Earles Jay E, James Larry C, Folen Raymond A
Eisenhower Army Medical Center.
J Clin Psychol. 2006 Oct;62(10):1213-20. doi: 10.1002/jclp.20304.
At least 10 years have passed since the Department of Defense Psychopharmacology Demonstration Project graduated its first class of psychologists. All graduates of that program were credentialed to prescribe and the program received promising external reviews and audits. The profession has since moved well beyond the initial question, "Can and should psychologists prescribe?" posed over two decades ago. A number of professional schools and training institutions have implemented postdoctoral psychopharmacology training programs and over 20 states are actively pursuing legislative agendas. Given recent initiatives to provide health psychology services within the primary care arena, the authors introduce a new role in the scope of psychology's prescribing activities. They propose that psychopharmacological agents are not the only medications psychologists should be trained to prescribe and psychopharmacology training should include course work and supervision related to treatment within a primary care patient setting in addition to a traditional psychiatric one. The authors provide the rationale for primary care clinical health psychology training as the appropriate mechanism for psychopharmacology education and practice. Public health needs and epidemiological data provide the rationale for health psychologists additionally prescribing non-psychopharmacological agents.
自国防部心理药理学示范项目培养出第一届心理学家以来，至少已经过去了10年。该项目的所有毕业生都获得了处方资格，并且该项目得到了积极的外部评价和审计。此后，该行业已经远远超越了二十多年前提出的最初问题：“心理学家能否以及是否应该开处方？”许多专业学校和培训机构已经实施了博士后心理药理学培训项目，并且超过20个州正在积极推进立法议程。鉴于最近在初级保健领域提供健康心理学服务的举措，作者们在心理学处方活动范围内引入了一个新角色。他们提出，精神药理药物并非心理学家应该接受培训以开具处方的唯一药物，除了传统的精神病学环境外，心理药理学培训还应包括与初级保健患者环境中的治疗相关的课程作业和监督。作者们提供了初级保健临床健康心理学培训作为心理药理学教育和实践的适当机制的基本原理。公共卫生需求和流行病学数据为健康心理学家额外开具非精神药理药物提供了基本原理。
