Training Psychologists in Integrated Primary Care and Child Maltreatment: Trainee and Supervisor Perspectives on Lessons Learned

Abstract

Psychologists are key team members in the delivery of integrated behavioral healthcare. Healthcare reform has supported a shift toward a team-based, interdisciplinary model of service delivery, with increasing emphasis on primary care services, prevention, and health promotion. In conjunction with this shift has been a greater focus on psychosocial problems and social determinants of health, particularly childhood adversity. Psychologists in primary care are uniquely positioned to advance efforts to prevent and ameliorate childhood adversity, which are essential to improving care for underserved populations and reducing health disparities. Targeted training efforts are needed to increase the number of psychologists equipped to work in primary care settings with underserved populations. This paper provides an overview of a training program designed to provide psychology trainees with specialized training in both integrated primary care and child maltreatment. The overarching goal of the program is to provide trainees with the skillset to work within integrated primary care settings and the expertise needed to further efforts to address and prevent child maltreatment, as well as childhood adversity more broadly, to improve outcomes for underserved populations. The paper reviews strengths, challenges, and lessons learned from this program.

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Funding

This project was supported by the Health Resources and Service Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under Grant D40HP26871 ‘Integrated Behavioral Services for Underserved Populations’ for $1,049,997. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government. EAM was supported during the writing of this paper by the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Number TL1TR001858. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Elizabeth A. Miller, Puanani J. Hee, Barbara L. Bonner and Amanda S. Cherry have no conflict of interest.

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Miller, E.A., Hee, P.J., Bonner, B.L. et al. Training Psychologists in Integrated Primary Care and Child Maltreatment: Trainee and Supervisor Perspectives on Lessons Learned. J Clin Psychol Med Settings 27, 541–552 (2020). https://doi.org/10.1007/s10880-019-09648-w

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Keywords

  • Integrated primary care
  • Training and education
  • Child maltreatment
  • Primary care psychology