Attitude, knowledge, and skill competencies for practice in professional geropsychology: Implications for training and building a geropsychology workforce.

Professional geropsychology is a growing area of practice and training. To meet the mental health needs of an aging population, increasing numbers of psychologists need to develop competence to work with older adults, their families, and related care systems. The Pikes Peak model for geropsychology training (Knight, Karel, Hinrichsen, Qualls, & Duffy, 2009) delineates attitude, knowledge, and skill competencies for professional geropsychology practice and makes recommendations for training. In this paper, we define and illustrate the Pikes Peak geropsychology practice competencies through a case example. In the case, an older man with complex needs seeks care through a generalist psychologist in an outpatient setting. The attitudes, knowledge, and skills that the psychologist needs to consider, and implications for training, are reviewed. Training recommendations and resources are provided, with a focus on the training needs of psychologists who wish to expand their practices to include older adults.

[1]  S. Whitbourne,et al.  Predoctoral training models in professional geropsychology. , 2010 .

[2]  M. Karel,et al.  Competency-based geropsychology training in doctoral internships and postdoctoral fellowships. , 2010 .

[3]  S. Qualls,et al.  Pikes Peak model for training in professional geropsychology. , 2009, The American psychologist.

[4]  W. Chaplin,et al.  Improving quality of life in diverse rural older adults: a randomized trial of a psychological treatment. , 2007, Psychology and aging.

[5]  Paul D. Nelson,et al.  Guiding principles and recommendations for the assessment of competence. , 2007 .

[6]  Paul D. Nelson,et al.  The Competency Movement Within Psychology: An Historical Perspective , 2007 .

[7]  N. Rubin,et al.  Clinical competence for practicing psychologists: Clearly a work in progress. , 2007 .

[8]  Paul D. Nelson,et al.  Competency assessment models. , 2007 .

[9]  J. Sharkey,et al.  Recommendations for treating depression in community-based older adults. , 2007, American journal of preventive medicine.

[10]  Edward P. Shafranske,et al.  Competence in Competency-Based Supervision Practice: Construct and Application , 2007 .

[11]  B. Edelstein,et al.  Statutory reform is associated with improved court practice: results of a tri-state comparison. , 2007, Behavioral sciences & the law.

[12]  M. Vitiello,et al.  Evidence-based psychological treatments for insomnia in older adults. , 2007, Psychology and aging.

[13]  L. Teri,et al.  Evidence-based psychological treatments for disruptive behaviors in individuals with dementia. , 2007, Psychology and aging.

[14]  J. Wetherell,et al.  Evidence-based psychological treatments for late-life anxiety. , 2007, Psychology and aging.

[15]  D. gallagher-Thompson,et al.  Evidence-based psychological treatments for distress in family caregivers of older adults. , 2007, Psychology and aging.

[16]  Laura J. Morrison,et al.  Developing Initial Competency-based Outcomes for the Hospice and Palliative Medicine Subspecialist: phase I of the hospice and palliative medicine competencies project. , 2007, Journal of palliative medicine.

[17]  R. Levant,et al.  Distance education in professional training in psychology. , 2007 .

[18]  J. Damron-Rodriguez,et al.  Developing Geriatric Social Work Competencies for Field Education , 2006, Journal of gerontological social work.

[19]  K. Sorocco,et al.  Alcohol Use Among Older Adults , 2006, The Journal of general psychology.

[20]  Bob G. Knight,et al.  Cognitive-behavioral interventions with older adults: Integrating clinical and gerontological research. , 2006 .

[21]  P. Areán,et al.  Assessment and Treatment of Depressed Older Adults in Primary Care , 2006 .

[22]  W. Haley Clinical Geropsychology and Primary Care: Progress and Prospects , 2006 .

[23]  F. Scogin,et al.  Evidence-Based Psychotherapies for Depression in Older Adults , 2006 .

[24]  S. Mcginnis,et al.  The impact of the aging population on the health workforce in the United States--summary of key findings. , 2006, Cahiers de sociologie et de demographie medicales.

[25]  G. Hinrichsen,et al.  Interpersonal Psychotherapy for Depressed Older Adults , 2006 .

[26]  R. Hill Positive Aging: A Guide for Mental Health Professionals and Consumers , 2006 .

[27]  S. Bartels,et al.  Evidence-based mental health services for home and community. , 2005, The Psychiatric clinics of North America.

