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A Study and Demonstration of the Training and Utilization of Psychological Assistants in Different Clinical Settings

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A Study and Demonstration of the Training and Utilization of Psychological Assistants in Different Clinical Settings DOCUMENT RESUME ED 086 581 r SO 006 753 AUTHOR EcCaulley, Mary H. TITLE A Study and Demonstration of the Training and Utilization of Psychological Assistants in Different Clinical Settings. Final Report. INSTITUTION Florida Univ., Gainesville. Dept. of Clinical Psychology. SPONS AGENCY Public Health Service (DREW), Arlington, Va. Bureau of Health Manpower. REPORT NO PH-108-66-209 PUB DATE Apr 69 NOTE 316p. EDRS PRICE MP-80.65 HC-$13.16 DESCRIPTORS Career Ladders; *Clinical Experience; College Graduates; Demonstration Projects; Educational Programs; *Health Occupations; Health Personnel; Job Placement; Job Training; Manpower Development; *Manpower Utilization; On the Job Training; *Psychology; *Subprofessionals; Summative Evaluation; Technical Occupations IDENTIFIERS *Clinical Psychology ABSTRACT The training program described in this final report is one of a number of attempts to solve the manpower shortage in psychology. The task proposes to demonstrate that the presence of psychological assistants, in this case seven female college graduates, increases the effectiveness and productivity of the clinical psychologists to whom they are assigned in varying positions in clinical service and research. Background information on manpower status in psychology and allied professions introduces the report. Requirement and selection of participants are described. The . assistants are trained by a combination of methods, described and evaluated in Part IV, the most important appearing to be the apprenticeship on the setting. Contributions of the assistant in each setting are presented with a composite description of an assistant's duties. Placement of the assistants at the end of the project is dealt with in relation to initial expectations and changing attitudes as the program progresses. Alternate models deriving from the experiences of the project suggest improvement for the future. It is felt that the assistants become an integral part of the clinical operation and that the project had meaning for other mental health professions. (KSM) U S DEPARTMENT OF HEALTH EDUCATION I WELFARE NATIONAL INSTITUTE OF EDUCATION .., DOCUMENT HAS BEEN PE PRO DL,C ED E SAC 1,Y AS PECE,,FD FROM THE PE PSON OF7 OBGANzATION ORIGIN Ai NC. ol PO,N75 OF IFOFOR OPINIONS srA FEO DO NOT NECESSARILY REPPC SE N, OF CAL NATIONAL ,F,FS,i,u'rE OF ItimlP E Du( A+.0N POS,T,ON OR POL cy A STUDY AND DEMONSTRATION OF THE TRAINING AND UTILIZATION OF PSYCHOLOGICAL ASSISTANTS IN DIFFERENT CLINICAL SETTINGS I P Department of Clinical Psychology S College of Health Related Professions University of Florida June 30, 1966 to June 29, 1968 FINAL REPORT N Supported by Bureau of Health Manpower Public.Health' Service Department,of Health, Education, and Wclfare Contract No. PU 108-66-209 FILMED FROM BE ST AVAILABLE COPY N-4 LC N c0 C=> CM A STUDY AND DEMONSTRATION OF THE TRAINING AND UTILIZATION OF PSYCHOLOGICAL ASSISTANTS IN DIFFERENT CLINICAL SETTINGS Department of Clinical Ps;cchology College of Health Related Professions University of Florida June 30, 1966 to June 29, 1968 FINAL REPORT Prepared by . Miry H. McCaulley, Coordinator of the Project Supported by Bureau of Health Manpoier Public Health Service Department of Health, Education, and Welfare Contract No. PH 108-66-209 University of Florida, Gainesville, Florida April, 1969 ACKNOWLEDGEMENTS Despite growing endorsement of the need for subdoctoral training to meet manpower shortages in psychology, the idea that some tasks of Ph.D. psy- chologists could be delegated to non-professionals seemed, in 1965, as it does to some even today, revolutionary, perhaps downright dangerous. Had it not been for Dean DarrelJ. vase of the University of Florida's College of Health Related Professions, and Dr. Harvey I. Scudder, then Manpower Resources Consultant of the Community Health Services, United States Public Health Service, this project might never have been ,carried out To Dean Mare and Dr. Scudder we extend our gratitude for their openmindedness and courage which made this project possible. The psychological assistants and the clinical psychologists to whom they were assigned were the mainsubjects in this research. It was not easy to be a participant, an observer, and the observed. For their honesty and directness in sharing their attitudes and experiences, for their innovative suggestions to improve training, and for their loyalty to the project during its vicissitudes, we are indebted and grateful. In many ways this project is indebted to Mrs. Eileen Fennell, the "proto- type for the assistants. Had she not contributed so greatly to the productivity and efficiency of the Neuropsychology Service, we would not have embarked on this project which is in essence a repliCation-of what she did. Throughout the project she was an able teacher and guide for the assistants, and her perceptive criticisms have been valuable in focusing on issues to be covered in this report. The clinical faculty and the graduate students spent many hours in formal and informal teaching of the assistants. A special word of appreciation is due to those who volunteered to develop and teach extended courses or seminars. Three of these were faculty--Caroline J. Hursch, Ph.D., Richard K. EcGee, Ph.D., and William D. Wolking, Ph.D.