Psychologists in medical schools in 1997. Research brief

The activities, income, and medical staff membership and limitations on that membership for psychologists working in U.S. medical school settings in 1997 were examined. A total of 1,938 psychologists responded to a survey conducted by the Research Office of the American Psychological Association, in conjunction with the Association of Medical School Psychologists. Some of the most salient findings were that (a) the largest number of psychologists was involved in research activities, (b) just over half of medical school psychologists were required to generate all or part of their own income through clinical work and research, and (c) the majority of these psychologists were members of a medical staff but were not extended full medical staff privileges. These and other results are discussed in the context of academic rank, tenure status, and other relevant factors.     

Training School Psychologists in Behavior Support Consultation

SUMMARY

Although school consultation began as a means of providing assistance to individual teachers on a voluntary basis, it has evolved into a stand-alone service regulated by state and federal law. In order to meet the demand for increased accountability in the services they provide, school psychologists and other prereferral intervention team members have expressed a need to develop skills in two key areas: (a) selecting interventions that are conceptually relevant and therefore likely to be effective in responding to children's behavior problems, and (b) providing teachers with the resources and support needed to ensure successful plan implementation. In this paper, we describe various strategies that have been shown to be effective at addressing each of these issues by drawing on recent research in school consultation and applied behavior analysis. Considerations surrounding the use of these strategies by school consultants are discussed, as are implications for increasing the effectiveness and accountability of school consultation services.     

Family Therapy Training: Academic and Internship Opportunities for Psychologists

Institutions that train psychologists in psychotherapy skills have generally neglected the family approach. This article provides information on both university departments of psychology and psychology internship facilities that include family therapy training in their programs.     

Training of School Psychologists in Neuropsychology and Brain Injury: Results of a National Survey of Training Programs

A previous study evaluating receptive language after unilateral brain damage in childhood hypothesized lateralized attention and memory deficits without direct measurement. Our study directly measured attention, memory, and language in order to evaluate empirically the severity and laterality of sequelae. The performances of 11 individuals with a unilateral ischemic-lesion (7 right and 4 left hemisphere) were compared to controls matched on age, sex, and socioeconomic status. Results suggest subtle but persistent deficits in verbal memory, functional memory, and speed of processing after a lesion to either hemisphere. Lesions sustained before two years of age were associated with the lowest IQ scores. Our findings provide support for a configural representation of language that can to some extent compensate for inefficient or damaged components (Bates, 1994), and the middle-ground lateralization position (Thal et al., 1991) that asserts initial hemispheric specialization with the potential for reorganization.     

Guidance in scottish secondary schools: A client evaluation

Formal provision for pupil guidance in Scottish secondary schools has been a controversial innovation. This paper provides some ofthe first evidence of its impact based on the evaluation of its clients and using data collected as part of a major national survey of Scottish school-leavers. It indicates that guidance teachers have been having some influence on the curricular and vocational decisions of more-able leavers and also provides evidence of progress over time. It suggests, however, that in terms of distributing and focussing their efforts such teachers have yet to make much impact on the vocational problems facing less-able leavers. Progress in the area ofpersonal guidance for ail leavers has also been restricted. Some reasons underlying these developments are discussed.     

Introducing Mindfulness to Clinical Psychologists in Training: An Experiential Course of Brief Exercises

A 14 session, structured, mindfulness skills group utilizing short (10 min) practices was undertaken by clinical psychologists in training as a voluntary lunchtime activity. The present study was a preliminary investigation into whether a short course of brief mindfulness exercises could facilitate the development of personal understandings of mindfulness without requiring a significant time commitment that might impinge upon participants’ ability to take part. Quantitative and qualitative evaluations suggested that the course could be a useful experiential introduction to mindfulness for clinicians. The results also suggested that the format of frequent, brief exercises could have utility for conducting mindfulness-based training in time-limited environments but further research is required to examine the effects of frequency and duration of practice on the development of mindfulness skills.     

School-climate differences and problem admission in secondary schools

349 pupils in fifteen secondary schools in the Republic of Ireland completed the Porteous Problem Checklist and the Finlayson school-climate questionnaire. Differences were found between school types on pupil mean scores on both questionnaires. There was evidence of a relationship between school climate as perceived by pupils and the disclosure of personal problems by pupils. The average problem profile of a school's pupils differed among the four school types in the sample. Differences also existed between religious and non-religious schools. The conclusion is drawn that schools create an environment within which pupils then experience particular patterns of personal problems related to the characteristics of that environment.     

Training and Consultation in Psychological Assessment With Professional Psychologists: Suggestions for Enhancing the Profession and Individual Practices

Once central to the identity and practice of clinical psychology, psychological assessment (PA) is currently more limited in professional practice and generally less emphasized in graduate training programs than in the past. Performance-based personality tests especially are taught and used less, even though scientific evidence of their utility and validity has never been stronger. We review research on training in PA and discuss challenges that contributed to its decreased popularity. We then review continuing education requirements for ethical practice in PA and recommend that PA should be reconceptualized as a specialty best practiced by psychologists who have the resources and time to maintain competency. We offer recommendations about how professional organizations concerned with PA can promote its practice and how individual expert clinicians can assist. We conclude by describing a collaborative model for providing group consultation in PA to practicing psychologists. If implemented widely, this model could help promote PA and raise its standard of practice.     