[28]  Kevin W Eva,et al.  Self-Assessment in the Health Professions: A Reformulation and Research Agenda , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[29]  P. Kirwin,et al.  Proposed geriatric psychiatry core competencies for subspecialty training. , 2005, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[30]  Paul D. Nelson,et al.  A Cube Model for Competency Development: Implications for Psychology Educators and Regulators , 2005 .

[31]  Denis A. Evans,et al.  Geriatric Interdisciplinary Team Training Program , 2005, Journal of aging and health.

[32]  N. Kaslow Competencies in professional psychology. , 2004, The American psychologist.

[33]  P. Nelson,et al.  Competencies conference: future directions in education and credentialing in professional psychology. , 2004, Journal of clinical psychology.

[34]  W. Berta,et al.  Defining Best Practices for Specialty Geriatric Mental Health Outreach Services: Lessons for Implementing Mental Health Reform , 2004, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[35]  M. Wallhagen,et al.  Curricular Framework: Core Competencies in Multicultural Geriatric Care , 2004, Journal of the American Geriatrics Society.

[36]  Robert A. Neimeyer,et al.  Roles for Psychologists in End-of-Life Care: Emerging Models of Practice. , 2003 .

[37]  L. Nichols,et al.  Primary care interventions for dementia caregivers: 2-year outcomes from the REACH study. , 2003, The Gerontologist.

[38]  P. Lichtenberg,et al.  Streamlining assessments and treatments for geriatric mental health in medical rehabilitation , 2003 .

[39]  P. Areán,et al.  Recruitment and retention of older minorities in mental health services research. , 2003, The Gerontologist.

[40]  G. Niederehe,et al.  Psychologists in Practice With Older Adults: Current Patterns, Sources of Training, and Need for Continuing Education , 2002 .

[41]  E. Hundert,et al.  Defining and assessing professional competence. , 2002, JAMA.

[42]  C. Buppert Professional Psychology in Long-term Care , 2001 .

[43]  S. Qualls Therapy with aging families: Rationale, opportunities and challenges , 2000 .

[44]  T. Patterson,et al.  Consensus statement on the upcoming crisis in geriatric mental health: research agenda for the next 2 decades. , 1999, Archives of general psychiatry.

[45]  S. Zarit,et al.  Mental Disorders in Older Adults: Fundamentals of Assessment and Treatment , 1998 .

[46]  S. Qualls,et al.  Standards for psychological services in long-term care facilities. , 1998, The Gerontologist.

[47]  B. Knight,et al.  ADAPTING PSYCHOTHERAPEUTIC PRACTICE FOR OLDER CLIENTS : IMPLICATIONS OF THE CONTEXTUAL, COHORT-BASED, MATURITY, SPECIFIC CHALLENGE MODEL , 1998 .

[48]  S. Paist Geriatric issues. , 1996, Postgraduate medicine.

[49]  L. George,et al.  Mental health care for older adults in the year 2020: a dangerous and avoided topic. , 1994, The Gerontologist.

[50]  P. Lichtenberg Handbook of Assessment in Clinical Gerontology , 2010 .

[51]  E. Rosowsky,et al.  Geropsychology and long term care : a practitioner's guide , 2010 .

[52]  T. Antonucci,et al.  BLUEPRINT FOR CHANGE: ACHIEVING INTEGRATED HEALTH CARE FOR AN AGING POPULATION , 2008 .

[53]  J. Hartford Retooling for an Aging America : Building the Health Care Workforce Committee on the Future Health Care Workforce for Older Americans , 2008 .

[54]  A. Goldstein Forensic psychology : emerging topics and expanding roles , 2007 .

[55]  Peter A. Lichtenberg,et al.  Handbook of dementia : psychological, neurological, and psychiatric perspectives , 2003 .

[56]  M. McMeniman,et al.  The impact of geropsychology training , 2002 .

[57]  G. Stricker,et al.  A call for psychotherapy integration in work with older adult patients , 2002 .

[58]  G. Heinemann,et al.  Team performance in health care : assessment and development , 2002 .

[59]  M. Gatz,et al.  Mental health and aging at the outset of the twenty-first century. , 2001 .

[60]  Robert G. Frank,et al.  Handbook of rehabilitation psychology. , 2000 .

[61]  L. Teri,et al.  Mental health services for older adults: Implications for training and practice in geropsychology. , 1995 .

[62]  G. VandenBos,et al.  Psychology and the older adult: Challenges for training in the 1980s. , 1982 .

[63]  Denise C. Park,et al.  Handbook of the Psychology of Aging , 1979 .