Pikes Peak model for training in professional geropsychology.

The aging of the population will increase demand for psychological services for older adults, which challenges the profession of psychology to provide those services. In response to that challenge, professional geropsychology has been developing over the past few decades to meet current and prepare for anticipated future demand. The development of a range of training opportunities is important to enable psychologists to work effectively with older adults. This article describes the Pikes Peak model for training in professional geropsychology. The model is an aspirational, competencies-based approach to training professional geropsychologists that allows for entry points at multiple levels of professional development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attitude, knowledge, and skill competencies for practice in professional geropsychology: Implications for training and building a geropsychology workforce.

Professional geropsychology is a growing area of practice and training. To meet the mental health needs of an aging population, increasing numbers of psychologists need to develop competence to work with older adults, their families, and related care systems. The Pikes Peak model for geropsychology training (Knight, Karel, Hinrichsen, Qualls, & Duffy, 2009) delineates attitude, knowledge, and skill competencies for professional geropsychology practice and makes recommendations for training. In this paper, we define and illustrate the Pikes Peak geropsychology practice competencies through a case example. In the case, an older man with complex needs seeks care through a generalist psychologist in an outpatient setting. The attitudes, knowledge, and skills that the psychologist needs to consider, and implications for training, are reviewed. Training recommendations and resources are provided, with a focus on the training needs of psychologists who wish to expand their practices to include older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Competency-based geropsychology training in doctoral internships and postdoctoral fellowships.

Opportunities for geropsychology training in doctoral internships and postdoctoral fellowships have slowly grown over the years. There will be a need for more geropsychology training programs as the U.S. population ages concurrent with increased demand for mental health services from older adults. This article provides recommendations for competency-based geropsychology training that derive from the Pikes Peak Model for Training in Professional Geropsychology. We believe the recommendations provide useful guidance to existing internships and postdoctoral fellowships that offer geropsychology training, as well as to those who would like to establish programs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of geropsychology training.

What effect does a geropsychology practicum placement have on graduate students' knowledge of and attitudes toward older adults? Ninety psychology externs and interns were surveyed at the beginning of the training year and then 9 months later. About half of the trainees provided services in settings that served older adults, whereas the remainder did not. At the end of training, those with a geropsychology placement maintained higher interest in geropsychology, had lower negative attitudes toward older people, and had greater knowledge of mental health and aging than trainees without a geropsychology placement. There were no differences between the two placement groups in knowledge of general facts on aging and positive attitudes toward the aged. The implications of the findings for graduate program directors, training psychologists, and graduate students are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Predoctoral Internship: Is Current Training Anachronistic?

The historical context of the predoctoral internship system is contrasted with the current state of graduate training. The internship system emerged because psychology students often acquired insufficient clinical experience during graduate training in the mid-20th century. However, modern graduate training typically involves extensive supervised clinical contact prior to internship. Moreover, traditional internships exact significant financial, psychological, and personal costs from students. The authors conclude with a discussion of recent progress in the internship process, promising alternatives to traditional internship training (i.e., elective internship training, distributed clinical training, and the affiliated internship model), and implications for the profession. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Model for Predoctoral Psychopharmacology Training: Shaping a New Frontier in Clinical Psychology.

Patients routinely ask psychologists questions about psychoactive medications. In addition, psychologists frequently encounter patients having problems with their medications. How will doctoral training programs respond to the dilemma of providing their students with a basic level of knowledge in psychopharmacology without adding to the length of the doctoral curriculum? Although postdoctoral training models have been developed for psychologists who seek extended specialized training in Psychopharmacology, the authors propose that some predoctoral training in psychopharmacology and related topics is critical to prepare graduates to meet mental health needs, particularly for underserved populations. The authors present a model through which psychopharmacology course work can be integrated into the predoctoral curriculum without compromising course work in basic psychology or extending the length of training. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Process of Selecting Predoctoral Internship Training Sites.

The authors believe that their present approach to internship center placement is beneficial to both clinical psychology graduate students and internship centers. The students have become actively involved and are a very important part of the process. This approach minimizes the effort of the graduate students in selecting an excellent internship and reduces the amount of work, time, and energy devoted to the process in both the psychology department and the internship center. The authors hope this approach will be of value to other psychology departments in the selection and processing of their graduate students for internship centers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of working with older adults in an Australian psychologist sample: Revisiting the influence of contact.

