1. Chapter 15 Clinical Health Psychology, Neuropsychology and Forensic Psychology INTRODUCTION TO CLINICAL PSYCHOLOGY 2E HUNSLEY & LEE PREPARED BY DR. CATHY CHOVAZ, KING’S COLLEGE, UNIVERSITY OF WESTERN ONTARIO

2.  Clinical Health Psychology  Clinical Neuropsychology  Forensic Psychology Topics

3. Areas of Knowledge Required for Registration as a Psychologist in Ontario Normal Functioning  Biological bases of behaviour  Cognitive affective bases of behaviour  Social bases of behaviour  Psychology of the individual  Learning  Lifespan development  Personality/individual differences Scientific Issues  Research design and methodology  Statistics  Psychological measurement

4. Areas of Knowledge Required for Registration as a Psychologist in Ontario Professional Issues  Ethical, legal, and professional issues Assessment and Case Formulation  Psychopathology  Psychological assessment  Psychodiagnostics Intervention  Intervention procedures; psychotherapy  Evaluation of change

5.  Dramatic increases in medicine and sanitation have increased life expectancy and the role of behaviors on health  Definition of disability (World Health Org: WHO-ICF, 2002): impairment, activity limitation and participation restriction  WHO uses a biopsychosocial model: underscores integrated parts of individual biology, psychology and society. Clinical Health Psychology

6.  Statistics Canada (2007): 4.4 million Canadians reported that they are limited by health-related problems (a 14.3% disability rate)  Clinical Health Psychologists focus on the intersection of the health, behaviour and society  In Ontario, in addition to the requirements noted earlier (exhibit 15.1 in text), additional specialized training and knowledge is required in health psychology (behavioural medicine, developmental psychology) Clinical Health Psychology

7.  Activities of Clinical Health Psychologists  Work in all manner of settings including community clinics, hospitals, and private practice  Most work with various health problems including: asthma, chronic pain, cancer, diabetes, heart disease etc.  Many focus on both assessment and treatment/intervention Clinical Health Psychology

8.  Neuropsychology is the study of brain-behaviour relationships.  Clinical neuropsychology is the assessment and remediation of problems with the CNS  Clinical neuropsychologists work with a large variety of patients including those with Alzheimer's, traumatic brain injury, multiple sclerosis, brain tumours, and Parkinson’s disease Clinical Neuropsychology

9.  Clinical neuropsychologists receive training in  Neuroanatomy: normal brain structure and function  Psychopharmacology: the way drugs and environmental toxins affect the brain  Neuropathology: the way injuries affect the brain  Neuropsych assessment: vast array of tests and assessments for brain function Clinical Neuropsychology

10.  Recent imaging techniques (e.g., MRI, fMRI) have expanded their training to these areas  Examples for neuropsych assessments  Diagnosis (e.g., whether cognitive impairment is related to depression or injury)  Prognosis (e.g., how will a head injury affect long term memory)  Treatment planning (e.g., how to help someone with a serious head injury)  Legal proceedings (e.g., might this person continue to be violent in the future?) Clinical Neuropsychology

11.  Canada - a Ph.D in clinical psychology and additional field training (above and beyond the requirements listed earlier– Exhibit 15.1 in text )  Testing instruments include all those covered in this class plus many other specialized tests  Assessment includes testing and other measures (just as with a typical clinical assessment)  Intervention often focuses on the areas highlighted in assessment that need remediation or rehabilitation Clinical Neuropsychology

12.  Forensic Psychology: The application of psychology to the legal and criminal justice system  Like many other clinical psychologists they engage in prevention, assessment, treatment and research  In Canada most receive their doctorate in clinical psychology followed by additional training in forensics (above requirements noted on p.3)  Employed in a variety of settings including hospitals, private practice, court clinics, penitentiaries, specialized facilities Forensic Psychology

13.  Some activities of forensic psychologists:  Court related assessments  Assessment of witnesses  Assessment of victims  Assessment of the accused  Assessment of disputed parties (child custody)  Assessment of offenders  Treatment services for offenders  Research  Work on prevention programs (e.g., creating a program to decrease bullying) Forensic Psychology

14.  Forensic assessment involves most all of the assessment/tests that we have discussed in this class plus those targeted to forensic populations, for example:  Psychopathy Checklist-Revised  Violence Risk Appraisal Guide  Intervention usually is focused on decreasing recidivism: committing crimes after release from incarceration Forensic Psychology

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