Top

Journal of Clinical Psychology in Medical Settings

Published in:

01-12-2012

Psychology in Academic Health Centers: A True Healthcare Home

Author: Ronald H. Rozensky

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2012

Abstract

This article is based on the invited presentation by the author at the American Psychological Association’s Annual Convention, August 4–7, 2011, upon his receipt of the Joseph D. Matarazzo Award for Distinguished Contributions to Psychology in Academic Health Centers presented by the Association of Psychologists in Academic Health Centers. This article relates the history, roles, and responsibilities of psychologists in academic health centers to the ultimate survival and success of professional psychology. It describes implications of the Patient Protection and Affordable Care Act (ACA) on the institutional practice of psychology including how psychology’s place in academic health centers positions the field well for the future of healthcare reform. The article provides several recommendations to help professional psychology prepare for that future of integrated, interprofessional healthcare.

Advisory Committee on Interdisciplinary Community Based Linkages. (2012). Preparing the interprofessional healthcare workforce to address health behavior change: Ensuring a high quality and cost-effective healthcare system (10th annual report to congress and the secretary of DHHS). Rockville, MD: Health Services and Services Administration.

American Association of Medical Colleges. (2011). Behavioral and social science foundations for future physicians. Washington, DC: Author. Retrieved from https://www.aamc.org/…/behavioralandsocialsciencefoundationsforfuturephysicians.pdf.

American Psychological Association. (2009). 2008 APA survey of psychology health service providers. Retrieved from http://www.apa.org/workforce/publications/08-hsp/index.aspx.

American Psychological Association. (2012). Education and training guidelines: A taxonomy for education and training in professional psychology health service specialties. Retrieved from www.apa.org/ed/graduate/specialize/taxonomy.pdf.

APA Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. American Psychologist, 61, 271–285. doi:10.1037/0003-066X.61.4.271.CrossRef

Beacham, A. O., Kinman, C., Harris, J. G., & Masters, K. S. (2012). The patient-centered medical home: Unprecedented workforce growth potential for professional psychology. Professional Psychology: Research and Practice, 43, 17–23. doi:10.1037/a0025320.CrossRef

Bodenheimer, T., Chen, E., & Bennett, H. D. (2009). Confronting the growing burden of chronic disease: Can the U.S. health care workforce do the job? Health Affairs, 28, 64–74. doi:10.1377/hlthaff.28.1.64.PubMedCrossRef

Boelen, C., & Woollard, B. (2009). Social accountability and accreditation: A new frontier for educational institutions. Medical Education, 43, 887–894. doi:10.1111/j.1365-2923.2009.03413.x.

Carter Center. (2011). Five prescriptions for ensuring the future of primary care. Proceedings from the health education summit, October 5 and 6, 2010. Retrieved from http://www.cartercenter.org/news/pr/ReinvigoratingPrimaryCareSystem.html.

Chiles, J. A., Lambert, M., & Hatch, A. L. (1999). The impact of psychological interventions on medical cost offset: A meta-analytic review. Clinical Psychology: Science and Practice, 6, 204–220. doi:10.1093/clipsy/6.2.204.CrossRef

Clay, R. A. (2011). APA and psychologists across the country are working to ensure psychology’s place in the nation’s new health-care system. APA Monitor, 42, 46.

D’Amour, D., & Oandasan, I. (2005). Interprofessionality as the field of interprofessional practice and interprofessional education: An emerging concept. Journal of Interprofessional Care, Supplment, 1, 8–20.CrossRef

Fisher, E. S., Staiger, D. O., Bynum, J. P. W., & Gottlieb, D. J. (2007). Creating accountable care organizations: The extended hospital medical staff. Health Affairs, 26, w44–w57. doi:10.1377/hlthaff.26.1.w44.PubMedCrossRef

Fouad, N. A., Grus, C. L., Hatcher, R. L., Kaslow, N. J., Hutchings, P. S., Madson, M. B., et al. (2009). Competency benchmarks: A model for understanding and measuring competence in professional psychology across training levels. Training and Education in Professional Psychology, 3, S5–S26. doi:10.1037/a0015832.

Frank, R. G., McDaniel, S. H., Bray, J. H., & Heldring, M. (2004). Primary care psychology. Washington, DC: American Psychological Association.CrossRef

Gruber, J. (2011). Health care reform. New York: Farrar, Staus, & Giroux.

Gunn, W. B., & Blount, A. (2009). Primary care mental health: A new frontier for psychology. Journal of Clinical Psychology, 65, 235–252. doi:10.1002/jclp.20499.PubMedCrossRef

Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academies Press.

