Supervising and supporting trainees with disabilities in the Veterans Health Administration: An overlooked but critical need and opportunity.

Wilbur, Rebecca C.; Lund, Emily M.; Kuemmel, Angela; Publico, Sheena Balolong; Khazem, Lauren R.

doi:10.1037/ser0000663

Cited by 5 publications

(9 citation statements)

References 28 publications

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“…Instead, disability-affirmative, intersectional institutions should take proactive steps to recruit and retain people with disabilities at all levels. Critically, recruitment efforts must be matched with efforts to improve the experiences of these individuals within institutions that are inaccessible, discriminatory, and even dangerous for them (Brown & Ramlackhan, 2022; Lund, Wilbur, et al, 2020; Wilbur et al, 2022). Students with disabilities may experience everything from microaggressions to denial of reasonable accommodations to outright exclusion and may often feel isolated and unwelcome in the field (Lund et al, 2016, 2021), leading to attrition (Callahan et al, 2018) and disenfranchisement (Lund et al, 2016).…”

Section: Applying a Disability-affirmative Intersectional Approach In...mentioning

confidence: 99%

Shifting the discourse on disability: Moving to an inclusive, intersectional focus.

Rea‐Sandin¹,

Lund²,

Fitzpatrick³

et al. 2023

American Journal of Orthopsychiatry

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Individuals with disabilities comprise one of the largest marginalized groups in the United States and experience systemic barriers in health care. In Westernized communities, disability has historically been conceptualized via the medical model, which considers disability an individual-level deficit in need of correction. Although other models of disability (e.g., social model) have been developed to address the medical model's ableist shortcomings, these fail to consistently acknowledge intersectionality. Specifically, these models fail to consider that (a) a disabled individual may hold other marginalized or oppressed identities and (b) these intersecting oppressions may exacerbate health inequities. Intersectionality, which originates from Black feminist literature, describes the ways that systems of power and oppression (e.g., racism, sexism) interact to form an individual's unique experience. To date, the intersection of disability and other marginalized identities has been neglected in psychology and related fields, leaving little guidance for how scholars, clinicians, and other stakeholders can address disability via an intersectional lens. The present article discusses how a disability-affirmative, intersectional approach can serve as a strategy for challenging and reforming oppressive systems across the field of psychology. We assert that, ultimately, this approach has the potential to optimize and expand access to equitable, inclusive mental health care, and we propose actionable steps psychologists can take in research, practice, training, and policy in pursuit of this aim. Public Policy Relevance StatementThis article asserts that an intersectional approach to the conceptualization of disability should be implemented into research, practice, and training in psychology. In doing so, psychologists can improve access, representation, and experiences of disabled individuals, especially those with multiply marginalized identities, with the ultimate goal of reducing health inequities and promoting well-being.

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Section: Applying a Disability-affirmative Intersectional Approach In...mentioning

confidence: 99%

Shifting the discourse on disability: Moving to an inclusive, intersectional focus.

Rea‐Sandin¹,

Lund²,

Fitzpatrick³

et al. 2023

American Journal of Orthopsychiatry

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“…Disabled trainees and psychologists overcome numerous, significant barriers in order to join and engage in the field (Lund et al, 2014(Lund et al, , 2016Lund, Andrews, et al, 2020. For example, disabled trainees often struggle to find mentorship (Lund et al, 2014;Lund, Andrews, et al, 2021), access reasonable accommodations (Lund et al, 2016;Lund, Andrews, et al, 2021;Wilbur et al, 2019Wilbur et al, , 2022, and find disability competent supervision in academics and research (Lund, Hughes, et al, 2021), teaching (Lund, 2021a;Lund & Hanebutt, in press), and clinical work (Wilbur et al, 2019). These types of repeated experiences often leave disabled trainees feeling isolated, unheard, and unsure of their decision to enter psychology at all (Joshi, 2006;Lund et al, 2016;Lund, Andrews, et al, 2020.…”

Section: The Need For Rehabilitation Psychologists To Support Trainee...mentioning

confidence: 99%

“…It might benefit rehabilitation psychologists who work in interdisciplinary settings to become familiar with other organizations for health care professionals and trainees with disabilities such as Docs with Disabilities (https://twitter.com/docswith) and Exceptional Nurse (http://www.exceptionalnurse.com/) to assist in providing some basic resources to other professionals as needed. Rehabilitation psychologists can also work within interdisciplinary teams to combat ableism among clinicians, trainees, and supervisors across fields, as well as systemically within health care systems and facilities that employ and train psychologists (Lund, Wilbur, & Kuemmel, 2020; Wilbur et al, 2022). This systemic advocacy is important in light of the pervasiveness of ableism, especially implicit ableism, among health care professionals and corporate staff (McDonnall et al, 2019; VanPuymbrouck et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Valuing the insider-professional perspective of disability: A call for rehabilitation psychologists to support disabled psychologists and trainees across the profession.