Despite increasing numbers of older people in most global populations and increasing evidence of the efficacy of psychological therapy in older clinical populations, few psychologists work with older clients as compared with other clinical groups. In the present research, the authors examine potential influences on psychologists choosing to specialize in working in the field of aging. The authors surveyed 1,498 psychologists Australia-wide to examine which factors exerted the most influence on choosing to specialize in clinical work with older clients. Clinical exposure to older clients and age-related course content within training programs, together with further education external to formal training, were significantly correlated with specializing in aged care. Holding a more negative attitude toward one's own aging was another predictor of specialist category membership, with interest in working with older clients also being a significant factor based on direct logistic regression analysis. In contrast to previous work, amount or quality of contact with older persons did not appear to relate to working with older adults. These findings highlight the importance of quality training experiences in influencing attitudes toward working with older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Predoctoral Field Placement in Primary Care: Keeping It Simple.

The supply of psychologists with clinical experience in primary care settings has not kept pace with the growing demand. Pre- and postdoctoral training opportunities in primary care are rare, in part, because of the administrative, cultural, and educational complexities associated with interdisciplinary training endeavors. The authors describe the development of a modest, half-day primary care placement that is offered as part of a predoctoral internship in child clinical psychology. They provide a model and recommendations for exposing trainees and other interested practitioners to the themes, culture, and clinical opportunities of primary care, while avoiding many of the logistical problems that can encumber such efforts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy in long-term care: II. Evidence-based psychological treatments and other outcome research.

This article is the 2nd of 2 that together examine 3 domains important to providing high-quality, evidence-based services to long-term care (LTC) facility residents: policy and advocacy, practical considerations, and outcome research. Older adults who reside in LTC facilities have a very high rate of mental health difficulties. Psychologists have been able to provide services to this population through Medicare since the late 1980s, and empirical findings on treatment approaches are important in guiding psychotherapists to more helpful intervention. The focus of this article is outcome research in LTC settings. This article emphasizes evidence-based psychological treatments (EBTs) but also examines other scientifically supported approaches and discusses the strengths and limitations of focusing on EBTs, as well as general issues in the relation between science and practice in the provision of psychotherapy in LTC settings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Geropsychology training in Canada: A survey of doctoral and internship programs.

The Canadian Psychological Association emphasises the importance of diversity training for doctoral and internship programs, and age is an important aspect of diversity. Yet, little is known about training capacity in clinical geropsychology in Canada. To address this issue, the authors surveyed directors of clinical training in all accredited clinical and counselling psychology doctoral and internship programs in Canada. Responses from 92% (n = 43) of these programs indicated that there are no doctoral programs in Canada with a formal concentration in geropsychology; however, 40% of internships offer a major rotation in geropsychology and a further 48% offer a minor rotation. Training activities are largely focused on the diagnosis and assessment of mental health problems, with relatively less attention to therapeutic interventions. Data are presented on the availability of geropsychology resources (e.g., faculty/clinical supervisors, courses, practicum, research opportunities) and the perceived need for geropsychology training. Recommendations for enhancing geropsychology training capacity in Canada are reviewed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of environmental support and strategy training on older adults' use of context.

Age-related cognitive differences may be due, in part, to difficulties using task-relevant context in a proactive manner. Two studies evaluated different methods for increasing older adults' use of context in the AX-Continuous Performance Task (H. E. Rosvold, A. F. Mirsky, I. Sarason, E. D. Bransome, & L. H. Beck, 1956), which evaluates components of context processing. The results suggest that (a) age differences in the use of context are not due to reduced access to cue information, (b) directed strategy training made older adults' context processing performance more like that of young adults, and (c) similar performance changes could be observed with less directed instruction and extended practice. These results suggest that age-related differences in context processing can be ameliorated by directed strategy training or extended practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy in long-term care: I. Practical considerations and the link to policy and advocacy.

This article is the 1st of 2 examining 3 domains that are important to providing high-quality, evidence-based services to long-term care (LTC) residents: policy and advocacy, practical considerations, and outcome research. Older adults who reside in LTC facilities have a very high rate of mental health difficulties. Psychologists have been able to provide services to this population through Medicare since the late 1980s, resulting in an increase in psychologists who are working with LTC residents, either as part of their practice or on a full-time basis. The focus of this article is on practical considerations for therapists in LTC settings from both the published literature and personal observations (including an illustrative case example), the current policy environment, and the importance of advocacy on behalf of clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The graduate research training environment in professional psychology: A multilevel investigation.

