Systemic Challenges in Internship Training for Health-Service Psychology: A Call to Action From Trainee Stakeholders

Author:

Palitsky R.1ORCID,Kaplan D. M.12ORCID,Brodt M. A.3,Anderson M. R.1,Athey A.4,Coffino J. A.5,Egbert A.16,Hallowell E. S.1,Han G. T.7,Hartmann M.-A.8,Herbitter C.910ORCID,Herrera Legon M.11,Hughes C. D.1,Jao N. C.16,Kassel M. T.1213ORCID,Le T.-A. P.14,Levin-Aspenson H. F.1ORCID,López G.15ORCID,Maroney M. R.16ORCID,Medrano M.17,Reznik S. J.18,Rogers M. L.19,Stevenson B.20

Affiliation:

1. Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University

2. Department of Behavioral and Social Sciences, Brown University

3. Counseling and Counseling Psychology Department, College of Education and Human Sciences, Oklahoma State University

4. Bloomberg School of Public Health, Johns Hopkins University

5. Department of Population Health, New York University School of Medicine

6. The Miriam Hospital, Providence, Rhode Island

7. School of Medicine, Yale Child Study Center, Yale University

8. Pediatric Anesthesiology, School of Medicine, Stanford University

9. VA Boston Healthcare System, Boston, Massachusetts

10. Boston University Medical School

11. TRuST Team, Orlando VA Health Care Center, Orlando, Florida

12. Mental Illness Research Education and Clinical Centers, San Francisco VA Health Care System, San Francisco, California

13. Department of Psychiatry and Behavioral Sciences, University of California, San Francisco

14. Capital OCD and Anxiety Practice, Austin, Texas

15. Center for Alcohol and Addiction Studies, Brown University

16. Werklund School of Education, University of Calgary

17. Department of Psychology, University of Arizona

18. Texas Institute for Excellence in Mental Health, University of Texas at Austin

19. Mount Sinai Beth Israel Hospital, New York, New York

20. Department of Psychiatry, University of Minnesota

Abstract

The challenges observed in health-service-psychology (HSP) training during COVID-19 revealed systemic and philosophical issues that preexisted the pandemic but became more visible during the global health crisis. In a position article written by 23 trainees across different sites and training specializations, we use lessons learned from COVID-19 as a touchstone for a call to action in HSP training. Historically, trainee voices have been conspicuously absent from literature about clinical training. We describe long-standing dilemmas in HSP training that were exacerbated by the pandemic and will continue to require resolution after the pandemic has subsided. We make recommendations for systems-level changes that would advance equity and sustainability in HSP training. This article advances the conversation about HSP training by including the perspective of trainees as essential stakeholders.

Publisher

SAGE Publications

Subject

Clinical Psychology

Reference140 articles.

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3. Allen T. D., Golden T. D., Shockley K. M. (2015). How effective is telecommuting? Assessing the status of our scientific findings. Psychological Science in the Public Interest, 16(2), 40–68. https://doi.org/10.1177/1529100615593273

4. Ameen E., Bergner C., Berry S., El-Ghoroury N. H. (2016). Medicaid reimbursement for interns’ services: We need you to advocate (in your state). https://www.appic.org/Portals/0/2016%20Conference/Medicaid_APPIC_2016_Presentation.pdf

5. American Psychological Association. (n.d.). 2022 self-study narrative preparation sheets–INTERNSHIP. Retrieved September 15, 2021, from https://www.accreditation.apa.org/accreditation-process/self-study

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