Interprofessional Education Collaborative. (2011). Team-based competencies: Building a shared foundation for education and clinical practice: Conference proceedings (pp. 16–17). Washington DC: February.

Kaslow, N. J., Dunn, S. E., & Smith, C. O. (2008). Competencies for psychologists in academic health centers (AHCs). Journal of Clinical Psychology Medical Settings, 15, 18–27. doi:10.1007/s10880-008-9094-y.CrossRef

Matarazzo, J. D., & Daniel, R. S. (1957). The teaching of psychology by psychologists in schools of medicine. Journal of Medical Education, 32, 410–415.PubMed

Matarazzo, J. D., Lubin, B., & Nathan, R. G. (1978). Psychologists’membership on the medical staffs of university teaching hospitals. American Psychologist, 33, 23–29. doi:10.1037/0003-066X.33.1.23.

Mensh, I. N. (1953). Psychology in medical education. AmericanPsychologist, 8, 83–85. doi:10.1037/h0056759.

Nash, J. M., McKay, K. M., Vogel, M. E., & Masters, K. S. (2012). Functional roles and foundational characteristics of psychologists in integrated primary care. Journal of Clinical Psychology in Medical Settings, 19. doi:10.1007/s10880-011-9290-z.

Nathan, R. G., Lubin, B., Matarazzo, J. D., & Persely, G. W. (1979). Psychologists in schools of medicine: 1955, 1964, and 1977. American Psychologist, 34, 622–627. doi:10.1037/0003-066X.34.7.622.

Newman, R. J., & Rozensky, R. H. (1995). Psychology and primary care: Evolving traditions. Journal of Clinical Psychology in Medical Settings, 2, 3–6.CrossRef

Nutting, P. A., Crabtree, B. F., Miller, W. L., Stange, K. C., Stewart, E., & Jaen, C. (2011). Transforming physician practices to patient-centered medical homes: Lessons from the national demonstration project. Health Affairs, 30, 439–445. doi:10.1377/hlthaff.2010.0159.PubMedCrossRef

Public Law No: 111–148, 111th Congress: Patient Protection and Affordable Care Act. (2010). 124 STAT. 119. Retrieved from www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf.

Reeves, S., Goldman, J., Burton, A., & Sawtsky-Girling, B. (2010). Synthesis of systematic review evidence of interprofessional education. Journal of Allied Health, 39, 198–203.

Reid, T. R. (2009). The healing of america: A global quest for better, cheaper, and fairer health care. New York: Penguin Press.

Resnick, R. J., & Rozensky, R. H. (1996). Health psychology through the life span: Practice and research opportunities. Washington, DC: American Psychological Association.CrossRef

Rittenhouse, D. R., Shortell, S. M., & Fisher, E. S. (2009). Primary care and accountable care—Two essential elements of delivery system reform. New England Journal of Medicine, 361, 2301–2303. doi:10.1056/NEJMp0909327.PubMedCrossRef

Roberts, M. C., Borden, K. A., Christiansen, M. D., & Lopez, S. J. (2005). Fostering a culture shift: Assessment of competence in the education and careers of professional psychologists. Professional Psychology: Research and Practice, 36, 355–361. doi:10.1037/0735-7028.36.4.355.CrossRef

Robiner, W. N., Dixon, K. E., Miner, J. L., & Hong, B. A. (2010). Hospital privileges for psychologists in the era of competencies and increased accountability. Journal of Clinical Psychology in Medical Settings, 17, 301–314. doi:10.1007/s10880-010-9203-6.PubMedCrossRef

Robinson, J. D., & James, L. C. (Eds.). (2003). Diversity in human interactions: The tapestry of America. New York, NY: Oxford University Press.

Rosenthal, M. B., & Dudley, A. (2007). Pay-for-performance: Will the latest payment trend improve care? JAMA, 297, 740–744. doi:10.1001/jama.297.7.740.PubMedCrossRef

Rozensky, R. H. (1991). Psychology, politics, and hospitals. In J. J. Sweet, R. H. Rozensky, & S. M. Tovian (Eds.), Handbook of clinical psychology in medical settings (pp. 59–79). New York: Plenum Press. doi.10.1007/978-1-4615-3792-2_5.

Rozensky, R. H. (2004). Freestanding psychology: The only way in academic health centers. Journal of Clinical Psychology in Medical Settings, 11, 127–133. doi:10.1007/s10880-008-9091-1.CrossRef

Rozensky, R. H. (2006). Clinical psychology in medical settings: celebrating our past, enjoying the present, building our future. Journal of Clinical Psychology in Medical Settings, 13, 343–352. doi.10.1007/s10880-006-9045-4.

