、分级分类的响应、强有力的应急救援保障、综合救援的应急队伍.在运作上应该遵循综合预防、协同应对和规范管理三个基本原则.     

Memoirs from a Mental Health Affiliation

SUMMARY

For students entering the Level II ficldwork experience in mental health, there is often great concern about one's ability to work effectively with the mentally ill population. Developing competency and comfort with this population is a critical area of practice and students can benefit from peer-oriented learning experiences which address their particular issues. This memoir recounts one student's log as a learning chronicle for the benefit of other students. It outlines common fears, coping skills and knowledge that are mastered during the course of practice in a typical psychiatric setting.     

Improved advising ratings in an undergraduate psychology program

During the late 1990s, the psychology department of Indiana University-Purdue University Indianapolis made investments in its undergraduate advising program in terms of additional professional personnel, a new orientation course, an experimental intrusive advising track, innovative peer activities, and expanded physical facilities. Against this backdrop of innovations, from 1995 to 2001 an exit survey of graduating seniors (N=311) showed improved evaluations of departmental counseling services. Ratings of the obtainability of advising on courses and the quality of course and career advising all showed significant upward shifts over the seven years of study. Regarding a specific innovation, students who completed a 1-hr. orientation course gave higher mean counseling ratings than those not enrolled.     

Interdisciplinary Knowledge Translation: Lessons Learned from a Mental Health: Fire Service Collaboration

Collaborative approaches are being increasingly advocated for addressing a variety of health, mental health and social needs for children, youth and families. Factors important for effective knowledge translation of collaborative approaches of service delivery across disciplines, however, have not been rigorously examined. TAPP-C: The Arson Prevention Program for Children is an intervention program for child and adolescent firesetters provided collaboratively by fire service and mental health professionals. The present study examined the adopter, innovation, and dissemination characteristics associated with TAPP-C implementation, protocol adherence and extent of collaboration by 241 community-based fire service professionals from communities across Ontario. Results revealed that dissemination factors are particularly important for understanding program implementation, adherence and cross-discipline collaboration. Moreover, the findings of this study show significant benefits to both within discipline (intra-disciplinary) and across discipline (interdisciplinary) knowledge translation strategies.     

Developing Black Mental Health Provision: Challenging Inequalities in Partnership

This article describes and comments upon the process of developing the Sanctuary project in London, a project that will provide two community-based crisis support services for African and African-Caribbean women and men in mental crisis and distress. This initiative is informed by the extensive research documenting the ways in which mainstream, mental health services fail Black people, and by evidence suggesting that innovations in service provision for Black people are often vulnerable and limited in their impact. In an effort to avoid replicating these problems, considerable emphasis has been given to developing the project in partnership with the main stakeholders—in this instance statutory and Black voluntary sector agencies as well as Black users, carers and community members. Within this context, issues relating to inequalities can be proactively addressed, thereby reducing the risk that they undermine the effectiveness of service provision at a later stage. However, working in partnership can also hinder or delay service developments if discussions between stakeholders become protracted or conflicts unresolved. The author draws on experience gained from this project to identify the potential as well as the difficulties of using a partnership approach to developing effective Black mental health provision. The author's role in the development of these projects has been as representative of one of the partners, the King's Fund Centre for Development.     

PsycWord: A Windows program for preparing clinical documentation in psychology

PsycWord is designed to guide the user through the process of rapidly producing psychological reports. Modules may be mixed to produce a variety of reports. Windows controls and standardization decrease the time needed for creating clinical reports, while flexibility is built in to encourage customization and the use of professional judgment. The program is most suitable for adult outpatients, but may be useful with other populations as well.     

Examination for professional practice in psychology subtest scores of professional and traditional clinical psychology program graduates

Professional school clinical psychology graduates not only exhibit inferior performance on the research subtest of the Examination for Professional Practice in Psychology (EPPP; D. I. Templer & M. E. Tomeo, 1998), but they also perform less well on the four more professionally oriented subtests: diagnosis, intervention, professional/ethical/legal issues, and application to social systems. Graduates of free-standing professional schools exhibited performances inferior to those of graduates of non-free-standing professional schools on the diagnosis, intervention, and professional/ethical/legal subtests.     

Mental health consultation to law enforcement: Secret Service development of a Mental Health Liaison Program

The Mental Health Liaison Program developed and used by the Secret Service is presented as a model for comprehensive, multidimensional interactions between law enforcement and mental health systems, with particular focus on assessing and preventing violent behavior. The structure of the program pairs consultants—psychologists and psychiatrists—with Secret Service field offices to provide (a) consultation regarding risk assessment and case management of individuals who threaten or display inappropriate interest in the President or other protectees; (b) training for agents on risk assessment, mental illness, and mental health care issues; and (c) liaison activities between the Secret Service and the mental health community. Practical benefits to the Secret Service are discussed to encourage more systematic use of broad based psychological and psychiatric consultation to law enforcement, with a goal of enhanced intersystem communication and collaboration. The need for program evaluation and outcome research is discussed in the context of applying the model to improve other mental health and law enforcement systems interactions. © 1998 John Wiley & Sons, Ltd.