Update on Psychology

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Update on Psychology Education in VA Robert Zeiss, Ph.D. Director, Associated Health Education Office of Academic Affiliations (10A2D) VA Central Office, Washington, DC VA Psychology Leadership Conference VA Psychology Leadership Conference San Antonio, TX

Topics for Today Impact of VA Training on US Psychology Trends in VA Psychology Education New Internships and Postdoctoral Fellowships RFP for Rural Internships Affiliation Agreement Update Stipends 2-

VA Training Impact on Psychology Nationally, ~50% of psychologists have had some VA training. (estimated from numbers who had VA training and number who passed EPPP in 2009) ~70% of VA Psychologists have had VA training. (AES - 2010) 3-

VHA Workforce Succession Strategic Plan - 2011 Developed annually by the Healthcare Talent Management (HTM) Office. http://vaww.succession.va.gov/workforce _planning/default.aspx aspx 4-

VHA Workforce Succession Strategic Plan 2011 Needs Analysis Top Ten Occupations Rank Projected Hires Through FY15 0602 Medical Officer (Physician) 1 16,478 0610 Nurse 2 34,960 0201 Human Resource Mgmt 3 2,877 0660 Pharmacist 4 3,953 0644 Medical Technologist 5 2,465 0633 Physical Therapist 6 1,005 0180 Psychology 7 2,561 0647 Diagnostic Radiologic Technologist 8 1,859 0605 Nurse Anesthetist 9 643 0620 Practical Nurse 10 10,145 Total Top Ten Hires Needed Through FY16 76,947 5-

Psychology Educational Enhancement OAA OMHS Collaboration 2008-2009 167 new positions in 79 programs 4 New Internship Programs 26 New Postdoctoral Fellowship Programs 6-

All Four New Internships Are Accredited Anchorage Jim Fitterling Asheville Christopher San Miguel Iowa City Doris Stormoen Richmond Michael Ellwood 7-

Psychology Educational Enhancement 2009-2010 11 MIRECC & COE Fellows 2010-2011 11 Additional MIRECC & COE Fellows 8-25 New Training Positions Temporary for 1 st year New RFP for competitive permanent allocation for 2011-12 Can there be more?

Psychology Educational Enhancement 2011-2012 Competed 90 training positions (65 new) Nine new internship programs 97 programs in 44 states + DC & Puerto Rico Eleven new postdoctoral fellowships 58 sites in 31 states t +DC&P Puerto Rico 9-

New Internships Boise Canandaigua Columbia SC Huntington Indianapolis Madison Philadelphia Tuscaloosa West Palm Beach 10 -

New Postdoctoral t Fellowships Atlanta Biloxi Columbia SC Dayton Hampton New York Harbor North Chicago Salt Lake City MIRECC San Juan Tampa Tucson 11 -

Mental Health Disciplines Discipline #MH Training i $Millions Staff Positions for Training Nursing 2500 555 $4 Psychiatry 2600 1046 $61 Psychology 3000 744 $30 Social Work 4500 789 $6 12 -

Mental Health Professions Trainees 1100 1000 900 800 Psychiatry Psychology Social Work 700 600 500 400 2006 2007 2008 2009 2010 2011 2012 13 -

Trainee Allocations AY 2011-2012 2012 Interns 477 Postdoctoral Fellows 267 Total: 744 positions (61 more than last yr) 14 -

Internship Training i since 2005 500 450 400 350 300 2005 2006 2007 2008 2009 2010 2011 2012 15 -

Postdoctoral Training since 2005 300 250 200 150 100 50 0 2005 2006 2007 2008 2009 2010 2011 2012 16 -

17 - LPS* Time is NOW! Ask your trainees to take the LPS The survey asks you to rate various aspects of your clinical training experience. Information from the survey provides feedback in identifying areas of excellence as well as areas needing improvement. 15 minutes Internet based: http://www.va.gov/oaa/surveys/ *Learners Perceptions Survey

Intern Satisfaction with VA Training by VISN LPS 2010 100.00 90.00 80.00 70.00 60.00 50.00 40.00 30.00 Average_Score Respondents 20.00 10.00 0.00 1 3 6 10 12 15 16 17 18 20 21 22 18 - VA Training On a scale of 0 to 100, where 100 is a perfect score and 70 is a passing score, what NUMERICAL SCORE would you give your MOST RECENT VA clinical training experience?

Affiliation Agreements For VA Internship Programs, Affiliation Agreements with the interns graduate programs are required. Without t them, you and your trainees have NO Tort Claims Protection Affiliation Agreements do not expire For Postdoctoral Fellowships, they are not required. The Fellow, having already received the degree, is no longer associated with the graduate program. 19 -

National Affiliation Agreements For VA Internship Programs only, we are moving to development of National Affiliation Agreements 20 - Simplified Format Each school will need to complete only one Training Directors will no longer need to develop them Ultimatelyt l They will be in place before the Match Prerequisite for application to a VA internship

National Affiliation Agreements Maintained by OAA List of Schools with Affiliation Agreements on OAA website http://vaww.oaa.med.va.gov/dbahealth/ahpsyaffiliationlist1.aspx Training i Directors and local l Education Offices are developing early rounds 220 of 325 completed 21 -

National Affiliation Agreements Once in place, No expiration date, unless school or state insists on one Will check against APA list of accredited graduate programs 1-2 times a year Few additional ones needed d each year 22 -

Supplemental Educational Funds for Postdoctoral Fellows Often offered $335 this year This is the last year for this supplemental funding. 23 -

Associated Health Supervision Handbook Revision by 2013 Teleservices Telesupervision Off site services 24 -

What s Next? Flatline Budget May need to be more focused - Rural Health - PACTs APA Model Licensing Act Unknown impact - Now 11 states 25 -

What s Next? Anticipate a few more stable years at least No expansion of training positions Emphasis on Rural Needs & PACTs Increasing importance of VA Psychology Training Council Impact of Model Licensing Act? 11 states 26 -

Questions Robert A. Zeiss, PhD Director, Associated Health Education Office of Academic Affiliations (202) 461-9493 Robert.Zeiss@va.gov Intranet: vaww.va.gov/oaa Internet: www.va.gov/oaa 27 -