Children, adolescents and families make up 50% of clients seen in psychology clinics across New Zealand and Australia. Half of respondents report offering family therapy, but only 27% require one family therapy course, and over 50% integrate it into general courses or have little training. A literature review found nothing on family therapy training in New Zealand except a 2009 report recommending postgraduate courses and national training programs recognizing cultural contexts. Potential training models include seminars and sessions with reflecting teams. A Family Therapy Reference Group was formed to promote workforce development through conferences, standards, and a national association.

1. Family Therapy Training for Clinical Psychology Students: A Survey of Schools of Psychology in New Zealand and AustraliaRuth A. Gammon, PhD, MSWClinic DirectorMassey University – WellingtonPsychology Clinic

2. Family Therapy Survey88 Surveys sent to all clinical psychology programs in NZ and Australia (second email 87 – one person no longer there) Hard Copy via Post and Electronically survey via email Return – 19 = electronic / 10 = hard copy N = 29

3. Demographic Data Directors of Training = 14 Clinic Directors = 13 Both Clinic Director/Director of Training = 2 TOTAL = 29 Permanent Position = 22 Permanent (pending satisfactory review at a definite future point) = 3 Fixed Term –three years or more = 3 No Answer = 1 Faculty = 21 Member of School Professional/General Staff = 6 Other (Director of Agency with informal agreement with School) = 1 No Answer = 1 Australia = 24 New Zealand = 4 No Answer = 1

4. Family Therapy SurveyPlease select where you think your Psychology Clinic currently is on these scales/ and C2. Please select where you think your Psychology Clinic should be on these scales:Focussed onClinical Service..............................1 2 3 4 5 6 7..............................Focussed on TeachingCURRENTLTY = 1 3 4 13 5 3 0SHOULD BE = 0 4 1 15 5 3 0 Integrated with At Arm’s Length fromTraining Programme…………………1 2 3 4 5 6 7……………………………Programme CURRENTLTY = 6 11 6 0 2 3 1SHOULD BE =13 8 5 0 0 1 0 Focussed on Research………………………….…….1 2 3 4 5 6 7…………………………Focussed on TeachingCURRENTLTY = 0 1 1 3 8 13 3 SHOULD BE = 0 2 1 12 6 7 0Fundamental One resourceTo Training Programme………………1 2 3 4 5 6 7……………………...…to Programme CURRENTLTY = 13 10 2 2 1 1 0SHOULD BE = 10 14 2 1 0 1 0

5. Family Therapy Survey Focussed onClinical Service…………………………1 2 3 4 5 6 7………………………..Focussed on ResearchCURRENTLTY = 5 15 6 2 1 0 0 SHOULD BE = 1 7 10 8 2 0 0 Directed by Independent fromTraining Programme…………………1 2 3 4 5 6 7………………....………Programme CURRENTLTY = 4 7 4 5 3 5 1 SHOULD BE = 7 8 6 5 1 1 0 Focussed on Income Generation……………………1 2 3 4 5 6 7……………………..Focussed on Strategic GoalsCURRENTLTY = 0 0 1 3 7 11 7 SHOULD BE = 0 1 0 3 4 9 11 Provide Students with a Variety Allow Students to Specializeof Clinical Experiences...................1 2 3 4 5 6 7.......................in their Area of InterestCURRENTLTY = 3 20 3 3 0 0 0SHOULD BE = 9 10 4 5 0 0 0

6. What percentage of clients are: (these should add up to 100%)Individual adultsChildrenFamilies AdolescentElderlyCouplesResults:= 44.96% (100%)= 31.07% (90%)= 9.82% (50%)= 9.46% (20%)= 3.03% (15%)= 2.0 % (8%)Family Therapy Survey

7. What treatment modalities are used in your clinic? (Please tick all that apply) Individual Therapy

8. Child Therapy

9. Family Therapy

10. Couples

11. Group Therapy

12. Other Modalities (Please list): Results:= 29= 20= 14= 10= 2= 3 (home-based services, psych assessments, the group tends to be educational, e.g. cool kidsFamily Therapy Survey

