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Serving Clients with Intellectual Disabilities: Clinical Psychology Training in APA-Accredited Doctoral Programs

Graesser, Emily J
http://rave.ohiolink.edu/etdc/view?acc_num=antioch1397152808

Abstract Details

2014, Psy. D., Antioch University, Antioch New England: Clinical Psychology.
People with intellectual disabilities (ID) experience mental health problems at a higher rate than the general population, yet encounter significant barriers in accessing quality mental health services and have poorer mental health outcomes. Disparities in both psychology research and practice contribute to these barriers, and few mental health practitioners are willing and competent to treat people with ID. Lack of training availability has been suspected as an underlying factor, yet no previous investigation of training has been conducted in the United States. This study utilized a 20-question self-administered internet survey to explore the quantity, quality, and types of training APA-accredited doctoral level clinical and counseling programs provide their students with respect to serving clients with ID. Students' self-perceptions of competence with the population and their likelihood of future service provision for clients with ID were also studied. Current predoctoral psychology interns were recruited by emailing each internship training director listed in the APPIC database and asking them to forward a request for research participation. A total of 265 clinical and counseling psychology interns participated, resulting in an estimated response rate of 8.5%. Results revealed that, while more students reported training than expected, overall training was typically minimal, of low quality, and with little emphasis on service provision. Approximately half of the respondents reported a modicum of competence with this population and moderate likelihood to provide future services. An analysis of mediation revealed that perceived competence fully mediated the relationship between training quality and likelihood of future service provision. Without widespread reforms in APA-accredited programs in training for serving clients with ID, people with ID and mental health needs will likely remain an underserved population.
James Fauth, PhD (Committee Chair)
David Hamolsky, PsyD (Committee Member)
Amanda Hitchings, PsyD (Committee Member)
72 p.
Clinical Psychology
intellectual disability; dual diagnosis; training; health disparities; health care disparities; competence; psychotherapy

Recommended Citations

Citations

  • Graesser, E. J. (2014). Serving Clients with Intellectual Disabilities: Clinical Psychology Training in APA-Accredited Doctoral Programs [Doctoral dissertation, Antioch University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1397152808

    APA Style (7th edition)

  • Graesser, Emily. Serving Clients with Intellectual Disabilities: Clinical Psychology Training in APA-Accredited Doctoral Programs . 2014. Antioch University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=antioch1397152808.

    MLA Style (8th edition)

  • Graesser, Emily. "Serving Clients with Intellectual Disabilities: Clinical Psychology Training in APA-Accredited Doctoral Programs ." Doctoral dissertation, Antioch University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1397152808

    Chicago Manual of Style (17th edition)

antioch1397152808
595
© 2014, all rights reserved.
This open access ETD is published by Antioch University and OhioLINK.