Psynopsis WEB_Summer 2012 - Department of Psychology ...

PSYNOPSISFall/Automne 2012 - Volume 34 No. 4CANADA’S PSYCHOLOGY MAGAZINE | LE MAGAZINE DES PSYCHOLOGUES DU CANADACANADIANPSYCHOLOGICALASSOCIATIONSOCIÉTÉCANADIENNE DEPSYCHOLOGIE®SPECIAL ISSUEInnovations in PsychologicalHealth Service DeliveryÉDITION SPÉCIALELes innovations dans la prestationde services de santé de psychologieTable des matières

INSIDE THIS ISSUESpecial IssueÉdition Spéciale4-30INNOVATIONS IN PSYCHOLOGICALHEALTH SERVICE DELIVERYLES INNOVATIONS DANS LA PRESTATIONDE SERVICES DE SANTÉ DE PSYCHOLOGIE31-33 HAVE YOUR SAY34-3637-4460-61TO ADVERTISE A CAREER ONTHE CPA WEBSITEwww.cpa.ca/careers/CAREERS IN PSYCHOLOGYOur rates are $400 plus taxes for an initial 30-day posting.If you would like your ad to be posted for a longer period oftime, CPA requires a written request five business days prior tothe end-date of your posting, at an additional charge of $275plus taxes for every 30-days thereafter with no interruptionand for the same ad.POUR ANNONCER UNE CARRIÈRESUR LE SITE WEB DE LA SCPwww.cpa.ca/careers/CONVENTION 2013 / CONGRÈS 2013HEAD OFFICE UPDATENOUVELLES DU SIÈGE SOCIAL45-51 NEWS / NOUVELLES52 SECTIONS NEWS54-5556-59PSYCHOLOGY IN THE SPOTLIGHTPSYCHOLOGIE SUR LA SELLETTECPA AFFAIRSAFFAIRES DE LA SCPLAUREATES OF THE CPA 2012CERTIFICATE OF ACADEMIC EXCELLENCELES RÉCIPIENDAIRES DU CERTIFICATD’EXCELLENCE UNIVERSITAIRE DE LA SCP 2012CARRIÈRES EN PSYCHOLOGIENos tarifs sont de 400 $ plus taxes pour une période initialede 30 jours affichage. Si vous souhaitez que votre annoncesoit affichée pendant une longue période de temps, la SCPexige une demande écrite de cinq jours ouvrables avant ladate de fin de votre article, à un coût supplémentaire de275 $ plus taxes pour chaque jour de 30 par la suite, sansinterruption et pour la même annonce.PSYNOPSISEditor in Chief / Rédactrice en chefManaging Editor / Directrice des services de rédactionRevision / RévisionDesign / ProductionTranslation / TraductionAdvertising / PublicitéCANADA POSTPOSTE CANADAPUBLICATION MAILPOSTE PUBLICATIONAGREEMENT REGISTRATION NUMBERNUMÉRO DE CONTRAT D’INSCRIPTIONISSN 1187-11809The Official Magazine of the Canadian Psychological AssociationLe magazine officiel de la Société canadienne de psychologieThe Canadian Psychological Association (CPA) retains copyright of Psynopsis. Any articlespublished therein, by other than an officer, director or employee of the CPA, arestrictly those of the author and do not necessarily reflect the opinions of the Canadian PsychologicalAssociation, its officers, directors, or employees.La Société canadienne de psychologie (SCP) conserve le droit d’auteur de Psynopsis. Toutarticle qui y est publié, autre que par un représentant, un directeur ou un employé de laSCP, reflète strictement les opinions de l’auteur et non pas nécessairement celles de la Sociétécanadienne de psychologie, de ses représentants, de sa direction ou de ses employés.Please send your articles to communications@cpa.ca. Submissions should be no morethan 1000 words for articles that profile developments in science or practice and 400words for “Have your Say” submissions.Veuillez faire parvenir vos articles à communications@cpa.ca. Les soumissions nedevraient pas compter plus de 1 000 mots pour des articles qui décrivent les questions scientifiquesou de pratique et de 400 mots pour des soumissions à la rubrique« La parole est à vous ».1-888-472-0657Karen R. CohenMarie-Christine PearsonMarie-Christine PearsonRaymond LéveilléMarcel RacetteTyler Stacey-Holmes40069496BOARD / CONSEIL 2012-2013President / Présidente: Jennifer Frain, Ph.D.Past President / Président sortantDavid J.A. Dozois, Ph.D.President-elect / Président désignéWolfgang Linden, Ph.D.Honorary President / Président honoraireJustice Edward F. OrmstonDirectors / AdministrateursSylvie Bourgeois, Ph.D.Dorothy Cotton, Ph.D.Justin Feeney, M.Sc.Dawn Hanson, M.A.Suzanne E. MacDonald, Ph.D.Mary Pat McAndrews, Ph.D.John Meyer, Ph.D.Marie-Hélène Pelletier, MBA, Ph.D.Andrea Piotrowski, Ph.D.Aimée M. Surprenant, Ph.D.CPA ExecutivesChief Executive Officer/Chef de la directionKaren R. Cohen, Ph.D.Deputy Chief Executive Officer / Adjointe à la chef de la directionLisa Votta-Bleeker, Ph.D.®Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 3

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYLooking in the lightor to it:What can psychologycontribute to healthcare innovation?K.R. Cohen, Ph.D., CEO, CPAOur Fall issue is devoted to innovations in health servicedelivery; a topic that is front of mind at every health table atwhich I sit representing CPA. As Co-Chair of the Health ActionLobby (HEAL), I have been representing to the Councilof the Federation’s (CoF) Health Care Innovation WorkingGroup (HCIWG) http://www.councilofthefederation.ca/keyinitiatives/Healthcare.htmlThose who follow Psynopsis Head Office Updates willknow that CoF was created by Canada’s premiers to supportprovinces and territories in playing leadership roles within aconstructive and cooperative federal system. The Health CareInnovation Working Group was launched by CoF in January2012 and in July 2012, it released its report: From Innovationto Action http://www.councilofthefederation.ca/pdfs/Health%20Innovation%20Report-E-WEB.pdfAs discussed in the report, the HCIWG’s work is guidedby the Premiers view that innovation needs to be the cornerstoneof improved healthcare for Canadians. The work hasthree priorities• scope of health care practitioners’ practice to best meetpatient need (This priority has come to be understood asteam-based health care delivery models.)• health human resources management• the development of clinical practice guidelines across targetedconditions (hypertension, diabetic foot care)These priorities were chosen to improve patient outcomes,address sentinel population health concerns (e.g. chronic disease,aging, health service delivery in rural and remote areasof the country) and to share innovations in these priority areasamong Canadian jurisdictions. Addressing these priorities, thereport made a number of recommendations to Canada’s Premiersand Health Ministers.4 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYFirst, is the deployment and implementation of guidelines(identified in the report) for the management of heart diseaseand diabetic foot ulcers. The recommendations further enjoinPremiers and Ministers of Health to engage their healthprovider groups to adopt the guidelinesand to identify others. Second,is the uptake of models that successfullyenhance access to primarycare, emergency services in ruralcommunities and homecare. Exemplarsof successful models are describedin the report. The third setof recommendations address healthhuman resource management andprincipally focus on the developmentand sharing of datasets and evidence.The final recommendationstarget better prices for generic drugsand sustaining the work of theHCIWG.Although mental health or the psychological or behavioraldeterminants of health did not receive explicit attention in thereport, exemplars of innovative practice did include psychologistsamong collaborative teams. Further, the communique thatannounced the release of the report (http://www.coun-cilofthefederation.ca/pdfs/Jul26_Health%20Communique-FINAL.pdf) mentioned mental health among possible nextpriorities for model development. This resonates to what wasHEAL’s feedback to the HCIWG - HEAL member organizationsachieved the most consensus that mental health become anext priority for the HCIWG.As also reported in earlier issues of Psynopsis, CPA didmake a submission on its own behalf relevant to the HCIWG’swork on scope of practice. It can be found athttp://cpa.ca/docs/file/Government%20Relations/modelsofcare.pdfIn it, we detail the incidence and prevalence of mentaldisorders as well as their direct and associated costs to individuals,families, the workplace and the economy. The submissionfalls short of proposing a specific model of care but makes thefollowing recommendations:• Enhance accessibility of psychological services to low incomeCanadians• Review and revisit the need for physician referrals for reimbursementof psychological services covered by thirdparty insurers• Integrate psychologists into primary care – attached to thisrecommendation, we outlined one such practice and itsoutcomes• Integrate psychologists into emergency rooms• Extend admitting and discharge responsibilities to psychologistsfor mental and behavioural health disorders• Federal investment in an innovation fund to assist jurisdictionsin developing a sustainable mental health infrastructureacross Canada that will help improve access to mentalhealth services.CPA’s charge to Canada’sstakeholders in health is thatwe look to the light, not justin it, when considering thehealth care innovationsin which the countryshould invest.The work of the HCIWG is quite granular in its focus onclinical practice and scope of practice guidelines. It has begunby adopting and promoting evidence-based guidelines for thecare of common chronic conditions (i.e. hypertension, diabeticfoot care). This approach,though entirely reasonable inthat it starts with and expandsthe good and the possible whenit comes to care, faces a fewchallenges. One of these,gleaned from the CoF HCIWGreport, is that its success dependsnot only on buy-in fromprovincial and territorial governmentsbut also on uptakefrom health providers. Therange of health care providersand agencies who provide serviceto people with heart diseaseand to people with diabetes needto know about these models and be able and willing to implementthem. Here is where the HCIWG wants to make the mostof its engagement with HEAL and the organizational membersit represents. Here too lies the responsibility of health careproviders when it comes to innovation – success in innovationwill depend on our meaningful commitment and engagement.We too need to be team players.A second challenge, and this one very relevant to mental orbehavioural health, is that by focusing on the adoption of modelsin use, governments risk looking for the quarter in the light.They risk promoting and expanding the best of what is donecurrently, rather than what might work best. With significantamounts of health care being provided in the private sector, privatesector providers and models risk not making it to the tablefor consideration by government.This latter challenge underscores the point that a cornerstoneof health care innovation must be the review and revisit of thefunding models and structures that support practice. Collaborativepractice among Canada’s health providers, most of whoseservices are not funded by public health insurance plans whenprovided outside of tertiary care facilities, cannot succeed inprimary care without innovation to how health care services arefunded. Nowhere is this truer than in mental and behaviouralhealth where barriers to the integration of psychologists intoprimary care are largely economic – despite the fact that psychologicalinterventions are among the most effective in treatingthe most common mental health problems faced byCanadians (i.e. depression and anxiety).CPA’s charge to Canada’s stakeholders in health is that welook to the light, not just in it, when considering the health careinnovations in which the country should invest. As shared at arecent national health provider summit, the science and practiceof psychology guides us to keep several things in mind whenwe turn our minds to health care innovation:Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 5

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERY• Spending less now may mean spending more later. Unprevented,untreated or poorly treated health problems affectfamilies, the workplace, communities, as well ashealth systems – qualitatively and economically. For example,the cost of mental illness is estimated at $51 billiondollars annually in Canada i .• Staying healthy and managing disease is determined bymultiple factors. Social, psychological and biologicalfactors keep people well and contribute to the developmentand management of disease.• We live in variable states of health and illness. Healthpromotion and illness prevention – and these often aboutsocial and behavioural factors – are as relevant to someonewho is ill as they are to someone who is well.• Health doesn’t, and arguably systems shouldn’t, startand stop at the doctor’s door. We bring our health andillness with us home, to school, to work, to communitiesand in jail.• If we truly want to be evidence-based, providing theright care to the right person at the right time in theright place, then we need to make that care, thatprovider, that service accessible.The purpose of this Fall 2012 issue is to sample the goodworks psychological science and practice has and can bring tohealth care innovation. I encourage you all to talk about yourgood works – take them beyond professional and scientific journalsand conversation. Take them to system funders and administrators,take them to government and bring them to CPA.Your good works are the data CPA needs to promote psychology’scontribution to health and social policy and services. Thetime is now for the discipline and the profession to make a differencefor Canada’s health. CPA awaits its commissioned reporton enhancing access to psychological services forCanadians – due in early 2013. Then, when governments askus how we would make psychological services more accessible,we will have some answers. We will be able to propose a businessmodel upon which the good work that fills these pages canbe based.ihttp://www.phac-aspc.gc.ca/publicat/cdic-mcbc/pdf/cdic283-eng.pdf6 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

LES INNOVATIONS DANS LA PRESTATION DE SERVICES DE SANTÉ DE PSYCHOLOGIEComment la psychologie peut-elle contribuer àl’innovation en matière de santé?K.R. Cohen, Ph.D., chef de la direction, SCPNotre numéro d’automne est consacré à l’innovation dans laprestation des services de santé. C’est là un sujet qui est àl’avant-plan de tous les forums sur la santé où je siège à titrede représentante de la SCP. À titre de coprésidente du grouped’Action santé (HEAL), j’ai fait des représentations au Groupede travail sur l’innovation en matière de santé (GTIMS) duConseil de la fédération (CDF) http://www.councilofthefederation.ca/keyinitiatives/Healthcare.htmlCeux d’entre vous qui lisez les Nouvelles du siège socialdans Psynopsis savent que le CDF a été créé par les premiersministres du Canada afin de soutenir les provinces et les territoiresdans leurs rôles de leadership au sein d’un système fédéralconstructif et coopératif. Le Groupe de travail surl’innovation en matière de santé a été mis sur pied par le CDFen janvier 2012 et en juillet 2012, il a publié son rapport : Del’innovation à l’action http://www.conseildelafederation.ca/pdfsfrancais/Health%20Innovation%20Report-F-WEB.pdfComme décrit dans le rapport, le GTIMS est orienté par lepoint de vue des premiers ministres que l’innovation doit êtrela pierre d’assise de soins de santé améliorés pour les Canadiens.Le travail cible trois priorités :• la portée de la pratique des praticiens en soins de santépour mieux combler le besoin des patients (cette prioritéest maintenant comprise comme des modèles de prestationde soins de santé en équipe)• la gestion des ressources humaines dans le domaine de lasanté• l’élaboration de lignes directrices de pratique clinique pourdes conditions de santé ciblées (hypertension, soins despieds des diabétiques)Ces priorités ont été choisies afin d’améliorer les résultatspour les patients, de se pencher sur les préoccupations de santéde la population sentinelle (p. ex. maladie chronique, vieillissement,prestation de services de santé dans les régions ruraleset éloignées du pays) et de communiquer les innovations dansces domaines prioritaires dans les administrations canadiennes.Pour s’attaquer à ces priorités, le rapport a formulé un certainnombre de recommandations aux premiers ministres du Canadaet à leurs ministres de la Santé.Tout d’abord, il faut commencer à déployer et mettre enœuvre les lignes directrices (définies dans le rapport) pour lagestion des maladies du cœur et les ulcères du pied des diabétiques.Les recommandations incitent aussi les premiers ministreset les ministres de la Santé à mobiliser leurs groupes defournisseurs de soins de santé à adopter des lignes directriceset en définir d’autres. Deuxièmement, les recommandationsportent sur l’adhésion aux modèles qui améliorent de manièrefructueuse l’accès aux soins primaires, aux services d’urgencedans les collectivités rurales et au soin à domicile. Des exemplesde modèles fructueux sont décrits dans le rapport. Le troisièmegroupe de recommandations porte sur la gestion desressources humaines en santé, notamment sur la création et lepartage d’ensembles de données et de faits probants. Les recommandationsfinales ciblent l’obtention de meilleurs prixpour les médicaments génériques et le soutien du travail duGTIMS.Même si la santé mentale ou les déterminants psychologiquesou comportementaux de la santé n’ont pas retenu explicitementl’attention dans ce rapport, des exemples de pratiquesinnovatrices faisaient effectivement appel aux psychologuesdans les équipes de collaboration. De plus, le communiqué quiannonçait la publication du rapport (http://www.conseildelafederation.ca/pdfsfrancais/FR-Communique_Task%20Force_Jan_17.pdf) mentionne que la santé mentale ferait probablementpartie des prochaines priorités dans la création d’unmodèle. Cela fait écho à la rétroaction de HEAL au GTIMS -organisations membres de HEAL qui a réalisé le plus grandconsensus que la santé mentale devienne la prochaine prioritédu GTIMS.Comme je l’ai également indiqué dans des numéros antérieursde Psynopsis, la SCP a aussi fait sa propre demande auGTIMS au sujet de la portée de la pratique. On peut trouver cetarticle à http://cpa.ca/docs/file/Government%20Relations/modelsofcare.pdf Dans cet article, nous décrivons l’incidenceet la prévalence des troubles mentaux ainsi que leurs coûts directset afférents pour les individus, les familles, le travail etl’économie. Cet article ne propose pas de modèle particulier desoins mais formule les recommandations suivantes :• Améliorer l’accessibilité des services de psychologie auxCanadiens à faible revenu;• Réviser et revoir le besoin d’aiguillages du médecin pourle remboursement des services de psychologie couverts parun assureur de tierce partie;• Intégrer les psychologues dans les soins primaires – joint àcette recommandation, nous avons décrit une pratiquesemblable et ses résultats;• Intégrer les psychologues dans les salles d’urgence;• Accorder des responsabilités d’admission et de congé del’hôpital aux psychologues en ce qui concerne les troublesde santé mentale et comportementaux;• L’investissement fédéral dans un fonds d’innovation pouraider les administrations à créer une infrastructure de santémentale durable partout au Canada qui aidera à améliorerl’accès aux services de santé mentale.Suite à la page 8Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 7

LES INNOVATIONS DANS LA PRESTATION DE SERVICES DE SANTÉ DE PSYCHOLOGIELe travail du GTIMS est assez précis dans ses perspectivessur la pratique clinique et la portée de la pratique. On a commencéen adoptant et en faisant la promotion de lignes directricesfondées sur des données probantes pour le soin deconditions chroniques fréquentes (p. ex. hypertension, soins despieds des diabétiques). Cette approche, même si elle est entièrementraisonnable dans le sens où elle donne de l’élan au bienet au possible en regard des soins, a tout de même des défis àrelever. L’un d’entre eux, dont il est fait mention dans le rapportdu GTIMS du CDF, est que son succès est tributaire non seulementdu soutien des gouvernements provinciaux et territoriaux,mais aussi de la participation des fournisseurs de soins de santé.La gamme de fournisseurs et d’organismes de soins de santéqui assurent la prestation des services aux personnes atteintesde maladie du cœur ou du diabète doivent connaître ces modèleset être en mesure et disposés à les mettre en œuvre. C’estlà que le GTIMS veut se mobiliser le plus avec groupe Actionsanté et les membres des organisations qu’il représente. C’estlà aussi que se trouve la responsabilité des fournisseurs de soinsde santé lorsqu’il est question d’innovation – le succès dansl’innovation est tributaire d’une mobilisation et d’un engagementsignificatifs. Nous devons aussi être des joueurs d’équipe.Un deuxième défi, et celui-ci est très pertinent pour la santémentale ou comportementale, est qu’en se concentrant surl’adoption des modèles utilisés, les gouvernements risquent des’y perdre. Ils risquent de promouvoir et d’étendre le mieux dece qui est fait actuellement, plutôt que ce qui pourrait mieuxfonctionner. Compte tenu de l’importance de la prestation dessoins de santé dans le secteur privé, les fournisseurs du secteurprivé et les modèles pourraient ne pas être débattus par le gouvernement.Ce dernier défi fait valoir que l’innovation en matière desanté doit s’appuyer sur l’examen et la révision des modèles etdes structures de financement sur lesquels repose la pratique.La pratique en collaboration entre les fournisseurs de soins desanté du Canada, dont la plupart des services ne sont pas financéspar les régimes d’assurance santé publics lorsqu’ils sont dispensésà l’extérieur des installations de soins tertiaires, ne peutréussir dans les soins primaires sans l’innovation dans la façonde financer la prestation des services de soins de santé. C’estparticulièrement le cas en santé mentale et comportementale oùles obstacles à l’intégration des psychologues dans les soins primairessont en grande partie économiques – malgré le fait queles interventions psychologiques se comptent parmi les plus efficacesdans le traitement des problèmes de santé mentale lesplus courants auxquels doivent faire face les Canadiens (c.-à-d.la dépression et l’anxiété).La SCP demande aux intervenants du Canada en santé de nerien perdre de vue dans l’examen des innovations en matièrede santé où le pays devrait investir. Comme nous l’avons communiquéà un sommet des fournisseurs de soins de santé nationalrécent, la science et la pratique de la psychologie nousamènent à garder plusieurs choses à l’esprit lorsque nous nouspenchons sur l’innovation en matière de santé :• Dépenser moins aujourd’hui pourrait signifier dépenserdavantage plus tard. Les problèmes de santé non prévenus,non traités ou incorrectement traités influencent lesfamilles, le milieu de travail, les collectivités, ainsi que lessystèmes de santé – tant du point d’un point de vue qualitatifqu’économique. Par exemple, le coût de la maladiementale est estimé à 51 millions de dollars par année auCanada i .• Rester en santé et gérer la maladie est déterminé par denombreux facteurs. Les facteurs sociaux, psychologiqueset biologiques gardent les personnes en santé et contribuentà la naissance et à la gestion de la maladie.• Nous vivons dans des états variables de santé et de maladie.La promotion de la santé et la prévention de la maladie– et ces éléments touchent souvent des facteurs sociauxet comportementaux – sont aussi pertinents pour une personnequi est malade que pour une personne bien portante.• La santé ne devrait pas, tout comme les systèmes, débuteret arrêter au cabinet du médecin. Nous apportonsnotre santé et notre maladie avec nous à la maison, àl’école, au travail, dans les collectivités et dans les prisons.• Si nous voulons vraiment nous fonder sur des donnéesprobantes, la prestation du bon soin, à la bonne personne,au bon moment, au bon endroit, nous devonsalors rendre ce soin, ce fournisseur et ce service accessibles.Le but du présent numéro d’automne 2012 est de montrer lebon travail que la science et la pratique de la psychologie a etpeut apporter à l’innovation en matière de santé. Je vous encouragetous à parler de votre bon travail, en allant au-delà desrevues professionnelles scientifiques et les conversations. Parlez-enaux bailleurs de fonds et aux administrateurs du système,parlez-en au gouvernement et parlez-en à la SCP. Votre bon travailest les données dont a besoin la SCP pour faire valoir lacontribution de la psychologie à la santé et à la politique et auxservices sociaux. Le temps est venu pour que la discipline et laprofession fassent une différence dans le domaine de la santéau Canada. La SCP attend le rapport qu’elle a commandé surl’amélioration de l’accès aux services de psychologie pour lesCanadiens qui devrait être prêt au début de 2013. Ensuite,lorsque les gouvernements nous demanderont comment nouspouvons rendre les services de psychologie plus accessibles,nous aurons certaines réponses. Nous serons en mesure de proposerun modèle d’affaires sur lequel le bon travail qui est décritdans ces pages pourra être fondé.ihttp://www.phac-aspc.gc.ca/publicat/cdic-mcbc/pdf/cdic283-fra.pdf8 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

FROM THE PRESIDENT'S DESK / DU BUREAU DE LA PRÉSIDENTECPA’s 2012-13Honorary President:Justice Edward F. OrmstonPrésident honoraire de laSCP 2012-2013 : Monsieur lejuge Edward F. OrmstonJennifer Frain, Ph.D., CPA PresidentIn June of 2011 at the CPA conventionin Toronto I was keenly impressed by thewords spoken by Justice Ted Ormstonwhen he accepted his 2011 HumanitarianAward. He spoke clearly to the need formore access to psychological services for Canadians. I thoughtto myself then that I would like to hear more of what he had tosay.So when I became President Iimmediately thought of only oneperson I wanted to be HonouraryPresident during my presidentialyear. Luckily Justice Ormstonagreed to serve in this role!Justice Ted Ormston has a deepcompassion for persons with mentalhealth difficulties who come intocontact with the legal system andwas instrumental in establishing thefirst Mental Health Court in Canadain Toronto. According to psychologistswho have been privileged towitness Justice Ormston in action,his deep empathy, warmth and respectcreates a courtroom that is asupportive, stigma free and humane.He provides a strong voicefor psychological prevention andintervention services and encouragespsychologists to advocate forimproved services for all Canadians.In addition to being recognizedwith the Humanitarian Award byCPA, Justice Ormston has been recognized by the legal and themental health communities with many awards and recognitions.He currently works as the Chair of the Consent and CapacityBoard of the Ministry of Health and Long Term Care in Ontario.Jennifer Frain, Ph.D., présidente de la SCPEn juin 2011, au congrès de la SCP à Toronto, j’avais ététrès impressionnée par les propos que tenais le juge Ted Ormstonlorsqu’il a accepté le prix humanitaire de la SCP. Il parlaitclairement de la nécessité d’un plus grand accès aux servicesde psychologie pour la population canadienne. Je me suis diten moi-même que j’aurais aimé entendre davantage de ce qu’ilavait à dire.Ainsi lorsque je suis devenue présidente,j’ai immédiatement penséqu’une seule personne pouvait occuperla présidence honoraire de la SCPau cours de mon mandat. La chance avoulu que le juge Ormston accepte dejouer ce rôle!Le juge Ted Ormston a une profondecompassion pour les personnesayant des difficultés de santé mentalequi ont affaire au système juridique, etil a joué un rôle important dans la misesur pied du Tribunal de la santé mentaleau Canada à Toronto. Selon lespsychologues qui ont eu le privilègede voir le juge Ormston à l’œuvre, sonempathie profonde, sa cordialité et sonrespect créent une salle de cour qui estpositive et exempte de condamnationsociale et humaine. Il est un porte-paroletrès écouté de la prévention enpsychologie et des services d’intervention,et il encourage les psychologuesà faire des représentations pourl’amélioration des services pour toutela population canadienne.En plus d’avoir été honoré par leprix humanitaire de la SCP, les communautés juridiques et desanté mentale lui ont décerné de nombreux prix et reconnaissances.Il préside actuellement la Commission du consentementet de la capacité du ministère de la Santé et des Soins de longuedurée de l’Ontario.Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 9