13. What treatment approaches and therapies does your clinic utilize?(Please tick all that apply) CBT

14. ACT

15. Solution focused

16. Family therapy

17. Brief treatment models

18. Psychodynamic

19. Non-directive play therapy

20. Art therapy

21. Other modalities usedPlease specify:Results= 29= 16= 10= 10= 7= 7= 6= 1= 10 (5 = Schema, group, behavioral, EFT, mindfulness, parent training, watch wait and wonder, IPT, STPS, REBT, Narrative) Family Therapy Survey

22. Does your clinic have a specialisation?Yes

23. No

24. If yes, please specify.How much family therapy training is provided by your school or department?One required course.

25. Optional courses.

26. Integrated into general Psychology courses.

27. Other (Please list): Results= 10= 19(Tx of BPD, Trauma, Adult MH, Child and Family, Some Cognitive assessments, Child Anxiety, behaviour and IQ assessment, neuropsych, health= 8= 1= 13= 3 – None 1 – 3 hr topic 1- very little only mentioned occasionally 1 –topic covered in clinical program courses 1- no specific family therapy training, some systems theory and exposure to conceptsFamily Therapy Survey

28. On average how many sessions do you see a child and/or family for?1 – 3 sessions3 – 5 session5 – 10 sessions10 – 20 sessionsMore than 20 sessionsResults:= 0= 5= 14= 8= 0Family Therapy Survey

29. If you see children/adolescents how important is it to:1 2 345 6Not Somewhat Important Very Essential Not ApplicableImportant Important Important at allMeet with parents individually .

30. Meet with the child individually.

31. Meet with the child and one parent.

32. Meet with the child and both parents.

33. Meet with other members of the family all together including the parents and child and sibling/s.

34. Meet with extended family members.Results:1 2 345 6Not Somewhat Important Very Essential Not ApplicableImportant Important Important at all0 2 2 7 13 30 1 2 9 14 10 4 7 9 7 10 3 10 8 5 22 10 10 2 2 24 16 4 1 1 2Family Therapy Survey

35. Summary:Children, adolescents and families make up 50% of the clients being seen in Psychology clinics across NZ and AustraliaHalf of the respondents report family therapy as a treatment modalityOnly 27% require one paper in family therapy, and the majority (>50%) of schools integrate family therapy into general courses and 25% have no to very little family therapy training

36. SummaryLiterature review for family therapy training in New Zealand – nothing, except :Werry Centre (2009) - Report for child and adolescent mental workforce development – Family Therapy in Child and Adolescent Mental Health: A Descriptive Summary of Effectiveness Research and Practice Perspectives to Inform Training and Workforce Development Planning in New Zealand.

37. Summary“…comprehensive review of effectiveness research drawn from the family therapy literature and from interviews with 9 selected key informant/stakeholder family therapist practising in New Zealand.” Recommendations Working with tertiary education providers to develop and promote family therapy courses at a post graduate levelPromotion of national training programmes in family therapy which recognize the unique cultural context in which family therapist working in NZ practice ranging from short orientation courses to comprehensive training courses with a practicum component

38. Summary Potential models for training* 2- hour seminar at clinic* First half of the year didactic – * Second half of year – live session, with the use of reflecting teams.

39. SummaryFamily Therapy Reference Group* Formed from Werry Centre Report – funded through Ministry of Health to carry out the recommendations* Group made up of Stakeholders in family therapy from Public and Private Sector* Goal is to promote family therapy and workforce development in New Zealand Family Therapy Training Day in early 2011 Family Therapy Conference and the Development of a National Association for family therapist in NZ Development of Standards and requirements for Family Therapist

40. Questions ???Ruth A. Gammon, PhD, MSWClinic Director/Sr. LecturerPsychology Clinic at WellingtonSchool of Psychology - Te Kura HinengaroTangataMassey UniversityPO Box 756 -Wellington 6140AOTEAROA / NEW ZEALAND04 801 5799 ext. 62029R.Gammon@Massey.ac.nz