--and three at the time were internsPhilip R. Costanzo, Ph.D., Michael W. Glazer, Ph.D. and.C. Douglas Hindman, Ph.D. Many persons, psychologists and members of other professions, in the Health Center and in other agencies, helped in the training of the assistants by giving lectures, by inviting participation in teaching con- ferences, and by individual coaching. To all those who contributed to teaching the assistants, and who contributed observations and suggestions to improve this project, we express our deepest gratitude. Throughout the project we had the benefit of the understanding and counsel of Joseph J. Cooney, the Contracting Officer and his staff at the Public Health Service, and of Leo J. Myers and his associates at the University's Finance and Accounting office. Between them, they deftly unraveled the inevitable financial complexities we encountered. Our appreciation also goes to Robert A. Burton, Project Officer during the first six months of Ur:research, and to Joseph Kadish, Ed.D., who served as Project Officer ii during the remainder of the program. We are particularly indebted to Dr. Radish for his wise counsel and constructive suggestions, and for his consistent understanding and encouragement for what we were trying to accomplish. To Theodore H. Blau., Ph.D., Marshall B. Jones, Ph.D. and Clifford H. Swensen, Ph.D. who evaluated the results of our efforts, we express our thanks. tie found their report eminently fair--their criticisms are just, their suggestions, constructive, and we are gratified at their enthusiasm for the results of our pilot effort. We are indebted also to Joan B. Brill whose graduate research paper for hospital administration not only confirmed our opinion of the value of the assessment tasks performed by the assistants, but also showed us how better to present the case for additional manpower to administrative authorities. On numerous occasions the goals and achievements of our project were presented to our colleagues at professional meetings. To those who shared the platform with us, and to those who responded from the audience, we owq our thanks. Both brickbats and roses increased our awareness of many issues. We hope the descriptions of our experiences in this report will help other psychologists answer some of the questions which perplex and disturb them about subdoctoral manpower in psychology. Our appreciation is ext ?nded to Mrs. Mary Beth King and Mrs. Carol Norrell who at different times served as secretary to the Coordinator and performed many administrative duties which insured the smooth functioning of the project, and to Mrs. Sharon Short, secretary to the Project Director who provided liaison in many administrative contacts with other divisions of the university. Finally, our sincere thanks go to Mrs. Irma. Smith who typed this manuscript and whose observant eye prevented many an inadvertent error. Louis D. Coheres, Ph.D. Project Director Mary H. McCaulley, Ph.D. Project Coordinator I iii PARTICIPANTS AND CONTRIBUTORS Theodore H. Blau, Ph.D. Jacquelin B. Goldman, Ph.D. Tampa, Florida Department of Clinical Psychology Evaluator:31* (VII) University of Florida Supervisor* (VII); Lecturer Carl A. Bramlette, Jr., Ph.D. Southern Regional Education Board Shirley H. Guerry, B. S. Atlanta, Georgia Department of Clinical Psychology Symposium Participant* (App. A) University of Florida Psychological Assistant* (VII; App. A) Joan B. Brill, Graduate Student Health and Hospital AdministrAtion Jesse G. Harris, Ph.D., Chairman University of Florida Department of Psychology Evaluator* (WI) University of Kentucky Symposium Participant* (App. A) Carl T. Clarke, Ph.D. Student Health Center. Molly Harrower, Ph.D. University of Florida Visiting Professor in.Psychology Supervisor. University of Florida. Lecturer Louis D. Cohen, Ph.D., Chairman Department of Clinical Psychology M. Elizabeth Hilliard, M.S.N. University of Florida College of Nursing Project Director* (II) University of Florida Lecturer Philip R. Costanzo, Ph.D. Duke University C. Douglas' Hindman, Ph.D. Conducted seminar as an intern Eastern Kentucky University Conducted seminar as en intern* (VII) Mary Ann L. Cruse, B. A. Department of Clinical Psychology Betty M. Horne, Ph.D. University of Florida Sunland Training Center Psychological
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