Possible Influences of Managed Care in Predoctoral Psychology

In this regard, Shapiro (1995) has express that surveys of common soldier practice psychologists indicate that if the trend toward managed care continues, the majority of psychologists get out report diminished earnings by the year 2000. Moreover, Humphreys (1996) has stated that as managed care and other personify-containment strategies become central features of the American health care system, doctoral-level clinical psychologists will be increasingly supplanted in the purpose of psychotherapist by lower constitute providers such as social workers, marriage and family counselors, and masters-level psychologists.

Based on a review of the history of psychological science and psychotherapy, Humphreys suggests that efforts to resist the reliable changes will be unsuccessful and that the well-nigh adaptive contend strategy for clinical psychologists is to take advantage of the transition by re-envisioning training and practice of clinical psychologists.

In other words, imputable to the pressures of lower earnings and the strong possibility that lower cost providers will supplant the doctoral-level psychologist, it can be expected that the social system of predoctoral internship programs might change. For example, it could be that more internship programs will be provided and use by managed care facilities to supplant both(prenominal) or most of its doctoral-level psychologists. What this means is that trainees in internships over-viewed by a few doctoral-level psychologists

Belar, C.D. (1995). Collaboration in capitated care: Challenges for psychology. victor Psychology: Research and Practice, 26(2), 139-146.

Stewart (1995) has discussed internships in pharmacy as the case of managed care. In particular, it is noted that many authors were predicting the demise of the pharmacy business as a result of several factors, one of which was managed care. However, Stewart report that by changing the training given to student pharmacists and by working at the advocacy level to counteract some of the more negative effects, pharmacy education and training has actually dined over the last few years.

Stewart (1995) feels that the key to this working out has been the willingness of the profession to accept new and changing roles in dose therapy management. If this occurs in the profession of psychology (e.g., if psychologists accept the new structuring and role changes required by managed care), it seems reasonable to state that its place in the health care field will also expand as will its internship programs.

However, despite the fact that managed care whitethorn actually produce an increase in predoctoral internships in psychology if the profession shows a willingness to accept the new role requirements resultant to the system, a key query that can be asked is how psychology students might respond to this. A preliminary answer to this question might be found in a mull of medical interns attitudes toward their internship and managed care conducted by Marple, Pangaro and Kroenke (1994). According to the authors, their survey selective information showed that students were increasingly making decisions about their careers that would allow them to operate remote of managed care systems and so earn the larger salaries that accompany private practice.

There are indications that, at least at the predoctoral internship level, psychological testing training may be greatly decrease as a program component. This because of the lower reimburse
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