The alcohol training specialty in community-clinical psychology.

Rivers, P. Clayton; Cole, James K.

doi:10.1037/0735-7028.7.2.202

Cited by 4 publications

(6 citation statements)

References 4 publications

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“…Approximately two thirds of the programs responding reported current research projects in this area. In contrast to this modest research emphasis, the findings on training would support earlier indications (e.g., Einstein & Wolfson, 1970;Rivers & Cole, 1976) that clinical psychology graduate programs have weak clinical emphasis in the area of substance abuse. These results indicate that most students receive minimal course work and infrequent direct clinical experience with persons who have problems with substance abuse.…”

Section: Discussionsupporting

confidence: 67%

“…In addition, only a small percentage (7%) of students received direct clinical experience in substance abuse treatment centers. Considering these results, it is not surprising that Rivers and Cole (1976) have stated that "psychologists, like many members of helping professions, share with the public negative attitudes and misconceptions about alcohol problems" (p. 202).…”

Section: Discussionmentioning

confidence: 99%

“…They found that the coverage of drug-related problems was minimal and that the training of the health professionals surveyed was inadequate to resolve the problem. In reference to the 18 graduate professional psychology programs surveyed, Einstein and Wolfson maintained that because psychologists were frequently involved with many aspects of alcoholism including evaluation, treatment, and prevention, "one might conclude that their [psychologists'] training is inadequate" (p. 306), Rivers and Cole (1976) also observed psychology's minimal investment in the area of alcoholism, which may reflect the lack of graduate training that addresses these issues.…”

mentioning

confidence: 99%

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Alcoholism and substance abuse training: A survey of graduate programs in clinical psychology.

Selin¹,

Svanum²

1981

Professional Psychology

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Although alcoholism and abuse of other mood-altering substances are major health and mental health problems in the United States, psychology's investment in these areas has been described as indifferent and sparse. This study surveyed the American Psychological Association 's approved clinical training programs in an attempt to quantify the extent of research activity, clinical course work, and clinical training offered or required of graduate students in these areas. Although results indicated a modest level of research activity, clinical training and course work were found to be minimal. This low level of training in the evaluation, treatment, and prevention of substances abuse was viewed as disproportionately low relative to the magnitude of these problems.Substance abuse in the form of alcoholism and other drug-related problems has become a major U.S. health problem (Califano, 1979). These problems permeate a broad range of social services, including medical, legal, and psychological, and exact an enormous cost to society. Changes at the federal level, namely the creation of the Alcohol, Drug Abuse, and Mental Health Administration, have suggested a rough equivalence of the magnitude and importance of substance abuse problems relative to traditional mental health (Goldberg, 1976). Such a national structure is not surprising, considering that an estimated one fourth of all Veterans Administration (VA) hospital patients have alcohol-related problems (Califano, 1979), and studies on medical hospital wards have indicated that in some hospitals as many as 60% of all male patients were alcoholic (Baekeland & Lundwall, 1977). Research has suggested that at least a quarter of all admissions to psychiatric hospitals are individuals experiencing alcohol-related problems (e.g., Crowley, Chesluck, Dilts, & Hart, 1974). Recent surveys by Cummings (1979) revealed that perhaps as many as 40% of all outpatients seeking psychotherapy are exibiting alcohol or other drug abuse problems, which are either the primary presenting problem or are significantly exacerbating other emotional problems. These and other similar findings suggest that substance abuse problems pervade the entire health care system at a total direct and indirect cost to society that exceeds $40 billion a year (Califano, 1979).This pervasiveness of drug-related problems means that mental health care professionals should have a basic understanding of the evaluation and treatment of alcoholism and drug-related problems. However, Cummings (1979) found that most drug and alcohol problems identified in his surveys of outpatient mental health centers went undetected by the clinic staff. Other researchers have reported similar findings that led Baekeland and Lundwall (1977) to conlude that the detection and treatment of alcoholism by professional health workers "must be one of the most dismal failures ... known to the field of public health" (p. 162).Such a surprising lack of recognition of these problems may partially reflect the inadequacy of training. Several resea...

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Alcoholism and substance abuse training: A survey of graduate programs in clinical psychology.

Selin¹,

Svanum²

1981

Professional Psychology

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“…There appears to be little interest in substance abuse treatment among clinical psychologists (Knox, 1969(Knox, , 1971(Knox, , 1973Morris, 1987;Rivers & Cole;1976;Youngstrom, 1991). Only 504 of the 68,000 psychologists whose names appear in the 1989 American Psychological Association (APA) directory identified substance abuse as being their primary specialty (Youngstrom, 1991).…”

mentioning

confidence: 99%

Substance abuse training in APA-accredited doctoral programs in clinical psychology: A survey.

Chiert¹,

Gold²,

Taylor³

1994

Professional Psychology: Research and Practice

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A survey addressing training provided in the area of substance abuse was mailed to all 160 doctoral clinical psychology programs provisionally and fully accredited by the American Psychological Association (APA). A total of 95 replies were received, yielding a response rate of 59%. This study was conducted to ascertain whether levels of doctoral training in this area have changed appreciably since comparable surveys in 1979 and 1984. Because of the considerable increase in number of APAaccredited PsyD programs since the previous two surveys, it was also possible to compare relative levels of training in substance abuse in PhD, PsyD, and combined PhD/PsyD programs. Survey results did not suggest that substance abuse training either has changed markedly over time or differs substantially across types of degree programs.

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“…Despite the avowed concern for promoting the public welfare included in the mission statements of most human service professions, efforts by these professions, including psychology, to increase the ability of practitioners to identify, assess, and treat such generally acknowledged national scourges as alcoholism and other substance abuses have been less than optimal (Cummings, 1979; Einstein & Wolfson, 1970; Rivers & Cole, 1976). A survey of APA-approved PhD clinical psychology programs in 1979 found that “most students receive minimal course work and infrequent direct clinical experience with persons who have problems with substance abuse” (Selin & Svanum, 1981, p. 720).…”

mentioning

confidence: 99%

Graduate professional psychology training in alcoholism and substance abuse: 1984.

Lubin¹,

Brady²,

Woodward³

et al. 1986

Professional Psychology: Research and Practice

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The alcohol training specialty in community-clinical psychology.

Cited by 4 publications

References 4 publications

Alcoholism and substance abuse training: A survey of graduate programs in clinical psychology.

Alcoholism and substance abuse training: A survey of graduate programs in clinical psychology.

Substance abuse training in APA-accredited doctoral programs in clinical psychology: A survey.

Graduate professional psychology training in alcoholism and substance abuse: 1984.

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