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYIncreasing access to therapist assisted internetcognitive behaviour therapy in Saskatchewan:A description of theOnline Therapy Unitfor Service, Education,and ResearchNicole E. Pugh, Doctoral Student in Clinical Psychology &Heather D. Hadjistavropoulos, Ph.D.Department of Psychology, University of ReginaDepression and anxiety are prevalent, disabling, and undertreatedconditions in Canada. Similar to many mental healthproblems, there is a significant gap between Canadians afflictedwith these conditions and the number of funded mental healthclinics (Tempier et al., 2009). In addition, while evidence suggeststhat cognitive behaviour therapy (CBT) is among the mostempirically supported psychotherapies, CBT is not widelyavailable, in part because of insufficient numbers of trained clinicians(Weissman et al., 2006) and that clients cannot affordthe costs of treatment. Client factors also interfere with treatmentaccessibility including time constraints, residing in rurallocations, and concerns about stigma. The integration of internettechnology with the practice of psychotherapy is an innovativemethod for increasing accessibility and affordability of mentalhealth treatment. Indeed, over 80% of Canadian householdshave internet access (Statistics Canada, 2010a), and approximately70% of Canadians use the internet to seek health relatedinformation (Statistics Canada, 2010b).Internet cognitive behaviour therapy (ICBT) is particularlyefficacious for the treatment of depression and anxiety. A recentmeta-analysis reported substantial effect sizes and short- andlong- term benefits of ICBT (Andrews et al., 2010). ICBT involvespresenting psycho-educational and cognitive behaviouralmaterials over the internet (Barak, Klein, & Proudfoot,2009). Offline exercises are also assigned to help solidify theskills and information. When compared with self-administeredICBT, therapist-assisted ICBT is superior (i.e., TAICBT; Speket al., 2007). Despite the growing literature in TAICBT, the accessibilityof this treatment modality in North America is extremelylimited.The Online Therapy UnitWith funding from a CIHR Partnership for Health SystemImprovement Program and the Saskatchewan Health ResearchFoundation, our group has been a forerunner in offeringTAICBT to Saskatchewan residents. Lead by Dr. Heather Hadjistavropoulosfrom the University of Regina, the Online TherapyUnit for Service, Education, and Research was launched inContinued on page 1310 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYRural Linkages:IntercollaborativePracticeEducation& TrainingCommunityPerspectiveJudi Malone, Ph.D. & Paul Jerry, Ph.D.Athabasca University, AlbertaWhat’s the best way to develop and deliver services that willmeet community and contextual needs? As Dr. Karen Cohenreminded us in our last edition of Psynopsis, “psychology asksthe questions and helps affect change to theproblems and priorities that face individuals, organizations, andsocieties” (p.5). For those of us within the scientist-practitionermodel, we sometimes need to move between service deliveryand research to design innovative approaches that will be effective.With a rural practice focus we have been leading an interdisciplinaryteam in Alberta that is collectively examiningideas for fostering human service delivery.When in rural practice, psychologists are likely to work withrural health care systems and to collaborate on interdisciplinaryteams. Rather than develop new collaborations based on newfunding, an ideal approach in rural practice is to further developexisting community resources and to increase collaborationamong local community helpers. Such interdisciplinary collaborationscan assist rural psychologists to provide more effectiveservices and reduce the isolation of rural practice.Although there is research on rural practice and interdisciplinarycollaboration, there remains little in the way of trainingor practice of collaborative work. We also know that interdisciplinarycollaboration is often hindered by insufficient communication,professional specialization, and a poor integrationof care.These considerations provided the foundation for an Albertabasedproject entitled, “Rural Linkages: Intercollaborative Practicefor Safe & Healthy Communities”. Based on the initialstages of participatory action research, this activity has us developingresearch where innovation is needed.We are the psychologists who have been leading a diverseteam of academics, professionals, researchers, and communitymembers to explore rural human services with the goal of increasingthe application of knowledge to rural professionalpractice by bridging some of the gaps between research and actionto directly impact rural human services.The first six months were spent building a community ofthose with a vested interest in rural human services. This collaborativeproject, funded by the Alberta Rural DevelopmentNetwork, has involved the mutual exchange of knowledge intendedto create new knowledge and to develop and sustainResearch &DevelopmentProfessionalPracticelong-term interactions among stakeholders in research. Theseinclude researchers, rural human service professionals, postsecondaryeducators, and communities themselves with a commongoal to improve the services available to rural Albertansand to strengthen the rural human services infrastructure.As research-practitioners, our role has now shifted to supportthe groups’ movement into a more active phase. In the fall of2012, we hosted a one-day facilitated conference to explorehuman services in rural Alberta and how they relate to safe andhealthy communities. Participants from across the province collaboratedin interactive presentations, discussions, and explorationon intercollaborative practice for safe and healthy ruralcommunities. Sessions showcased communities, human serviceseducation, research, and professional practice in rural Alberta.Target areas included community development, healthcare, education, mental health and social services, and wellness.This project has had four primary components. By leadinga Steering Committee, we began by working to understand thecurrent sociocontextual reality of human services and needs inrural Alberta. In our second and conference phase, we set outto develop a better understanding of the challenges and gaps inhuman services. The third phase grew out of the conference itselfas we collaborated with a group of just under 100 participantsto identify opportunities and ideas to foster vibrant, safeand healthy, communities. This culminated in the larger groupworking together to identify collaborative ways to addressshortages and needs. Qualitative synthesis is forthcoming andwill provide a clear sense of current needs, challenges & gaps,opportunities & ideas, & ways rural Albertans can work togetherto address human service needs.Continued on page 13Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 11

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYPartnering Hospital Services and Community Therapistsfor People with Borderline Personality Disorder:Dialectical Behaviour Therapy ‘Lite’Sarah Birnie, Ph.D., C.Psych.Outpatient Mental Health, The Ottawa Hospital, Civic CampusDialectical behaviour therapy (DBT) is a recognized evidence-basedtreatment for patients with borderline personalitydisorder (BPD). This article describes the development of anintervention for people with BPD through a collaboration betweenhospital-based and community services. This treatmentprogram, called DBT ‘Lite’, is directed at getting “the rightservice to the right user at the right time in the right place andfrom the right provider,” as advocated for by the Canadian PsychologicalAssociation. The CPA also advocates advancingcommunity preventative measures and inter-professional collaborations.1An established literature demonstrates that DBT is associatedwith significant decreases in suicidal and self-injurious behaviours,the number of and length of inpatient admissions, theuse of psychotropic medications, the use of additional healthcare services, and in increased quality of life and symptom improvement.2-11 It has shown benefits that continue even whentreatment ends. 12 DBT has also been shown to be effective withadolescents 13 as well as other disorders that are comorbid withBPD such as depression, 13 eating disorders, 14 substance use, 6,11,16and post-traumatic stress disorder. 17,18The Mental Health Program of The Ottawa Hospital (TOH)has had a DBT Program since 2005. The primary focus of theMental Health program is related to the early identification andtreatment of severe mental illness. Patients are provided treatmentthrough emergency, inpatient and outpatient services, dayhospital, and community programs such as Mobile Crisis,Shared Care, and Eating Disorders. The DBT Program beganas a pilot program to address the problem of frequent use ofcostly emergency and inpatient services when there was littleclear evidence that these services effectively treated patientswith BPD. The DBT Program has historically included fourcomponents: Weekly individual therapy, weekly skills group,telephone coaching, and therapist consultation meetings. Theprogram has been limited to patients already being served atTOH or to patients being treated by the small number of DBTtrainedtherapists in the community.In March 2011, a Retreat was held in Ottawa to bring togetherboth hospital and community clinicians currently treatingpatients with BPD. Historically, hospital-based outpatient programsin Ottawa for patients with personality disorders havebeen small and therefore difficult to access. Community-basedprofessionals have often been hesitant to work with patientswith BPD due to the inherent risks of working with chronicallysuicidal people and the lack of training and confidence to be effectivewith this population. This retreat identified an urgentneed for collaboration between the hospitals and communityservices to increase access to evidence-based DBT care for patientswith BPD, and for support from expert professionalstrained in DBT.One of the fundamental assumptions in DBT is that patientswith BPD have skills deficits when it comes to regulating emotions,tolerating distress, and managing interpersonal relationships.Weekly skills training groups are paramount in DBT.Skill acquisition and practice is specifically related to decreasedsuicidal behaviours and anger. 19 Current research suggests thatthere is clinical value of DBT-like skills-based group interventionsused in adjunct with ‘treatment as usual’ (i.e., not DBT) 20-22. This finding is important both in terms of effectively usingrestricted publically funded services but also in providing serviceswith demonstrated value to an increasing number of multiproblempatients. For example, when a 14-week emotionregulation skills group was added to treatment as usual for patientswith BPD, significant reduction in self-injurious behaviours,anxiety, and depression were found, as well as anincreased ability to cope with difficult emotions. 23In Spring of 2011 we implemented the DBT ‘Lite’ Programin response to the needs of patients otherwise unable to accessDBT and to the needs of their treating professionals who wereoften isolated or overwhelmed in meeting patient needs. Thereferral criteria stipulated that the patient must not have had aserious suicide attempt in the last 6 months so as to align thisless intensive service with illness severity. The Program alsoprovided an entry point for young people (18+) who may otherwisebecome more ill before gaining access to other hospital-basedcare. The Program is a 21 week skills training groupco-facilitated by DBT trained psychology and psychiatry staff.The Program is available to anyone with Borderline PersonalityDisorder in the community who meet the referral criteria andwho have a therapist willing to reinforce skill acquisition andbe available for crisis management. The number of hospital referralsis limited so that the Program can respond to the needsof the community and increase capacity in the treatment of BPDin the Ottawa area.As of September 2012, we have received 71 referrals to theDBT ‘Lite’ Program. At present 40 patients have been assessedand 20 graduated and 8 are currently in the program. All com-Continued on page 1312 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

DialecticalBehaviour TherapyContinued from page 12INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYmunity providers are given a comprehensive TherapistIntroduction Package that explains the program, DBTskills, and the expectation of commitment from the patientand therapist. It also includes guidance on how tohelp patients complete a Distress Tolerance Plan priorto beginning group. We coach patients directly abouthow they may increase their interpersonal effectiveness,including with their own therapists.At this time there is only one group available withan ever-increasing demand. Program monitoring of theDBT-Lite Program is in development and will includepatient focus groups, community provider questionnaire,and symptom monitoring during the program. Weexpect that results will support our clinical impressionthat the Program is not only effective at a symptom levelfor patients but also at a systems level in terms of an increasedwillingness of community therapists to treat patientswith BPD. We would be interested in hearingabout other similar programs in Canada.Reference List available at http://www.cpa.ca/psynopsisRural LinkagesContinued from page 11The conference was structured to foster networkingand to provide for knowledge transfer, but also for individualsto leave with a tangible personal or collaborativeplan to fostering improved human servicescreatively and collectively. It closed with large groupcollaboration on the future direction of rural humanservices in Alberta, with the question posed, “where dowe go from here to promote linkages, foster collaboration,and enhance rural human services”.While our continuing focus is on mutually engagingand informing research, practice, education, and communities,we are already looking forward to ideas forbroader dissemination – of what we learn from thisproject and how we can all continue to collaborate.Psychology is ideally situated to guide innovations inrural health and social service delivery and we are lookingforward to where this project continues to take us.More information about this project can be obtainedby contacting the authors.Online TherapyContinued from page 10April, 2010 (www.onlinetherapyuser.ca). Once clients are screened eligiblefrom a telephone interview they can access CBT programs fordepression, generalized anxiety, and panic. The programs are licensedfrom Swinburne University’s National eTherapy Centre(http://www.swinburne.edu.au/lss/swinpsyche/etherapy/). The contentis distributed over 12 modules and includes text, graphics, animation,audio, video, and online activities. At the beginning of each module,clients complete check-in questions and mood ratings, which are submittedto their therapist. Following each module, offline activities arecompleted. Outcome measures are also completed throughout the program.To date, 42 community providers and 43 graduate students havebeen trained in the provision of TAICBT. The providers and studentscome from multiple disciplines including clinical psychology, socialwork, and nursing. Over 56% of those trained have delivered ICBT toclients, treating an average of three clients each. On a weekly basisthe therapists are responsible for logging onto the website, trackingclient progress, reviewing materials submitted by the client, and emailingclients. The therapists can determine which modules the clientshave completed and how often each of the module pages was visited.Overall, we found that Saskatchewan residents are very interestedin TAICBT, with over 300 clients requesting services. About two thirdsof these clients were referred by healthcare providers, while the remainderwas self-referred. In total, approximately 200 Saskatchewanclients have received TAICBT and over 50% of clients completed all12 modules offered. The average client was 42 years of age, female,and college educated. About half were married, working, taking psychotropicmedication, and residing in a small city or rural area. Outcomeresults were promising and suggested that the three TAICBTprograms benefitted clients, with clients reporting a statistically significantreduction in anxiety, depression, panic, and work and socialadjustment from pre- to post-treatment. Our treatment outcomes compareto those reported for face-to-face therapy and remained significantwhen considering both partial and full treatment completion. Ratingsof treatment satisfaction and therapeutic alliance were also very high.Given the promising findings of the three TAICBT programs, ourunit has expanded and is now offering the first TAICBT program formaternal depression (www.onlinetherapyuser.ca/mdo) and specializedTAICBT for older adults struggling with generalized anxiety. Laterthis fall 2012, we are launching a 5-module transdiagnostic TAICBTprogram for anxiety and depression along with a specialized programto assist clients after cancer care. When the numerous advantages ofinternet therapy are considered (e.g., all-hours access, access to evidence-basedCBT, treatment at home) and the limited access to mentalhealthcare, online therapy will likely play an increasingly vital role inCanada’s mental healthcare.Correspondence concerning this article, should be addressed to:Heather D. Hadjistavropoulos, E-mail: hadjista@uregina.caReference List available at http://www.cpa.ca/psynopsisTable des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 13

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYRelapse Prevention FollowingFirst Episode PsychosisStephanie A. McDermid Vaz, Ph.D., C.Psych., Heather Hobbs,RN, B.ScN., Elizabeth Ward, RN, B.A., Allison Henderson,MScOT., Kevin S. Tregunno & Sarah Wallace, B.A., MSW.Cleghorn Early Intervention in Psychosis Program, St. Joseph’sHealthcare, Hamilton, Ontario Department of Psychiatryand Behavioural Neurosciences, McMaster University, Hamilton,OntarioSymptomatic recovery following first episode psychosishas become a relatively attainable goal, with 80% of clientsexperiencing symptom remission within the first year. Thereis, however, a high relapse rate within five years of the firstepisode. As subsequent episodes are often more severe and necessitatehigher treatment dosages, preventing relapse remainsa priority and a challenge. Our team wanted to address thisissue by developing a relatively brief, user-friendly, and clinicallyrelevant relapse prevention process which includesclients, families and clinicians.A working group of clinicians from nursing, occupationaltherapy, recovery support, and psychology, conducted a literaturereview and content analysis of existing relapse preventionapproaches (e.g., Early Psychosis Prevention andIntervention [EPPIC] model, Wellness Recovery Action Plan[WRAP], and the ‘early warning signs’ model by Birchwood)and then conducted a pilot project within our clinic. The finalproduct of this process is the Cleghorn Relapse PreventionPlan (Cleghorn-RPP) which is produced in two forms: (1) awritten two-page document and, (2) a portable computer-generatedwallet version for easy access by clients.The Cleghorn-RPP is generated in two stages with theclient, clinical team, and family (when possible). The firststage involves generating a timeline of early warning signs,stressors, and triggers and 6 key areas are discussed with theclient and family (if available): (1) Things the client does tostay well; (2) Stressors/triggers to try and avoid; (3) Earlywarning signs of relapse; (4) Things to do if symptoms returnor if family/friends become worried about the client; (5)Things to do if thoughts emerge about changing/stopping medicationsand; (6) List of current medications. A final writtentwo-page document is drafted with the client and family (togetherif available). The second stage involves the creation ofa wallet-sized Cleghorn-RPP document which the client completeson the computer with assistance from clinical staff ifneeded.Our team conducted a pilot project with 13 clients from theCleghorn Program who were representative of the clinical andcultural diversity typically seen among the Cleghorn clientpopulation, and feedback was collected from clients, familyand staff who participated in the Cleghorn-RPP process. Someof this feedback is summarized below.Clients have reported using the Cleghorn-RPP when experiencingearly warning signs and have then shared this informationwith clinicians. Family members have reportedobserving their loved one experiencing early warning signsand the Cleghorn-RPP was used to confirm observations andthen the clinic was contacted. Moreover, clinicians are usingthe Cleghorn-RPP regularly to assess mental health statususing the clients’ own words. Overall, the Cleghorn-RPP hasbeen found to be a useful clinical tool by all members involvedin the process.Continued on page 17Client Feedback Family Feedback Clinician FeedbackFelt comfortable with the process andfound the content comprehensiveFound the process valuable andfelt positive about discussingrelapse/preventionDescribed the Cleghorn-RPP processas clear and found the tools tobe user-friendly and concreteEspecially liked the wallet document;portability of the tool provides a senseof reassurance “a plan in my pocket”Reported feeling more confident aboutpreventing a relapse after completingthe Cleghorn-RPP processAppreciated the wallet cardas something the client couldhave with themFelt the process should be introducedearly to have reassurance of a specificplan and recommended scheduled reviews;felt reassured having a clear planClinicians have been referring back tothe Cleghorn-RPP in follow updiscussions with clientsClinicians have been using theCleghorn-RPP to assess mental statususing the client’s own language,symptom history, and triggers14 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYTelepsychologyInnovationsfor Children’sMental HealthJennifer Felsher, Ph.D., C.Psych, Coordinator ofTelepsychology, Tele-Link Mental Health Program,The Hospital for Sick Children, TorontoHealth and mental health services have slowly become partof our rapidly evolving technology landscape. The term Telehealthor e-health is commonly used to describe any health relatedservice that is provided remotely via technology-assistedmedia such as the telephone, video, or Internet. Over the lastdecade there has been an evolution in terms of the modalitiesused to deliver health services - services are no longer necessarilydelivered in-person, but occur over a variety of mediums.This evolution has been spurred in part by innovations in communicationtechnologies, the increased sophistication of healthconsumers in terms of their expectations for service and accessibilityto services, and increased demands for service. An articlewritten in the American Psychological AssociationMonitor (March, 2010) highlighted the rise of Telepsychologyas one of those services, with Psychologists increasingly usingtelephone and email to provide counselling. The use of emailamong Psychologists has more than tripled between 2000 and2008. In spite of the rise of other technologies, it appears thatthe use of video conferencing for Telepsychology has laggedbehind.The Hospital for Sick Children Tele-Link Mental HealthProgram has been providing distance Psychiatric mental healthassessments, consultations, and education for the last decade,with much success and positive feedback from clients in remoteregions of Northern Ontario and Aboriginal communities whootherwise would not have access to Child Psychiatrists. Basedon their experience, it became clear that Psychological services,including comprehensive Psychological assessments weregreatly lacking and desperately needed. Hence the developmentof our current program and practice.The mandate of the Tele-Link Mental Health Program is toincrease the clinical capacity of professionals working in ruralchildren’s mental health centres, thus expanding their scope ofexpertise and quality of service. The Telepsychology Programworks closely with psychometrists from a variety of remote regions,training them or helping them upgrade their psychometryskills to ensure reliable test administration. Our role includesclinical consultation about cases, discussion about specific standardizedmeasures or best practice in test administration andscoring, supervision, and direct clinical care.With respect to client care, our program follows the AmericanPsychological Association’s Telepsychology guidelines andthe Model Standards for Telepsychology Service developed bythe Association of Canadian Psychology Regulatory Organizationsto help navigate ethical and practice-related issues in usingtechnology to deliver psychological services. After discussionwith the client, a psychology referral is submitted by the casemanager. The case manager reviews with the client the consentform outlining the assessment process including the limits ofconfidentiality, the security of the video connection, and whereconfidential material will be stored, which is signed by theclient. This is reviewed again by psychology personnel prior tothe clinical interview. To ensure the safety of the client, a professionalfrom the referring agency is always present at the remotesite. After the intake interview, a comprehensivestandardized assessment battery is administered all via securevideo link. During test administration, I have the same manual,stimulus books, and protocols as the psychometrist in order tofollow along and score simultaneously. I have the capability tozoom in and see, for example, if the pattern of blocks duringblock design is correct or to observe the pencil grip of a child.While initially, some children or professionals may find theContinued on page 17Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 15

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYReimagining a System of MentalHealth Care for Children and Youth:The Implementation of the Choice and PartnershipApproach at the IWK Health CentreSharon Clark, PhD., Debbie Emberly, PhD,IWK Health Centre, HalifaxWithin the Canadian health care system staff shortages, increasingcosts of service provision and increasing demand forservices have resulted in the need for fundamental transformationin the way in which we deliver services. How do you changean existing continuum of mental health and addictions serviceswhen the demand continues to grow and the dollars continue toshrink? This is a service planning dilemma facing many clinicalleaders and health care administrators across the county.Mental Health and Addictions (MHA) at the IWKThe MHA program at the IWK Health Centre in Halifax,Nova Scotia has a dual service mandate, providing mental healthand addiction services for children, youth, and their families wholive within Halifax (population 360,000) and tertiary level carefor those across the province of Nova Scotia (population940,000). In the 2010-11 fiscal year 439 casual, part time andfull time staff saw over 4700 children, youth and families, registeringover 43,000 office, service, home and community basedappointments.In 2011, the MHA program at the IWK had reached a crisispoint. Despite the recognition that half of all lifetime cases ofmental illness start by age 14 and three quarters by age 24 1 andthat at best, one in six Canadian children and youth who are experiencinga mental disorder actually access the services theyneed 2 , at the IWK the waitlist for services was growing. Thedilemma remained – do we provide more resources for childrenand youth waiting for treatment on waitlists, or eliminate thewaitlist entirely? Fundamental transformation of service deliverywas required to begin to address this crisis.The Choice and Partnership ApproachAfter a comprehensive strategic planning process for theMHA program which highlighted many service delivery goalsincluding improving access and reducing wait times, the Choiceand Partnership Approach 3 was selected as a model of care.CAPA resonated with our desire to put the needs of families atthe centre of the care we provide. It also had demonstrated successin multiple international child and adolescent mental healthsettings in transforming systems to improve the quality of caredelivery through reducing wait times and improving access tocare. CAPA, a UK-developed model (www.capa.co.uk), is aclinical system of care delivery that employs lean thinking principlesincluding the concepts of “demand” and “capacity” to betterestimate clinical needs within a system, smooth internalservice processes, and match our clinical capabilities to clinicaland service needs. CAPA is a collaborative model which placesthe young person and their family in the centre of care, bringstogether demand and capacity ideas and a new approach to clinicalskills and job planning. Services can then do the right things(clear working goals with the young person and family), withthe right people (match clinicians with the right skills), at theright times (without internal or external waits). CAPA ensuresinformed consent and choice and incorporates care planning andevidence based practice 3 .ImpactWe had a waitlist of 1100 children waiting for services forupwards of 20 months before their first contact, with a 30% rateof no show and cancellation. At the end of our second quarterof CAPA, on average, families had been waiting 3 months foran appointment. The wait for treatment appointments thereafterranges from 4 weeks to 5 months. There remains significantvariability across clinics as a result of staffing shortages andchanges in referral patterns. However, we have significantly reducedwait times and improved access to services. We understandour treatment needs better than we did before - after theinitial contact with our service, 36% of youth go on to need in-Continued on page 1716 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYIWK Health CentreContinued from page 16dividual treatment sessions, 35% receive therapeuticgroup treatments, and 14% exit our system as their treatmentneeds are met or they require services from othercommunity based agencies. We are working towards a33% exit rate as the CAPA model suggests is possible toachieve.We have been collecting experience of service datafrom parents and adolescents since January 2012 whenwe began making changes in our service delivery to implementCAPA. To date we have had 114 adolescents and218 parents/caregivers complete the feedback questionnaire.Overwhelmingly positive feedback has been receivedwith over 98% responding either all/partly true orpretty/very much true to almost all of the questions indicatingthat they feel listened to; treated well; involved indecision making; and being offered new ideas.“I felt like I was being listened to and like my opinionmattered” – adolescent client feedback“The wait time for services was a lot shorter this timeand that was great. It made it better. I like this new system.”– parent feedbackSustaining the ChangeDuring the staff training provided by Dr. Ann York andSteve Kingsbury the two UK-based psychiatrists who developedCAPA, Dr. York spoke about assumptions wehave made within health care “You do not have to have awaiting list. It can be eliminated. We need to stop talkingabout assessment and treatment—things we do to people—andtalk instead about partnership and collaboration.”The process of implementing CAPA has asked usas clinicians to rethink our processes of delivering care tofamilies and in doing so, put ourselves into the shoes ofthe consumer.We understand that CAPA has to become a culturalshift within our system. It has been transformative to reallyunderstand the demand for our service and then makeconsidered decisions about how we match our clinical capacityto that demand. CAPA has provided a commonlanguage which is facilitating standardized processes betweenour teams and services. This helps to keep the familyexperience of using our services in the forefront ofwhat we do. Accountability, fidelity, and monitoring ofthe impact of CAPA is also an integral component of success.Change is difficult within a large system of care,mistakes have been made and difficult lessons learned aswe have implemented the new model. However, weknow that returning to the status quo is not an option.Reference List available at http://www.cpa.ca/psynopsisRelapse PreventionContinued from page 14Given the positive feedback from clients, families, and clinicians,ongoing use and formal evaluation of the Cleghorn-RPP is warranted.We also hope to explore the Cleghorn-RPP’s use with the clients’broader circle of care (e.g., emergency crisis response teams, hospitalemergency rooms, family physicians).In summary, this new relapse prevention tool that our team hasdeveloped has proven to be a brief, clinically relevant tool for clients,families, and clinicians. For clients, the Cleghorn-RPP promotesclient empowerment to self-care. For families, the tool assists in supportingthe wellness of their loved ones. And for the clinical team, itserves as a brief check-up tool which incorporates the client’s ownwords. Overall, this new tool provides a consistent, collaborative approachto addressing the important issue of relapse prevention withclients who are experiencing their first episode of psychosis.Reference List available at http://www.cpa.ca/psynopsisTelepsychologyContinued from page 15video unusual or uncomfortable, soon the video is forgotten and anintellectual assessment is administered as if I was in the room, whilein reality I can be more than 500 kilometres away.The on-site psychometrists and I work collaboratively and laterdiscuss the scoring of the measures, thus, improving test reliabilityand efficacy. After is it complete, feedback and recommendations areprovided to the family and case managers via video. The local staffwill ultimately be responsible for providing treatment and/or bringrecommendations from the psychological assessment to life.In addition to clinical service provision, we have the capability tohold psychology team meetings whereby psychometrists from 3 differentremote regions in Ontario (each several hundred kilometresapart) all take part in a clinical meeting with program staff in downtownToronto. These psychometrists have appreciated the opportunityto meet as a team, to reduce their professional isolation, and enhancetheir professional development. We also share the assessment libraryacross sites to meet the unique needs of the clients who may benefitfrom specialized measures.Advances in technology have allowed us to broaden the reach ofprofessional care to people who would not otherwise have access toPsychological services. As the cost of such equipment decreases, itbecomes cost effective to use this advanced technology rather thanflying a professional to a rural location for face-to-face services. Currently,the Tele-Link Mental Health Program is among the first to createand adopt a model for Telepsychology providing comprehensiveassessments from a distance. Most of the Telepsychology literaturerefers to psychology’s role in providing counseling services. To ourknowledge, we are at the forefront of providing comprehensive standardizedpsychological assessments.Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 17