Lund¹

2022

Rehabilitation Psychology

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Purpose/Objective: In this commentary, I call for rehabilitation psychologists to support and advocate for trainees and psychologists with disabilities across the profession as an extension of the foundational principles of the study. Research Method/Design: I reviewed the literature on psychologists and psychology trainees with disabilities, as well as the foundational principles of rehabilitation psychology. Results: A growing body of literature documents both the presence of psychologists and psychology trainees with disabilities and the barriers that they often encounter in the field. One of the foundational principles of rehabilitation psychology and the acknowledgment of the insider–outsider perspective of disability, which holds that disabled individuals, by nature of their lived experience, have unique perspectives on disability that enrich our overall understanding of it. Conclusion/Implications: Through their combination of lived experience and professional expertise, disabled psychologists and trainees bring a critical insider-professional perspective to the field, both inside and outside of rehabilitation psychology. It is both important and in line with our foundational principles that rehabilitation psychologists advocate for psychologists and trainees with disabilities in all settings, so that their important insider-professional perspective on disability can continue to advance the field.

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“…Likewise, the implementation of these services provides benefits that patients of select communities (i.e., rural, persons with disability, etc.) did not previously have (Wilbur et al, 2023). Furthermore, the research of Tugendrajch and colleagues found, providers trainees working with low-income clients benefit from additional supervision time or focused supervision (Tugendrajch et al, 2023).…”

mentioning

confidence: 99%

“…Regarding cultural barriers, one of the articles discusses implementation of cultural genogram as a clinical supervision tool to increase cultural awareness and understanding (Chege et al, 2023). Furthermore, as psychologists, we strive to protect others from harm by protecting marginalized clients (Sewell & Ederer, 2023) as well as empower transgender, nonbinary, and gender expansive trainees (Hashtpari et al, 2023) and trainees with disabilities (Wilbur et al, 2023).…”

mentioning

confidence: 99%

Introduction to the special section: Supervision in publicly funded settings: Best practices.

Arzuyan,

Lara,

2023

Psychological Services

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Supervision of trainee and early career psychologists is the epitome of clinical skill cultivation and mentorship of knowledge passed from an experienced professional supervisor to supervisee. However, supervision is not only a “one-way street” as it has been traditionally regarded. Rather, the supervisor–supervisee dynamic is variable, ranging from didactic, to symbiotic, to everything in between. Our collection of articles explores the various forms of clinical supervision in publicly funded settings. They include integrating three low burden multicomponent supervision approaches, a Primary Care Behavioral Health (PCBH) model (Ogbeide et al., 2023), metacognitive reflection and insight therapy, use of an Adlerian-informed supervision method that integrates the Respectfully Curious Inquiry/Therapeutic Encouragement (RCI/TE) framework, and Heron’s Six Category Intervention Framework (Hamm et al., 2023; McCarty et al., 2023; McMahon et al., 2023; Schriger et al., 2023). Furthermore, this special section applies to various demographics of supervisees, clients, and supervisee–client dyads including the military culture setting, youth with publicly funded insurance, clients with psychosis, trainees with disabilities, and frontline staff at nonprofit organizations (Dawson & Chunga, 2023; Hamm et al., 2023; Reddy et al., 2023; Schriger et al., 2023; Wilbur et al., 2023). Barriers tackled include administrative and fiscal challenges, reduced availability of supervisors, and burnout in highly traumatized environments (Dawson & Chunga, 2023; McCarty et al., 2023; Schriger et al., 2023). Finally, these diverse clinical frameworks of distinct supervisor–supervisee–client pairings foster increasing feelings of connection, clinical competence, disability-affirmative training environments, supervisee self-awareness and self-efficacy, and increased antiracism in supervision (McCarty et al., 2023; McDonald et al., 2023; Wilbur et al., 2023).

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Supervising and supporting trainees with disabilities in the Veterans Health Administration: An overlooked but critical need and opportunity.

Cited by 5 publications

References 28 publications

Shifting the discourse on disability: Moving to an inclusive, intersectional focus.

Shifting the discourse on disability: Moving to an inclusive, intersectional focus.

Valuing the insider-professional perspective of disability: A call for rehabilitation psychologists to support disabled psychologists and trainees across the profession.

Introduction to the special section: Supervision in publicly funded settings: Best practices.

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