How To Be A Health Psychologist In The Netherlands

Transcription

1 Veronica Janssen & Yama Masoud Master in Health Psychology Veronica Janssen v Researcher and lecturer department of Health Psychology v Medical psychologist cardiac rehabilitation clinic v Chair and member national steering committees on (psychological) treatment in cardiac rehabilitation (e.g., developing guidelines etc.) -> Scientist practitioner model 1

2 Professional perspectives Health care v Primary health care (adults, children) v Burnout-prevention v Private practice v Secondary health care: GGZ, hospitals, rehabilitation centers, medical centers v Entry to GZ-opleiding v Medical psychology department hospital: Pain management Oncology and hematology Endocrinology Cardiology etc. Professional perspectives Primary prevention & training v Municipal health organisations v RutgersWPF, Voorlichtingsburo Voeding, Trimbos, etc. v Hersenstichting, Hartstichting, KWF, Astma Fonds, etc. v Companies Research v Universities and research institutes (TNO, Nivel, etc.) Policy v Local or federal government v Developmental aid organisations 2

3 Health Psychology v Focuses on individual strengths! v Mind Body interaction v Emphasis on prevention and adaptation during all phases from health to illness. Salutogenic approach v=2lxh2n0apyw&feature=player_detailpage Healthy environments Self-regulatory skills 3

4 Topics of Health Psychology in Leiden v Complex interplay physical well-being and biological, psychological & social factors. v Changing lifestyles. v Nature of the stress response and impact on health. v Coping with stress. v Impact of disabling or life-threatening illnesses on patients and families. v Coping with chronic illness v Interventions focused on dealing with chronic illness: v Self-management and lifestyle change v Treatment of mental health problems: e.g., adjustment issues, anxiety, depression v Clinical health psychology skills MSc Program Health Psychology Standard Mandatory courses 20 ec Electives 0 ec Internship 20 ec * Thesis 20 ec Alternative 20 ec 10 ec 10 ec 20 ec * incl. Organisational, ethical & legal aspects of health care + BAPD 4

5 Health psychology programma (start Sept) September October November December January February March April May June x BTS (5) CBI (5) HPDP (5) PAICD (5) Thesis (20) Internship (20) x EL: Innovations in E-health care (5) BTS (5) CBI (5) EL: Health Psych.in Practice (5)Possible elective (5) HPDP (5) PAICD (5) Internship (10) Thesis (20) TCCS (10 elective) IBV internship (10) February March April May June July August September October November DecemberJanuary Mandatory courses BTS (5) CBI (5) HPDP (5) PAICD (5) Thesis (20) Possible Elective HPiP (5) Internship (10) Internship (20) 5

6 Imagine this. You are a health psychologist working for the government. You have been asked to: Case Example Binge Drinking v Binge-drinking in adolescents is a huge problem v The legal drinking age in the Netherlands has been raised to 18 v Adolescents now go on drinking-holidays to Belgium (e.g. Knokke) v The government wants to develop an intervention program to prevent binge-drinking holidays How would you go about this? 6

7 Health promotion & disease prevention v 1x yearly v 4 two-hour lectures: v recent insights into theory- and evidence-based health promotion. v systematic approach to design and implementation of effective interventions. v 7 three-hour workgroups: v designing an intervention aimed at improving health. v implementing and evaluating part of the intervention in a real-life situation (lesson at a secondary school). Imagine this. You are a health psychologist working for a rehabilitation center. 7

8 Case Example: Pain Management v Many patiens in rehabilitation suffer from (chronic) pain v This interferes with treatment and affects quality of life v The rehabilitation center has asked you to: v Develop a routine screening system to detect these patients v Develop an evidence-based intervention to treat these patients How would you go about this? Psychological assessment and interventions in chronic disease v 1x yearly v 7 two-hour lectures: v epidemiology of, and psychosocial problems associated with a variety of chronic diseases. v disease-specific psychosocial intervention programs for quality of life and self-management. v 7 three-hour workgroups: v Training in using different assessment instruments. v Training in using specific intervention strategies in patients with chronic disease. 8