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYA Positive Psychology Approach toEducation for At-Risk High School YouthSophia Fanourgiakis, Ph.D. student and Margaret Lumley,Ph.D., C.Psych., University of GuelphYouth who fail to complete high school are more likely tostruggle with ongoing unemployment and lower salaries as wellas poorer emotional and behavioural outcomes 1 . A number ofissues are associated with the failure to complete school, includingindividual, family, economic, community and schoolfactors 2 . Youth with complex emotional, social, and learningneeds not met in traditional high school settings, often experiencesignificant struggle with their mental health and wellbeing,peer relationships, and home/family life, putting them at increasedrisk of school dropout and other negative outcomes.Youth with such complex needs tend to fall between thecracks in the education system without access to appropriateservices. Envisioned to serve such students, St. John Bosco(SJB) is an innovative alternative secondary school within theWellington Catholic District School Board in Guelph, Ontario.SJB seeks to help youth overcome personal and systemic barriersto success by cultivating hope and supporting the pursuitof emotional wellbeing and positive academic outcomes. Centralto the SJB program is the application of positive psychologyconstructs including an emphasis on student strengths andbuilding positive relationships among staff and students to promoteschool engagement.From its conception, SJB administration has recognized theimportance of research-informed practice and rigorous programevaluation. SJB’s current principal and visionary is educatorEileen Clinton who has consulted and collaborated with academicresearchers about school development. These collaborationshave included psychologist researchers; notably Drs.Margaret Lumley (Guelph), Edward Rawana (Lakehead), JennineRawana (York), and PhD student Sophia Fanourgiakis(Guelph) who all share great interest in identifying and promotingyouth strengths through positive emotional developmentschool engagement.In many cases, when the youth whom SJB serve have receivedservice in the past, these have been aimed at correctingor preventing emotional, behavioural and academic difficulties.By contrast, SJB uses a strength-based approach to workingwith youth, largely informed by research conducted in the fieldof positive psychology including the positive youth development(PYD) perspective 3 . From the PYD perspective, all youthare seen as “resources to be developed” rather than “broken”and “in need of psychological repair” 3 . The PYD frameworkemphasizes a systems view supporting growth and developmentof the person in interaction with the context in which he or shelives in a way that benefits both 3 . Individual strengths have beendefined as “a set of personal competencies and characteristicsof the child or adolescent that were developed and embeddedin culture and valued by both the individual and by society” 4 .SJB adopts this strength-based approach to understanding,supporting, and working with their students, right from firstcontact. During the referral process, students and family membersare asked to identify the student’s strengths and goals. Eachstudent at SJB receives individual programming and schedulingto assist in the development of strengths and support unique social,emotional, and academic needs. Students are also encouragedto engage in classroom projects and initiatives thatContinued on page 2218 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYTransdiagnostic Group Cognitive-BehavioralTherapy: An Efficacious and Cost-EffectiveMethod Across Diverse PopulationsBarbara Backs-Dermott, Ph.D., 1, 2 ; Kate Hamilton, Ph.D., 1 ;Sophie Macrodimitris, Ph.D., 1,2 ; Kerry Mothersill, Ph.D., 1, 2 ;Jennifer Garinger, Ph.D., 1 , May Luu, B.A. Honours, V;Julie Wershler, B.A. Honours, 3 ; & Laurie Ching, M.Sc., 1,21. Alberta Health Services, 2. University of Calgary,3. University of New BrunswickCognitive-behavioral therapy (CBT) is a recommendedtreatment for anxiety and depression 1, 2 that is both efficacious 3and cost effective 4, 5 . However, only a minority of patients sufferingfrom disorders for which CBT is recommended receivethis form of treatment 6 . Long wait times for therapy and a lackof qualified CBT therapists are contributing factors. Grouptreatments are one potential way to increase accessibility toCBT, both in terms of offering services to clients, as well asproviding an efficient method for training in CBT.The group programs described were developed to addressan increasingly long wait list for a CBT program. A psychoeducationalgroup was considered because it could provide morerapid access to service and could enhance individual treatmentby ensuring participants had the fundamental skills of CBTprior to entering more intensive individual treatment. Giventhat the primary presenting problems treated through the CBTprogram are depression and anxiety disorders, it was proposedthat a psychoeducational “pre-individual therapy” group programbe developed that would address the core components oftreatment that are similar across these two diagnostic groups.CBT Basics I.A 6-session introductory CBT group program was developedto teach the fundamental concepts and techniques that apply todepression and anxiety disorders. CBT Basics I content isadapted from literature incorporating evidence-based CBT techniques,including Empirically Based Treatment Protocols 7,8,9,10and various therapist and patient resources 11,12,13,14,15, 16, 17, 18 . Theoverall structure and content of the group follows the typicalstages of CBT skill integration, starting with behavioural techniquesand moving towards cognitive techniques 19 .CBT Basics II.CBT Basics II 20, 21 was developed as a stand-alone treatmentspecifically for use in programs where group participants areunlikely to receive further individual CBT. The group lengthwas extended from 6 to 10 weekly, 2 hour sessions, to allow foradditional learning and practice of CBT skills for depressionand anxiety. In addition, mindfulness meditation practice wasadded to the group, due to findings that mindfulness practicecan reduce the risk of relapse in individuals recovered from depression22 and reduce active depression and anxiety symptoms23. To date, CBT Basics II has been rolled out in 6 clinics acrossAlberta Health Services, including both mental health and medically-orientedprograms and been completed by approximately271 people. A total of 58 mental health practitioners (includingPsychiatrists, Psychologists, Psychology Residents andpracticum students, Nurses and Social workers) have beentrained to co-facilitate the CBT groups.Our findings.Since its introduction in the Outpatient Mental Health Programin 2005, 160 clients have completed the CBT Basics Igroup. Results indicate significant reductions in depressive andanxiety symptoms and negative automatic thoughts, and significantincreases in CBT knowledge. Results for CBT Basics IIwere similar 24 , with significant decreases in depressive symptomsand negative automatic thoughts at all sites, and significantreductions in anxiety symptoms at 4 of 6 sites. In addition,client use of mindfulness (MAAS) was found to significantlyincrease at most sites.CBT Basics I and II are effective treatments for symptomsof depression and anxiety, as well as a promising training toolto increase the availability of trained CBT therapists. CBT BasicsI appears to be a useful pre-therapy group that prepares individualsto engage in individual psychotherapy. CBT BasicsII, with its longer time frame and increased opportunities topractice the skills taught, holds promise as a stand alone CBTintervention, in programs where individual CBT is not available.These preliminary results suggest that CBT Basics groupscan be an effective intervention in general mental health programs,regardless of chronicity and severity of diagnosis, aswell as for individuals with chronic medical illness.Next steps.Plans are underway to incorporate the program into othercommunity clinics and inpatient programs within AlbertaHealth Services. A continued focus of the group is to provideCBT training for both multidisciplinary practitioners andtrainees through a co-leadership model. Evaluation of the programsis expanding to address impact on readiness to change,duration of gains, and continued use of techniques learned.Reference List available at http://www.cpa.ca/psynopsisTable des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 19

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYHow Industrial and Organizational Psychologycan Impact Innovation in Health CareThomas O’Neill, Ph.D., Elaine Gilfoyle MD, MMEd, FRCPC,Adam Cheng, MD, FRCPC, FAAP, Jeff Caird, Ph.D.,University of CalgaryImagine that a child patient experiences cardiopulmonary arrest.A resuscitation team is called to the scene to administeremergency life support. Each team member has a specialized roleand communicates regular updates regarding the child’s status tothe other team members and to the team leader. The physician requestsinformation about certain aspects of the patient’s statusand directs the team to administer medication and perform othertreatments in a complex and highly dynamic environment. Suchresuscitation events are life and death situations in which effectiveteamwork and leadership can save lives.Given the critical importance of resuscitation team and leadershipperformance, we have launched a unique research programaimed at identifying the factors that are critical to effective resuscitations.Our collaboration of psychologists, human factors experts,and healthcare providers (e.g., physicians) leverages aninterdisciplinary approach with the goal of identifying evidencebasedbest practices for medicine through simulation research.In this article we focus specifically on resuscitation teams, thespecialized research of several disciplines, and how I-O psychologycan contribute unique insight and innovation to the research.Dr. Elaine Gilfoyle is spearheading the research on hospitalpediatric resuscitation teams. Teams attend a day-long trainingprogram in which they respond to three different infant emergencies:asystole, shock, and dysrhythmia. Each simulation is videorecordedfor later coding. The performances of the team and theteam leader (i.e., lead physician) are of central interest. Accuratemeasurement of the team’s performance is critical because thegoal is to link team performance improvements to the team’s adherenceto Pediatric Advanced Life Support (PALS) guidelinesdeveloped by the American Heart Association. It is believed thatclose adherence to these guidelines offers children a better chanceof survival from a cardiopulmonary arrest. Elaine’s hypothesis isthat improved teamwork performance will be positively correlatedwith increased adherence to PALS guidelines because followingthe guidelines involves structuring the many tasks andsystematically working through numerous decision-makingpoints. Strong team coordination, communication, and situationalawareness is needed in order to successfully execute the guidelinesduring a resuscitation.Dr. Adam Cheng is focusing on the styles and effectivenesslevels of the simulation instructors. Instructor effectiveness scoreswill be linked to the new team performance and team leadershipmeasures under development. This will yield creative new insightsfor “training the trainers,” as instructors are often selectedfor their strong domain-specific expertise. Extensive domain-specificexpertise, however, does not guarantee that an individualwill be an excellent instructor, but a validated performance measurewould be incredibly useful for orienting new instructors anddeveloping important instruction objectives.Dr. Jeff Caird and his graduate students are conducting humanfactors research on interruptions. Interruptions have been‘planted’ in the scenarios; for example, in one scenario a motherdisrupts the team by asking questions and refusing to leave thebedside. Other interruptions will occur naturally, such as with asudden change to the patient’s status or a request to briefly assistanother team member. Reactions to interruptions, such as fixation(not attending to the primary task) and use of retrieval cues (e.g.,referring back to the PALS card where the guidelines are printed)after the distracter is removed are hypothesized to be critical tothe team’s performance. Video recordings will be used to assesshow team members and leaders managed interruptions and regainedtask focus afterward.We point to four specific I-O psychology best practices thatcontribute to the potential for innovative health research outcomes.First, we are developing behavior-based measurementscales for quantifying team, leadership, and instructor performanceusing behavioral observation scales. This method involvesidentifying specific behaviors and reporting the frequency withwhich these behaviors occurred. Second, we aim to use I-O psychologyto improve on existing teamwork and leadership measuresthat seem somewhat broad and ambiguous. For example, wewill assess frequencies of specific, yet critical, behaviors that reflectdimensions of team performance (e.g., situational awareness,closed-loop communication, adaptability). Third, we will investigatethe empirical factor structure of these new measures inorder to identify the critical dimensions of team and leadershipperformance in resuscitation. Fourth, the frame-of-reference(FOR) procedure will be used to train the observers who will codeteam and leader behaviors. FOR training is a technique that I-Opsychologists have shown to result in the greatest accuracy of observerratings.The above innovations delivered by I-O psychology are examplesof valuable additions to the interdisciplinary research effortfocusing on improving child patient outcomes of resuscitationevents. The many disciplines involved (human factors, medicine,I-O psychology) have specialized expertise and unique measurementsystems that complement each other synergistically. In fact,the challenges, complexities, and importance of optimizing theactions of personnel in infant resuscitation situations dictate multidisciplinarycollaboration, as do many other important medicalemergency situations (we are working with ambulance teams andon social factors affecting the use of defibrillators, for example).We are optimistic that collaborations of this kind can ultimatelyimpact patients’ quality of life and survival rates.20 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYThe Wait-List Clinic at the Canadian MentalHealth Association – London MiddlesexKyleigh Schraeder, M. Sc., Western University; Felicia Otchet,Ph.D., C.Psych., Western University & London Health SciencesCentre; & Dawn White, M.H.S, BScN, R.NLondon Health Sciences CentreWhile one in five Canadians will experience a mental illnessin their lifetime, only one third of adults who currently needmental health services in Canada actually receive them 1 .Lengthy wait times for services, ranging up to 9 months, arecommon in community mental health 2,3 . No standards havebeen set for acceptable waiting times for mental health servicesin Canada even though delayed access to treatment is likely toexacerbate psychological concerns. Adults with severe mentalillness who do not receive timely services are vulnerable to protractedemotional distress, occupational and social dysfunction,victimization, danger to self and/or others, physical health risks,and even incarceration 4,5 . Long wait times can result in clientsbecoming “dispirited”, unable to cope with the challenge of engagingin treatments that require greater effort, and this can leadto decreased effectiveness of treatments 6 . Research also suggestsclients are more likely to miss their initial mental healthservice appointment the longer they have to wait after referral 2,7 .Given timely access to mental health services is critical to successfultreatment of adults with severe and persistent mental illness,there is a pressing need for initiatives that improve thequality of care for clients facing long wait times.The Wait-List Clinic (WLC), a partnership with CanadianMental Health Association- London Middlesex (CMHA-LM),is an innovative project that aims to improve access to care foradults with severe mental illness in and around London, Ontario.The average wait time to receive community support andintensive case management services at CMHA-LM is 8 monthsand clients typically receive no other mental health serviceswhile waiting. The WLC at CMHA-LM was formed to reducethe isolation and suffering of these wait-listed individuals. Withgenerous support from the Green Shield Canada CommunityGiving Program, the WLC opened its doors to CMHA-LMclients awaiting services in January 2012. The WLC operatestwice a week in the evening, taking advantage of clinic spacethat would otherwise remain unused to serve clients. Trainedstudent volunteers, working under the supervision of clinicalpsychologists, provide supportive client-centered counsellingto CMHA-LM wait-list clients. Clients eligible for the WLC(e.g., those who are not actively self-harming) meet with theirassigned counsellor until the service for which they are waitingis available, at which time they are discharged from WLC services.To date, a total of 20 clients have accepted services at theWLC.The Wait-List Clinic (WLC) implementation strategy involves:a) maintaining face-to-face contact with CMHA-LMwait-list clients; b) providing supportive, client-centered counselling,where not contra-indicated (e.g., borderline personalitydisorder); c) monitoring CMHA-LM wait-list client functioningand service needs; and d) helping CMHA-LM wait-list clientsContinued on page 22Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 21

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYHigh School YouthContinued from page 20highlight student strengths (e.g., painting murals inthe school, individual artwork highlighting individualstrengths, student interest group development),and teachers are trained to use relevant researchtools to assess student strengths over time. Experientiallearning and cooperative placement opportunitiesassist in developing individual strengths inapplied settings further building a sense of competenceand positive contribution for youth.The program also builds caring, trusting teacherstudentrelationships. These efforts are informed byresearch showing that caring teacher-student relationshipsare protective factors promoting positivestudent outcomes in spite of adversity 5,6 . On a practicallevel, SJB also provides thoughtful coordinationof community services for their students, inhopes of establishing the school as a central hubwhere youth may easily access the services they require.For example, students have access to mentalhealth intervention at school and the school socialworker engages in case management onsite includingthe coordination of community partners such asFamily and Children’s Services, Community MentalHealth and Justice Services. This integrated deliveryof services allows families and community partnersto work and communicate more directly and effectivelywith each other to provide youth with a moreseamless circle of service and care.Researchers from Dr. Margaret Lumley’s laboratoryat the University of Guelph have collaboratedwith the school to conduct research assessing the effectivenessof the SJB program from the student’sperspective. Teacher-student relationships seem tobe flourishing in this environment with self-reportdata suggesting that 97% of students agree that theirteachers care about them and are there for themwhen they need them. In addition, in this high-risksample, emotionally secure relationships with teacherswere associated with positive self-concept, social-emotionalassets, and student engagement.Taken together these data suggest that the school’sstrong effort to identify and foster student strength,even amongst youth with significant risk and challenge,is quite promising.Reference List available athttp://www.cpa.ca/psynopsisWait-List ClinicContinued from page 21maintain or achieve readiness for eventual community support/intensivecase management services. By providing counselling and support on anindividual basis, the WLC helps clients manage the stress and lonelinessthat they might otherwise experience without such support while waitingfor the services they need. Clients can experience symptom relief whilewaiting, which can positively impact their overall treatment outcome (i.e.,better prognosis). We hope that maintaining contact with CMHA-LMwait-list clients will reduce the likelihood of clients being ‘lost’ from waitlistsand that clients will be more likely to accept services and attend futuretreatment appointments when they become available. Moreover, providingregular feedback about client needs and progress (e.g., level of functioning,readiness for service) to relevant CMHA-LM staff may afford animproved system of resource allocation and wait-list reduction for CMHA-LM.Another goal of the WLC program is to teach students a variety of basiccounselling skills in a multi-disciplinary mental health community setting.The clinic is arranged such that supervisors and students not providing directservice observe sessions via live video feeds from counselling rooms.Providing such vicarious learning experiences for students promotes casediscussion and fosters a high-degree of quality assurance at the WLC.Feedback sessions with students revealed that their exposure to the WLCclient population was very effective at dispelling the stigma surroundingadult mental illness. Ongoing development of the novel collaborativetraining model at the WLC is directed at improving students’ readiness towork in community mental health settings and expanding students’ skillsets for working collaboratively with this client population.A comprehensive program evaluation is being conducted to determinethe effectiveness of the WLC service delivery model and programprocesses. Desired program outcomes are not likely to be achieved unlessthe program is implemented as intended 8 . Thus, evaluating the implementationof the WLC is a crucial first step in determining how effective theWLC service delivery and training models are in meeting short- and longtermgoals at both the client and agency level. Preliminary findings of the9-month pilot trial demonstrate the WLC benefits wait-listed clients andstudent therapists alike. The WLC initiative can assist community mentalhealth agencies, like CMHA-LM, to make more efficient and ethical waitlistdeterminations by using periodic assessment of wait-listed clients’strengths and needs.It is imperative that researchers and policy makers continue to supportmanagement of lengthy waiting lists for adults with severe mental illness.Examining the effects of brief client-centered counselling on wait-listedclients’ mental health service utilization can provide valuable insights tounderstanding how to deal with common efficiency problems, such aswait-list attrition and low attendance rates, at community mental healthagencies. For this reason, the Wait-List Clinic is looking to expand itsclient population and to extend its pilot trial into 2013.Reference List available at http://www.cpa.ca/psynopsis22 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYShared Mental Health CareAlberta Health ServicesGene Flessati, PhD., R.Psych., Alberta Health ServicesShared Mental Health Care (SMHC) is an innovative multidisciplinarymental health consultation service in Calgary, Albertathat partners family physicians with mental healthspecialists including psychologists, social workers and psychiatrists,with the goal of enhancing the quality of mental healthservices delivered to individuals within the primary care setting.The program was created in 1998 in response to concerns thatthe current publicly funded mental healthdelivery model was not adequately meetingthe mental health needs of the population(e.g., excessively long wait lists, difficultyaccessing services, poor communicationbetween physician and mental health program,patient refusal to attend specializedmental health services) and because ofphysicians’ concerns regarding their abilityto recognize and manage mental healthconcerns in their practice.Two complementary programs (Shared Care Service andBehavioural Health Consultation Service) operate withinSMHC. In both programs, mental health consultants work directlywith physicians and their patients in the primary care setting.Ongoing physician-consultant communication andfeedback, and attention to the development and maintenance ofstrong physician-consultant relationships are key componentsof both programs. Each service will be briefly described.Shared Care ServiceThe Shared Care Service was the first program developed inSMHC. Family physicians who participate in the Shared CareService (SCS) contract to work directly with a consultant for 1to 8 hours each month. This program has two main objectives:increasing family physicians’ ability to identify and managemental health concerns; and, direct delivery of mental healthservices within the primary care setting. Upon enrolment in theprogram, the physician is partnered with a consultant, and theirinitial tasks are to discuss learning objectives of the physicianas well as the mental health needs of patients in the physician’spractice. Based on learning objectives and identified patientneeds, the physician then selects patients to participate in theSCS. Consultation services include patient assessment and intervention/therapy,as well as physician education activities(e.g., discussion of psychological interventions) that are jointlydecided upon by physician and consultant.The most unique aspect of the program is that the physicianand consultant are both present for each shared care consultationsession, and are partners in the provision of mental healthcare to the patient. Consultation appointments are typically oneOngoing physician-consultantcommunication and feedback, andattention to the development andmaintenance of strong physicianconsultantrelationships are keycomponents of both programs.hour, with post consultation discussion and feedback followingeach session. Intervention is short term, and most patients areseen for less than 7 sessions. Physicians’ participation in theSCS is compensated through an alternative payment plan.Behavioural Health Consultant ServiceAlthough the SCS was very positively evaluated by bothphysicians and patients who participated in the program, only asmall percentage (10-15%) of physicians in Calgary had accessto the program, with many physicians notwilling to participate in the SCS becauseof the physician time commitment requiredby the SCS model. The BehaviouralHealth Consultation Service (BHCS) wasdeveloped in 2006 in response to physicianrequests to expand the SCS model to allowgreater access to mental health care withinthe primary care setting without the requirementthat the physician participate inconsultation sessions. In this program, the behavioural healthconsultant is fully integrated into the primary care practice. Behaviouralhealth consultations occur in the physician’s clinic,with the goals of minimizing barriers to accessing behaviouralhealth consultations, and optimizing physician-consultant communication.Consultations target traditional mental health concernsas well as other behavioural health concerns that place theindividual at increased risk of developing physical or mentalhealth difficulties in the future. Sessions are typically 30 minutesand most patients are seen for a maximum of 4 sessions.There have been several comprehensive evaluations of thesetwo programs, and the vast majority of the findings have beenpositive. Some of the more important findings include:• Patients referred to SMHC received mental health assistancein a timely manner (e.g., 81% of patients in the BHCS wereseen by a behavioural health consultant within 19 days ofphysician request).• The vast majority of patients (~ 90%) seen in either SMHCservice remained under the family physician’s care, withonly a small percentage of patients who participated inSMHC being referred for mental health services outside ofthe primary care setting. This finding suggests that SMHCwas meeting most physicians’ and patients’ needs, and alsoreducing the burden on the mental health system.• The vast majority of patients seen in either service experiencedimprovement in functioning following their tenure inthe service, with very few patients experiencing deteriorationin functioning (as assessed by a number of measures thatwere independently completed by patient and physician).(Note: interpretation of these data is limited by the lack ofContinued on page 24Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 23

