Clinical Practice in America Today
Length: 110 minutes
Session offered by the APA Committee for the Advancement of Professional Practice. This symposium will present several new interventions for people with serious mental illnesses (SMI). First, for children with severe emotional disturbances, medication often is a component of care; however, adverse events associated psychotropic medications are frequent. Clinical trials of the use of complementary and alternative treatments will be reviewed. Next, for hospitalized adults who are prescribed psychotropic medication, a collaborative approach to psychopharmacology will be presented that assists individuals to take active steps towards recovery and resilience to encourage medication adherence and improve treatment outcomes. Next, psychologists’ roles in preventing suicide in maximum security settings will be presented. Special attention will be paid to the essential elements of a comprehensive suicide risk assessment, which must be accomplished before removing a person from suicide watch status. Next, an overview of the treatment of PTSD in persons with SMI will be discussed. Trauma exposure in people with SMI is associated with more severe symptoms and distress, more impaired psychosocial functioning, poorer health, greater use of costly emergency and inpatient psychiatric treatment, and higher rates of PTSD. A review of treatment models targeting trauma-related problems, including results from two randomized controlled trials of a cognitive-behavioral treatment model, the Cognitive Restructuring Program, will be described. Finally, the Thinking Skills for Work program (TSW) which combines cognitive task practice, strategy coaching, and compensatory strategies with employment services will be presented. Employment is a highly sought recovery goal of persons with SMI, and is associated with modest clinical, financial, and social benefits, but cognitive impairments occurring in persons with SMI diminish the ability to profit from rehabilitation programs, including supported employment, an evidence based practice. The results from a large, two-site, randomized controlled trial of the TSW program, and one and two year follow up results including competitive work over two years, will be described.
Learning Objective 1
Participants will gain an understanding of the key issues related to the evolution of doctoral level practice in psychology and be able to identify at least 2 of the main issues that are relevant for their specific area of practice.
Learning Objective 2
Participants will gain a better awareness of the current issues impacting the practice of psychology, and their effect on the public’s access to quality treatment. In conjunction with this, participants will be able to identify at least 2 of the main issues that limit access to their practice.
Learning Objective 3
Participants will gain a greater awareness of how APA supports practice through legislative, educational, and other activities and identify at least 2 of these methods of relevance to their state and the nation. They will also have an opportunity to provide input about current practitioner needs and additional ways in which APA can support practitioners.
Thomas J. DeMaio, PhD; Peter Sheras, PhD, Monica Kurylo, PhD, Peter M. Oppenheimer, PhD; Katherine Nordal, PhD; Pauline Wallin, PhD
- Clinical Practice in America Today