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Cs3 p7 malone setting the socio historial context for prof ethics



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  • 1. 29/04/2011 Dr Judi L Malone Athabasca University 05 May 2011 Rural Research Workshop,  OttawaOUTLINE 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 MALONEResearch 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 MALONEResearch 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 MALONECOMPETITIONHow many people are going to their GP  yp p g gfor 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.  ESTHERServices that are psychological in nature are not deliveredexclusively by psychologists Context & Professional Ethics MALONE 4
  • 5. 29/04/2011GOVERNMENT 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.  KENGovernment decisions & funding influence the provision ofprofessional psychology Context & Professional Ethics MALONEPRESCRIPTIVE AUTHORITYI 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.  MORIAHPrescription privileges could fundamentally alter the courseof training & delivery of psychology Context & Professional Ethics MALONE 5
  • 6. 29/04/2011REGISTRATION & 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].  JOANNEAs registered health professionals, psychologists are onlylicensed to practise in the province in which they havesecured registration. Context & Professional Ethics MALONEADVOCACYI think there’s just lots of press around  j fpjust 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.   BARBARAThe need to advocate for the sake of consumers ofpsychological services & for the profession itself Context & Professional Ethics MALONE 6
  • 7. 29/04/2011 Context & Professional Ethics MALONEPolicy Implications • Develop  generalist  Develop “generalist Competition  Concerns practice” • Psychology has a role Government  Influences in funded medical care Context & Professional Ethics MALONE 7
  • 8. 29/04/2011Policy Implications •I Involve rural  l   l Prescriptive  Authority psychologists • Consistent regulations gRegistration  Levels • Consider shortages Context & Professional Ethics MALONEPolicy Implications • Public Awareness • Canadian Psychology • National mental health strategy • Psychology within healthcareAdvocacy • 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. 29/04/2011Conclusion 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 j di @ th b Context & Professional Ethics MALONE 10