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYProviding Psychological Servicesand Training in Primary Care:Ryerson University and St. Michael’s HospitalJen Rouse, MA, Kelly McShane, PhD, & Candice Monson, PhDRyerson University, TorontoCurrent statistics indicate that 20% of Canadians experiencea mental health problem in any given year, translating to 43%of the country’s population experiencing a mental health conditionover the course of their life. 1 The efficacy of psychologicaltherapies for a range of psychopathology, includingdepression, general anxiety, social phobia, agoraphobia, substanceabuse, eating disorders, posttraumatic stress disorder,and panic, are well-documented. 2-5 Yet, many Canadians do nothave access to therapies for these conditions because their costsare not covered by public health insurance plans. The newCanadian Mental Health Strategy, developed by the MentalHealth Commission of Canada, advocates for increased accessto mental health care, including evidence-based psychotherapy,in primary care settings. 6 In Ontario, the revolution in primarycare delivery has seen the creation of over 170 family healthteams (FHTs) in the last decade. Each FHT is each uniquelydesigned to deliver primary care based on the local health andcommunity needs of their catchment area. The Ryerson UniversityClinical Psychology Program and St. Michael’s HospitalFamily Health Team in downtown Toronto have partnered toprovide Canadians with access to psychological therapies at nodirect cost within a family healthcare setting. With the openingof the Ryerson University Clinical Psychology Training Clinic(CPTC) in June 2011, adult patients have access to psychologicalservices provided by 12-14 Clinical Psychology graduatestudents from Ryerson University, under the supervision of theClinic Director and Ryerson faculty.The Health Centre at 80 Bond is committed to interdisciplinary,team-based service delivery and the training of familyphysicians, social workers, dietician, nurses, chiropractors,pharmacist, dentists, and psychologists. This pioneering trainingexperience allows Clinical Psychology students to gainfirst-hand, practical experience working with community membersfrom a range of cultural and socio-economic backgrounds,including urban professionals, recent immigrants, and homelesspersons, in a hospital-based, primary care setting. Designed todeliver high quality services and training, the state-of-art facilityuses cutting edge technology to provide patients with psychologicalassessments and evidence-based interventions for a widerange of psychological disorders and varying levels of casecomplexity and symptom severity.The CPTC was recently awarded a $40,000 Bell CanadaLet’s Talk Community Fund grant. This funding will be usedto improve patient access to psychological services, increasepatients’ capacity in relation to mental health and chronic diseasemanagement, and strengthen the CPTC training program.In addition, the Health Care Innovation Working Group (2012)identified the St. Michael’s Hospital FHT model, including theCPTC, as an exemplary and innovative model, only one of fourprimary care clinics in Canada to receive the distinction. 7 Thereport recommends that this model be monitored and evaluatedto facilitate replication by other primary care clinics acrossCanada. In the coming years, the CPTC will look to expandtheir psychological services to children and teenagers, exploreways to further support other FHT professionals, particularlyin relation to chronic disease management, and conduct interdisciplinaryevaluative research on the model and inter-professionalcollaboration.Reference List available at http://www.cpa.ca/psynopsisSMHCContinued from page 20experimental control)• Physicians reported increased comfort and skill in identifyingand managing mental health concerns, as wellas increased knowledge about mental health services inthe community.• Patients and physicians in both services rated the qualityof the service very favourably.On a personal note, I have worked in the SCS forslightly over a year, after working in publically funded outpatientmental health settings for 20 years. Although I initiallyhad reservations about practicing in such a novelmanner/environment, I have found this to be a rewardingcareer change, and am frequently awed by the rapidity ofpatient change that occurs in this context. Based on my experiencein this program, I believe that many physicians,and their patients, would benefit from participation thesetypes of collaborative care ventures.24 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYThe psychological side of health: Innovations inservice delivery for person with chronic conditionsSarah Hillis, Ph.D., R.D. Psych., Dawn Phillips, Ph.D., R.D. Psych.,Department of Clinical Health Psychology,Saskatoon Health RegionThe relationship between psychological difficulties andhealth problems is well established (Felitti, 1998). Despite thisknowledge, the medical community tends to focus almost exclusivelyon medication and psychoeducation to treat mentalhealth issues in the health population. Unfortunately, in manyinstances where patients appear to be unmotivated to make behaviouralchanges (e.g., smoking cessation, dietary managementfor diabetes, exercise) or are noncompliant with medicalrecommendations, the core problem is essentially psychological.When treatment is focused almost exclusively on biologicalfactors, health care practitioners fail to address theunderlying psychological issues impacting physical health.Short term dynamic therapy has been shown to be effectivefor patients with chronic health conditions. A recent metaanalysis,involving 23 randomized controlled trials, yielded anoverall effect size of 0.97 for general symptom improvementand the effect size increased to 1.51 when the patients were assessedat long term follow up (Abass et al., 2006).Relying on this literature, the authors developed an innovativescreening and treatment program designed to address underlyingpsychological problems in a health population. Toaccomplish this, a collaborative partnership between the Departmentof Clinical Health Psychology and Chronic DiseaseManagement was established. For this program, all patients inthe cardiac rehabilitation and the diabetes education programsare screened as part of the recruitment process. Patients scoringabove the cut off on any one of five items on the STOP-D (ratingsof sadness, anxiety, stress, anger and lack of social support;Young et al., 2007) or those who health personnel suspect areat high risk (using additional screening questions), are offeredthe option of a referral to a group psychodynamic psychotherapyprogram and are provided with the Inventory of InterpersonalProblems (IIP-64; Horowitz, 1998). Once this instrumentis completed, patients are invited for a clinical interview withone of the clinical health psychologists, at which time they completethe Symptom Checklist 90 (SCL-90-R; Derogatis, 2004).During the interview, patients are further assessed to determinethe suitability of a process group to meet their needs. The theoryunderlying the group is discussed, emphasizing a focus onthe processing of unresolved trauma, exploration of the avoidanceof intense affect, and the development of healthier andmore adaptive emotional and relational functioning. For eachpatient, a clear focus for treatment is formulated.With a Short Term Psychodynamic approach, discussion ofcontent related to the illness is discouraged. Patients are encouragedto explore the origins of current dynamics. For example,group members struggling to manage diabetes frequentlydeveloped problematic eating habits early in life. As children,these individuals tended to use food as a mechanism of selfsoothingwhen distressed, and eating may have been their onlymeans of coping with distressing circumstances. However, asadults, these individuals have options regarding their copingmechanisms, yet tend to fall back on familiar coping strategies.Through the group process, patients are encouraged to examinethe unhealthy ways that they have coped with overwhelmingemotional distress in the past (e.g., food, smoking, alcohol,drugs, sexual promiscuity, suicide attempts) and learn to identifyand address these powerful emotions in a healthy and adaptivemanner.The structure of the group allows for rolling enrolment, withpatients entering on an ongoing basis. We have found thisprocess particularly beneficial as current participants are alreadyengaged in intense emotional processing. As new memberswitness ongoing treatment, they become familiar with howthe group works and become desensitized to the impact of intenseemotion. On numerous occasions, new members addedto the existing group minimally participated in early sessionsbut later report important insights and take crucial steps towarddealing with a lifelong trauma (e.g., engaging family membersin discussions over historical and shared trauma). Sessions arenot limited and participants are encouraged to continue with thegroup until they have improved their self-care.Data collection begins prior to group entry and on an ongoingbasis every six sessions, with all three measures being repeated.At this time, very little data is available. However,preliminary data analysis indicates that overall total scores, onboth the IIP-64 and the SCL-90-R, tend to increase from theinitial screening to the time of the first group and decrease withthe commencement of treatment. For the STOP-D, patients aremeeting the cut off for more items at the time of the initialscreening than at subsequent measurement points. The preliminaryresults suggest that the clinical interview and the processof developing the central dynamic sequence may be contributingto an increase in symptomatology. Once patients join thepsychotherapy group and begin to understand how avoidanceof intense affect, adoption of maladaptive coping strategies, andpoor relational functioning contribute to their distress, a decreasein symptomology is experienced.Reference List available at http://www.cpa.ca/psynopsisTable des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 25

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYIntegrating Mental HealthServices into Primary Care:A Clinical Pathway for theTreatment of Depressionconditions in primary care, such as depression. A clinical pathwayis a systematic plan to treat patients with a particular conditionwithin a specified timeframe. Clinical pathways ofteninvolve a multidisciplinary care team, standardized monitoringand evaluation of outcomes, and a stepped care model, in whichlevels of treatment are determined by the severity of patients’condition.Leanne Quigley, M.Sc., Keith S. Dobson, Ph.D.,Department of Psychology, University of Calgary,Calgary, AlbertaDennis Pusch, Ph.D., Robert Acton, Ph.D., and Paul Ragusa, Ph.D.,Shared Mental Health Care Program, Alberta Health Services,Calgary, AlbertaDepression is a major public health concern, since about 5%of Canadians experience an episode of clinical depression eachyear, and the economic cost associated with depression is estimatedat over 14 billion annually in Canada. Unfortunately,only about half of depressed individuals receive any treatment,and typically such treatment falls short of adequacy standards.There is a need for innovative approaches to the treatment ofdepression that increase access to services and improve qualityof care. Clinical pathways have been increasingly recognizedas one of the best ways to address high frequency and high costThe Development of a Clinical Pathway for the Treatmentof DepressionA clinical pathway for the treatment of depression was developedand tested in five primary care clinics in Calgary, Alberta.As part of an ongoing collaboration between the SharedMental Health Care (SMHC) program and Primary Care Networks(PCNs) in Calgary, Behavioural Health Consultants(BHCs), provide brief empirically validated psychological interventionsto patients in primary care settings. A working groupwas established under the leadership of the SMHC program,with additional representation from the Department of Psychologyat the University of Calgary, the Alberta Health Services(AHS) Standards and Pathways Clinical Network, and familyphysicians from the five PCNs involved in the project. Thegroup established and developed the pathway protocol basedon empirically supported best practices.The Clinical PathwayThe pathway was developed to provide the appropriate levelof care for patients at different levels of depression. As such,ongoing patient evaluation was a key aspect of the protocol.The Patient Health Questionnaire-9 (PHQ-9) was the primarymeasurement tool for the pathway. It is a valid and reliable selfreportquestionnaire that is designed to assess depression basedon DSM-IV criteria. Physicians and BHCs administered thePHQ-9 to assess for depression if: a) the patient complained ofdepressive symptoms; or b) the physician or BHC had reasonto suspect the presence of depression.26 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYPatients were assigned to different levels of care based ontheir PHQ-9 scores. Patients who scored below 10 on the PHQ-9 were not eligible for the pathway and did not receive any interventionor follow-up. Patients who scored between 10 and14 on the PHQ-9 were assigned to the Watchful Waiting group.These patients did not receive any intervention, but were givensome information and scheduled for a follow-up appointmentapproximately 4 weeks later to monitor PHQ-9 scores. Patientswho scored between 15 and 19 on the PHQ-9 were placed inthe Moderate Intervention group. These patients were offeredone specific intervention strategy, either antidepressant medicationor BHC sessions focused on cognitive-behavioral therapyskills. Furthermore, physicians scheduled patients in theModerate Intervention group for at least three follow-up sessionsover the next 3 months. Patients who scored 20 or higheron the PHQ-9 were assigned to the High Intervention group,and offered two specific intervention strategies (i.e., antidepressantmedication and BHC sessions). They were also scheduledfor at least three follow-up sessions over the next 3 months. ThePHQ-9 was re-administered at all follow-up sessions, and furtherpathway involvement was determined on the basis of PHQ-9 scores. All pathway patients were also offeredself-management modules that were designed to provide informationabout depression, and present evidence-based interventionsand coping skills for patients.OutcomesSuccessful completion of the clinical pathway was definedas a score of less than 10 on the PHQ-9. Patients who successfullycompleted the pathway were removed from the pathway,and scheduled for a follow-up session 3 months later to assessfor recurrence of symptoms. A total of 158 patients were placedon the clinical pathway during the pilot test; 39% were in thewatchful waiting category, 34% were in the moderate interventiongroup, and 27% were in the high intervention group.The overall successful completion rate for all patients whohad entered the pathway at least 6 months prior to evaluationwas 56% and the mean change in PHQ-9 scores was -8.29. Patientsin the Low Intervention group had the best outcomes, andhighest rates of program completion. Thus, patients enrolledin the pathway showed positive results that are consistent withthe level of positive treatment responses found in trials of empiricallyvalidated treatments for depression. The positive treatmentresults were achieved with minimal investments of timeby the physician (1.75 visits per patient on average) and theBHC (1.45 visits per patient on average).Conclusions & Next StepsThe results of the pilot test of the clinical pathway suggestthat patients with depression can be successfully treated in primarycare settings with less investment in treatment resourcesthan typical psychological interventions. Both physicians andpatients reported that use of the PHQ-9 improved the treatmentof depression in the clinics. Having a consistent measurementtool helped physicians know which patients to include on thepathway, helped patients understand and track their ownprogress, and assisted in clinical decision making about thelevel of intervention that a patient should be offered. The workinggroup is now involved in the second phase of the project,which includes the development of an electronic registry formonitoring and collecting data, and implementing the pathwayinto a larger number of clinics across the greater Calgary areaand in Alberta more generally.Address correspondence to Dr. Keith S. Dobson,at ksdobson@ucalgary.caSocial MediaWe’re bringing CPA to you! You may have noticed 3 shiny new icons on the CPA website.They are your direct link to our newest online properties. You can now receive updatesabout the latest news in science, practice and education directly on your Facebook, Twitteror LinkedIn account. Visit www.cpa.ca for the links.Médias sociauxNous amenons la SCP à votre porte! Vous pourriez avoir remarqué trois nouvelles icones brillantes sur le siteWeb de la SCP. Elles sont vos liens directs à nos plus récentes propriétés en ligne. Vous pouvez maintenantrecevoir les mises à jour au sujet des dernières nouvelles en science, en pratique et en éducation directementsur votre compte Facebook, Twitter ou LinkedIn. Visitez le site www.cpa.ca pour voir les liens.Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 27

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYBounce Back: Reclaim Your HealthA telephone-supported, cognitive behaviour therapy-based self-helpprogram for primary care patients with mild-moderate depressionMark A. Lau, Ph.D., R.Psych and Jill Fikowski, B.A. (Hons)University of British ColumbiaLifetime prevalence rates of Major Depressive Disorder inCanada are between 10-12%, with approximately 1.5 millionCanadians reporting depression in any given year. As depressedpatients are often in frequent contact with their primary carephysicians for other health problems, effective depression treatmentand management currently relies heavily on the primarycare sector. The Canadian Network for Mood and AnxietyTreatments Clinical Guidelines (CANMAT) recommend antidepressantmedication and cognitive behaviour therapy (CBT)as first-line treatments for depression. Both can be effective intreating depression; however, some patients may experienceside effects when taking antidepressant medications or preferpsychotherapy. Moreover, the National Institute of Clinical Excellence(NICE) Guidelines from the United Kingdom specificallyrecommend CBT before pharmacotherapy for individualssuffering from mild to moderate depression. Despite the widespread acceptance and validation of CBT, these services are notalways readily available or accessible, especially to those individualsliving in rural areas.One promising way to bridge the CBT service delivery gaphas been the development of low intensity/high capacity CBTinterventions such as bibliotherapy. Bibliotherapy is a self-educationintervention in which participants are given reading materialsin the form of manuals, and/or other take home materialssuch as audio/video recordings. These types of resources canbe effective in teaching individuals with mild to moderatesymptoms the key principles of CBT in order to help them selfmanagetheir psychological symptoms. This type of interventioncan involve no contact with a therapist or, in the case ofsupported bibliotherapy, can involve minimal contact with asupporter or coach, for example, in-person or via the telephone.Guided self-help has been shown to be more effective than selfhelpalone, irrespective of whether support is provided by mentalhealth specialists or non-specialists. Furthermore, forpatients coping with chronic physical illness(es) and multiplemedical appointments, the availability of telephone support canoffer many advantages including privacy, accessibility, and convenience.Bounce Back: Reclaim Your Health is a low intensity/highcapacity CBT intervention that was designed based on theabove described new developments. This program, led by theCanadian Mental Health Association’s British Columbia (BC)Division and funded by the BC Ministry of Health, was implementedin 2008. Bounce Back offers mental health support toindividuals experiencing mild-moderate depression with orwithout anxiety. The Bounce Back materials derive from Dr.Chris Williams’ ‘Living Life to the Full’ program which includesa psycho-educational DVD and a self-help manual,Overcoming Depression and Low Mood: A five areas approach.These materials are offered to patients along with three to fiveContinued on page 3028 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYTreating Insomnia in Primary Care:A Key Role for PsychologistsJudith R. Davidson, Ph.D., C. Psych., Kingston Family HealthTeam and Departments of Psychology and Oncology, Queen’sUniversity, Kingston, OntarioIt is estimated that 52-64% of patients seen in primary care(i.e., at the office of a family physician) have sleep complaintsand 10-40% have severe insomnia that interferes with daytimefunctioning 1-3 . Insomnia tends not to resolve without treatment,and many people suffer for years without effective help. Forexample, the average duration of insomnia for patients arrivingat a Canadian insomnia clinic was 11 years 4 . Providing relieffrom the burden of insomnia itself is important enough, butthere are other reasons to treat it early. Over the past 15 years,it has become clear that insomnia is a risk factor, an earlymarker, for major depression 5 . In addition, people with insomniause disproportionately more mental and health care resources6 ; and this is seen directly in primary care 7 .Hypnotic medication, especially benzodiazepine receptoragonists (BzRAs), can be useful for acute insomnia, but becauseof side-effects and tolerance, this approach is not appropriatefor chronic insomnia (insomnia that lasts one month or longer).Primary care physicians are aware of the problems with longtermuse of BzRAs and encourage initiatives to reduce theiruse 8 . However, the most appropriate treatment for chronic insomnia,cognitive behaviour therapy for insomnia (CBT-I), israrely available in Canadian communities at this time.CBT-I has plenty of evidence of efficacy and is the recommendedfirst line treatment for chronic insomnia 9-11 .CBT-I works, not only for patients with “just” insomnia,but for patients with comorbid conditionssuch as chronic pain, cancer, heartdisease, and depression 12 . CBT-I can also leadto improvements in the comorbid conditionitself (e.g., in the case of depression 13 andpain 14 ). Improvements in sleep are sustainedfor at least 2 years after treatment 15 .Psychologists who have training in behaviouralsleep medicine are needed particularlyin primary care when insomnia is first reported.The clinical effectiveness of CBT-I inprimary care has been demonstrated by psychologistDr. Colin Espie and colleagues inGlasgow, Scotland 16 . At the Kingston FamilyHealth Team, we have developed a Sleep Therapyprogram for patients with chronic insomniathat works well.The Sleep Therapy ProgramPatients with chronic insomnia are seen by the Team psychologistfor a sleep assessment interview. Before this, theycomplete sleep forms, sleep diaries, the Insomnia SeverityIndex 17 and self-report measures of mood. The assessment interviewscreens for other sleep disorders, determines the typeof insomnia, and identifies the factors that contribute to, andthat perpetuate, the sleep problem.Continued on page 30Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 29

INNOVATIONS IN PSYCHOLOGICAL HEALTH SERVICE DELIVERYInsomniaContinued from page 29Patients with insomnia are then offered the SleepTherapy group program. Sleep Therapy uses CBT-I.There are six weekly sessions, each lasting two hours.Groups have 3-10 patients, and are co-led by the psychologistand a nurse practitioner or a program assistant. InSession 1, patients learn about insomnia, sleep stages andcycles, sleep and age, effects of sleep loss, and the homeostaticand circadian processes that regulate sleep andwakefulness. They log their sleep through the week asthey maintain a constant rise. In Session 2, patients learndiaphragmatic breathing, are introduced to cognitive techniquesto examine their troubling thoughts about insomnia,and they begin Stimulus Control Therapy 18 withSleep Restriction 19 . They continue with stimulus controltherapy with sleep restriction though the program, loggingtheir sleep with sleep diaries, and adjusting their bedtimeeach week according to standard protocol 20 . Patients alsolearn relaxation techniques (body scan and visualizationexercises). Session 6 is a review that focuses on maintenanceof good sleep.OutcomesSleep diaries and the Insomnia Severity Index, bothstandard measures of insomnia, are used to measure initialand post-program sleep. Data from our first 33 patientsshow that time to fall asleep, time awake during the night,and early morning awakening duration were significantlyshorter, at the end of the program than before the program(paired t-tests, p

HAVE YOUR SAYThe First Mental Health Strategy for CanadaFern Stockdale Winder, Ph.D.Psychologist, Saskatoon City HospitalVice-Chair, Board of Directors, MHCCWith input from Howard Chodos, Ph.D.Special Advisor, Mental Health Strategy for Canada, MHCCOn May 8, the day of the national launch of the first mentalhealth strategy for Canada, I was on the bus riding from Saskatoonto Regina. Via webcast, I was able to virtually join myMental Health Commission colleagues in Ottawa for one ofthe most momentous days in the history of mental health inCanada. As any of you who have travelled the highwayfrom Regina to Saskatoon know, thescenery encourages reflection. As Iwatched the webcast, I was greatlymoved by the openness of ValeriePringle, the continued energy of theHonourable Michael Kirby, and thequietly dynamic and committedpresence of Howard Chodos,one of the lead authors of theStrategy.The creation of ChangingDirections, ChangingLives: The Mental HealthStrategy for Canada was anamazing process. It reflects the experience,knowledge and insight of Canadiansin every province and territory, frompeople who are living with mental health problemsand illnesses and their family members, to the careproviders who work with them as well as experts in allareas of mental health. Psychologists from across thecountry have been involved at every stage of the process.The Strategy draws on our deepening understanding ofthe psychological, biological, and environmental factors thatcontribute to mental health problems and illnesses. Groupedunder six Strategic Directions, its 109 recommendations balancethe importance of promoting mental health and preventingmental illness wherever possible with the need to ensurethat everyone who confronts a mental health problem, no matterhow complex or severe, is able to count on quality services,treatment and support where and when they need them.The Strategy reflects an understanding that mental health ismuch more than just a health issue and addresses the range offactors – from being socially involved to having access to decenthousing – that influence mental health. It recognizes thatthe opportunity to achieve the best possible mental health doesnot come equally, and pays attention to the specific obstaclesfaced by the many diverse communities across the country inaccessing appropriate services. It acknowledges the distinctcircumstances, rights and cultures of First Nations, Inuit, andMétis and places a great emphasis on working with them toaddress their mental health needs.The Strategy presents recommendations that touch on justabout every dimension of our work as psychologists. The thirdStrategic Direction, which is about ensuring timely access tothe right combination of services, treatments and supports, containsone that may be of particular interest to psychologistswho provide psychotherapy. The Strategyrecommends better access to psychotherapiesand clinical counseling, and places a specialemphasis on the importance of ensuring thatchildren and youth do not facefinancial barriers in obtainingaccess to them (recommendations3.2.4 and 3.2.5).As with all its recommendations,the Strategy does not presenta detailed plan on how to achievethis objective. Implementing many,if not most, of its recommendationswill require the continuedactive engagement of people across themental health system, including peoplewith lived experience, familymembers, mental health professionals,administrators, and researchers.The Strategy is not just for Governments. Rather, itissues a challenge to each of us as citizens and as psychologists:work to raise public awareness and to galvanize actionon what matters in each region, province and territory, and tothe country as a whole.As I emerged from the bus on that day on May 8 th , I wasencouraged and heartened to be part of a larger movementworking toward change. Indeed, the response to Changing Directions,Changing Lives has been overwhelmingly positiveamongst stakeholders across the country. There was widespreadmedia coverage of the national launch, and by the endof the year a regional launch will have taken place in everyprovince and territory. I moved toward my speaking engagementwith staff from the Saskatchewan Ministry of Health withrenewed energy. No matter where your “bus” of advocacytakes you, I invite you to work with the Mental Health Commission,to use the Mental Health Strategy, and to become partof the growing group of Canadians working for change.Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 31

HAVE YOUR SAYQuerying the 10-Hour Per Week Rulein Graduate Clinical PsychologySabrina Hassan, M.A., Ph.D. CandidateGraduate students will recognize the rule stipulating theymay not work more than 10 hours weekly (hereafter, the Rule)while registered full-time. This guideline is intended to protecttime for studying, research, and clinical training activities; assuch, it is readily accepted by most students and faculty. But Ithink there should be more flexibility in considering paid experiencealongside clinical graduate study.Many individuals seek experience in professional mentalhealthcare before undertaking graduate training, to develop familiaritywith the field and make informed career decisions.Prior experience also provides time for emotional and professionaldevelopment; for this reason, some clinical programs inthe U.S.A. only accept students with prior professional experience.In Canada, similar requirements are seen in related programs,e.g., OISE’s Counselling Psychology for Communityand Educational Settings program. Maintaining employmentwhile pursuing graduate studies follows naturally from this lineof thinking and, in fact, many individuals from allied professionswork while simultaneously pursuing professional degrees.A benefit of working in clinical settings while pursuing graduatestudy in clinical psychology is that experience and educationoften complement each other. For example, rather thanlearning about psychopathology in a strictly intellectual way,students with professional experience come prepared with reallifeexamples of the same phenomena. Professional experiencealso enables students to challenge personal biases and encouragesclinical sensitivity and compassion. Furthermore, certainissues, such as the influence of the pharmaceutical industry onresearch and treatment, are more readily grasped by those whohave had opportunity to observe how these play out in appliedsettings. This facilitates more sophisticated analyses of clinicalconcepts and issues, which befits those undertaking doctoraltraining. Often, students who are working professionals arealso afforded additional opportunities for research involvement,including publications, conferences, and supervision of researchactivities, and for supervised clinical practice. With the realityof competitive practicum and internship applications facingevery student, it makes sense that additional relevant experiencewould be only beneficial. This is underscored by the fact thatanalogous opportunities within the university vary in numberand availability, resulting in some students not having (as much)access to these experiences.More generally, working in a clinical setting provides individualswith a sense of professional identity. Experience andknowledge (both positive and negative aspects) of the professioninstill confidence and purpose that may take less experiencedindividuals time to develop. Awareness ofrole-expectations and staff membership can also facilitate belongingand self-worth. The financialbenefits conferred by workingcan reduce the related stressContinued on page 3332 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