Rozensky, R. H. (2011a, August). Psychology in academic health centers: A true healthcare home. Paper presented at the Annual Convention of the American Psychological Association, Washington, DC.

Rozensky, R. H. (2011b). The institution of the institutional practice of psychology: Health care reform and psychology’s future workforce. American Psychologist, 66, 794–808.CrossRef

Rozensky, R. H. (2012). Health care reform: Preparing the psychology workforce. Journal of Clinical Psychology in Medical Settings, 19. doi:10.1007/s10880-011-9287-7.

Rozensky, R. H., Grus, C. L., Belar, C. D., Nelson, P. D., & Kohout, J. L. (2007). Using workforce analysis to answer questions related to the internship imbalance and career pipeline in professional psychology. Training and Education in Professional Psychology, 1, 238–248. doi:10.1037/1931-3918.1.4.238.CrossRef

Rozensky, R. H., & Janicke, D. M. (2012). Commentary: Health care reform and psychology’s workforce: Preparing for the future of pediatric psychology. Journal of Pediatric Psychology, 18, 1–10. doi:10.1093/jpepsy/jsr111.

Rozensky, R. H., Johnson, N. G., Goodheart, C. D., & Hammond, W. R. (2004). Psychology builds a healthy world: Opportunities for research and practice. Washington, DC: American Psychological Association. doi:10.1037/10.CrossRef

Schuetz, B., Mann, E., & Everett, W. (2010). Educating health professionals collaboratively for team-based primary care. Health Affairs, 29, 1476–1480. doi:10.1377/hlthaff.2010.0052.PubMedCrossRef

Shachak, A., & Jadd, A. R. (2010). Electronic health records in the age of social networks and global telecommunications. JAMA, 303, 452–453. doi:10.1001/jama.2010.63.PubMedCrossRef

Silver, R. J. (1996). History of association of medical school professors of psychology. Retrieved from http://www.div12.org/section8/index.html.

Silver, R. J., Carr, J. E., & Leventhal, G. (2005). History of the assocation of medical school psychologists (AMSP). Journal of Clinical Psychology in Medical Settings, 12, 235–245. doi:10.1007/s10880-005-5742-7.CrossRef

Stevens, M. J., & Wedding, D. (Eds.). (2004). Handbook of international psychology. New York, NY: Taylor and Francis.

Tovian, S. (2004). Health services and health care economics: The health psychology marketplace. Health Psychology, 23, 138–141. doi:10.1037/0278-6133.23.2.138.PubMedCrossRef

US Census Bureau. (2011). 2010 census shows America’s diversity. Retrieved from http://2010.census.gov/news/releases/operations/cb11-cn125.html.

Wagner, N. N., & Stegman, K. L. (1964). Psychologists in medical education: 1964. American Psychologist, 19, 689–690. doi:10.1037/h0040248.

Wagner, N. N., & Stegman, K. L. (1968). Psychologists in medical education: A 9-year comparison. Social Science and Medicine, 2, 81–86. doi:10.1016/0037-7856(68)90103-0.

Williams, S., & Wedding, D. (1999). Employment characteristics and salaries of psychologists in United States medical schools: Past and current trends. Journal of Clinical Psychology in Medical Settings, 6, 221–228.CrossRef

Wilson, S. L., Rozensky, R. H., & Weiss, J. (2010). The advisory committee on interdisciplinary community-based linkages and the federal role in advocating for interprofessional education. Journal of Allied Health, 39, 210–215.

Zeiss, A. M., & Karlin, B. E. (2008). Integrating mental health and primary care services in the department of veterans affairs health care system. Journal of Clinical Psychology Medical Settings, 15, 73–78. doi:10.1007/s10880-008-9100-4.CrossRef

Title: Psychology in Academic Health Centers: A True Healthcare Home
Author: Ronald H. Rozensky
Publication date: 01-12-2012
Publisher: Springer US
Published in: Journal of Clinical Psychology in Medical Settings / Issue 4/2012
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-012-9312-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Psychology in Academic Health Centers: A True Healthcare Home

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2012

Transforming Psychology into a True Healthcare Discipline

Managing Behavioral Health Needs of Veterans with Traumatic brain injury (TBI) in Primary Care

Prescribing in Integrated Primary Care: A Path Forward

Balancing Confidentiality and Collaboration Within Multidisciplinary Health Care Teams

Impact of Location and Availability of Behavioral Health Services for Children

Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design