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“…A series of studies over the past 11 years has yielded somewhat varying results, but taken together they converge on the conclusion that a majority of clinical psychologists do not want prescriptive authority for themselves, though some of them are willing, altruistically, to see it made available to their colleagues. (Bascue & Zlotowski, 1981;Jarnett & Fairbank, 1987;Boswell et al, 1988;Piotrowski, 1989;Piotrowski & Lubin, 1989;Massoth et al, 1990;Boswell & Litwin, 1992;Piotrowski & Keller, 1996. ) Opposition to RxP within psychology does not come from a negligible, disgruntled rump of the profession.…”
Section: In the Spotlight: Our Divided Professionmentioning
The focus of this article is the probable consequences, in the event psychologists aggressively pursue prescription privileges (RxP), upon collaboration between psychologists and physicians. The case for RxP is briefly and critically summarized and the current state of collaboration between psychologists and medical professionals is reviewed. Data are presented from a recent small survey of clinical psychologists that support the following hypotheses: (1) psychiatrists and other medical professional receive a consequential volume of referrals from psychologists which would be diminished by RxP; (2) psychologists receive referrals for psychosocial services from medical professionals which would be diminished by RxP; (3) psychologists anticipate an adverse effect upon collaboration from RxP; and (4) contrary to some claims, psychologists are at best divided over RxP. Implications of these findings upon interprofessional collaboration are discussed.
“…A series of studies over the past 11 years has yielded somewhat varying results, but taken together they converge on the conclusion that a majority of clinical psychologists do not want prescriptive authority for themselves, though some of them are willing, altruistically, to see it made available to their colleagues. (Bascue & Zlotowski, 1981;Jarnett & Fairbank, 1987;Boswell et al, 1988;Piotrowski, 1989;Piotrowski & Lubin, 1989;Massoth et al, 1990;Boswell & Litwin, 1992;Piotrowski & Keller, 1996. ) Opposition to RxP within psychology does not come from a negligible, disgruntled rump of the profession.…”
Section: In the Spotlight: Our Divided Professionmentioning
The focus of this article is the probable consequences, in the event psychologists aggressively pursue prescription privileges (RxP), upon collaboration between psychologists and physicians. The case for RxP is briefly and critically summarized and the current state of collaboration between psychologists and medical professionals is reviewed. Data are presented from a recent small survey of clinical psychologists that support the following hypotheses: (1) psychiatrists and other medical professional receive a consequential volume of referrals from psychologists which would be diminished by RxP; (2) psychologists receive referrals for psychosocial services from medical professionals which would be diminished by RxP; (3) psychologists anticipate an adverse effect upon collaboration from RxP; and (4) contrary to some claims, psychologists are at best divided over RxP. Implications of these findings upon interprofessional collaboration are discussed.
Following a veto of a prescriptive authority (RxP) bill in Oregon, 397 of 743 randomly selected psychologists were surveyed online regarding their attitudes and knowledge. Participants were randomly assigned to a control (n = 203) or education (n = 194) condition. After being exposed to information regarding access, training, and legislation, education participants completed post‐test measures. Evidence supporting proponents’ argument of improved access was not forthcoming. There was a division about scope expansion (43% support, 32% opposed, 25% undecided). Respondents’ knowledge of RxP was minimal, but education increased knowledge. Views were more stable, with attitudes shifting only in targeted areas. Using a “cultural cognition” framework, the discussion centers on exploring the need to evaluate RxP and use this information to educate psychologists about this issue.
“…It is not intended as a standard model for all graduate students in all programs. The training “market,” the need to promote RxP legislative initiatives, and the needs of underserved mental health care consumers are important in the consideration of predoctoral RxP curriculums. Cost considerations, also, have a major impact on reported willingness to take RxP training (Fagan et al, ; Simpson & Kluck, ), and the preponderance of survey data reflects an interest in having such training begin at the predoctoral level (Ax et al, ; Boswell & Litwin, ; Fagan et al, ; Simpson & Kluck). If psychology ignores these pragmatic issues, then it puts at risk its continued relevance as a health care profession.…”
Section: Foundational Issues and Parametersmentioning
The purpose of the current article is to encourage discussion among stakeholders about the viability and benefits of predoctoral prescriptive authority (RxP) training. The existing APA model curriculum for RxP training requires that such training is postdoctoral. However, predoctoral models are potentially viable and offer several distinct advantages: reducing the time and financial costs of training, attracting more applicants with a biopsychosocial orientation, and, as more individuals complete this training, enlarging the constituency for state prescriptive authority initiatives. Several possible predoctoral model curricula including the incorporation of a postdoctoral master's degree in clinical psychopharmacology are described within existing APA PhD program requirements, with suggested accommodations for PsyD programs. These are offered as alternatives to, rather than as replacements for, postdoctoral training for RxP.
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