HAVE YOUR SAYmany students experience and allow attendance of costly butvaluable clinical training workshops and academic conferences,often as an employment benefit. This is particularly meaningfulgiven externally-funded scholarships are not available for everystudent and university-based financial support is often limited.But perhaps the biggest advantage of working while pursuinggraduate study is the opportunity to network with other professionalsand to develop a public professional identity. This increasesone’s prospects for practica, internships, and securingmore permanent and desirable employment upon graduation.Why, then, maintain the Rule? CPA and APA accreditation,which set clinical psychology training standards, have impelledmany graduate programs to adopt a professional school modelof administration wherein time to degree completion is significant.Also, some faculty/administrators are mindful of the potentialfor attrition and for irresponsible practice in employmentsettings, beyond students’ competence and/or without appropriatesupervision. Finally, a culture of “infantilization” characterizesmany graduate programs, whereby students’ traineestatus devalues accumulated experience and knowledge.The infantilization that occurs is unjustified and negativelyaffects students’ morale and self-esteem. Indeed, working mayprolong some students’ training; but students balancing multiplepriorities are often more focused in their pursuits, enabling themto graduate within prescribed time limits. Concerning somestudents, fears of irresponsible practice may also be founded;but in many clinical settings there is commitment to ensuringemployees are provided supervision according to respectiveprofessional college requirements. Most importantly, the positionof the Ontario Council on Graduate Studies (OCGS) is thatwhile students’ time should be protected, “it is not possible ordesirable for the university to monitor and enforce the employmentactivities of its graduate students outside the university”(http://ocgs.cou.on.ca/_bin/home/employment.cfm).In line with the OCGS, I feel the Rule infringes on individualrights and freedoms. If students fulfill program requirements,especially while maintaining timely progress, how can monitoringstudents’ employment activities be justified? Furthermore,differing interpretations of the Rule – e.g., is It confinedto work within the university? – contribute to inequitable inconsistenciesamong students. Individual students can circumventthe Rule by not disclosing their employment, essentiallymaintaining their paid positions without sacrificing their academicstanding. Some, however, must choose between educationand employment for personal financial reasons. Others canmaintain paid positions but are relegated to part-time status (irrespectiveof actual academic progress), rendering them ineligiblefor funding usually based on merit and vital to securingfuture academic positions.Equality sometimes necessitates differential treatments tobalance inequalities among persons/groups. Given some studentsfeel protected by the Rule, others are affected by limitedopportunities, and inevitable differences in personal circumstances,it does not make sense to maintain a “one-size fits all”approach to student employment. The decision to work, includingnumber of weekly hours, ought to be made, if not individually,then in consultation with one’s supervisor. This is a callfor clarity in the parameters of the Rule and for flexibilitywithin graduate programs to offset inequalities in opportunitiesand circumstances among students.Special CPA MemberDiscount to APA’s PsycNET®GOLD packageStarting January 1 st 2013, CPA members may purchasea 1-year subscription to the APA’s PsycNET® GOLDpackage*, at a cost of $175.00 CAD plus applicableGST/HST, which will give the subscriber access to thepackage for the calendar year. A half-year subscriptioncan be purchased after July 1 st 2013 at the cost of $87.50CAD plus applicable GST/HST for access to the packagefor the remainder of the calendar year.Information and rates to join CPA can be found atweb.cpa.ca/media or by emailing publicrelations@cpa.ca.*see website for details.Offer is only available to residents of Canada.Rabais consenti aux membresde la SCP pour le logicielPsycNET® GOLD de l’APAÀ compter du 1 er janvier 2013, les membres de la SCP peuventacheter un abonnement d’une année au logiciel* Psyc-NET® GOLD de l’APA, à un coût de 175 $ CA plus laTPS/TVHenvigueur, qui donnera à l’abonné l’accès au logiciel pour l’annéecivile. Un abonnement de six mois peut être acheté après le1 er juillet 2013 au coût de 87,50 $ CA plus la TPS/TVH en vigueurpour l’accès au logiciel pour le reste de l’année civile.L’information pour se joindre à la SCP ainsi que les tauxd’adhésion se retrouvent à l’adresse web.cpa.ca/media ou encorevous pouvez communiquer avec nous par courriel à l’adresse publicrelations@cpa.ca*voir les détails sur le site WebL'offre n'est valable que pour les résidents du Canada.Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 33

thAnnual Convention74e Congrès annuelJune 13-15 juinQUÉBEC CITY CONVENTION CENTRE, QUÉBECCENTRE DES CONGRÈS DE QUÉBECTable of Contents

thAnnual Conventione74 Congrès annuelCONVENTION 2013Keynote SpeakersHonoraryPresident’sAddressThe Family ofPsychologyKeynote AddressHonorary President’s AddressThe Honourable Mr. Justice Edward F. OrmstonThe Honourable Mr. Justice Edward Ormston graduated from the University of OttawaLaw School in 1971. He was a Crown Prosecutor and Defence lawyer before being appointedto the Ontario Court of Justice in 1989. Justice Ormston was an initial Director ofthe Ontario Justice Education Network. He has been President of the Ontario Conferenceof Judges, past Chair of the Mental Health and Law Advisory Committee of the MentalHealth Commission of Canada and is currently Chairman of the Consent and CapacityBoard. Justice Ormston was appointed an "Honorary Fellow of the Law of the Future Fund"by the Canadian Bar Association in recognition of outstanding contribution to the legal professionand the advancement of law in Canada. Additionally, he has received the 2005 PaceSetter Award from the Schizophrenia Society of Canada, and has been recognized as a Championof Mental Health by the Canadian Alliance of Mental Illness and Mental Health. In2009, Justice Ormston was appointed to the Minister's Advisory Group on Mental Healthand Addictions. Justice Ormston also received the 2011 Canadian Psychological AssociationHumanitarian Award and the 2012 SOAR medal for his contribution to the Ontario AdministrativeJustice System. Justice Ormston speaks about the intersects of Law and MentalHealth across Canada and Internationally.The Family of Psychology Keynote AddressThomas Gilovich, Ph.D.Thomas Gilovich is Professor of Psychology at Cornell University and co-director of theCornell Center for Behavioral Economics and Decision Research. He received his B.A. inPsychology from the University of California and his PhD in Psychology from StanfordUniversity. His research focuses on how people evaluate information in their everyday andprofessional lives, and how they use that information to draw conclusions, form beliefs, andembark on courses of action. His research has been funded by the National Science Foundationand the National Institute of Mental Health. His books include How We Know WhatIsn’t So (1991), Why Smart People Make Big Money Mistakes (1999, with Gary Belsky),Heuristics and Biases: The Psychology of Intuitive Judgment (2002, with Dale Griffin andDaniel Kahneman), and Social Psychology (2004, with Dacher Keltner and Richard Nisbett).He is a member of the American Academy of Arts and Sciences and a Fellow of the AmericanPsychological Association, the Association for Psychological Science, the Society ofExperimental Social Psychology, and the Society for Personality and Social Psychology.Science &ApplicationsKeynoteAddressScience & Applications Keynote AddressPhilip C. Kendall, Ph.D., ABPPPhilip Kendall is Laura H. Carnell Distinguished University Professor at Temple Universityin Philadelphia. He has been a productive researcher, scholar, and clinician, with over 450publications, including over 30 books and over 20 treatment manuals and workbooks. Histreatment programs have been translated into over a dozen languages, and he has had over25 years of uninterrupted grant support. He placed among an elite handful of the most“Highly-Cited” individuals in the social and medical sciences. In a quantitative analysis ofthe faculty of the 157 APA-approved programs in clinical psychology, Dr. Kendall’s citationsranked 5th. He has been a Fellow at the Center for Advanced Study in the Behavioral Sciences,won the Research Recognition Award from the Anxiety Disorders Association ofAmerica and the “Great Teacher” award from Temple University, and was identified as a“top therapist” in the tristate area by Philadelphia Magazine. Dr. Kendall’s contributions includeseminal work on the treatment of anxiety disorders in youth, cognitive-behavioral theory,assessment, treatment, and research methodology.Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 35

CONGRÈS 2013Conférenciers d'honneurAllocution duPrésidentd'HonneurConférence“La Famillede laPsychologie”Conférence« Science &Application »Président honoraire – L’honorable juge Edward OrmstonL’honorable juge Edward Ormston a reçu son diplôme de l’École de droit de l’Universitéd’Ottawa en 1971. Il était procureur de la Couronne et avocat de la défense avant d’être nomméà la Cour de justice de l’Ontario en 1989. Le juge Ormston a été l’un des premiers directeursdu Réseau ontarien d’éducation juridique. Il a été président de la Conférence des juges de l’Ontario,ancien président du Comité consultatif sur la santé mentale et la loi de la Commission dela santé mentale du Canada et préside actuellement la Commission du consentement et de lacapacité. Le juge Ormston a été nommé « fellow honoraire du Fonds du Barreau canadien pourle droit de demain » par l’Association du Barreau canadien en reconnaissance de sa contributionexceptionnelle à la profession juridique et à l’avancement de la loi au Canada. De plus, il a reçule prix Pace Setter 2005 de la Société de schizophrénie du Canada et a été reconnu comme unchampion de la santé mentale par l’Alliance canadienne pour la maladie mentale et la santémentale. En 2009, le juge Ormston a été nommé au Groupe consultatif ministériel de la santémentale et de la lutte contre les dépendances. Le juge Ormston s’est vu décerné le Prix pourréalisations humanitaires de la Société canadienne de psychologie en 2011 et la médaille d’honneurde la Society of Ontario Adjudicators and Regulators (SOAR) pour sa contribution au systèmede justice administrative de l’Ontario. M. le juge Ormston prononce des conférences surl’intersection de la loi et la santé mentale d’un bout à l’autre au Canada et à l’échelle internationale.Conférence « La famille de la psychologie »Thomas Gilovich, Ph.D.Thomas Gilovich est professeur de psychologie à la Cornell University et codirecteur du CornellCenter for Behavioral Economics and Decision Research. Il a obtenu un B.A. en psychologiede l’University of California et un Ph.D. en psychologie de la Stanford University. Sestravaux portent sur la façon dont les personnes évaluent l’information qu’elles recueillent dansleur vie quotidienne et professionnelle et la façon dont elles utilisent cette information pourtirer des conclusions, se forger des croyances et entreprendre des actions. Sa recherche s’estmérité l’appui financier de la National Science Foundation et la National Institute of MentalHealth. Il a publié, entre autres, les ouvrages suivants : How We Know What Isn’t So (1991),Why Smart People Make Big Money Mistakes (1999, en collaboration avec Gary Belsky), Heuristicsand Biases: The Psychology of Intuitive Judgment (2002, en collaboration avec Dale Griffinet Daniel Kahneman) et Social Psychology (2004, en collaboration avec Dacher Keltner etRichard Nisbett). Il est membre de l’American Academy of Arts and Sciences et fellow del’American Psychological Association, de l’Association for Psychological Science, de la Societyof Experimental Social Psychology et de la Society for Personality and Social Psychology.Conférence « Science & Application »Philip C. Kendall, Ph.D., ABPPPhilip Kendall est professeur émérite à la chaire Laura H. Carnell de la Temple University dePhiladelphie. Chercheur productif, universitaire et clinicien, il a à son actif plus de 450 publications,dont plus de 30 livres, et plus de 20 guides et cahiers de traitement. Ses programmesde traitement ont été traduits dans plus de 12 langues, et il a bénéficié pendant plus de 25 ansde subventions ininterrompues. Il fait partie des quelques chercheurs les « plus fréquemmentcités » dans le domaine des sciences sociales et médicales. Une analyse quantitative réaliséeauprès du corps professoral des 157 programmes en psychologie clinique approuvés par l’APAa placé Dr Kendall au 5e rang, pour ce qui est du nombre de citations. Fellow du Center forAdvanced Study in the Behavioral Sciences, il a remporté le Research Recognition Award del’Anxiety Disorders Association of America et le prix « Great Teacher » de la Temple University.Il a été, en outre, désigné comme l’un des « plus grands thérapeutes » de la région des troisÉtats (New York, New Jersey et Connecticut) par la revue Philadelphia Magazine. Ses ouvragesde référence sur le traitement des troubles anxieux chez les jeunes, la théorie cognitivo comportementale,l’évaluation et le traitement, ainsi que sur les méthodologies de recherche, sontparmi ses plus grandes contributions.36 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

HEAD OFFICE UPDATEKaren R. Cohen, Ph.D., Chief Executive OfficerLisa Votta-Bleeker, Ph.D., Deputy Chief ExecutiveOfficer and Director ScienceJohn Service, Ph.D., Director Practice DirectorateMelissa Tiessen, Ph.D., Registrar Accreditation andDirector Education DirectorateWhat follows is an update of science, practice and educationalactivity undertaken by Head Office staff and leadershipsince our last update in the Summer 2012 issue of Psynopsis.For any further information about any of the activities describedplease feel free to be in touch with us. We want to hear whatyou think. Unless otherwise indicated, please contact KarenCohen (kcohen@cpa.ca) on national activities for practice.Contact Lisa Votta-Bleeker on science activity (lvottableeker@cpa.ca).Contact John Service (jcservice@cpa.ca)about provincial/territorial practice. Contact Melissa Tiessen(mtiessen@cpa.ca) on accreditation and continuing education.Canadian Consortium of Research (CCR): The CCR meton September 24 th , 2012 at which time they will address strategicplanning as well as needed enhancements to communicationsand website. With changes to the Federal pre-budgetsubmission process in 2012-13, CCR opted not to make a submissionto the Finance Committee. CCR hopes to convene ameeting with the granting councils in fall 2012 focused onbudget 2013 issues and expectations.•••••Canadian Federation of the Humanities and Social Sciences(CFHSS): Following the release of its Design DiscussionDocument on the proposed changes to CIHR’s Open Suite ofPrograms and Peer Review Process, CIHR has published the“What CIHR heard: Analysis of feedback on the design discussiondocument”. CPA sat on a Blue Ribbon Panel of the CFHSSwhich drafted a response to CIHR’s proposed suite of programchanges and was invited by CFHSS to attend a meeting withCIHR President, Alain Beaudet. CIHR’s report on the consultationprocess can be read by visiting:http://trk.cp20.com/Tracking/t.c?TizV-WcKI-1E0QM36.•••••NSERC: As previously noted, from June 29 th to September28 th , 2012, NSERC consulted with the research community togather feedback on two proposed options for the future of theResearch Tools and Instruments (RTI) Grants Program. In consultationwith CPA’s Scientific Affairs Committee, CPA wrotea letter to NSERC regarding its two proposed options and CPA’srecommendations for the future of the RTI Grant Program. Visithttp://www.cpa.ca/researchers/ to view the letter.•••••Student Research Grants: The Canadian Psychological AssociationFoundation (CPAF) issued a call for Proposals overthe course of the summer for student research grants. Ten applicationswere received; evaluations of the proposals will takeplace in the coming weeks. An additional call for proposals fora second disbursement will be issued in the early fall. SeeCPA’s website for information on the successful applicants forthe first disbursement, and application deadlines regarding thesecond disbursement: http://www.cpa.ca/researchers/•••••Canadian Primary Health Care and Research InnovationNetwork: CPA has become a member of the Canadian PrimaryHealth Care and Research Innovation Network.CPHCRIN is a newly established pan-Canadian research, trainingand policy network, composed of researchers and stakeholdersin community-based primary health care (CBPHC).CPHCRIN aims to facilitate the scale-up of innovative modelsof CBPHC in order to improve the quality, accessibility andcost-effectiveness of primary health care in Canada.•••••Opportunities for Graduate Student Placements with theCPA: In past years, and as planned for 2012-13, CPA had periodicallyhosted a part-time rotation for Ottawa-based doctoralinterns. This year, we are glad to be able to expand this opportunityto graduate psychology students in all areas of psychology.This is an opportunity for students to participate in CPA’songoing survey development and research, development of positionpapers and other communications, as well as external representationand collaboration. CPA hopes to host a graduatestudent (one per term) on an ongoing basis. For more information,please contact Dr. Lisa Votta-Bleeker atlvottableeker@cpa.ca or Dr. Karen Cohen at kcohen@cpa.ca•••••Canadian Institute for Military and Veteran Health(CIMVH) Research Forum 2012: CPA is glad to let membersknow about the CIMVH Research Forum to be held on November26-28, 2012 in Kingston, Ontario. More information aboutthe conference can be found at http://www.cimvhr.ca/•••••Psychosocial Responding during Emergencies and Disasters:In recent months, the CPA has resumed its role as co-Chair of the National Emergency Psychosocial AdvisoryConsortium (NEPAC). NEPAC undertook a survey of its membersto identify who is doing what in the area of psychosocialresponding; results from the survey will be posted on CPA’swebsite.Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 37

HEAD OFFICE UPDATEThe CPA has also been involved in a number of activitieswith the Canadian Red Cross, including meeting with staff regardingprocesses for psychosocial responding during an emergency,and reviewing documents related to psychological firstaid for emergency responders.•••••Additional Science-related Information on CPA’s Website:Be sure to visit CPA’s website (www.cpa.ca/researchers)regularly for new information on current funding opportunities,updates on the newly instituted Canadian Common CV, and opportunitiesto participate in a CPA member’s research study viaCPA’s R2P2, just to name a few…•••••International Congress of Applied Psychology (ICAP):We are glad to announce that CPA’s bid to host the 2018 ICAPhas been accepted in principle by the International Associationof Applied Psychology. The bid was presented by Drs. KarenCohen and David Dozois, in partnership with Mitacs (an organizationdedicated to the development of research and researchers),to the IAAP (International Association of AppliedPsychology) at their meeting in Cape Town South Africa in July2012. Currently, CPA and Mitacs are working to develop acontract with the IAAP to host the 2018 congress in Montreal.•••••Proposed CPA Section on Psychology and Retirement: Anew CPA section has been proposed on Psychology and Retirement.For information about the section and to join, please goto http://cpa.ca/aboutcpa/cpasections/#Proposed•••••Health Action Lobby (HEAL): HEAL continues to workof the Health Care Innovation Working Group (HCIWG) of theCouncil of the Federation http://www.councilofthefederation.ca/keyinitiatives/Healthcare.html. In her introduction to thisissue of Psynopsis, focused on health service innovations, Dr.Cohen gives an update on the work of the HCIWG. Other ofHEAL’s activities continue to focus on the role of the federalgovernment in Canada`s health and health care and Canada`shealth human resource – these latter also relevant to the agendaof the HCIWG.•••••Canadian Alliance of Mental Illness and Mental Health(CAMIMH): As mentioned in the summer 2012 issue of Psynopsis,CPA’s Chief Executive Officer, Dr. Karen Cohen, is theChair of CAMIMH’s 2012 Mental Illness Awareness Week(MIAW). 2012 mental awareness activities included a Championsgala in May 2012 in Ottawa where CAMIMH had an opportunityto honour Canadians whose work and commitmentadvanced the cause of mental health and mental illness. MIAWitself took place the week of October 1st, 2012 and was markedby a breakfast on Parliament Hill where CAMIMH honouredthe 2012 Faces of Mental Illness – Canadians with lived experienceof mental illness who have come forward with their storiesof recovery and messages of hope. Following the breakfast,member organizations of CAMIMH convened 25 meetingswith Parliamentarians and Senators to discuss gaps and opportunitiesfor Canada’s mental health. A key CAMIMH message,in concert with CPA’s own message, is a need for enhanced accessto services and supports. The media coverage includedCPA’s CEO hosting a press conference on Parliament Hill aswell as an appearance on Canada AM in her role as the 2012MIAW Chair. Visit CPA’s website for links to MIAW informationand updates and visit MIAW at http://camimh.ca/mentalillness-awareness-week-english/about-miaw/•••••Mental Health Commission of Canada (MHCC): In May2012, CPA attended the launch of the MHCC’s mental healthstrategy for Canada Changing Directions, Changing Liveshttp://strategy.mentalhealthcommission.ca/. CPA had providedwritten feedback into earlier iterations of the strategy and issueda news release at it launch http://cpa.ca/docs/file/CAMIMH/MHCCstrategy2012_CPAfinal_ENFR.pdf See Dr. Stockdale-Winder’s article this issue for more information about the strategy.Other Advocacy activitySummer 2012 has not been silent on the advocacy front forCPA. CPA senior staff convened meetings with the Departmentof National Defence with a focus on needs for psychologicalservices, recruitment and retention of psychologists and clinicaltraining opportunities at DND along with other federal departments.Senior staff has consulted with a number of memberswith expertise and experience in military health and welcomefurther input. For more information, contact Dr. Karen Cohenat kcohen@cpa.ca Further, CPA issued a press release in September2012 in response to the federal government’s announcementof more funding for mental health in the military. Therelease, which had significant media pick up, can be found athttp://cpa.ca/docs/file/Press%20Release/PressReleaseDND_Sep12_2012.pdfIn August 2012, CPA successfully retained a group of healtheconomist consultants commissioned to develop a businessmodel for enhanced access to psychological services in Canada.Although we know well that psychological treatments are effectiveinterventions of choice for the mental health conditionsaffecting Canadians, what we have not been able to do beforenow is suggest how Canadian jurisdictions might finance better38 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

HEAD OFFICE UPDATEaccess to service. The consultants’ report is due in early 2013and will become a cornerstone document in CPA’s work withfunders and stakeholders in health and mental health. Watchthe website for progress reports and proceedings.As mentioned in the summer issue, CPA submitted a 2013pre-budget brief to the federal government in which we offereda number of solutions for Canada’s mental health. The submissioncan be found at http://cpa.ca/docs/file/CPA_Submission_2012_PreBudgetConsultation.pdfAlthough not nearly all submissions will lead to invitationsto appear before the government’s Finance Committee, our submissionnone-the-less gives us a platform from which to continueour federal advocacy work for science and practice.Also in summer 2012, CPA was pleased to support the advocacyactivities of several Canadian jurisdictions. These includedjoining APNS in meeting with government on mattersrelated to psychological services, supporting the visit of the psychologist-familyphysician team of Drs. Jean Grenier andMarie-Helene Chomienne, in a visit with MPS and the Manitobangovernment where there is keen interest in enhancing accessto psychological services, and joining BCPA in a meetingwith elected officials focused on integrating psychologists intoprimary collaborative care. In October 2012, we assisted ourcolleagues in New Brunswick in a meeting with governmentaround entry to practice standards. CPA and its Board are committedto supporting jurisdictions via its Directorates as well asthrough Head Office resources in local advocacy opportunity.For more information, please contact Dr. Cohen atkcohen@cpa.ca•••••Psynopsis: Psynopsis’ theme for Winter 2013 is advocacy,Spring 2013 is aging, Summer 2013 is e-health and Fall 2013is military and veteran health. Submissions are enthusiasticallyinvited. Send 900 words or less to Tyler Stacey-Holmesat styler@cpa.ca (Fall by September 1 st , Winter by December1 st , Spring by March 1 st and Summer by June 15 th ). If you haveideas for Psynopsis themes, please contact kcohen@cpa.ca•••••Practice Directorate (PD): Activity among Canada’s jurisdictions: A review of PD activity is below. For more informationon the Practice Directorate, please go to the CPA website at http://www.cpa.ca/practitioners/practicedirectorate/.National Advocacy Campaign. The National AdvocacyCampaign took off in earnest in September, 2012. It is designedto have common advocacy points and language used in each jurisdictionat the same time to increase advocacy impact. Thegeneral advocacy message is increasing access to psychologicalservices for mental and behavioural health problems and conditions.More specific materials have been developed that focuson increasing services in the areas of: a) primary care; b) children,youth, and young adults; and c) medically unexplainedsymptoms.Doctoral Standard across Canada: A Clear Majority.There were a number of exciting initiatives coming from thePractice Directorate meeting in June. One of these events wasthe passing of the motion “The CPA Practice Directorate supportsthe doctoral degree as the national educational standardfor the licensing of psychologists in Canada.” Whilesupport for the doctoral degree has long been the policy of CPA,CPA itself posted an articulated position on entry to practice in2012 http://cpa.ca/practitioners/resourcesofinterest/. This wasa new direction for a number of the provincial/territorial associations,and several spent a great deal of time over the past 6months consulting and discussing this issue with their members.Dr. John Service, Director of the Practice Directorate, assisteda number of associations by presenting at their town hall meetingson this issue. Although the Practice Directorate motiondid not pass unanimously, (Saskatchewan, Newfoundland andNorthwest Territories voted against), the passing of this motionclearly provides meaningful support for those remaining associationsto move towards the doctoral standard. It also providesa context for the regulatory bodies and governments in Canadaon the issue. The feeling in the room during the Practice Directoratemeeting was that this was an important event which willprovide a positive influence on the future development of ourprofession.Search for a Director. Practice Directorate Director, Dr.John Service, will be completing his three year contract withthe PD at the end of December, 2012. CPA has posted the job.The deadline for applications was September 30 th , 2012.Supply, Demand and Need of Psychologists in Canada.There was a general consensus that there is a psychology supplyproblem in Canada save for perhaps Quebec and Alberta. Allprovincial/territorial associations agreed to bring data or theconsidered opinion of their associations to the January 2013 PDmeeting to further this discussion. CPA has struck a steeringcommittee that includes CPA senior staff, CPA Committee onProfessional Affairs, the Directorates of Practice, Science, andEducation, as well as other relevant psychology groups to organizea Summit in 2013 to address supply, demand and needfor research and practice in psychology. The Practice Directorateis looking forward to supporting and profiting from thework of the CPA Steering Committee and the Summit.Inclusion of Psychology in Publicly Funded Services inCanada. There is a perceived general dearth of psychologistsin publicly funded services in Canada. Provincial/territorial associationsagreed to discuss the issue at their Board level in anticipationof a more full discussion in January, 2013.Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 39

