Abstract:There is a paucity of literature that addresses emergency coverage in psychology department training clinics. A survey of after-hours emergency coverage procedures in psychology training clinics affiliated with doctoral programs in clinical or professional psychology indicated that 75% of these clinics have some form of after-hours emergency coverage. A chi-square analysis did not show a relationship between criteria for excluding people from clinical services and the decision to provide after-hours emergency … Show more
“…Stevenson and Norcross also found that 63% of TCs were open beyond the academic year. Bernstein et al (1991) found that 86% of the clinics in their sample operated year round, but they surveyed the National Council of Schools of Professional Psychology as well as the ADPTC, so the samples may not be comparable.…”
“…Stevenson and Norcross also found that 63% of TCs were open beyond the academic year. Bernstein et al (1991) found that 86% of the clinics in their sample operated year round, but they surveyed the National Council of Schools of Professional Psychology as well as the ADPTC, so the samples may not be comparable.…”
“…It follows that some therapists may overtly or covertly wish to avoid these potentially troublesome patients. Indeed, in their survey of psychology training clinics, Bernstein, Feldberg, and Brown (1991) found that a high percentage of clinics (59%) have exclusionary criteria and do not provide services to suicidal clients. Although there may be a wish to avoid such patients, these suffering individuals are both clinically common and often quite responsive to competent care.…”
Section: Malpractice and The Suicidal Patientmentioning
confidence: 99%
“…Step 2: Maintain a Written Policy and Procedure Statement Although private practitioners may not have specific policy statements, agency settings should always have a detailed writ-ten statement specific to the risk management policy of dealing with suicidal patients. (It should be noted, however, that written policy statements about emergency procedures are often rare or nonexistent in clinic settings-refer to Bernstein, Feldberg, & Brown, 1991. ) Ideally, written policy can be included as part of a larger agency manual of policies and procedures.…”
This article broadly addresses policies and procedures as well as issues of liability and malpractice related to working with suicidal outpatients in agency and private practice settings. Issues related to ethical practice with suicidal patients are raised, general recommendations for risk management are discussed, and a step-by-step model for establishing, assessing, and/or revising suicide policies and procedures is presented. Also provided are concrete and practical suggestions to improve clinical practice with suicidal patients that may significantly decrease the risk of malpractice liability and ultimately provide better clinical care to these patients.
“…Kranz (1985) and Covino (1989) have suggested that psychology graduate and professional school programs have been deficient in teaching the skills needed for dealing with behavioral emergencies. Data that support their contention has been presented in the survey of after-hours coverage in psychology training clinics by Bernstein, Feldberg, and Brown (1991). These investigators concluded that "the current standard for training clinics in emergency coverage appears to be less than adequate" (p. 207).…”
Section: Preparing Clinicians To Cope With Patient Life-threatening Bmentioning
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