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• W764941971 abstract "The purpose of the current research was to obtain medical personnel perceptions about the role of behavioral health psychology within their medical care practices in Oregon. Four hypotheses were explored. Hypothesis 1 asserted that medical personnel from urban, suburban, and rural locations would hold significantly different views; Hypothesis 2 suggested that the sample would more likely refer the more acute patients; Hypothesis 3 posited that medical personnel would make more referrals if they knew a mental health provider; Hypothesis 4 stated that there would be significant differences between the perceptions and practices of female and male members of this sample. A 26-item questionnaire was sent to a multi-stage probability random sample of 509 medical personnel, representing 4.1% of those holding licenses from the Oregon Board of Medical Examiners as of April 10, 2011. Of the 509 questionnaires originally mailed, 69 were returned and usable (14.9% of the sample). Perceptions of Behavioral Health iv The questionnaire collected nominal, interval, and ratio data to explore four working hypotheses. The four hypotheses were explored via analyses of variance and correlations between various factors. Results indicate that (H1a) where the medical personnel practiced did not impact the acuity levels they assigned to patient symptoms or the use of behavioral health referral services; (H1b) those practicing in urban and suburban locales who wanted to refer to externally located behavioral health specialists preferred referring to psychiatrists; (H1c) practice locations did not impact either the perceived need for or actual referrals made; (H1d) practice locations also did not impact the type of professionals to whom referrals were made; (H2) respondents were expecting to refer both lower and higher acuity level patients for behavioral health services; (H3) knowing a specific behavioral health specialist did not significantly affect the referral process; (H4) more female medical professionals believed their patients from last year would have benefitted from a behavioral health referral. The results are discussed with reference to the impact on establishing a behavioral health practice in Oregon. Perceptions of Behavioral Health v Dedication This dissertation is dedicated to the three most important women in my life: Jean, Sandy, and Connie. Connie and I have shared a faith-enriched journey as friends, lovers, and partners for nearly four decades. Connie’s love for our children and grand-children clearly reflects the impact of her mother, Elva. Her joyous service of the brethren, neighbors, and complete strangers is characteristic of her father, Homer, who never met a stranger. While Connie’s passion to serve elderly men used to bother me, I have since grown to enjoy the fruits of this passion as I now enter my sixties. Connie, your Christian witness shines brightly and I am blessed by your friendship! Sandy, my sister in the flesh, became my mother in the faith more than forty years ago. She (and her husband, Al Slater, Jr.) provided me with the only viable shelter (Jesus!) within which to grow and mature. You have both provided abundant love and support, and words will never express my gratitude for God’s provisions through both of you. Sis, you are a gem (just like Mom!). Thanks for making memories. Jean, my mother in the flesh, later became my sister in the Spirit, and now resides with the Lord in heaven (March 15, 1926 – January 2, 2003). Mom taught me to love people, excel at reading and learning, and then teased me about becoming a “professional student” (though I always preferred lifespan learner)J. Mom, your abundant love is the primary reason none of your children ended up in prison or in an early grave. God still uses you mightily in so many lives because death ends a physical life but it can never end a relationship! Perceptions of Behavioral Health vi Acknowledgments Because no text is the product of one person, I am indebted to many family, friends, coworkers, mentors, and academic colleagues. Without the challenges, support, and empowerment of so many, the learning experience leading to this dissertation would have been a superficial, hoop-jumping exercise at best. I am indebted to the entire Graduate School of Clinical Psychology faculty and staff at George Fox University. Your sacrificial service to all your students, for which you are poorly paid and often overlooked, makes the PsyD Program a powerful academic, personal, and spiritual experience. Each of you played very distinctive roles in both my on-going education and in modeling what professional psychology really entails. I am particularly indebted to Dr. Kathleen Gathercoal, my committee Chair, for empowering my personal choices over the years and for uniquely radiating the genuine Spirit of the Quaker (Friends) journey as well as modeling inclusive Feminism. God’s inner light is certainly alive and well within your every pore. You have blessed me beyond measure over the years. Your genius, creativity, and gracious manner will impact the rest of my lifespan. I also want to say a very special thanks to Dr. Mary Peterson, Chair of the Graduate School of Psychology at George Fox University, and Dr. Bill Buhrow, Dean of Student Services and Director of Health and Counseling Services at George Fox University. Each of you expressed ready willingness to serve as committee members, a gracious process which has deeply blessed and humbled me. You each brought great knowledge of Health Psychology to this process and your tireless energies are what make this university shine. Servant hearts, like yours, not only manifest His Logos but model what integrative psychology really means. Perceptions of Behavioral Health vii I also want to thank Dr. Linda Samek, Dean of the School of Education, for creating a “modified sabbatical experience” over the past year which allowed me the time to complete the pre-doctoral internship. Your grace and creativity in this process are gratefully received! You manage the largest School in this university and still take the time to make each of us feel unique and special. What a gift you are! Last, but certainly not least, I wanted to share a special, heart-felt, thank you to my clinical supervisors whose trust empowered me to explore many varied theories, models, and skills while serving patient needs. v Dr. David Collier, PsyD, who supervised me at the Salem Veteran’s Center for 18 months (along with a very skilled team of master-level and doctoral-level clinicians), gave me new skills and a renewed awareness of how valuable self-care must be when serving people. I also love how you love US Veterans! v Dr. Bill Buhrow, PsyD, a member of my dissertation committee, who also served as my pre-internship supervisor at the university Health and Counseling Center, always provided clear and direct feedback, honed my report-writing skills, and treated me always as a colleague. v Dr. Joel Gregor, PsyD, Director of the Behavioral Health Clinic in Newberg, for providing insights, wisdom, and much-needed grace surrounding all things MACJ during my internship. Your love empowered me. v Dr. Heidi Joshi, PsyD (Along with her servant buddy, Polly, and side-kick, Lina Garcia), who supervised me during my internship at PMG Scholls and PMG Gateway, thanks for sharing your rich passion for all things behavioral health. Your “walk about” supervision Perceptions of Behavioral Health viii style, candid questions, delightful shadowing experiences, and rich sense of health humor will impact all those I serve in the future. Perceptions of Behavioral Health ix Table of" @default.
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• W764941971 title "The Perceptions of Behavioral Health Psychology Held by Medical Personnel in Oregon" @default.
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