HEAD OFFICE UPDATERxP in Canada. The delegates from each provincial/territorialassociation agreed to come to the next meeting preparedto discuss what steps if any their association has taken in regardsto prescription privileges and what steps they envisiontaking, if any, within the next five years.Custody and Access Issues in Canada. Access to psychologicalassessments and their use in custody and access decisionsas well as in other areas such as motor vehicle accidentsand workers injury and rehabilitation are often the focus of legaland regulatory actions themselves. The Practice Directorateagreed to gather data from the CPA/CPAP insurance programin order to promote a more thorough discussion on the issue atthe January 2013 PD meeting. These types of complaints areby far the most prevalent in terms of insurance claims. They arecommon for regulatory bodies as well.•••••Accreditation: The CPA Accreditation Office is pleased tofinally announce the launch of our online reporting system.This site can be used for either an annual report or self-studysubmission, and can be accessed year-round. The system hasbeen designed to be easy to follow, and parallels the traditionalpaper versions of the annual report and self-study forms. Programmesdue this year for an annual report or self-study havealready been sent instructions for accessing the site. For anynew programme wishing to submit an initial self-study application,please contact the CPA Accreditation Office at accreditation@cpa.caWe also welcome programmes to be in touchwith any feedback we can use to improve future versions of theonline system.Thank you to our Site Visitors! The CPA AccreditationPanel wishes to offer our sincere appreciation to all the psychologistswho have contributed their time and expertise to actas site visitors in the 2011-2012 academic year. A huge thankyou goes to Drs:Claude BélangerClarissa BushJanice CohenPamela CooperAnna-Beth DoylePaul GreenmanPeter HendersonCharlotte JohnstonCatherine LeePatricia MinnesJohn PearceDonald SaklofskeMichael VallisLauren WeitzmanMarc-André BouchardLinda CaterinoJennifer ConnollyDeborah DobsonSheryl GreenKellie HaddenTimothy HoganJane LedinghamRobert McIlwraithKerry MothersillTeréz RétfalviDale StackCarl von Baeyer40 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

NOUVELLES DU SIÈGE SOCIALKaren R. Cohen, Ph.D., chef de la directionLisa Votta-Bleeker, Ph.D., adjointe à la chef de la directionet directrice, Direction générale de la scienceJohn Service, Ph.D., directeur, Direction générale de la pratiqueMelissa Tiessen, Ph.D., registraire de l’agrément et directrice,Direction générale de l’éducationCe qui suit représente une mise à jour des activités enscience, en pratique et en éducation mises de l’avant par le personneldu siège social et la direction depuis notre dernière miseà jour dans le numéro d’été 2012 de Psynopsis. Pour tout autrerenseignement au sujet des activités décrites n’hésitez pas àcommuniquer avec nous. Nous sommes toujours intéressés àentendre ce que vous pensez. À moins d’indication contraire,veuillez communiquer avec Karen Cohen (kcohen@cpa.ca) ausujet des activités à l’échelle nationale qui concernent la scienceet la pratique. Communiquez avec Lisa Votta-Bleeker au sujetdes activités en science (lvottableeker@cpa.ca). Communiquezavec John Service (jcservice@cpa.ca) au sujet des activités liéesà la pratique à l’échelle provinciale ou territoriale. Communiquezavec Melissa Tiessen (mtiessen@cpa.ca) pour toute questionrelative à l’agrément et l’éducation permanente.•••••Consortium canadien pour la recherche (CCR): La prochaineréunion du CCR a eu lieu le 24 septembre 2012 où ilsera question de planification stratégique ainsi que les améliorationsnécessaires aux communications et au site Web. Comptetenu des changements au processus de présentation prébudgétairedu gouvernement fédéral en 2012-2013, le CCR a décidéde ne pas faire de présentation au Comité sénatorial permanentdes finances. Le CCR entend convoquer une réunion avec lesconseils subventionnaires à l’automne de 2012 qui sera axéesur les enjeux et les attentes du budget 2013.•••••Fédération canadienne des sciences humaines (FCSH):Après la publication de son document de travail conceptuel surles propositions de changements à la série de programmes ouvertsdes IRSC et d’améliorations au processus d’évaluation parles pairs, les IRSC ont publié « Les IRSC à votre écoute : analysede la rétroaction sur le document de travail conceptuel ». La SCPa siégé à la table du groupe d’experts de la FCSH qui a ébauchéune réponse aux changements apportés à l’éventail ouvert deprogrammes de financement des IRSC et a été invitée par laFCSH à assister à une réunion avec le président des IRSC,Alain Beaudet. Le rapport des IRSC sur le processus de consultationse trouve à l’adresse http://trk.cp20.com/Tracking/t.c?TizV-WcKI-1E0QM36http://www.cihr-irsc.gc.ca/f/44761.html.•••••CRSNG: Comme indiqué précédemment, du 29 juin au28 septembre 2012, le CRSNG a consulté la communauté de larecherche pour obtenir une rétroaction sur deux options proposéespour l’avenir du programme de subventions d’Outils etd’instruments de recherche (OIR). En consultation avec son Comitédes affaires scientifiques, la SCP a rédigé une lettre auCRSNG concernant ses deux options proposées et les recommandationsde la SCP quant à l’avenir du programme de subventionsd’OIR. Rendez-vous au site http://www.cpa.ca/researchers/ pour voir la lettre.•••••Bourses de de recherche pour les étudiants: La Fondationde la Société canadienne de psychologie (FSCP) a publié unappel de propositions au cours de l’été pour des propositionsde recherche par des étudiants. Dix demandes ont été reçues;les évaluations des propositions auront lieu au cours des prochainessemaines. Un appel de propositions additionnel pourun deuxième déboursement sera émis au début de l’automne.Reportez-vous au site Web de la SCP pour obtenir de l’informationsur les demandes retenues pour le premier déboursement,et les dates limites de demande pour le deuxièmedéboursement : http://www.cpa.ca/researchers/•••••Réseau canadien de recherche et innovation en soins desanté primaires (RCRISSP): La SCP est devenue membre duRéseau canadien de recherche et innovation en soins de santéprimaires. Le RCRISSP est un réseau de recherche, de formationet de politique pancanadien nouvellement mis sur pied,constitué de chercheurs et d’intervenants dans le domaine dessoins de santé primaires communautaires (SSPC). Le RCRISSPvise à faciliter l’accroissement de modèles innovateurs desSSPC afin d’améliorer la qualité, l’accessibilité et le coût-efficacitédes soins de santé primaires au Canada.•••••Occasions de placements d’étudiants diplômés auprès dela SCP: Au cours des années passées, et comme nous le planifionspour 2012-2013, la SCP a périodiquement pu accueillirdans ses bureaux d’Ottawa des stages pour des étudiants au doctorat.Cette année, nous sommes heureux d’être en mesure derenouveler l’expérience pour les étudiants diplômés dans tousles domaines de la psychologie. C’est une occasion pour lesétudiants de participer à l’élaboration d’enquêtes et de faire dela recherche, tout en aidant à la préparation d’exposés de positionet autres communications. Ils pourraient aussi être amenésà faire de représentations et favoriser la collaboration à l’externe.La SCP espère accueillir un étudiant diplômé (un par semestre)sur une base continue. Pour plus d’information, veuillezcommuniquer avec D re Lisa Votta-Bleeker à l’adresse lvottableeker@cpa.caou D re Karen Cohen à l’adressekcohen@cpa.ca•••••Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 41

NOUVELLES DU SIÈGE SOCIALForum de recherche de l’Institut canadien de recherchesur la santé des militaires et des vétérans (ICRSMV) 2012La SCP a le plaisir d’annoncer à ses membres la tenue duforum de recherche de l’ICRSMV qui aura lieu du 26 au 28 novembre2012 à Kingston, en Ontario. Vous pourrez trouver plusd’information au sujet de la conférence à l’adressehttp://www.cimvhr.ca/•••••Intervention psychosociale dans les situations d’urgenceset de désastres: Au cours des derniers mois, la SCP a reprisson rôle de coprésident du National Emergency PsychosocialAdvisory Consortium (NEPAC). NEPAC a fait un sondage auprèsde ses membres afin de déterminer qui fait quoi dans ledomaine des interventions psychosociales; les résultats du sondageseront publiés sur le site Web de la SCP.La SCP s’est également engagée dans un certain nombred’activités auprès de la Croix-Rouge canadienne, notammentla rencontre du personnel au sujet des processus d’interventionspsychosociales en situation d’urgence, et l’examen des documentsrelatifs aux premiers soins psychologiques des intervenantsdans le cas d’une urgence.•••••Information additionnelle liée à la science sur le site Webde la SCP: Assurez-vous de visiter le site Web de la SCP(www.cpa.ca/researchers) régulièrement pour obtenir de l’informationsur les occasions de financement actuelles, les misesà jour du CV commun canadien nouvellement institué et les occasionsde participer aux études de recherche des membres dela SCP par le biais du site PRPR de la SCP, pour ne nommerque ceux-ci.•••••Congrès international de psychologie appliquée (CIPA):Il nous fait plaisir d’annoncer que la proposition de la SCP d’accueillirle CIPA 2018 a été acceptée en principe par l’InternationalAssociation of Applied Psychology. La proposition a étéprésentée par D rs Karen Cohen et David Dozois, en partenariatavec Mitacs (une organisation spécialisée dans le développementde la recherche et des chercheurs), à l’IAAP (InternationalAssociation of Applied Psychology) à son congrès de CapeTown, en Afrique du Sud, en juillet 2012. Actuellement, la SCPet Mitacs travaillent à la rédaction d’un contrat avec l’IAAPpour accueillir le congrès de 2018 à Montréal.•••••Section sur la psychologie et la retraite proposée par laSCP: Une nouvelle section de la SCP a été proposée sur la psychologieet la retraite. Pour plus d’information au sujet de lasection et pour y adhérer, veuillez vous rendre à l’adressehttp://cpa.ca/aboutcpa/cpasections/#Proposed•••••Groupe Action santé (HEAL): HEAL continue de travailleravec le Groupe de travail sur l’innovation en matière desanté (GTIMS) du Conseil de la fédération http://www.councilofthefederation.ca/keyinitiatives/Healthcare.html.Dans son introductiondans le numéro actuel de Psynopsis sur lesinnovations dans le service de santé, D re Cohen a fait une miseà jour du travail du GTIMS. Les autres activités du groupeHEAL continuent de cibler le rôle du gouvernement fédéraldans la santé et les soins de santé du Canada et les ressourceshumaines en santé – ces dernières sont également pertinentesau programme du GTIMS.•••••Alliance canadienne pour la maladie mentale et la santémentale (ACMMSM): Comme mentionné dans le numéro del’été 2012 de Psynopsis, la chef de la direction de la SCP,D re Karen Cohen, est la présidente de la Semaine de sensibilisationaux maladies mentales (SSMM) organisée parl’ACMMSM en 2012. Dans le cadre des activités de sensibilisationà la santé mentale de 2012 le gala des champions a eulieu en mai 2012 à Ottawa où l’ACMMSM a eu l’occasiond’honorer les Canadiens dont le travail et l’engagement ont faitprogresser la cause de la santé mentale et de la maladie mentale.La SSMM proprement dit a eu lieu au cours de la semaine du1 er octobre 2012 et a été soulignée par un déjeuner sur la Collineparlementaire où l’ACMMSM a célébré les « Visages de lasanté mentale en 2012 – Des Canadiens qui ont vécu l’expériencede la maladie mentale et qui ont fait part de leurs anecdoteset de messages d’espoir. À la suite du déjeuner, lesorganisations membres de l’ACMMSM planifient des réunionsavec des députés afin de discuter des lacunes et des occasionspour la santé mentale au Canada. La nécessité d’améliorer l’accèsaux services et aux services de soutien demeure un messageclé de l’ACMMSM, comme celui de la SCP. Nous prévoyonsque la couverture médiatique sera aussi importante qu’elle étaitlors du gala de mai 2012. Rendez-vous au site Web de la SCPpour les dernières nouvelles de la SSMM et rendez-vous au sitede la SSMM à l’adresse http://fr-ca.camimh.ca/•••••Commission de la santé mentale du Canada (CSMC): Enmai 2012, la SCP a assisté au lancement de la stratégie en santémentale de la CSMC Changer les orientations, changer desvies http://strategy.mentalhealthcommission.ca/. La SCP afourni une rétroaction écrite dans les versions ultérieures de lastratégie et publié un communiqué à son lancementhttp://cpa.ca/docs/file/CAMIMH/MHCCstrategy2012_CPAfinal_ENFR.pdf.Reportez-vous à l’article de D r Stockdale-Winderdans ce numéro pour plus d’information au sujet de lastratégie.•••••42 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

NOUVELLES DU SIÈGE SOCIALAutres activités de représentationLa SCP n’a pas chômée sur le plan de la représentation aucours de l’été 2012. La direction de la SCP a convoqué des réunionsavec le ministère de la Défense nationale au sujet des besoinsde services de psychologie, de recrutement et de maintienen poste des psychologues et des occasions de formation cliniqueau MDN ainsi qu’à d’autres ministères du gouvernementfédéral. La haute direction a consulté un certain nombre demembres possédant des compétences et de l’expérience dans ledomaine de la santé des militaires et a demandé plus de rétroaction.Pour plus d’information, communiquez avecD re Karen Cohen à l’adresse kcohen@cpa.ca En outre, la SCPa émis un communiqué de presse en septembre 2012 en réponseà l’annonce du gouvernement fédéral d’un financement accrupour la santé mentale dans le domaine militaire. Le communiquéde presse, qui a suscité de façon importante l’attention desmédias, se trouve à l’adresse http://cpa.ca/docs/file/Press%20Release/PressReleaseDND_Sep12_2012.pdfEn août 2012, la SCP a réussi à retenir les services d’ungroupe d’économistes consultants dans le domaine de la santédans le but d’élaborer un modèle d’affaires visant à améliorerl’accès aux services de psychologie au Canada. Même si noussavons très bien que les traitements de psychologie sont des interventionsefficaces de choix pour les conditions de santé mentalequi influencent les Canadiens, nous n’avions pas jusqu’iciété en mesure de suggérer comment les administrations canadiennespourraient financer un meilleur accès au service. Lerapport des consultants devrait paraître au début de 2013 et deviendraun document d’appui pour le travail de la SCP auprèsdes bailleurs de fonds et des intervenants dans le domaine de lasanté et de la santé mentale. Reportez-vous au site Web pourles rapports d’avancement et les comptes rendus.Comme mentionné dans le numéro d’été, la SCP a fait uneprésentation prébudgétaire de 2013 au gouvernement fédéraldans laquelle nous avons proposé un certain nombre de solutionspour la santé mentale au Canada. Cette présentation setrouve à l’adresse http://cpa.ca/docs/file/CPA_Submission_2012_PreBudgetConsultation.pdfMême si les présentations ne mèneront pas toutes à des invitationsà se présenter devant le Comité des finances du gouvernement,notre présentation nous a néanmoins donné uneplateforme à partir de laquelle nous pourrons poursuivre nosactivités de représentation auprès du gouvernement fédéral pourla science et la pratique.Aussi au cours de l’été de 2012, la SCP a eu le plaisir d’appuyerles activités de représentation de plusieurs administrationscanadiennes. Nous avons entre autres accompagnél’APNS à une réunion avec le gouvernement sur des questionsliées aux services de psychologie. Nous avons aussi appuyé lavisite de l’équipe de médecin et psychologue de familles,D rs Jean Grenier et Marie-Hélène Chomienne, à la MPS lors desa rencontre avec des représentants du gouvernement manitobainqui s’intéresse grandement à l’amélioration de l’accès auxservices de psychologie. Nous avons aussi participé à une réunionde la BCPA avec des représentants élus; cette réunion étaitaxée sur l’intégration des psychologues dans la prestation dessoins primaires en collaboration. En octobre 2012, nous avonsaccompagner nos collègues du Nouveau-Brunswick à l’occasiond’une réunion avec les représentants gouvernementauxportant sur les normes d’admission dans la pratique. La SCP etson conseil d’administration se sont engagés à appuyer les administrationspar ses directions ainsi que par les ressources dusiège social pour ce qui est des possibilités de représentation.Pour plus d’information, veuillez communiquer avec D re Cohenà l’adresse kcohen@cpa.ca•••••Psynopsis: Le thème du numéro d’hiver 2013 de Psynopsisest la représentation, celui du numéro de printemps 2013est le vieillissement, celui du numéro d’été 2013 est la cybersantéet celui de l’automne 2013 est la santé des militaireset des anciens combattants. Les articles seront fort bienaccueillis. Faites parvenir 900 mots ou moins àTyler Stacey-Holmes à l’adresse styler@cpa.ca (avant le 1 er septembrepour le numéro d’automne, le 1 er décembre pour celuid’hiver, le 1 er mars pour celui du printemps et le 15 juin pour lenuméro d’été). Si vous avez des idées pour des thèmes à aborderdans Psynopsis, veuillez communiquer aveckcohen@cpa.ca•••••Direction générale de la pratique (DGP) : activités dansles administrations canadiennes: Vous trouverez ci-dessousun survol des activités de la DGP. Pour plus d’information surla Direction générale de la pratique, veuillez vous rendre au siteWeb de la SCP à l’adresse http://www.cpa.ca/practitioners/practicedirectorate/.Campagne de représentation nationale. La campagne dereprésentation nationale a véritablement démarré en septembre2012. Elle est conçue pour se doter de points et d’une languede représentation communs utilisés dans chaque administrationen même temps afin d’accroître l’incidence des activités de représentation.Le message de représentation général est d’accroîtrel’accès aux services de psychologie pour les problèmes etles conditions de santé mentale et comportementale. Du matérielplus ciblé axé sur l’augmentation des services dans les domainesdes : a) soins primaires, b) des enfants, des jeunes et desjeunes adultes et c) des symptômes inexpliqués par la médecinea été élaboré.Norme doctorale au Canada : une majorité claire. Il y aeu un bon nombre d’initiatives emballantes mis de l’avant à laréunion de la Direction générale de la pratique en juin. L’un deces événements consistait à passer la motion suivante : « LaDirection générale de la pratique de la SCP appuie le diplômede doctorat comme norme d’éducation nationalepour l’octroi d’un permis d’exercer aux psychologues auCanada. » Même si la politique de la SCP préconise depuisTable des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 43

NOUVELLES DU SIÈGE SOCIALlongtemps le doctorat, nous avons publié une position articuléesur les normes d’admission à la profession de psychologue en2012 http://cpa.ca/practitioners/resourcesofinterest/. Il s’agissaitd’une nouvelle orientation pour un certain nombre d’associationsprovinciales et territoriales, et plusieurs d’entre elles ontpassé beaucoup de temps au cours des six derniers mois àconsulter et à discuter de cette question avec leurs membres.D r John Service, directeur de la Direction générale de la pratique,a aidé un bon nombre des associations en faisant une présentationà des rencontres de discussion ouverte sur cettequestion. Même si la motion de la Direction générale de la pratiquen’a pas été adoptée à l’unanimité, (la Saskatchewan,Terre-Neuve et les Territoires du Nord-Ouest ne l’ont pas entérinée),cette motion assure sans ambiguïté un soutien importantaux autres associations désireuses d’adopter la norme du doctoratdans leur administration. Cette norme établit dresse aussiun contexte pour les organismes réglementaires et les gouvernementsau Canada sur cette question. Le sentiment dans lasalle au cours de la réunion de la Direction générale de la pratiqueétait qu’il s’agissait d’un événement important qui auraune influence positive pour l’essor futur de notre profession.Poste de directeur à combler. Le mandat de trois ans du directeurde la Direction générale de la pratique, D r John Service,prend fin en décembre 2012. La SCP a publié l’offre d’emploi.La date limite pour faire parvenir les demandes était le 30 septembre2012.Offre, demande et besoin de psychologues au Canada. Ily a consensus général à savoir qu’il y a un problème d’offre enpsychologie au Canada sauf peut-être au Québec et en Alberta.Toutes les associations provinciales/territoriales ont acceptéd’apporter leurs données ou de faire valoir l’opinion éclairéede leurs associations à la réunion de la DGP de janvier 2013afin de pouvoir approfondir cette discussion. La SCP a mis surpied un comité de direction qui inclut le personnel-cadre de laSCP, le Comité des affaires professionnelles de la SCP, les Directionsgénérales de la pratique, de la science et de l’éducation,ainsi que d’autres groupes de psychologie pertinents pour organiserun sommet en 2013 qui examinera les questions de l’offre,de la demande et du besoin de recherche et de pratique enpsychologie. La Direction générale de la pratique entend biensoutenir le travail du Comité de direction de la SCP et du sommetet en profiter.Inclusion de la psychologie dans les services financés parles deniers publics au Canada. Il y a une pénurie générale évidentede psychologues dans les services financés par les denierspublics au Canada. Les associations provinciales/territorialesont convenu de discuter de cet enjeu au niveau de leur conseild’administration en attendant une discussion plus approfondieen janvier 2013.Pouvoir d’ordonnance au Canada. Les délégués de chacunedes associations provinciales/territoriales ont convenu devenir à la prochaine réunion préparés à discuter les étapesqu’auraient prises certaines associations à l’égard des privilègesd’ordonnance et les étapes qu’ils envisagent prendre, le caséchéant, au cours des cinq prochaines années.Problèmes de garde et d’accès au Canada. L’accès auxévaluations psychologiques et leur utilisation dans les décisionsen matière de garde et de droit de visite ainsi que dans d’autresdomaines comme les accidents de la route, les accidents de travailet les cas de réadaptation de la personne sont souvent lepoint centrale des mesures juridiques et réglementaires. La Directiongénérale de la pratique a convenu de recueillir des donnéesdu régime d’assurance de la SCP/CSPP afin de favoriserune discussion plus approfondie de la question lors de la réunionde la DGP de janvier 2013. Ces types de plaintes sont deloin les plus fréquentes au chapitre des réclamations d’assurance.Elles sont aussi communes pour les organismes réglementaires.•••••Agrément: Le bureau d’agrément de la SCP a le plaisird’annoncer finalement le lancement de son système de rapporten ligne. Ce site peut être utilisé soit pour un rapport annuel ouune autoévaluation et il est possible d’y accéder à longueurd’année. Le système a été conçu pour être convivial et imite lesversions imprimées traditionnelles du rapport annuel et des formulairesd’autoévaluation. Les programmes qui doivent présenterun rapport annuel ou une autoévaluation cette année ontdéjà reçu les instructions sur la façon d’accéder au site. Pourtout nouveau programme qui veut présenter une demande d’autoévaluationinitiale, veuillez communiquer avec le bureaud’agrément de la SCP à accreditation@cpa.ca Nous invitonsaussi les programmes à nous faire parvenir leur rétroaction quenous pourrons utiliser pour améliorer les versions futures dusystème en ligne.Un grand merci à nos visiteurs d’installations! Le juryd’agrément de la SCP tient à adresser ses sincères remerciementsà tous les psychologues qui ont contribué de leur tempset de leurs compétences pour agir à titre de visiteurs d’installationau cours de l’année universitaire 2011-2012. Un grandmerci aux D rs : Claude Bélanger, Marc-André Bouchard, ClarissaBush, Linda Caterino, Janice Cohen, Jennifer Connolly,Pamela Cooper, Deborah Dobson, Anna-Beth Doyle, SherylGreen, Paul Greenman, Kellie Hadden, Peter Henderson, TimothyHogan, Charlotte Johnston, Jane Ledingham, CatherineLee, Robert McIlwraith, Patricia Minnes, Kerry Mothersill,John Pearce, Teréz Rétfalvi, Donald Saklofske, Dale Stack, MichaelVallis, Carl von Baeyer and Lauren Weitzman44 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

