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Systemic Challenges in Internship Training for Health-Service Psychology: A Call to Action From Trainee Stakeholders.

R Palitsky1, D M Kaplan1,2, M A Brodt3

  • 11. Warren Alpert Medical School at Brown University, Department of Psychiatry and Human Behavior.

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Health service psychology (HSP) training challenges during COVID-19 highlighted pre-existing issues. Trainees call for systemic changes to advance equity and sustainability in HSP education.

Keywords:
Diversity Equity and InclusionHealth Service PsychologyProfessional StandardsPublic Mental Health SystemsTraining

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Area of Science:

  • Psychology Training
  • Health Service Psychology
  • Clinical Psychology Education

Background:

  • COVID-19 exposed systemic and philosophical issues in health service psychology (HSP) training.
  • These challenges pre-dated the pandemic but were amplified during the global health crisis.
  • Trainee perspectives have historically been underrepresented in discussions of clinical training.

Purpose of the Study:

  • To use lessons learned from the COVID-19 pandemic as a catalyst for action in HSP training.
  • To address longstanding dilemmas in HSP training exacerbated by the pandemic.
  • To advocate for systems-level changes that promote equity and sustainability in training.

Main Methods:

  • A position paper authored by 23 trainees from diverse sites and specializations.
  • Analysis of challenges and dilemmas in HSP training illuminated by the pandemic.
  • Formulation of recommendations for advancing HSP training.

Main Results:

  • The pandemic made pre-existing systemic and philosophical issues in HSP training more apparent.
  • Longstanding training dilemmas require ongoing resolution post-pandemic.
  • Inclusion of trainee voices is crucial for advancing the field.

Conclusions:

  • Trainee perspectives are essential stakeholders in health service psychology training.
  • Systemic changes are needed to ensure equity and sustainability in HSP training.
  • The COVID-19 pandemic serves as a critical juncture for re-evaluating and improving HSP training models.