Training Pediatric Psychologists for Perinatal Behavioral Health Services in a Pediatric Hospital

Although pediatric hospitals specialize in providing care to children and adolescents, at The Children’s Hospital of Philadelphia (CHOP), our team has been providing behavioral health services for two unique parent populations—parents with a child in the Newborn Infant Intensive Care Unit and pregnant women carrying fetuses with specific birth defects and receiving prenatal care in the Center for Fetal Diagnosis and Treatment. A new training program was developed to expand the scope of pediatric psychologists’ practice to include perinatal behavioral health services, specifically for these two unique parent populations served at CHOP. The program includes direct service provision for adult mental health concerns, as well as education and support to help families cope with the existing medical conditions. This article describes the training program and its implementation as a model of training for other pediatric hospitals. The roles of psychologists embedded in these units and hospital privileges are discussed.     

A Survey of Behavior Analysis and Behavioral Consultation Courses in School Psychology: Implications for Training School Psychologists

All 216 doctoral and specialist level school psychology training programs were mailed a seven question survey to determine how much behavioral consultation and behavior analysis course work school psychology students are offered. One hundred and twenty-eight surveys were returned, yielding a return rate of 58.26%. The results indicated that almost all programs offer didactic courses in consultation (98.79%) and behavior analysis/behavior modification (91.52%). The percentage of practicum devoted to behavioral consultation and behavior analysis/modification was considerably less (about 25% for each) than other subject areas. The results are discussed within the context of training needed to meet the needs of practitioners in the areas of behavioral consultation and behavior analysis/behavior modification.     

The role of educational counsellors in Kuwaiti secondary schools

Previous studies of educational counselling in Kuwaiti secondary schools have identified several concerns including inadequate facilities, a lack of clear role definition, and possible difficulties arising from the attempt to combine Western counselling models with Islamic values. To obtain information about the current state of educational counselling all 32 educational counsellors from Kuwait's credit course secondary schools were interviewed and were asked to complete checklists and time‐scale questionnaires. Analysis of the results suggest that development of the service has been uneven, and that role ambiguity, inadequate training and poor accommodation remain problematic. Recommendations for the remediation of these problems are made.     

A study of drug discipline policies in secondary schools

Little is known about how secondary schools respond to substance abuse in terms of policies, practices, or procedures. A comprehensive survey of St. Louis County public secondary schools conducted in Fall 1979 suggests that many school officials are more punitive than their juvenile court counterparts when handling incidents of drug use. A range of exclusionary discipline policies is the predominant sanction invoked against students who violate established substance-abuse policies. Questionnaire results indicate the existence of due process violations and the differential enforcement of alcohol and marijuana offenses. Furthermore, unlike the criminal justice system, many schools do not consider the amount or type of drug use or students' prior behavior as criteria for determining an appropriate disciplinary sanction. Several areas for the revision of substance-abuse policies in schools are suggested, including: acknowledging alcohol as a potentially dangerous drug, assuring that school sanctions are individually tailored to pupils' best interests and needs, developing in-school alternative programs to suspension, and providing for the total compliance of substance-abuse policies with students' legal rights.     

A conceptual review of discipline in the schools: A consultation service model

Although discipline has been identified consistently as the major problem in U.S. education, few conceptual models are available to guide the analysis of discipline problems and to integrate the consultation and preventive mental health perspectives. A model is presented that integrates a consultation problem-solving process (involving problem identification, problem analysis, intervention, and evaluation) with the preventive mental health levels (i.e., primary, secondary, and tertiary preventions). These perspective interface because discipline-related problems can occur and be resolved at all three prevention levels, although most are addressed only at the tertiary level. A review of the relevant literature is presented with each component of the model, and pragmatic applications are suggested to facilitate both problem-solving and consultation. Although the tertiary prevention level is emphasized, consultants are reminded that secondary and primary prevention programs are potentially more cost-effective and efficacious.     

Academic achievement in Norwegian secondary schools: the impact of violence during childhood

Using data from a national survey (N = 6,979) of young people in their last year in Norwegian secondary schools in 2007 (aged 18 and 19), this paper examines the effect of experience of violence including sexual abuse during childhood (before the age of 13) on the later academic achievement of young people. This investigation includes three types of violence: non-physical, physical and sexual, and two types of victimisation: being abused and witness to abuse. First we investigate the relationship between the experience of various violent acts before the age of 13 and young people??s later academic achievement. Second, applying the structural equation modelling technique, we take into account the effect of background factors such as parents?? educational attainment and gender, and the effect of mediating factors such as social capital and educational motivation on the academic achievement of the young victims. The results show that exposure to violence during childhood not only directly influences young people??s educational outcomes but also exerts indirect influences on their achievement through its impact on young victims?? social relations and psychological health.