The past, present and future of clinical psychology training

Methley, Abigail; Sawer, Francesca; Randall-James, James; Persson, Joanne K.

doi:10.53841/bpscpf.2016.1.277.3

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…There have been significant cuts to the funding of clinical psychology training places in the UK since 2004 which has impacted on provision of psychological services 80 . Failure to address the shortage of UK clinical psychologists in bariatric surgery is likely to impact on the quality and availability of the pre‐ and post‐operative bariatric surgical care provided.…”

Section: The Clinical Reality Of the Implementation Of Bariatric Guid...mentioning

confidence: 99%

“…There have been significant cuts to the funding of clinical psychology training places in the UK since 2004 which has impacted on provision of psychological services. 80 Failure to address the shortage of UK clinical psychologists in bariatric surgery is likely to impact on the quality and availability of the pre‐ and post‐operative bariatric surgical care provided. Specifically, the risk is that more patients will experience significant difficulties post‐surgery if they have proceeded to surgery without adequate psychological preparation and support before surgery.…”

Section: The Clinical Reality Of the Implementation Of Bariatric Guid...mentioning

confidence: 99%

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The forgotten patient: A psychological perspective on the implementation of bariatric surgery guidelines

Johnston

Jackson

Hilton

et al. 2023

Obesity Science & Practice

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There is strong evidence demonstrating the impact of bariatric surgery on weight‐loss and comorbidity improvement. In the UK, there is specific guidance to facilitate the assessment of a person's suitability for bariatric surgery. This paper highlights the clinical reality of routinely implementing this guidance, supported by literature and the perspectives of practicing psychologists. The consequences of the implementation of clinical guidelines within the context of the typical biopsychosocial profile of those referred for bariatric surgery are discussed. The ramifications of a screening approach rather than a clinical formulation‐based approach to assessment, impact of a possible unconscious bias in commissioning and an overemphasis on a biomedical model approach to treatment are also presented. These contextual factors are argued to contribute to a population of “forgotten patients” that is, patients who have been assessed as not suitable for bariatric surgery, and thus “stuck” in their journey toward better health. For these individuals the only option left are energy balance only approaches, which are the very same approaches to weight‐loss and comorbidity improvement that have been attempted, often for many years. Not only have these approaches not resulted in weight‐loss and health improvement, they also fail to address the underlying psychological causes of obesity. Consequently, this lack of support means that patients continue to suffer from poor quality of life, with no clear pathway to improved health and wellbeing. This paper illuminates the clear gaps in weight management service provision, the implementation of guidelines in practice, and offers practical suggestions to reduce the unintended consequences of clinical guidelines for bariatric surgery.

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Section: The Clinical Reality Of the Implementation Of Bariatric Guid...mentioning

confidence: 99%

Section: The Clinical Reality Of the Implementation Of Bariatric Guid...mentioning

confidence: 99%

The forgotten patient: A psychological perspective on the implementation of bariatric surgery guidelines

Johnston

Jackson

Hilton

et al. 2023

Obesity Science & Practice

View full text Add to dashboard Cite

show abstract

Increasing research output and impact through publication of DClinPsy research activity at the University of Hertfordshire

Avery,

Heath

2023

bpscpf

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This exploratory study considers research published by staff and trainee clinical psychologists from the University of Hertfordshire (UH) Doctorate in Clinical Psychology (DClinPsy) programme. This was done to reflect on which group is most often the first author, where the work is published, and the impact potential of this research output.The study employed both quantitative and qualitative enquiry. The quantitative aspect of the study provided descriptive information regarding known publications between January 2015 and October 2022. The qualitative aspect of the study used a questionnaire to find out about dissemination experiences of alumni. The programme prodnced 166 publications during the time period evaluated, an average of 20.8 publications per year. ‘Original Articles’ were the most popular type of publication, with a mean jonenal impact factor of 2.322. Trainee clinical psychologists were most often the first author on publications.The findings show production of research output via publications within journals that, on average, have an impact factor in line with the top 40–60 per cent of psychology journals. The level of output should continue to grow as a result of the increase in commissioned training places. However, there is more that the programme can do to support quality academic dissemination and recommendations for programme development are made. Trainee’s experiences and recommendations for future aspiring publishers are considered as well as a critique of the study itself.

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The past, present and future of clinical psychology training

Abstract: This article reflects on the past and present of the clinical psychology doctorate training programme, and looks ahead to the future in the context of the changes within the wider NHS.

Cited by 2 publications

References 8 publications

The forgotten patient: A psychological perspective on the implementation of bariatric surgery guidelines

The forgotten patient: A psychological perspective on the implementation of bariatric surgery guidelines

Increasing research output and impact through publication of DClinPsy research activity at the University of Hertfordshire

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