Presidential reflections: Past and future.

DeLeon, Patrick H.

doi:10.1037/0003-066x.57.6-7.425

Cited by 21 publications

(23 citation statements)

References 22 publications

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“…Disagreement over the utilization of technology with therapy, often referred to as telehealth or telepsychology, has received increasing attention in recent years. Despite disagreements, many believe clinicians wish to reach consensus and adopt a universal stance to direct discussion and research efforts (DeLeon, ). With increasing evidence demonstrating efficacy (e.g., Beard & Amir, ; Greist, ; Tate & Zabinski, ; White, Jones, & McGarry, ), including meta‐analyses finding electronic forms of interventions to yield an overall effect size of .53, similar to those achieved by face‐to‐face interventions (Barak, Hen, Boniel‐Nissim, & Shapira, ), it is reasonable to hypothesize a shift in attitudes towards endorsement of telehealth modalities.…”

Section: Benefits and Considerationsmentioning

confidence: 99%

Attitudes Toward Psychological Telehealth: Current and Future Clinical Psychologists’ Opinions of Internet‐Based Interventions

et al. 2012

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Section: Benefits and Considerationsmentioning

confidence: 99%

Attitudes Toward Psychological Telehealth: Current and Future Clinical Psychologists’ Opinions of Internet‐Based Interventions

et al. 2012

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“…APA has allocated considerable resources to promoting RxP. By 2001, APA had spent more than $1 million on the RxP legislative agenda (DeLeon, 2002). The APAPO has provided grants to state psychological associations to support RxP lobbying.…”

Section: The Rxp Legislative Recordmentioning

confidence: 99%

Psychologists and medications in the era of interprofessional care: Collaboration is less problematic and costly than prescribing.

Robiner¹,

Tumlin²,

Tompkins³

2013

Clinical Psychology: Science and Practice

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Increasing emphasis on interprofessionalism and teamwork in healthcare renders psychologists' collaborations critical and invites reexamination of psychologists' roles related to medications. The Collaboration Level outlined by the APA's Ad Hoc Task Force is more achievable and in synch with health reform than prescription privileges (RxP). RxP remains controversial due to training and safety concerns, lacking support from health professionals, psychologists, and consumers. Differences in educational preparation of psychologists relative to prescribing professionals are discussed. Enactment of only three of 170 RxP initiatives reveals RxP to be a costly, ineffectual agenda. Alternatives (e.g., integrated care, collaboration, telehealth) increase access without risks associated with lesser medical knowledge. Concerns about RxP and the movement toward team-based care warrant reconsideration of the profession's objectives regarding psychopharmacology. Collaboration and Prescribing 3Psychologists and Medications in the Era of Interprofessional Care: Collaboration is Less Problematic and Costly Than PrescribingThe premise that doctoral-level psychologists should prescribe psychoactive medications to meet mental health needs that are unmet by current prescribers, while theoretically helpful if done well, warrants reassessment as we enter an era emphasizing team-based healthcare. Concerns about the background, breadth and comprehensiveness of training for prescribing that the American Psychological Association (APA) currently advocates to complement psychologists' doctoral training (i.e., most of which is not oriented toward preparing to prescribe) have been raised; many psychologists believing that if psychologists are to prescribe their knowledge and training should be equivalent with that of other prescribers (Baird, 2007). Compromised training for prescribing raises questions about quality and safety that pose both regulatory and public health concerns, and uneasiness for numerous stakeholders. Consideration of whether or not organized psychology should pursue prescriptive authority also should be assessed within the context of existing alternatives-e.g., interdisciplinary care, in which psychologists collaborate with other professionals whose medical training allows more comprehensive management of medications compelling healthcare trends that provide psychologists opportunities to contribute substantively to patient care, but that lack the controversy of the agenda promoting prescription privileges for psychologists (RxP). We also review some of the history and concerns about psychologist prescribing, the relative limitations of the APA training model, and the impact of the pursuit of prescription privileges on the field, including the limited success and substantial costs of its legislative record. Medication TrendsMedications serve important roles in the arsenal of mental health treatments.According to the Substance Abuse and Mental Health Services Administration (SAMHSA; 2012), use of psychoactive medi...

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“…I found myself moving from attempting to implement specific changes to instead facilitating the efforts of others to develop a more holistic vision for the field. However, throughout this journey, I have always first asked the underlying question: What would be best for society (DeLeon, 2001(DeLeon, , 2002?…”

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confidence: 99%

Reflections upon a very rewarding journey: Almost a decade later.

DeLeon¹

2008

Rehabilitation Psychology

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Serving as APA President is a wonderful experience that provides an opportunity to truly make a difference for psychology and our nation. Psychology's ability to influence national policy requires the association and its president appreciate the potential of the discipline to effect national policy. APA governance should focus upon the development of substantive, meaningful policy agendas, not merely those of interest to a few or upon internal governance politics. New leaders must recognize the importance of both the broad perspective addressing all of psychology and the relatively short window of achieving results. Leaders must develop the next generation of leaders and facilitate their integration into the new roles. In this paper, I discuss my experience as President of the American Psychological Association, and how I believe leadership in APA can make a difference.

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Presidential reflections: Past and future.

Cited by 21 publications

References 22 publications

Attitudes Toward Psychological Telehealth: Current and Future Clinical Psychologists’ Opinions of Internet‐Based Interventions

Attitudes Toward Psychological Telehealth: Current and Future Clinical Psychologists’ Opinions of Internet‐Based Interventions

Psychologists and medications in the era of interprofessional care: Collaboration is less problematic and costly than prescribing.

Reflections upon a very rewarding journey: Almost a decade later.

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