South African InternationalConferences 2012NEWS / NOUVELLESJanel Gauthier, Ph.D., Chair and John Berry, Ph.D., SecretaryInternational Relations CommitteeTwo major international conferences were held in SouthAfrica in July 2012. The following provides a brief overviewof them.The 30th International Congress of PsychologyThe 2012 International Congress of Psychology (ICP) wasorganised by the National Research Foundation and the PsychologicalSociety of South Africa (PsySSA) under the auspicesof the International Union of Psychological Science (IUPsyS).Held at the Cape Town International Convention Centre formthe 22 nd to the 27 th of July 2012, it was the first ICP to be heldon African soil in a 123-year history of ICPs (the first ICP washeld in Paris in 1889). As it attracted more than 5,800 delegatesfrom 103 different countries, including 134 from Canada, it wasalso the most representative international event in psychologyever. The theme of the ICP 2012 was “Psychology serving thehumanity”.An extensive and rich scientific programme was offered toregistrants over the five-day conference. It should be noted thatthe 2012 ICP Organising Committee received a total of 7,151abstracts, which were reviewed by 44 topic committees comprisinginternational experts. As a result of these reviews, 30%of the submissions were rejected, and 262 of them were re-submittedwith suggested changes.Presentations ranged from expert lectures and symposiathrough lively debates and panel discussions to award lectures,translational policy research seminars, workshops and a largearray of traditional and electronic posters. There were 14 invitedworkshops, 107 invited symposia and 133 invited addresses (includingkeynote addresses and state-of-the science lectures).Canada was strongly represented among the invited speakersas 29 of the invited addresses were presented by Canadian psychologists.One of the highlights of ICP 2012 was the Opening Ceremony.It kicked off with the United Nations High Commissionerfor Human Rights, Dr. Navi Pillay, giving the KeynoteAddress; Archbishop Emeritus Desmond Tutu receiving theSteve Biko Award for Psychological Liberation (from the SteveBiko Foundation and the PsySSA); and Noel Chabani Manganyi(1st Director-General of Education under Nelson Mandela)receiving a PsySSA Fellowship.Opening ceremony of the International Congress of Psychologyin Cape Town, July 2012: Dr. Navi Pillay (on right), UnitedNations High Commissioner for Human Rights, receiving an awardAnother highlight of ICP 2012 was the lecture presented byProfessor Emeritus Albert Bandura who was honoured at theICP 2012 for his lifetime achievement. Professor Bandura’scontributions to psychological science are amongst the mostsignificant in the field. Besides Sigmund Freud, B. F. Skinnerand Jean Piaget, he is the fourth most cited psychologist of the20th Century and the most cited living one (source: Review ofGeneral Psychology, 2002, vol. 6, No. 2, 139-152). Bandurawas born in 1925 in northern Alberta, Canada. Because he wasunable to travel due to health reasons, his lecture was recordedat Stanford University and played when he was scheduled toreceive the IUPsyS 2012 Lifetime Career Award. The awardwas accepted on his behalf by his designate Janel Gauthier.In his concluding remarks at the end of the 2012 Congress,Rainer K. Silbereisen said “The presentations and discussionshere in Cape Town are the fertilizer and catalysts for better andmore relevant basic, applied, and translational research, and forthe professional applications of psychology – all working towardsimproving, developing and enriching society for everyone.Psychology is serving the humanity”.The ICP 2012 has already begun to influence psychology inAfrica. The African countries present at the conference adoptedthe Cape Town Declaration on the 22 nd of July, and created thePan African Psychological Union.The next ICP will be held at the Pacifico Yokohama ConventionCentre in Yokohama, Japan, from July 24 to 29, 2016.Continued on page 47Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 45

NEWS / NOUVELLESHighlights of the 22 nd Biennial Meeting of the InternationalSociety for the Study of Behavioral DevelopmentFrom left: Nancy Galambos (Chair of ISSBD 2012 LocalOrganizing Committee), Jeff Bisanz (Vice-Chair), LisaStrohschein (Vice-Chair), Barb Robinson (University ofAlberta conference management co-ordinator)Kimberly A. Noels, Ph.D., University of AlbertaMember of the CPA International Relations Committeeand Member of the ISSBD Local Organizing CommitteeFrom July 8 through 12, the University of Alberta hosted the22 nd Biennial Meeting of the International Society for the Studyof Behavioral Development (ISSBD) in Edmonton, AB (seehttp://www.issbd2012.com/). ISSBD is a society that promotesscientific research of human development throughout the lifespanand includes members across many scientific disciplinesfrom around the globe (http://www.issbd.org/Home.aspx).The 2012 conference drew almost 900 delegates from over50 countries on 6 continents (of which almost a third wereCanadian researchers), coming primarily from psychology, butalso human ecology, sociology, and rehabilitation medicine. Asstated by Nancy Galambos, Chair of the Local OrganizingCommittee, “the goal of ISSBD 2012 was to reinforce and fosterscholarly exchange on a diversity of developmental topics,and to promote the development of international contacts andcollaborations. We believe that this goal was achieved”.The scientific program was indeed diverse in terms of boththe topics and the nations and cultures represented. The postersessions and workshops, symposia and invited addresses coveredissues relevant to different segments of the lifespan, suchas parenting, social development, mental health, school, neighborhoodand community influences, and biological processesand physical health. Keynote speakers included Kaarin Ansteyfrom the Australian National University who discussed cognitivedevelopment and decline over the lifespan; Jeanne Brooks-Gunn of Columbia University, who spoke about the impact offamilies and neighborhoods on development; Michael Meaneyfrom McGill University, who described his research on theparental regulation of the structure and function of the genomeContinued on page 4746 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

NEWS / NOUVELLESBiennial MeetingContinued from page 46in the offspring; and Ellen Bialystok from York University, wholooked at bilingual development and cognitive ability.Invited addresses from researchers in Chile, China, Finland,Germany, Israel, Japan and the USA covered topics rangingfrom motivation and co-regulation during critical life-span transitionsto cross-cultural communalities in parent-adolescent relationshipsin different societies to creating a more globalunderstanding of behavioral development through the metaphorof domestication.Nine invited symposia were convened by co-chairs fromAustralia, Belgium, Canada, Germany, Hong Kong, Netherlands,South Africa and the USA. These explored themes suchas the self and the social construction of aging; understandingpopularity in the peer system; health and cognition in older populations;independence, love and work in the transition to adulthood;and the interface between cultural continuity andprevention interventions with First Nation and Native Americanyouth.The conference was also noteworthy because of the strongrepresentation of early career scholars (i.e., those who are workingon a degree or within 7 years post-PhD). They comprised45% of the delegates, and many more students were co-investigatorson the research presented. Over 40% of the Canadianresearchers were early career scholars, and additionally wellover 100 student volunteers received a short-term pass to theconference in exchange for their contribution. The program includedseveral events targeted specifically to newer researchers,including a reception and four in-conference professional developmentworkshops, as well as travel support for several presenters.It is hoped that this conference will be an importantmilestone in the careers of these emerging scholars.Sponsors for the conference included a variety of university,government and corporate sponsors, including CPA. This meetingwas not only an important occasion for Canadian developmentalpsychologists to gather together, it was also an importantshowcase for Canadian researchers to present their work toscholars outside Canada.The next biennial meeting of ISSBD will be hosted by EastChina Normal University in Shanghai, China from July 8 to 11,2014 (http://www.issbd2014.com/).International ConferencesContinued from page 45The 21st International Congress of Cross-CulturalPsychologyThe 21 st International Congress of the International Associationfor Cross-Cultural Psychology (IACCP) was held at theUniversity of Stellenbosch, South Africa, on the occasion of the40 th anniversary of the Association, from the 17 th to the 21 st ofJuly 2012. It was organized jointly by Prof. Deon Meiring (Universityof Pretoria & University of Stellenbosch), and Prof.Leon Jackson (University of Johannesburg).The conference theme was “Nurturing Diversity for SustainableDevelopment”. This was the first international conferenceof the IACCP to be held in Africa, making the theme particularlyrelevant to the needs of this region. There were 560 participantsfrom 68 countries, with the largest number from SouthAfrica (with 109 participants), followed by those from the USA(with 48), the UK (with 28), the Netherlands (with 33) andCanada (with 17). Topics included acculturation, personality,cognition, child development, emotions, cultural change, prejudice,racism, discrimination and stereotyping, clinical psychology,gender issues, indigenous psychology, cross-culturalmethods and assessment, ethnicity and identity, health and wellbeing,intercultural interactions, intergroup relations, and industrial/organisationalpsychology. These topics were addressedby 10 keynote speakers, in 12 invited symposia, and inhundreds of oral papers and posters.One of the goals of the IACCP is to build research capacityamong young scholars from developing countries. In pursuit ofthis goal, the academic programme included four workshops:Development and Adaptation of Psychological Tests and Scalesfor Use in Health and Education Related Fields; Emotion Assessmentin Diverse Contexts; A Beginner’s Guide to StructuralEquation Modelling; and An Introduction to Cross-CulturalPsychology. In addition, four winter school sessions were offered:Culture and Individual Development; Culture, Work andOrganizations; Culture, Well-being and Societal Development;and Acculturation and Intercultural Relations.The IACCP prides itself on being open, and welcoming toeveryone, and on providing opportunities for mentoring and forthe development of research collaboration. The academic andsocial programmes were extremely rich and varied, bringing togetheryounger and older scholars from around the world. Thiscombination of intense academic and social activity made theconference a successful and memorable one for all who attended.The next international congress of the IACCP will be heldin Reims, France, 15-19 July, 2014, in conjunction with the 31stInternational Congress of Applied Psychology (to be held 8-13July, in Paris).Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 47

NEWS / NOUVELLESOutcomes of IUPsyS General Assembly 2012Janel Gauthier, Ph.D. and John Berry, Ph.D.The 2012 General Assembly of the International Union ofPsychological Science (IUPsyS) was held in conjunction withthe International Congress of Psychology (ICP) on July 23 andJuly 25 in Cape Town, South Africa. IUPsyS aims to promote“the development, representation and advancement of psychologyas a basic and applied science nationally, regionally, andinternationally” (Article 5, IUPsyS Statutes). It represents psychologyin its full breadth as a science and as a profession”(www.iupsys.net). Representatives of its member nations meetbiannually in conjunction with the International Congress ofPsychology (its principal quadrennial meeting) and the InternationalCongress of Applied Psychology (the quadrennialmeeting of the International Association of Applied Psychology).Prof. John Berry and Prof. Janel Gauthier attended as delegateson behalf of Canada. Canadians Prof. Pierre Ritchie,IUPsyS Secretary-General, and Prof. Michel Sabourin, IUPsySTreasurer also attended as non-voting members of the GeneralAssembly in their appointed roles as members of the IUPsySExecutive Committee (EC).As this marked the end of an IUPsyS quadrennium, the importantbusiness included the changing of the Executive Committee.Of special note to Canada, this meeting marked the endof Prof. Ritchie’s service as Secretary-General of IUPsyS, a positionhe has held since 1996. Dr. Ann Watts (South Africa) isthe new Secretary-General.Many CPA members will recall meeting Dr. Saths Cooper(South Africa) during his visit to the CPA Convention inToronto in 2011. Dr. Cooper was elected President of IUPsySat this General Assembly. Prof. Michel Sabourin (Canada) wasre-appointed Treasurer (2012-2014) and Prof. Jean-PierreBlondin (Canada) was appointed Treasurer-Designate for thesame period, with the expectation that he will become Treasurerat the next General Assembly meeting. Other elections and appointmentsare listed on the IUPsyS web site.The Union consists of National Member organizations, notmore than one National Member coming from any one country.Recent years have seen many developing nations join IUPsyS.As of this General Assembly, IUPsyS National Members nowinclude Botswana, Brazil, Cyprus, Grenada, Lebanon,Malaysia, Mozambique, Sri Lanka, and Trinidad and Tobago.The work of the Union is guided by its strategic plan. Theplan adopted by the General Assembly sets five priorities: capacitybuilding; international representation; service to nationalmembers; service to the discipline (i.e., development of the discipline’scommon core); and, communications and dissemination.Among the ongoing capacity-building activities are theAdvanced Research Training Seminars (ARTS), which areaimed at early career scientists from low-income countries.CPA provides financial support for ARTS. In the area of serviceto the discipline, among other activities, IUPsyS has establishedfour awards that will be granted at each ICP, starting in 2012.The first recipient of the IUPsyS Young Investigator Award(Basic Science) was Dr. William Cunningham of the Universityof Toronto, for research on motivation and affect regulation.The Statutes of the Union establish its operating principlesand practices and are reviewed at each General Assembly. Animportant change made in 2012 concerns Article 3, in whichIUPsyS asserts its adherence to the principle of Universality ofScience articulated by the International Council for Science(ICSU). This article of the IUPsyS statutes was changed tomaintain its consistency with the ICSU principle. The changesclarified that the Universality of Science embodies free and responsiblepractice of science and equitable opportunities for accessto science and its benefits.The next IUPsyS General Assembly will be held in Paris in2014 in conjunction with the International Congress of AppliedPsychology (July 8-13, 2014). One new Canadian delegate willbe appointed before that meeting, taking the place of Prof. Gauthierwhen his term will end.48 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

CPA and Canadian Psychology say good-byeto a remarkable Canadian psychologistDr. Bea Wickett 1917 – 2012NEWS / NOUVELLESK.R. Cohen, Ph.D., CEO, CPAIt is with great sadness that I report on the passing of Dr.Beatrice Enid Wickett-Nesbitt, C.M., B.A., M.A., D.Ed., LLD.Bea died on September 10, 2012, at the age of 95, in Calgary,Alberta. Her passing marks theclose of a truly remarkable personaland professional life. She was predeceasedby her first husband, JohnWickett in 1976 and by her secondhusband, Herbert Nesbitt in 2002.She was the mother of three children,five grandchildren and ninegreat grandchildern.Raised in Alberta, Bea completedher B.A. Honours in psychology atAcadia University and went on tocomplete her master’s degree atBrown University as well as furthergraduate work at McGill University.Honorary degrees followed — anHonorary Doctorate of Educationfrom Acadia University in 1980 anda Doctor of Laws, Honoris Causa,from Carleton University in 1995.Bea’s career began more auspiciouslythan most psychologists caneven imagine. She worked with Dr.Wilder Penfield at the MontrealNeurological Institute during the war years at the time that hebegan mapping the sensory and motor cortex. Bea’s career tooktwo more significant turns. To quote her obituary, “from 1962until her retirement in 1983, she was Chief Psychologist at theOttawa Board of Education. There she established programmesfor special needs and disadvantaged children; one of her proudestaccomplishments was the “Step-by-Step” programme wherevolunteers were matched with emotionally disturbed children,a programme that spread both in Canada and abroad. She alsoset up a unique in-house staff counseling programme, the firstof its kind in Canada. After retirement from the Board, shehelped form the Ottawa-Carleton Regional Palliative Care Associationand was resident psychologist with the palliative careunit at Élisabeth Bruyère Health Centre.” iBea’s many professional contributions were appreciated byso many. This appreciation included the Order of Canada, theLieutenant Governor of Alberta Diamond Jubilee, the Award ofMerit from the Ontario Psychological Association, the OntarioPublic School Teachers’ Federation Meritorious Award, theCanadian Rehabilitation Council’s“Most Innovative Program of theYear” Award and the MargaretGriffiths Award from the Councilon Aging. Bea volunteered somuch of herself to CPA and toCPA’s Foundation as well and receivedCPA’s Award for DistinguishedLifetime Service to theCPA. All this in addition to thetireless and expert contributionsshe made to many charitable agenciesand advisory committees overthe course of her life.I felt very fortunate to haveknown Bea well since she spentmuch of her professional life in Ottawa.It is difficult to say whethershe impressed me most for hercontributions to the practice ofschool and child psychology, forher generous and expert participationin organized psychology or forthe fact that she was, simply put,the kindest and most caring human being. She never missed anopportunity to say or send a kind word or make a donation. Indeedfor many years, the CPA Foundation’s silent auction wasmade possible by her benefaction. Bea, through word and deed,really showed us that making a difference is possible – a differenceas a psychologist, as a colleague and as a friend. Thankyou Dr. Wickett. Rest in peace.________________________________ihttp://www.legacy.com/obituaries/ottawacitizen/obituary.aspx?pid=159870420#fbLoggedOutTable des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 49

NEWS / NOUVELLESPsychologists Go International on EthicsJean L. Pettifor, Ph.D.Member, CPA Committee on EthicsThe most recent book to address the continuingevolution of professional ethics fromits early development to today’s search forinternational relevance and universality isThe Oxford Handbook of International PsychologicalEthics (2012), published by OxfordUniversity Press. To quote MichaelKnowles, past-president of the InternationalAssociation of Applied Psychology, “Neverbefore has there been such a comprehensivecoverage of the field, ranging from theorigin and evolution of ethical thought topresent day challenges presented by factorsranging from the internet to globalization,while at the same time fully discussing culturalvariations between and within the major regions of theworld.”The book has contributions from psychologists around theworld and is divided into five parts, namely, 1) Overview of InternationalPsychological Ethics, 2) Current andEmerging International Ethical and ProfessionalDevelopment Issues, 3) PsychologicalEthics in Wider Contexts, 4) PsychologicalEthics by Region: Convergence and Divergence,and 5) Economic, Political and SocialInfluences on Psychological Ethics and EthicsCode Development.Canadian psychologists contributed to fourof the 34 chapters. Carole Sinclair authors theopening chapter on Ethical Principles, Valuesand Codes for Psychologists: An HistoricalJourney. The journey begins in ancient timesand pauses with today’s perspectives. By examininglaws, oaths, prayers and formal codificationrelated to professional practice over thecenturies and around the world, considerablesimilarity in ethical principles and values arefound, although there are variations in how they are expressed.Jean Pettifor, with Andrea Ferrero of Argentina, authorsChapter 3 on Ethical Dilemmas, Cultural Differences and theGlobalization of Psychology. Focusing primarily on life-likeethical dilemmas as a practical way of addressing issues in copingwith the drive toward globalization, they demonstrate thatcodification undertaken in one culture may not be responsiveto beliefs in another culture, and emphasize the importance ofplacing the well-being of the client as the first priority in makingethical choices in such situations.Janel Gauthier and Jean Pettifor author Chapter 9, A Tale ofTwo Universal Declarations: Ethics and Human Rights. Theyclarify the differences in purpose and function between theUnited Nations Universal Declaration of Human Rights (1948)and the Universal Declaration of Ethical Principles for Psychologists(2008), while at the same time recognize the commonbase of humanitarian values and the role of such values inmeeting today’s global challenges.Thomas Hadjistavropoulos, with Gerald Koocher of theUSA, authors North America: Canada and the United Statesunder Part Four on Psychological Ethics by Region: Convergenceand Divergence. They identify the major similarities anddifferences in Canada and the United States in the legal statusof the discipline, the national professional associations, ethicscommittees, ethics training, and in research on ethics, as wellas discuss the ethical challenges for both countries resultingfrom technological advances.This Oxford Handbook has been created against a backdropof societal changes toward globalization and a steadily increasingstream of ethics presentations at international psychologycongresses over the past 15 to 20 years. Thanks goes to the editorsfor their insight in producing such an exciting, stimulatingand thought-provoking book.50 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

NEWS / NOUVELLESCall for Nominations for the Canadian National Committeefor the International Union of Psychological Science (CNC/IUPSYS)The CNC/IUPsyS is a CPA committee that enacts Canada’sparticipation in the International Union of Psychological Scienceunder a partnership agreement with the National ResearchCouncil of Canada. To ensure that the membership is representativeof the diversity of psychological science, at-large membersof the committee hold positions designated forpsychologists whose research falls into one of three broad researchdomains: health science, neuro-bio-behavioural science,or social science.Nominations are required from CPA Members and Fellowsfor three members-at-large, one in each of the three domains(health science, neuro-bio-behavioural science, or social science),for 4-year terms beginning at the CPA Convention in2013 (i.e., 2013-2017).In addition, nominations are open for the position of Chairof the CNC/IUPsyS, for a 4-year term from 2013-2017.Any CPA Member or Fellow whose primary activities arein research and teaching may be nominated. Given the natureof the Committee, candidates who are members of an internationalassociation or who have attended at least one internationalcongress will be given preference.Each nomination shall consist of:• a letter from the nominator that states the position for whichthe candidate is being nominated, expresses support for thecandidate, and contains a statement to the effect that thenominator has ascertained the candidate’s willingness tostand for nomination;• a current curriculum vitae of the candidate (including educationalbackground, present and former positions, researchand professional activities, organization membership and involvement,and international congress participation); and• supporting statements from two CPA Members/Fellows.The deadline to submit nominations shall be JANUARY 31,2013. Nominations and supporting documents should besent by e-mail to the Secretary of the CNC/IUPsySat cnc-iupsys@cpa.ca.Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 51

SECTIONS NEWSGoethe Award for Psychoanalyticand Psychodynamic Scholarship(for the 2011 publication year)The Selection Committee of the CPA Section onPsychoanalytic and Psychodynamic Psychology ispleased to announce this year’s Goethe Award Finalistsand Winner.In 1930, Freud was awarded the ‘Goethe Prize’ forhis literary and recognized scientific achievements.The Goethe Award for Psychoanalytic Scholarship isgiven by the Canadian Psychological Association’sSection on Psychoanalytic and Psychodynamic Psychologyfor the best psychoanalytic and/or psychodynamicbook written each year. This award considersany disciplinary or interdisciplinary subject matter intheoretical, clinical, or applied psychodynamic/analyticpsychology and is judged on the basis of providingan outstanding contribution to the field.Congratulations to all Finalists and this year’s winner!This year’s 2011 Goethe Award Winner is:Nancy McWilliams’ Psychoanalytic Diagnosis, SecondEdition: Understanding Personality Structurein the Clinical Process, by Guilford Press, New York(ISBN-13: 978-1609184940)The Committee also named two titles as Finalistsfor the Goethe Award (2011). This year’s Finalistsare:Paul Wachtel’s Therapeutic Communication, SecondEdition: Knowing what to say and when, publishedby Guilford Press, New York (ISBN:1609181719)And,Morris Eagle’s from classical to contemporarypsychoanalysis: a critique and integration,by Routledge, New York (ISBN: 0415871611)An Invitation to Joina New CPA SectionRetirement has been called “the 3 rd Act” of life, or alternatively,equated to Erickson’s Adolescent Stage of Development because thetask of retirement, similar to adolescence, is to find a new identity. Retirementis something we will all, hopefully if we are blessed with goodhealth, face at some point of life. How we handle it will depend to alarge extent on how closely we’ve identified with our profession, howwell we’ve preserved our personal and family relationships, and howwe reach out to the new opportunities open to us and are able to let goof the old responsibilities.Psychologists find retirement of interest from both a personal andprofessional perspective. Some of us have reached that stage of lifeand wonder, “So, what does a retired psychologist DO?” Some workwith retirees in their practices or within their own families and attemptassist with the transition to the 3 rd Act. While others embrace new challengesthrough stimulating volunteer workWe are hoping to establish a Section for Psychologists and Retirementwithin CPA, to meet the needs of both retired psychologistsand those interested in retirement. The new Section will provide aforum for psychologists who are currently retired from their professionalemployment in the field of psychology and/or those who are interestedin the area of retirement as a life stage to discuss the impactof retirement on post-work quality of life and the opportunities it affordsthose who are open to change. The organizers envision creatinga network of social support and information for retired psychologists,reviewing and possibly conducting research on retirement, assistingCPA in preparing position papers when needed, and organizing a Conventionprogram of interest to members.To form a new Section, we need your support. If you are interestedin joining the Section for Psychologists and Retirement, please respondto Juanita Mureika (Juanita.mkm@gmail.com), who will be collectingnames to submit, along with the mission statement, to the CPA Boardfor approval.We look forward to hearing from a number of you!Correspondence regarding this announcement maybe directed to Dr. Heather MacIntosh, Co-ordinator,Goethe Award, Section on Psychoanalytic and PsychodynamicPsychology, heather.macintosh@mcgill.caGuilford has indicated that they would be pleasedto offer members of the Canadian Psychological Associationa 20% discount on Psychoanalytic Diagnosis,Second Edition. To order the book and receive thediscount, visit http://www.guilford.com/p/mcwilliamsand enter code 3C at checkout. The offer is validthrough December 2015.52 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

SECTIONS NEWSSection on Women & PsychologyAnnual Student AwardsThe Section on Women and Psychology(SWAP) is pleased to announce that JennaMacKay is the 2012 winner of the SWAP StudentPaper Award. The winning paper, entitled“Naming Violence Against Women in Ontario”,was presented at the 2012 CPA annualconvention. Ms. MacKay is a graduate student in the Social Psychologyprogram in the Department of Psychology at CarltonUniversity, supervised by Dr. Connie Kristiansen, who co-authoredthe paper. The $500 award was presented to Ms. MacKayat the SWAP business meeting during the convention.SWAP also awarded five $250 travel bursaries to students presentingpapers or posters particularly relevant to women and/orfeminism at the CPA convention or SWAP-sponsored pre-conferenceInstitute. Travel bursaries were awarded to Sobia Ali-Faisal(University of Windsor), Kimberley Cullen (York University),Sandra Dixon (University of Calgary), Kerry Erickson (Universityof British Columbia), and Natalie Michel (University ofGuelph).Table des matièresE.B. Brownlie, Ph.D., Student AwardsCoordinator, Section for Women and Psychology.Inaugural Section Newsletter Award Winner!Congratulations to the first Section Newsletter Award Winner:Clinical Section.To view the Clinical Section’s 2011 winning Newsletter:http://www.cpa.ca/aboutcpa/cpasections/clinicalpsychology/clinicalsectionpublications/We Welcome Submissions for the 2 nd Section Newsletter AwardCPA recognizes the efforts that sections put into creating andmaintaining their newsletters. The newsletters serve as an importantcommunication tool to help keep members informed and involvedin the section and in CPA. In recognition of this effort, wewould like to give an award for the best newsletter distributed bya CPA section. The winner will receive a certificate and a monetaryaward of $250 and will be highlighted in the fall issue ofPsynopsis and on the news section of the web site.To be considered for the award, sections must send an electroniccopy of their best newsletter issue from 2012 to CPA (publicrelations@cpa.ca)by February 1, 2013. The membershipcommittee will review all the entries received and select a winner.The following criteria will be used to determine the winner:• Informational content• knowledge translation• engagement/interest• design/creativity• contributions from multiple individuals• student contentEnvironmental Psychology2012 Robert Sommer Awardfor Best Student PaperAt the Halifax convention, the Section on EnvironmentalPsychology awarded the second annual Robert SommerAward for Best Student Paper in Environmental Psychologyto PhD student Christine Kormos of the University of Victoriafor a paper co-authored by her advisor Prof. RobertGifford, titled “The Validity of Self-Report Measures ofProenvironmental Behavior: A Meta-Analytic Review”Here is a short summary of the paper:Research aimed at understanding psychological factorsthat contribute to proenvironmental behavior relies heavilyon self-report measures, but evidence of their validity ismixed. This meta-analysis quantified the association betweenself-reported and objective measures of proenvironmentalbehavior in the literature, and evaluated thepotential influence of socio-demographic and methodologicalmoderators. We searched for relevant articles inPsycINFO, ProQuest, relevant reference lists, and a listserve.Among 6260 individuals or households, across 15studies, a moderately large effect size (r = .46) was foundin that self-reported measures were positively correlatedwith objective measures, 95% CI = 0.28 – 0.60, Z-value =4.66, p < .001. Significant heterogeneity was detected: selfreportvalidity increased along with the proportion of males,and validity also varied across countries. No evidence ofsystematic bias (under-reporting or over-reporting of objectivemeasures) was detected. The influence of publicationbias was minimal. Implications for theory development andbehavioral interventions are discussed.The award commemorates the role of psychologistRobert Sommer in the creation of the field with his researchat the Saskatchewan Hospital in Weyburn in the 1950s,which was described in the landmark book Personal Space:The Behavioral Basis of Design. Robert Sommer’s amazinglyprolific body of work covers many topics, but thecommon theme has always involved staying close to thereal world and trying to make a difference in what he seesaround him.The award is judged by an independent panel of threereviewers based on extended abstracts of original researchin environmental psychology for which the first author isan undergraduate or graduate student. The work need nothave been presented at a CPA convention, and the studentneed not be a member of the Section on Environmental Psychology.This year’s review panel included Mark Sandilands,John Tivendell, and John Zelenski. Recipients receivea certificate and a cheque for $300.Students, watch for the call for the 2013 Robert SommerAward competition, with dates and submission informationto be announced in December.Psynopsis, le Magazine des psychologues du Canada – Automne 2012 – 53

