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Rural Psychologists Navigating Ethics
- 1. 29/04/2011 Dr Judi L Malone Athabasca University 05 May 2011 Rural Research Workshop, Ottawa OUTLINE Introduction to the Rural Context Research Overview Key Socio‐Historical Considerations Competition Government Influences Prescriptive Authority Registration & Mobility Professional Advocacy Policy Implications Context & Professional Ethics MALONE 1
- 2. 29/04/2011 What ethical issues arise for practising rural Canadian psychologists & how do they deal with those issues? Sociohistorical Context Professional Policy Implications Struggles Context & Professional Ethics MALONE Research Focus Psychological phenomena should be understood & interpreted within sociohistorical context. Practice oriented purpose Practice‐oriented purpose Context & Professional Ethics MALONE 2
- 3. 29/04/2011 20 Rural Psychologists Doctoral Research 2 • Direct Experiences 4 1 3 1 • Reflections 3 4 • Contextual 2 Considerations Context & Professional Ethics MALONE Research Methodology • Describe & E l Explore Qualitative “What current Research factors in • Relate to Canadian existing psychology literature Hermeneutic make ethics Phenomenology relevant to rural • Place within psychologists?” h l i t ?” context Socio‐ Historical • Consider Context influences Context & Professional Ethics MALONE 3
- 4. 29/04/2011 Government Influences Prescriptive Sociohistorical Registration Authority? Context & Mobility Professional Advocacy Context & Professional Ethics MALONE COMPETITION How many people are going to their GP yp p g g for counselling? & the GPs are billing & are the GPs trained for that? ….I have a lot of concerns about how mental health is actually being paid for & cared for in the main health system. ESTHER Services that are psychological in nature are not delivered exclusively by psychologists Context & Professional Ethics MALONE 4
- 5. 29/04/2011 GOVERNMENT When I went through graduate school, g g , there was very, very, little attention paid to the impact of the socio‐political system on the discipline of psychology. &, I think psychologists have to step up to their knowledge about that….these big systems out there really affect how our discipline is able to work. KEN Government decisions & funding influence the provision of professional psychology Context & Professional Ethics MALONE PRESCRIPTIVE AUTHORITY I think prescriptions, right, would I think prescriptions right would come in there. Because, that’s broadening the scope of practice & creating…a slightly different view of what psychology is. A very different view potentially. MORIAH Prescription privileges could fundamentally alter the course of training & delivery of psychology Context & Professional Ethics MALONE 5
- 6. 29/04/2011 REGISTRATION & MOBILITY The mutual recognition debate.… It s The mutual recognition debate It’s not working….There are lots of psychologists who still get stuck on degree versus competency….for some rural communities it’d be very hard to have a PhD [psychologist]. JOANNE As registered health professionals, psychologists are only licensed to practise in the province in which they have secured registration. Context & Professional Ethics MALONE ADVOCACY I think there’s just lots of press around j fp just mental health & mental wellness & stigma & all sorts of things that I do think play into ethical issues as well. I think a lot of that is intertwined. I think it’s just the general press in the field that’s, ah, emphasizing ethics. BARBARA The need to advocate for the sake of consumers of psychological services & for the profession itself Context & Professional Ethics MALONE 6
- 7. 29/04/2011 Context & Professional Ethics MALONE Policy Implications • Develop generalist Develop “generalist Competition Concerns practice” • Psychology has a role Government Influences in funded medical care Context & Professional Ethics MALONE 7
- 8. 29/04/2011 Policy Implications •I Involve rural l l Prescriptive Authority psychologists • Consistent regulations g Registration Levels • Consider shortages Context & Professional Ethics MALONE Policy Implications • Public Awareness • Canadian Psychology • National mental health strategy • Psychology within healthcare Advocacy • Rural needs Context & Professional Ethics MALONE 8
- 9. 29/04/2011 Benefits Limitations • Participant‐focussed • Insider‐researcher • Policy • Self‐report recommendations • Context bound • Actual experiences • Generalizability • Transferability T f bilit This research supported the need for greater understanding of rural practice & professional ethics in that context Context & Professional Ethics MALONE General Recommendations General Practice psychology Involvement considering prescriptive authority Future Research Context & Professional Ethics MALONE 9
- 10. 29/04/2011 Conclusion Socio‐Historical Policy Context Research Science Clinical Professional Practice Psychology Context & Professional Ethics MALONE Dr Judi L Malone Registered Psychologist, Alberta & Australia Certified Canadian Counsellor judim@athabascau.ca j di @ th b Context & Professional Ethics MALONE 10