Distribution of psychologists in underserved areas: Changes over time, 1970–1981.

Sladen, Bernard J.; Mozdzierz, Gerald J.

doi:10.1037/0735-7028.20.4.244

Cited by 14 publications

(8 citation statements)

References 12 publications

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“…Much of the literature for this review comes from psychiatric, social work, and community psychology sources. There is a clear need for psychologists to work in rural settings (Hargrove & Breazeale, 1993;Sladen & Mozdzierz, 1989). Some of the characteristics mentioned earlier lead to ongoing difficulty in recruiting and retaining professional staff (Sullivan, Hasler, & Otis, 1993).…”

Section: Characteristics Of Rural Communitiesmentioning

confidence: 96%

The Practice of Psychology in Rural Communities: Potential Ethical Dilemmas

Helbok¹

2003

Ethics & Behavior

130

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The practice of psychology in rural areas offers unique challenges for psychologists as they try to provide optimal care, often with a minimum of resources. Psychologists are frequently required to be creative and flexible in order to provide effective services to a wide range of clients. However, these unique challenges often confront psychologists with ethical dilemmas and problems for which their urban-based training has not prepared them. The author examines how certain characteristics of rural communities may lead to specific ethical dilemmas. By being a part of a small community, psychologists will inevitably face multiple relationship dilemmas. Confidentiality is harder to maintain in a small town, particularly with its informal information-sharing network. To provide services to meet community needs, with a limited number of referral options, psychologists typically need to be generalists. This may lead to concerns about scope of practice, training, and experience with diverse populations. Psychologists also face other competency issues, such as a lack of supervision and consultation resources. Other concerns addressed include the psychologist's personal life, and the blurring of professional and personal roles. Suggestions are made for coping with each of these ethical issues, although more quantitative research and discussion are needed on the practice of psychology in rural areas.

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Section: Characteristics Of Rural Communitiesmentioning

confidence: 96%

The Practice of Psychology in Rural Communities: Potential Ethical Dilemmas

Helbok¹

2003

Ethics & Behavior

130

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“…Currently, central concerns in the mental health field are cost containment of services without compromising the quality of care (Mirin and Namerow, 1991), and increasing services to underserved populations (Mechanic, 1987). The need for cost containment has led to increased competition among health care providers, in particular, psychiatrists and psychologists, who have engaged in many turf struggles, such as 'medical psychotherapy', prescription privileges, and 'freedom of choice' legislation (Sladen and Mozdzierz, 1989). The main thrust of the position supporting psychologists is that psychologists can provide effective and cost-efficient treatment that is comparable to psychiatrists in many areas that are presently exclusive to psychiatrists.…”

Section: Implications For Practitionersmentioning

confidence: 99%

Another dodo bird verdict? revisiting the comparative effectiveness of professional and paraprofessional therapists

Faust

Zlotnick

1995

Clin Psychology and Psychoth

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We examine major criticisms of studies comparing paraprofessionals' and professionals' therapeutic effectiveness. Such analysis does not support the contention that methodological weaknesses of the studies produced systematic biases against professional therapists. Thus, despite common beliefs to the contrary, the finding that formal training does not predict successful therapy appears sound. We discuss the implications of this finding for research, training, and clinical practice.

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“…Given these trends, the need for more health care resources is readily apparent (Sladen & Mozdzierz, 1989). What has occurred instead, however, is a 50% reduction in federal health and mental health resources since 1981--along with an increasing shortage of providers and facilities.…”

Section: Health and Health Carementioning

confidence: 99%

Rural America: Unique opportunities for health care delivery and health services research.

DeLeon¹,

Wakefield²,

Schultz³

et al. 1989

American Psychologist

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A general deterioration is occurring in the quality of life of rural Americans, and it is affecting the quality of health and mental health service delivery. About 24% of the U.S. population lives in nonmetropolitan areas where the citizens are older, less well educated, have lower incomes, and are more homogeneous in terms of race and ethnicity. Medicare and private insurance discriminate against rural services in their reimbursement policies, and there is a shortage of health personnel in rural areas. However, there has been renewed congressional action to meet rural needs. Both the House and Senate have established rural caucuses, and an Office of Rural Health Policy has been established in the federal executive branch. Legislative successes were achieved between 1985 and 1988. Rural initiatives will provide psychology with unique opportunities in the next several years.

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Distribution of psychologists in underserved areas: Changes over time, 1970–1981.

Abstract: In the public domain.

Cited by 14 publications

References 12 publications

The Practice of Psychology in Rural Communities: Potential Ethical Dilemmas

The Practice of Psychology in Rural Communities: Potential Ethical Dilemmas

Another dodo bird verdict? revisiting the comparative effectiveness of professional and paraprofessional therapists

Rural America: Unique opportunities for health care delivery and health services research.

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