Very little program-level research on psychology graduate research training environments (RTEs) exists despite the RTE being a program-level (vs. student-level) construct. In the current study, the authors investigated correlates of programs' RTEs, including characteristics of the students, the faculty, and the programs themselves. Proportional stratified sampling of American Psychological Association-accredited PhD programs in clinical, counseling, and school psychology yielded data from 40 programs. Students and faculty in those programs completed Internet questionnaires, and additional faculty and program characteristics were coded. Hierarchical linear modeling analyses revealed that programs with positive student-rated RTEs had faculty who also viewed the RTE as positive and had satisfying faculty–student relations. These programs also had students with higher levels of research interest and stronger advisory alliances, yet within-program student differences in the RTE explained more variance in these student characteristics than did between-programs differences. This research supports the value of examining the RTE at both the student and program levels, and it suggests that training interventions ought to occur at both levels. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Memory training and strategy use in older adults: Results from the ACTIVE study.

Little is known about the long-term effects of memory training in later life on strategy use. Data from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study (n = 1,401) were used to describe strategy use in a community-dwelling sample of older adults. Strategy clustering scores on verbal list learning tasks of episodic memory were used to test the impact of memory training on strategy use and study longitudinal associations between strategy clustering, memory performance, and everyday functioning. Results suggested that younger, female, white, healthier, and more educated participants show higher strategy clustering scores initially but no characteristics were consistently associated with different trajectories in strategy clustering across all strategy clustering measures together. Memory training had significant immediate effects on all measures of strategy use that were maintained through five years of follow-up. With respect to longitudinal mediation, pre-post training changes in most strategy clustering scores mediate changes in objective memory performance and everyday functioning, implying that strategies can be modified and are closely related to both memory ability and the ability to function independently. This study provides evidence that older adults can be trained to use cognitive strategies, the effects are durable, and strategies are associated with memory and everyday functioning. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Applying for the predoctoral internship: Training program strategies to help students prepare.

The predoctoral internship signifies the culmination of applied training in professional psychology. With the increasing supply and demand gap, securing an internship has become competitive and has resulted in many students employing a wide variety of steps in an attempt to ensure a successful internship application. However, little is known about how academic training programs assist students in applying for an internship. The purpose of this study was to describe what activities training programs engage in to prepare their students for the internship application process, and to better understand students' perception of their preparedness to apply as well as to understand their experience applying. The results suggested that training programs prepared students well for general aspects of the process but did not adequately prepare them for the more specific tasks related to the application process. Results also suggested that while the students didn't find the application process confusing or difficult they found it stressful and anxiety provoking. Suggestions for programs to inform and assist their students in preparing for applying are presented as well as recommendations for future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Training Primary Care Psychologists: A Model for Predoctoral Programs.

This article focuses on blueprints for developing primary care psychology training in graduate psychology programs. The rationale and the foundations for establishing primary care psychology as a generalist model in clinical programs are identified. An outline of a core curriculum for multiprofessional training and an introductory knowledge base for primary care psychology is presented. Finally, a developmental model for primary care practicum training and supervision is described and exemplified. Funding issues, faculty development, and student evaluations of this training are discussed. This article represents the ever-evolving model and lessons learned through 10 years of experience in collaborative programs among Wright State University's School of Professional Psychology, the School of Medicine, the College of Nursing and Health, and a set of urban community health centers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

APA-accredited predoctoral internships for doctoral training in psychology: 1985.

The Committee on Accreditation has accredited the predoctoral internship training programs in psychology offered by the agencies listed in this article. There are three categories of accreditation. Full accreditation is granted to any program that, in the professional judgment of the Committee, meets the criteria in a satisfactory manner. Provisional accreditation is granted to programs making initial application that, in the professional judgment of the Committee, do not meet all the criteria but for which the Committee believes there is a reasonable expectation that they will be met within a foreseeable period of time from the date of the initial site visit. Probation is the category into which a fully accredited program is placed when the Committee has evidence that it is not currently in satisfactory compliance with the criteria. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Canadian graduate training in psychology.

As a result of a questionnaire sent to all Canadian graduate training schools in psychology, a tabulation was made of a) qualifications for admission to each programme, b) graduate training specialty in each department, c) broad numerical comparisons of size of university with number applying and accepted for study. Overall the results indicate that the minimum qualifications for entry are a B average in 7 or 8 undergraduate psychology courses including basic experimental psychology and statistics. Qualifying years are usually offered to those who do not reach these minima. (PsycINFO Database Record (c) 2010 APA, all rights reserved)