1. Family Therapy Training for Clinical Psychology Students: A Survey of Schools of Psychology in New Zealand and AustraliaRuth A. Gammon, PhD, MSWClinic DirectorMassey University – WellingtonPsychology Clinic

2. Family Therapy Survey88 Surveys sent to all clinical psychology programs in NZ and Australia (second email 87 – one person no longer there) Hard Copy via Post and Electronically survey via email Return – 19 = electronic / 10 = hard copy N = 29

3. Demographic Data Directors of Training = 14 Clinic Directors = 13 Both Clinic Director/Director of Training = 2 TOTAL = 29 Permanent Position = 22 Permanent (pending satisfactory review at a definite future point) = 3 Fixed Term –three years or more = 3 No Answer = 1 Faculty = 21 Member of School Professional/General Staff = 6 Other (Director of Agency with informal agreement with School) = 1 No Answer = 1 Australia = 24 New Zealand = 4 No Answer = 1

4. Family Therapy SurveyPlease select where you think your Psychology Clinic currently is on these scales/ and C2. Please select where you think your Psychology Clinic should be on these scales:Focussed onClinical Service..............................1 2 3 4 5 6 7..............................Focussed on TeachingCURRENTLTY = 1 3 4 13 5 3 0SHOULD BE = 0 4 1 15 5 3 0 Integrated with At Arm’s Length fromTraining Programme…………………1 2 3 4 5 6 7……………………………Programme CURRENTLTY = 6 11 6 0 2 3 1SHOULD BE =13 8 5 0 0 1 0 Focussed on Research………………………….…….1 2 3 4 5 6 7…………………………Focussed on TeachingCURRENTLTY = 0 1 1 3 8 13 3 SHOULD BE = 0 2 1 12 6 7 0Fundamental One resourceTo Training Programme………………1 2 3 4 5 6 7……………………...…to Programme CURRENTLTY = 13 10 2 2 1 1 0SHOULD BE = 10 14 2 1 0 1 0

5. Family Therapy Survey Focussed onClinical Service…………………………1 2 3 4 5 6 7………………………..Focussed on ResearchCURRENTLTY = 5 15 6 2 1 0 0 SHOULD BE = 1 7 10 8 2 0 0 Directed by Independent fromTraining Programme…………………1 2 3 4 5 6 7………………....………Programme CURRENTLTY = 4 7 4 5 3 5 1 SHOULD BE = 7 8 6 5 1 1 0 Focussed on Income Generation……………………1 2 3 4 5 6 7……………………..Focussed on Strategic GoalsCURRENTLTY = 0 0 1 3 7 11 7 SHOULD BE = 0 1 0 3 4 9 11 Provide Students with a Variety Allow Students to Specializeof Clinical Experiences...................1 2 3 4 5 6 7.......................in their Area of InterestCURRENTLTY = 3 20 3 3 0 0 0SHOULD BE = 9 10 4 5 0 0 0

6. What percentage of clients are: (these should add up to 100%) Individual adults Children Families Adolescent Elderly Couples Results: = 44.96% (100%) = 31.07% (90%) = 9.82% (50%) = 9.46% (20%) = 3.03% (15%) = 2.0 % (8%) Family Therapy Survey

8. Child Therapy

9. Family Therapy

10. Couples

11. Group Therapy

12. Other Modalities (Please list): Results: = 29 = 20 = 14 = 10 = 2 = 3 (home-based services, psych assessments, the group tends to be educational, e.g. cool kids Family Therapy Survey

14. ACT

15. Solution focused

16. Family therapy

17. Brief treatment models

18. Psychodynamic

19. Non-directive play therapy

20. Art therapy

21. Other modalities usedPlease specify:Results = 29 = 16 = 10 = 10 = 7 = 7 = 6 = 1 = 10 (5 = Schema, group, behavioral, EFT, mindfulness, parent training, watch wait and wonder, IPT, STPS, REBT, Narrative) Family Therapy Survey

23. No

25. Optional courses.

26. Integrated into general Psychology courses.

27. Other (Please list): Results = 10 = 19 (Tx of BPD, Trauma, Adult MH, Child and Family, Some Cognitive assessments, Child Anxiety, behaviour and IQ assessment, neuropsych, health = 8 = 1 = 13 = 3 – None 1 – 3 hr topic 1- very little only mentioned occasionally 1 –topic covered in clinical program courses 1- no specific family therapy training, some systems theory and exposure to concepts Family Therapy Survey

28. On average how many sessions do you see a child and/or family for? 1 – 3 sessions 3 – 5 session 5 – 10 sessions 10 – 20 sessions More than 20 sessions Results: = 0 = 5 = 14 = 8 = 0 Family Therapy Survey

30. Meet with the child individually.

31. Meet with the child and one parent.

32. Meet with the child and both parents.

33. Meet with other members of the family all together including the parents and child and sibling/s.

34. Meet with extended family members.Results: 1 2 345 6 Not Somewhat Important Very Essential Not Applicable Important Important Important at all 0 2 2 7 13 3 0 1 2 9 14 1 0 4 7 9 7 1 0 3 10 8 5 2 2 10 10 2 2 2 4 16 4 1 1 2 Family Therapy Survey

35. Summary:Children, adolescents and families make up 50% of the clients being seen in Psychology clinics across NZ and AustraliaHalf of the respondents report family therapy as a treatment modalityOnly 27% require one paper in family therapy, and the majority (>50%) of schools integrate family therapy into general courses and 25% have no to very little family therapy training

36. SummaryLiterature review for family therapy training in New Zealand – nothing, except :Werry Centre (2009) - Report for child and adolescent mental workforce development – Family Therapy in Child and Adolescent Mental Health: A Descriptive Summary of Effectiveness Research and Practice Perspectives to Inform Training and Workforce Development Planning in New Zealand.

37. Summary“…comprehensive review of effectiveness research drawn from the family therapy literature and from interviews with 9 selected key informant/stakeholder family therapist practising in New Zealand.” Recommendations Working with tertiary education providers to develop and promote family therapy courses at a post graduate levelPromotion of national training programmes in family therapy which recognize the unique cultural context in which family therapist working in NZ practice ranging from short orientation courses to comprehensive training courses with a practicum component

38. Summary Potential models for training* 2- hour seminar at clinic* First half of the year didactic – * Second half of year – live session, with the use of reflecting teams.

39. SummaryFamily Therapy Reference Group* Formed from Werry Centre Report – funded through Ministry of Health to carry out the recommendations* Group made up of Stakeholders in family therapy from Public and Private Sector* Goal is to promote family therapy and workforce development in New Zealand Family Therapy Training Day in early 2011 Family Therapy Conference and the Development of a National Association for family therapist in NZ Development of Standards and requirements for Family Therapist

40. Questions ??? Ruth A. Gammon, PhD, MSW Clinic Director/Sr. Lecturer Psychology Clinic at Wellington School of Psychology - Te Kura HinengaroTangata Massey University PO Box 756 -Wellington 6140 AOTEAROA / NEW ZEALAND 04 801 5799 ext. 62029 R.Gammon@Massey.ac.nz