Abstract
The graduate training of psychologists should prepare them for central roles in state hospitals, especially roles involving direct patient care and supervision of colleagues. To what extent do actual job practices match graduate preparation? To find out, 55 psychologists from 12 state hospitals in the Midwest were surveyed regarding their educational backgrounds and time currently spent in various job activities. Results indicated that paperwork consumes more time than any other activity, followed by therapeutic services, psychological assessment, supervision, and case management. Almost 50% of the sample was trained under a cognitive-behavioral orientation; however, more than 60% of survey participants now practice according to eclectic models. These results imply that psychologists in these settings may not be utilized to their full potential because of a variety of organizational constraints. © 1998 John Wiley & Sons, Inc. J Clin Psychol 54: 11–18, 1998.
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