Disruptive Change and Health Service Psychology Transform a Clinical Psychology Doctoral Training Clinic

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Abstract

Health care reform and the triple aim of the Affordable Care Act have created disruptive change in health care. Heath care systems and practitioners have responded with integrated care and patient center home models. Similarly, psychology is in a state of disruptive change as the profession shifts to Health Service Psychology. Psychology, more than ever, is joining health care teams by engaging in interprofessional collaboration and providing team-based care. After more than 35 years as a low-fee self-pay community psychology clinic, the Pacific Psychology and Comprehensive Health (PCH) Clinics in Oregon became a State Certified Mental Health Center and a regional Medicaid provider. The PCH Clinics and the National University of Natural Medicine (NUNM) developed a partnership in 2014. Additionally, there are occupational, physical, and speech therapy services available to clients across the life span. All of these services are provided on a foundation of interprofessional collaboration. Utilizing the levels of integrated care published by SAMSHA and HRSA in 2013, the PCH Clinics have moved from a level 1 siloed program to beyond a level 4 colocated program, with the goal of exceeding level 5 in the near future. Clinician competencies are based on the Core Competencies for Interprofessional Collaborative Practice published by the Interprofessional Education Collaborative.

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