Leventhal Gerald, Stamm Karen E, Washburn Jason J, Rolston Cindee, Yozwiak John A, Hamp Auntré, Cash Elizabeth D, Ward Wendy L, Hong Barry A, Williams Amy M, Robiner William N
Department of Psychiatry, Rutgers University-New Jersey Medical School, Newark, NJ, USA.
Center for Workforce Studies, American Psychological Association, Washington, DC, USA.
J Clin Psychol Med Settings. 2021 Dec;28(4):844-867. doi: 10.1007/s10880-021-09802-3. Epub 2021 Aug 17.
Healthcare increasingly emphasizes collaborative treatment by multidisciplinary teams. This is the first research focusing on psychologists' participation in team-based care, the mix of professionals with whom psychologists collaborate, and how these collaborations vary across practice settings. Data are from 1607 respondents participating in the American Psychological Association Center for Workforce Studies' 2015 on-line Survey of Psychology Health Service Providers. Practice settings differed markedly in systemic organizational support for interprofessional collaboration and in psychologists' participation in collaborative activities. Psychologists in individual private practice reported least support for and least occurrence of interprofessional collaboration. Psychologists' collaboration with non-behavioral health professionals, such as non-psychiatrist physicians and nurses, was more frequent in general hospitals and VA medical centers. Across settings, greater contact with another health profession was generally associated with psychologists being more confident about working with that profession. However, for work with psychiatrists, that association was attenuated. A collaborative practice model is presented for psychotherapy patients also treated by physicians or other professionals who manage a patient's psychotropic medication.
医疗保健越来越强调多学科团队的协作治疗。这是第一项聚焦于心理学家参与基于团队的护理、与心理学家合作的专业人员组合以及这些合作在不同实践环境中如何变化的研究。数据来自1607名参与美国心理协会劳动力研究中心2015年心理健康服务提供者在线调查的受访者。不同的实践环境在对跨专业协作的系统性组织支持以及心理学家参与协作活动方面存在显著差异。个体私人执业的心理学家报告称,对跨专业协作的支持最少,协作活动的发生率也最低。在综合医院和退伍军人医疗中心,心理学家与非行为健康专业人员(如非精神科医生和护士)的协作更为频繁。在所有环境中,与另一个健康专业的更多接触通常与心理学家对与该专业合作更有信心相关。然而,对于与精神科医生的合作,这种关联减弱了。本文提出了一种协作实践模式,适用于同时接受医生或其他管理患者精神药物的专业人员治疗的心理治疗患者。