Training the trainer

1
Training the trainer

• Training of clinical psychologists for pedagogic
  activity
• Dr. Gilles Michaux

2

• Excellence is an art won by training and
  habituation.
• Aristotle ( 384-322 BCE)

3
Applied developmental psychology

• Pedagogic (educational)
  vs. clinical psychology
• Prevention, training counselling vs.
  psychotherapy
• Moderator training

4
Three oz. of prevention are worth a lb. of cure

• (Prim.) prevention incidence ?
• Secondary prevention prevalence ?
• Tertiary prevention morbus redux ? (prophylaxis)

5
Socialisation
Environment
Subject
adapt. from Weidenmann Krapp (1993)
6
Education
Environment (culture)
Learner
Educator
adapt. from Weidenmann Krapp (1993)
7
Therapy
Environment (social)
Client
Therapist
8
Medical psychology
Level of care Example
(1) Behavioural health screening Rapid assessment for anxiety Psycho-education to address anemotional response to a newly diagnosed chronic medical condition
(2) Specialty consultation Brief stress inoculation training to assist an individual with a sexual abuse history in undergoing a cervical exam
(3) Integrated care programmes Treatment for panic disorder or post-traumatic stress disorder addressed via referral to specialty mental health services
Strosahl (1998)
9
"Coaching"
(s
Environment
Client/ patient
Therapist
10
Training goals

• Health behaviour education promotion (based on
  an integrative approach)
• Brief psychotherapeutic methods (incl.
  relaxation) pain control techniques (to
  reduce mental health carveout)

11
Training goals (cont.)

• Psychosocial interventions fostering compliance
  treatment adherence
• Strategies for improving patient-provider
  communication (e.g. patient information)
• Interdisciplinary communication competency (!)

12
Training goals (cont.)

• Assessment skills for screening inpatients
  (psychol. risk factors contraindications)
• Control-enhancing interventions for coping with
  surgery or stressful medical procedures (i.e.
  patient preparation self-management techniques)

13
Demo (a)
14
Demo (b)
15
Validated trainings

• Graduate psychology education (GPE)
• Doctoral gero-psychology training(based on APA
  guidelines)

16
Training skills

• Basic knowledge skills in
• general psychology
• health psychology
  (e.g. biological, social, cultural,
  affective cognitive factors affecting health
  disease)
• effective interdisciplinary functioning

Newton et al. (2006)
17
Training skills (cont.)

• Specific knowledge skills in
• broad healthcare systems administrative issues
  
  (e.g. understanding hospital
  practices healthcare economics primary care
  policies procedures ethical legal issues)
• assessment, intervention consultation (e.g.
  assessment treatment of problems commonly seen
  in primary care allocation of time ressources
  practise management skills collaborative
  assessment treatment behavioural health
  consultation)

Newton et al. (2006)
18
Training programme (a)
Core objectives Training activities/time period
(1) Didactic training (Level I "exposure to ageing") - Standard graduate courses with added mental health/ageing content (full year) - Specialised courses assessment treatment of older adults (one semester) depression personality disorders in older adults (full year) neuropsychology neuropsychological assessment (full year) - Special symposia on mental health/ageing (two per year)
(2) Consultation treatment (Level 2 generalist) - Med-Psych consultation clinic (1/2 day per week, full year) diagnostics consultation - Primary medicine clinic rotation (1/2 day per week, full year) consultation liaison to primary care team - Brief psychotherapy (individual, couples family) to primary care elderly/adults
Zweig et al. (2006)
19
Training programme (b)
Core objectives Training activities/time period
(3) (Neuro-)psychological assessment (L 2) - Cognitive ageing rotation (1/2 day per week, full year) - Diagnostic interviewing psychological assessment - Neuropsychological assessment - Neuropsychology seminar group supervision
(4) Outpatient evaluation treatment (L 2) - Outpatient geriatric psychology rotation (1/2 day per week, full year) - Diagnostic interviewing psychological assessment - Psychotherapy (individual, couples family) - Geriatric psychology seminar group supervision
Zweig et al. (2006)
20
Cancer prevention

• Holick, Smith, Giovannucci Michaud (2010)
• Cancer Epidemiol Biomarkers Prev19139-47.