Notice bibliographique
Résumé
The importance of effective and timely psychotherapy treatment for Canadians in need has received increased attention in recent years. Additionally, there has been a call to better understand the current practices of the psychology workforce, to first understand where we stand as a field and further, to gain insight into how to best utilize psychology experts in the provision of mental health services. As the need for increased accessibility to psychotherapy treatment has come to the forefront of concerns in mental health care service delivery, initiatives to understand how best to implement programs aimed at increasing access have begun to be explored. The following dissertation has two aims in line with these recent trends: (a) to document the perspectives of psychology practitioners regarding increasing access to psychotherapy and the implementation of a future government-funded psychotherapy model in a local Canadian context, and (b) in order to inform these future initiatives to increase access to psychotherapy, documentation of current routine psychotherapy treatment is needed; therefore the second aim is to document current psychotherapy treatment in the private sector, as there is a dearth of knowledge concerning service delivery in this sector. To achieve these aims, first a survey study of psychologists and psychotherapists working in the private sector in Quebec (N = 671) was conducted focusing on themes such as psychotherapy format, age groups being served, collaboration with other health professionals, referral sources, fees for services, clinical tools used, wait-times, and use of supervision. Results indicated that the most served age population is adults (age 31-64); individual therapy is most commonly offered; and anxiety and mood disorders were reported to be the most frequently treated mental health disorders. It was not common for practitioners to have a wait-list longer than one week; and the average fee charged for individual therapy was $95.10 (SD = 16.69). To gain a more detailed understanding of private practice, a second study was conducted to examine the differences in practice characteristics among those of different levels of education, years of experience and theoretical orientation. To achieve the second aim, a survey study was conducted of licensed psychologists and psychotherapists in both public and private practice in Quebec concerning accessibility to psychotherapy treatment and the favourable components of a future government-funded model of psychotherapy (N = 1462). Results indicated that 77% of the sample 'strongly agreed' that accessibility to psychotherapy should be increased. Diagnosable mental health disorders, particularly mood disorders, anxiety disorders, and schizophrenia and other psychotic disorders, as well as psychological functioning related to health, injury and illness, and family difficulties were identified as the problems to be prioritized. There was stronger agreement for clinicians in a future government-funded model of psychotherapy to be paid on a session-to-session basis as opposed to receiving a yearly salary; to be able to set their own fee; and to have freedom to choose the appropriate psychotherapeutic approach. To again gain a nuanced understanding of the perspectives of these practitioners, a second study sought to examine the differences in perspectives regarding a government-funded model of psychotherapy between those of different levels of education, years of experience, and work setting (public vs. private). Important differences were found concerning fees and hiring structure, the use of validated measures to track treatment progress, as well as the central role of the treating clinician. Finally, a summary of the current characteristics of psychotherapy practice is presented in conjunction with information concerning the future of government-funded psychotherapy.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,010 | 0,003 |
| Communication savante | 0,004 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,018 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».