9 Imagine this. You are a health psychologist working at the medical psychology department of a large hospital. The following patient is referred to you: Case Study Yasmin v 23-year old woman, suffers from Diabetes Mellitus Type 1 (DM) v Iraqi refugee, residence permit, works as shopassistent v Depressed mood, bad boyfriends, badly regulated DM v Wants to take better care of herself and regulate her blood glucose v Problem: frequently fails to show up for psychotherapy sessions v Demands instant appointments and cries a lot during sessions How would you deal with this patient? 9

10 Basic therapeutic skills v 2x yearly v 4 two-hour lectures: v requirements that ensure that patients can benefit from a therapeutic relationship. v 14 four-hour workgroups: v training in basic therapeutic skills, such as building the psychotherapeutic relationship, establishing rapport, handling resistance, reflective listening etc.) v Mini-therapy sessions Case Study George v 45-year old man, experienced a heart attack v Married, two children, works as an airplane controller v High levels of anxiety, in particular: v Very scared of getting a heart attack v Fear of confined spaces (buses, trains, lifts, tunnels, theatres, cinemas etc.) v Fear of helicopter/meteorite crashes v Avoids confined spaces and travelling by public transport v Avoids physical exercise v Would like to live a more anxiety-free life How would you treat this patient using Cognitive Behavioral Therapy? 10

11 Cognitive-behavioral interventions v 2x yearly v 7 two-hour lectures: v general aspects of cognitive-behavior therapy. v specific interventions for different psychopathologies. v 7 three-hour and 7 four-hour workgroups: v training in basic cognitive-behavioral interventions, such as case formulation, exposure, cognitive restructuring and relapse prevention. v Mini-therapy sessions: applying these interventions as an apprentice therapist to one of the fellow students. Master research & thesis v Thesis-information-meeting (October/February). v A list of topics; you can indicate your topic of interest. v Placement and contact with supervisor. v There are two deadlines: v handing in the research proposal (incl. oral presentation) v the final date for the thesis (incl. poster presentation). 11

12 Internship v Internship-info-meeting (October and February). v Start (preferably) an internship after completion courses and thesis research activities. v Finding a place: Find a setting that fulfills the criteria, check with the coordinator, apply, determine tasks, get final permission from coordinator, sign contract, send contract to coordinator. v Clinical practice internship: 20 ec (including diagnosis and treatment of pts). For example: v Medical psychology department hospital or rehabilitation center v Practice or Research internship (10 ec) For example: v GGD health promotion v TNO research v Trainers Course Communication Skills (10ec EL)and teach the 2 nd year IBV course (10 ec Internship). Electives Doing the MSc in 1 year is requires good planning, but is certainly feasible. Electives if time allows it: v List of electives in e-guide (from own & other specialisations). v Electives from specialisations within psychology. v Health Psychology in Practice is recommended. v Innovations in Ehealth care is recommended. 12

13 Post-master programs v Health care psychologist (e.g., GZ-opleiding) v Specific therapy-training programs (e.g. Cognitivebehavioral therapy) v PhD-study These are eligible for all students who have completed a Master in Clinical, Health, Child and Adolescent or Clinical Neuropsychology! Note: some additional requirements (e.g. re internship) and high competition! Why health psychology? v Focus on normal psychology = normal reactions to possible abnormal situations (adaptation) [vs. abnormal psychology and psychopathology = abnormal reaction to normal situations (anxiety disorders)] v Only 1-year professional Master in NL where health promotion and coping with chronic illness are offered in combination. v Strong link theory practice. v Keeping all options open. v International focus. v Small group, close contacts, a lot of student-staff interaction. 13

14 Questions?? Please also take the opportunity to ask your personal question(s) in the meet and greet after this session. or contact Chris Verhoeven by mail 14