“…Expanding traditional notions of rural ethics (Schank & Skovholt, 2006) These findings aligned with ethical issues for rural psychologists identified in the literature (Schank et al, 2010;Schank & Skovholt, 1997;Schank & Skovholt, 2006) and extended applications to IBHC settings. For example, Schank and Skovholt (2006) noted, "small community psychologists are likely to have out of session contact with clients" (p. 56). This was true in my study as psychologists discussed dual relationships and maintaining boundaries with people who are patients when outside of the clinic setting.…”
Section: Nature Of the Work For Rurally Located Ibhc Psychologists Csupporting
confidence: 55%
“…The role of flexible generalist identified across interviews also aligned with existing literature (Heyman & VandenBos, 1989;Sobel, 1984). Schank and Skovholt (2006) state that in rural areas the "need to be a generalist requires the ability to work with diverse problems and cope with a relative lack of other resources in the community" (p. 6). As it applies to IBHC settings, participants spoke of pressure from other health professionals to be flexible as well as the issue of having a lack of referral sources nearby, similar to scholarship published by Hogan (2003).…”
Section: Nature Of the Work For Rurally Located Ibhc Psychologists Cmentioning
Research on psychologists in integrated behavioral health care (IBHC) remains sparse (McDaniel et al., 2014) and appears non-existent for rurally located psychologists. A study of doctoral-level licensed psychologists practicing in rurally located IBHC settings was conducted. The study had three main objectives: to understand the nature of the work of rural psychologists in IBHC, to explore what impacts the rural and IBHC setting have on psychologists, and to identify the characteristics that psychologists perceive as important for working effectively in rurally located IBHC settings. Eight participants completed in-person semi-structured interviews. A qualitative methodological approach using Consensual Qualitative Research (CQR) (Hill et al., 2005) focused on accumulating information-rich data that may be relevant (Packer, 2010)
“…Expanding traditional notions of rural ethics (Schank & Skovholt, 2006) These findings aligned with ethical issues for rural psychologists identified in the literature (Schank et al, 2010;Schank & Skovholt, 1997;Schank & Skovholt, 2006) and extended applications to IBHC settings. For example, Schank and Skovholt (2006) noted, "small community psychologists are likely to have out of session contact with clients" (p. 56). This was true in my study as psychologists discussed dual relationships and maintaining boundaries with people who are patients when outside of the clinic setting.…”
Section: Nature Of the Work For Rurally Located Ibhc Psychologists Csupporting
confidence: 55%
“…The role of flexible generalist identified across interviews also aligned with existing literature (Heyman & VandenBos, 1989;Sobel, 1984). Schank and Skovholt (2006) state that in rural areas the "need to be a generalist requires the ability to work with diverse problems and cope with a relative lack of other resources in the community" (p. 6). As it applies to IBHC settings, participants spoke of pressure from other health professionals to be flexible as well as the issue of having a lack of referral sources nearby, similar to scholarship published by Hogan (2003).…”
Section: Nature Of the Work For Rurally Located Ibhc Psychologists Cmentioning
Research on psychologists in integrated behavioral health care (IBHC) remains sparse (McDaniel et al., 2014) and appears non-existent for rurally located psychologists. A study of doctoral-level licensed psychologists practicing in rurally located IBHC settings was conducted. The study had three main objectives: to understand the nature of the work of rural psychologists in IBHC, to explore what impacts the rural and IBHC setting have on psychologists, and to identify the characteristics that psychologists perceive as important for working effectively in rurally located IBHC settings. Eight participants completed in-person semi-structured interviews. A qualitative methodological approach using Consensual Qualitative Research (CQR) (Hill et al., 2005) focused on accumulating information-rich data that may be relevant (Packer, 2010)
“…Many mral areas have few, if any, mental health providers (Helbok, Marinelli, & Walls, 2006;Schank & Skovholt, 2006) and, as a result, mental health professionals in these areas may encounter issues related to clinical competence because they may need to stretch their experiise in order to serve clients (Helbok et al, 2006). Further, the lack of providers, combined with the significant issues faced by rural residents, can lead to a sense that there is not enough time in the day or week to meet the clinical needs of community members, let alone be involved in time-consuming (and nonreimbursable) advocacy efforts on behalf of individual clients or the larger community.…”
Practitioners who wish to advocate for clients or respond to larger social justice issues have little practical guidance. Depending on contextual factors, there may be numerous issues to consider before deciding whether to become involved in social justice advocacy. The challenges associated with practicing in a small community amplify the need to carefully consider whether or how to act as an advocate. In this study, eight rural mental health professionals were interviewed about the benefits and challenges of rural practice, experience with social justice advocacy, and perspectives on participating in advocacy about contentious social justice issues. The results highlight how the context of rural community practice affects decisions regarding advocating for clients or responding to larger social justice issues.
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