PSYCHOLOGY IN THE SPOTLIGHTLe hockey vu du divan(Hockey seen from the Couch)Once in a while, professorsand researchers in Psychologytake a risk and publish work thatfalls a little outside of their usualresearch activity. It is in this contextthat Simon Grondin has authoreda new book entitled “Lehockey vu du divan” (Hockeyseen from the couch), just releasedby the Presses de l’UniversitéLaval (PUL) This bookfocuses on ice hockey, mainlyplayed in National HockeyLeague (NHL), and is intendedfor a wide audience. The bookwill be of most interest to hockeyfans because of the many referencesto players, teams and historicalevents in the NHL.However, the author uses generalconcepts in Psychology to helpthe reader understand hockey andits context and, for this reason, thebook is of interest to psychologistsas well.Both serious and entertaining,the book is considerably differentfrom other books written on icehockey. The book explores manyfacets and issues in hockey andincludes synopses of concerns and debates that have captivatedhockey fans. These include issues of violence, superstition andthe personal development of players. The book’s tone is sometimespersonal and sometimes more educative about issues andconcepts discussed.Warm-up (Chapter 1) to Overtime (Chapter 12) covers threeperiods each with three or four corresponding chapters. Thefirst period tries to show that, given the changes in rules governingthe game over decades, there is no ”real hockey”. If refereedwell, hockey as we know it could be as intense but muchless violent. In the second period, the author addresses the roles,responsibilities and remunerationof NHL players – how remunerationis justified and what teamscontribute to their communities.In the third period, a variety oftopics are discussed, often usingpsychological principles to explain,at least partially, some intriguinghockey phenomena. Inthe third period, the reader willfind responses to questions suchas: Why do players sometimeshave mania? Is it true that a youngboy has better chances of reachingthe NHL if he is born in the earlymonths of the year? Do all righthandersshoot from the left?Ice hockey in Canada andQuébec is at the core of our collectiveidentity, be it Canadian orQuébécoise. This book explainsand reminds us why hockey is soexciting. It brings to life the miseriesand splendor of this simplegame played on a grand scale. Ifthis book is ever published inEnglish, the author might betempted to call it “Couch’s corner!”You can access a detailed oraldescription (in French) of the book on youtube(youtube.com/watch?v=Th4gWaS0P4k) or may access thebook via the Web site of PUL (http://www.pulaval.com/catalogue/hockey-divan-9761.html).Simon Grondin is a professor at École de psychologie ofUniversité Laval, and is a Fellow of the CPA.He is the former Editor of the Canadian Journal ofExperimental Psychology (2006-2009) and a formerAssociate Editor of Canadian Psychology (2003-2006).54 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

PSYCHOLOGIE SUR LA SELLETTELe hockey vu du divanIl arrive que des professeurs et chercheursen psychologie publient un livrequi est un peu en marge de leurs principalesactivités de recherche. C’est ainsique Simon Grondin vient de faire paraîtreaux Presses de l’Université Laval unouvrage intitulé « Le hockey vu dudivan ». Ce livre porte sur le hockey surglace, principalement sur celui de laLigue nationale de hockey (LNH) et estdestiné à un vaste public. Bien qu’il soitsusceptible d’intéresser en premier lieules amateurs de hockey en raison desnombreuses références à certainsjoueurs, à certaines équipes et à certainsévénements historiques entourant laLNH, le livre a un intérêt particulierpour les psychologues car il permet decomprendre certains aspects entourantle monde du hockey à l’aide de notionsgénérales de psychologie.À la fois sérieux et divertissant, l’ouvragese démarque considérablementdes autres livres écrits sur le hockey.Bien qu’il s’agisse d’un essai, lesthèmes sont diversifiés et l’ensemble du livre ne tourne pas autourd’une seule idée principale. L’ouvrage offre des synthèsesde certains débats liés à des thèmes pour la plupart très populairesauprès des amateurs de hockey et propose d’approfondirle regard que l’on peut poser sur des sujets comme la violence,la superstition ou le développement personnel. Le ton adoptéest tantôt personnel, tantôt marqué par la distance nécessaireaux explications.Entre un échauffement (Chapitre 1) où il est question del’histoire de la LNH à travers sa manière de déterminer un gagnantlors d’un match ou lors des séries éliminatoires, et uneprolongation (Chapitre12) où il est beaucoup question des principauxrecords dans l’histoire de la LNH, l’ouvrage comportetrois périodes comprenant chacune trois ou quatre chapitres. Lapremière période tente de montrer que, compte tenu de l’évolutiondes règlements, l’idée de « vrai hockey » n’a pas de senset que, arbitré correctement, le hockey pourrait être beaucoupmoins violent sans que l’intensité du jeu en soit affectée. Enfait, le hockey est sain mais l’esprit qui s’y est développé enAmérique du Nord l’est moins. Dansla deuxième période, on essaye devoir ce qui pèse sur les épaules desjoueurs qui permet de justifier les salairesélevés et il est aussi question dela valeur d’une équipe de hockeypour une communauté donnée. Lorsde la troisième période, différentsthèmes relatifs au hockey sont abordésde manière à montrer que souscertains phénomènes intrigants setrouve une mécanique qui permet deles expliquer, au moins partiellement.On essaye de répondre à des questionscomme les suivantes. Pourquoiles joueurs ont-ils plein de manies ?Est-ce qu’un enfant a plus de chancesde jouer dans la LNH s’il est né dansles premiers mois de l’année plutôtque dans les derniers ? Est-ce quetous les droitiers lancent de la gauche?L’omniprésence du hockey au Canadaet au Québec le place au cœurde la formation de l’identité collective,qu’elle soit canadienne ou québécoise. Au terme de la lecturede ce livre, on comprend mieux pourquoi le hockey est sipassionnant. Sous ce qui semble n’être en apparence qu’un simplejeu se trouvent en réalité toutes les petites misères de la vraievie et aussi toute sa splendeur. Si ce livre devait un jour paraîtreen anglais, on pourrait toujours l’appeler « Couch’s corner » !Le lecteur intéressé par ce livre pourra trouver une descriptionplus détaillée sur youtube (youtube.com/watch?v=Th4gWaS0P4k) ou y avoir accès en se rendant sur le site desPUL (http://www.pulaval.com/catalogue/hockey-divan-9761.html).Simon Grondin est professeur à l’École de psychologie del’Université Laval et Fellow de la SCP. Il a été Rédacteur enchef de la Revue canadienne de psychologie expérimentale(2006-2009) et Rédacteur adjoint de Psychologie canadienne(2003-2006).Table des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 55

CPA AFFAIRSSecond Call for Nominations for President-Elect andFive Directors on the CPA Board of Directors for 2013Nominations are required for President-elect and five Directorswho will assume office at the 2013 Annual General Meeting.Three Director-at-large positions are to be nominated by allmembers as defined in By-Law IX (1) B*. One position is reservedfor an experimental psychologist who is conductingbasic research. In addition, one seat is reserved for a Masterslevel psychologist, as provided in By-Law IX (1) B (ii).One Director for Designated Scientist-Practitioner and oneScientist are to be nominated through Sections as defined in By-Laws IX.A.The President-elect is nominated by all members as definedin By-Law IX.3. Please note that nominations for at-large Directorsand President-elect require the support of five Members/Fellowsas defined in By-Law IX.3(i).INSTRUCTIONS FOR NOMINATIONS FOR PRESIDENT-ELECT AND THREE DIRECTORS-AT-LARGEMembers and Fellows of the Canadian Psychological Associationare invited to nominate for the President-elect and threeDirector-at-large positions on the Board of Directors. One positionis reserved for an experimental psychologist who is conductingbasic research and as prescribed in By-Law IX (1) B(ii)* the Board of Directors has reserved one seat for a Masterslevel Psychologist.Each nomination must include a curriculum vitae for the candidate,including educational background, present and formerpositions, and research and/or professional activities. It must beaccompanied by a letter from the nominator and four lettersof support that states the position for which the candidate isbeing nominated, expresses support for the candidate, and containsa statement to the effect that the nominator has ascertainedthe candidate’s willingness to stand for nomination.The names and supporting materials of nominees must be receivedby November 9, 2012 at CPA Head Office and should besent preferably by email to:cpa@cpa.caDr. David DozoisChair, Nominating CommitteeCanadian Psychological Association141, Laurier Ave. West, Suite 702Ottawa, Ontario K1P 5J3INSTRUCTIONS FOR TWO SECTION-NOMINATEDDESIGNATED DIRECTORS -SCIENTIST-PRACTITIONERAND SCIENTIST POSITIONSDesignated Directors who are nominated by the Sections representthe three categories of Scientist, Scientist-Practitioner andPractitioner. For the 2013 elections, nominations are required forone Scientist-Practitioner seat and one Scientist seat.As presented in By-Law IX, any CPA Member or Fellow whois a member of a section(s) may submit a nomination(s) to anysection(s) of which they are a member. The sections shall establishtheir own procedures for the consideration of nominationsreceived from their members for designated board seats.All sections are invited to submit nominations for the sectionnominateddesignated positions of Scientist-Practitioner andScientist.Scientist-Practitioners can be defined as one of the following:(a) A Scientist whose primary activities are in research andteaching and who focuses mainly on the application of psychologicalprinciples to specific applied problems. The main concernof this scientist is to produce research findings that are readilyapplicable to real world problems. This person differs from thetraditional Scientist in the direct concern for the applicability ofresearch findings to contemporary, real world problems.OR(b) A Practitioner who uses research methodology in solvingreal world problems. This type of Practitioner is not simply concernedwith solving the particular problem at hand, but attemptsto conduct research which will be useful to others in the fieldwho have similar problems. This person differs from the traditionalPractitioner in the use of research methodology in her orhis work and in the concern for generalizability of findings producedthrough the research performed to solve specific problemsto other situations.Scientists are persons who indicate that their major professionalactivity involves research and teaching, and whose CVsare judged by the Nominating Section to meet these criteria.The submission of each nomination will include the writtenconsent of the nominee, the curriculum vitae of the nominee, anda supporting letter from the nominator.The name(s) of section nominee(s) for the designated DirectorsScientist-Practitioner and Scientist positions must be receivedat CPA Head Office by November 9, 2012 and shouldbe sent preferably by email to:cpa@cpa.caMs. Dawn HansonChair, CPA Committee on SectionsCanadian Psychological Association141 Laurier Ave. West, Suite 702Ottawa, Ontario K1P 5J3Continued on next page56 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

CPA AFFAIRSSecond Call for Nominations for Election to the Status ofFellow of the Canadian Psychological Association 2013The Committee on Fellows invites you to recognize the distinguishedcontributions of your colleagues by nominating themfor consideration by the Committee. Nominees must be Membersin good standing of the Association. Should the nomineenot be selected as a Fellow the year submitted, he or she willautomatically be reconsidered in each of the next two years.Any Member, except current members of the CPA Board ofDirectors, can be nominated for Fellow status. Members maynot nominate themselves and current CPA Board members maynot nominate. As noted in the By-Laws, there are three ways toachieve Fellow status: (1) distinguished contributions to the advancementof the science of psychology; (2) distinguished contributionsto the advancement of the profession of psychology;and (3) exceptional service to national or provincial associationsof psychologists.Nominations must be made as follows:Nominations must include a current curriculum vitae for thenominee and at least three endorsing letters written in the lastcalendar year by current Fellows or Members. Preferably, thenominators should be drawn from three different institutions,with no more than one coming from the nominee’s home institution.The letters of nomination should be specific about the waysin which the nominee’s research or practice has contributed tothe advancement of the science or profession of psychology oras to ways the person’s service to national or provincial associationsof psychologists have been exceptional. In the case ofnominations based upon accomplishments other than publishedtheory or research, the specific innovative contributions andtheir impact on psychology should be described.The letters of nomination should point out evidence of thequality of journals in which the nominee has published, awardsreceived, etc. In the case of nominations based upon exceptionalservice to national or provincial associations of psychologists,the letters of nomination should point the nature of the associations(e.g., nature of the associations, number of members, servicesthey provide).Normally, the nominee should have completed his or herpost-secondary training 10 years prior to being nominated forFellow status. Someone with less than 10 years experience followinggraduation, but more than 5 years of experience, couldbe elected Fellow if his or her contributions or services havebeen found by the Committee to be truly exceptional.Nominations must be submitted preferably by email (in PDFformat) by NOVEMBER 30, and must be accompanied by thenominee’s curriculum vitae/resume, together with supportingstatements by at least three nominators, to:cpa@cpa.caDr. David DozoisChair, CPA Committee on Fellows and AwardsCanadian Psychological Association141, Laurier Ave. West, Suite 702, Ottawa, Ontario K1P 5J3The list of CPA Fellows is available on the CPA Web Site athttp://www.cpa.ca/aboutcpa/cpaawards/fellows/PRESENT BOARD REPRESENTATIONSo that you may be aware of the present balance of the Board,its current voting membership is as follows:President: Jennifer Frain, New Directions for Children,Youth, Adults & Family, Winnipeg, MBPast-President: David Dozois, University of Western Ontario,London, ON, ClinicalPresident-elect: Wolfgang Linden, University of British Columbia,Vancouver, BC, ClinicalDirectors retiring 2013Scientist: John Meyer, University of Western Ontario, Industrial/OrganizationalScientist-Practitioner: Mary-Pat McAndrews, Toronto WesternHospital, ON, NeuropsychologyAt-large reserved for a Masters level member: Dawn Hanson,Winnipeg, MB, Private PracticeTable des matièresAt-large: Sylvie Bourgeois, RCMP, Ottawa, Ontario, HealthPsychologyExperimental Psychologist Conducting Basic Research:Aimée Surprenant, Memorial University, NLDirector retiring 2014Practitioner: Dorothy Cotton, Kingston, ON, Neuropsychology,Criminal Justice SystemDirector retiring 2015At-large reserved for a Francophone: Marie-Hélène Pelletier,Private Practice, Vancouver, BC*By-law IX - Nominations - is available on cpa web site:http://cpa.ca/aboutcpa/cpabylaws/Psynopsis, le Magazine des psychologues du Canada – Automne 2012 – 57

AFFAIRES DE LA SCPRappel de mises en candidature au conseild’administration de la SCP pour les postes de présidentdésigné et de cinq postes de directeurs pour 2013Des mises en candidature sont requisespour les postes de président désigné et decinq directeurs qui assumeront leurs fonctionslors de l’assemblée générale annuellede 2013. Trois directeurs non désignés doiventêtre nommés par tous les membres telque stipulé dans le règlement IX (1) B*. Unposte est réservé à un(e) psychologue engagédans la recherche fondamentale. Deplus, tel que stipulé dans le règlement IX (1)B (ii), le conseil d’administration a réservéun siège de directeur non désigné à un(e)psychologue détenant une Maîtrise.Deux postes de directeurs désignésscientifique praticien et scientifique nomméspar les sections sont aussi requiscomme le stipule le règlement IX.A.Conformément au règlement IX.3,le président désigné et les directeurs non désignéssont nommés par tous les membres etles mises en candidature doivent être appuyéespar cinq membres ou fellows.DIRECTIVES POUR LES MISES ENCANDIDATURE POUR LES POSTESDE PRÉSIDENT DÉSIGNÉ ET DE TROISDIRECTEURS NON DÉSIGNÉSLes membres et fellows de la Société canadiennede psychologie sont invités à fairedes mises en candidature pour les postes deprésident désigné et de trois directeurs nondésignés, dont un poste est réservé à un(e)psychologue engagé dans la recherchefondamentale. De plus, tel que stipulé dansle règlement IX (1) B (ii)*, le conseil d’administrationa réservé un siège de directeurnon désigné à un(e) psychologuedétenant une Maîtrise.Chaque candidature devra être accompagnéedu curriculum vitae du candidat etdevra inclure ses antécédents en matière deformation, le(s) poste(s) qu’il occupe présentementet qu’il occupait auparavant ainsiqu’un résumé de ses activités professionnellesou dans le domaine de la recherche.La mise en candidature devra être égalementaccompagnée d’une lettre du présentateuret quatre lettres d’appuimentionnant le poste pour lequel ce candidatest nommé et, finalement, la mise en candidaturedevra renfermer une déclaration àl’effet que la personne nommée accepte dese porter candidate à l’élection.Assurez-vous de faire parvenir vos misesen candidature pour les postes de présidentdésigné et de directeurs non désignés accompagnéesdes pièces nécessaires pour appuyerces candidatures au plus tard le 9novembre 2012, préférablement par courriel,à l’adresse suivante :cpa@cpa.caD r David DozoisPrésident du Comité des mises en candidatureSociété canadienne de psychologie141 avenue Laurier ouest, bureau 702Ottawa, Ontario K1P 5J3DIRECTIVES POUR LES MISES ENCANDIDATURE POUR LES POSTES DEDIRECTEURS DÉSIGNÉS SCIENTIFIQUE-PRATICIEN ET SCIENTIFIQUE NOMMÉSPAR LES SECTIONSLes directeurs désignés nommés par lessections représentent les trois catégories demembres de la SCP : scientifique, scientifiquepraticien et praticien. Pour les électionsde 2013, des candidatures pour unposte de scientifique-praticien et un postede scientifique sont requises.Tel que stipulé dans le règlement IX, toutmembre ou fellow de la SCP qui est égalementmembre d’une ou de plusieurs sectionspeut présenter une mise en candidature à lasection (ou sections) dont il est membre. Lessections ont la responsabilité de déterminerleurs propres procédures pour examiner lesmises en candidature qu’elles auront reçuesde leurs membres pour les postes désignésdu conseil.Toutes les Sections sont invitées à fairedes mises en candidature pour les postes vacantsde scientifique-praticien et de scientifique.Les scientifiques-praticiens peuventêtre définis comme étant soit, a) un scientifiquedont les activités principales se situentdans le domaine de la recherche et de l’enseignementet qui se concentre sur l’applicationdes principes psychologiques à desproblèmes appliqués spécifiques. Ses principalesactivités professionnelles sont defaire des découvertes dans le domaine de larecherche pouvant facilement s’appliqueraux problèmes du monde réel. Cette personnese distingue du scientifique traditionnelpar sa préoccupation directe pourl’aspect applicable des découvertes découlantde sa recherche aux problèmes contemporainsdu monde réel.OUb) un praticien qui utilise une méthodologiede recherche afin de résoudre les problèmesdu monde réel. Ce genre de praticienne se contente pas de résoudre un problèmeparticulier mais il s’occupe de faire de la recherchequi sera utile à d’autres professionnelsdans le même domaine et ayant desproblèmes semblables. Cette personne sedistingue du praticien traditionnel dans lesens qu’il utilise la méthodologie de la recherchedans son travail et dans son soucide généraliser les découvertes émanant de larecherche afin de résoudre des problèmesspécifiques et de les appliquer à d’autres situations.Les scientifiques sont des personnes quiont indiqué la recherche et l’enseignementcomme principales activités professionnelleset dont le curriculum vitae est jugéconforme à ces critères par la Section faisantla mise en candidature. La présentation dechaque candidature comprendra le consentementdu candidat ainsi que son curriculumvitae et une lettre du présentateur du candidat.Chacune des sections doit faire parvenirle nom de leurs candidats aux postes de directeurdésigné scientifique et praticien auresponsable du Comité sur les sectionsavant le 9 novembre 2012 préférablementpar courriel à l’adresse suivante :cpa@cpa.caMme Dawn HansonPrésidente du Comité sur les SectionsSociété canadienne de psychologie141, avenue Laurier ouest, bureau 702Ottawa, Ontario K1P 5H358 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

AFFAIRES DE LA SCPRappel de mises en candidature pour le titre de fellowde la Société Canadienne de Psychologie pour 2013Le Comité des fellows vous invite à souligner la contributionde vos collègues en lui présentant leur candidature. Les candidatsdoivent être membres en règle de la Société.Si le ou la candidate n’est pas élu(e) l’année de mise en candidature,il ou elle sera éligible pour les deux années suivantes.Tous les membres, sauf les membres actuels du Conseil d’administrationde la SCP, peuvent être mis en candidature au titrede fellow. Les membres ne peuvent pas se mettre eux-mêmes encandidature et les membres du Conseil d’administration actuelsne peuvent pas proposer de candidature. Comme il est indiquédans le règlement, il y a trois façons d’obtenir le statut de fellow :1) une contribution éclatante au développement scientifique dela psychologie; 2) une contribution éclatante au développementprofessionnel de la psychologie; et 3) un service exceptionnelaux associations nationales ou provinciales de psychologues.Les mises en candidature doivent être faites de la façon suivante :Les mises en candidature doivent inclure le curriculum vitaeà jour de la personne en nomination et au moins trois lettresd’appui rédigées au cours de la dernière année civile par des fellowsou des membres actuels. Préférablement, les personnes quifont les mises en candidature devraient provenir de trois organismesdifférents, un seul au plus venant du même organismeque celui de la personne mise en candidature.Les lettres de mise en candidature doivent être précises quantaux façons dont la recherche ou la pratique de la personne en nominationa contribué au développement scientifique ou professionnelde la psychologie ou aux façons dont le service de lapersonne à son association nationale ou provinciale de psychologuesa été exceptionnel. Dans le cas de mises en candidaturefondées sur des réalisations autres que de la théorie ou de la recherchepubliée, les contributions novatrices précises et leur incidencesur la psychologie devraient être décrites.Les lettres de mise en candidature devraient mettre en valeurla qualité des revues où la personne en nomination a publié, lesprix qu’elle a reçus, etc. Dans le cas d’une mise en candidaturefondée sur un service exceptionnel à son association nationaleou provinciale de psychologues, les lettres de mise en candidaturedevraient souligner la nature des associations (p. ex. la naturedes associations, le nombre de membres, les services fournis,etc.).Normalement, la personne mise en candidature devrait avoirterminé sa formation post-secondaire dix ans avant sa mise encandidature au titre de fellow. Une personne possédant moins dedix ans d’expérience après avoir obtenu son diplôme, mais plusde cinq années d’expériences, pourrait être élue fellow si sacontribution ou son service a été trouvé vraiment exceptionnelpar le Comité.Les mises en candidature doivent parvenir préférablement parcourriel (en format PDF) au plus tard LE 30 NOVEMBRE et doiventêtre accompagnées du curriculum vitae du candidat ou de lacandidate et au moins trois lettres d’appui à l’adresse suivante :cpa@cpa.caD r David DozoisPrésident du Comité des fellows et des prixSociété canadienne de psychologie141 avenue Laurier ouest, bureau 702, Ottawa, Ontario K1P 5J3Veuillez consulter la liste des fellows actuels sur notre site webhttp://www.cpa.ca/aproposdelascp/prixdelascp/fellows/COMPOSITION ACTUELLE DUCONSEIL D’ADMINISTRATIONPrésidente : Jennifer Frain, New Directions for Children, Youth,Adults & Family, Winnipeg, MBPrésident sortant : David Dozois, University of Western Ontario,London, ON, Psychologie cliniquePrésident désigné : Wolfgang Linden, University of British Columbia,Vancouver, CB, Psychologie cliniqueDirecteurs dont le mandat se termine en 2013Scientifique : John Meyer, University of Western Ontario, ON,Industrielle et organisationnelleScientifique-praticien – Mary Pat McAndrews, Toronto WesternHospital, ON, NeuropsychologieNon désigné : Sylvie Bourgeois, GRC, Ottawa, ON, Psychologiede la santéTable des matièresNon désigné – réservé à un(e) psychologue détenant une Maîtrise: Dawn Hanson, Winnipeg MB, pratique privéeNon désigné – réservé à un(e) psychologue engagé dans la recherchefondamentale : Aimée Suprenant, Memorial University,St. John’s, NLDirecteur dont le mandat se termine en 2014Praticien : Dorothy Cotton, Kingston, ON, Neuropsychologie,système de justice pénalDirecteur dont le mandat se termine en 2015Non désigné – réservé à un(e) psychologue francophone:Marie-Hélène Pelletier, Vancouver, CB, pratique privéeVeuillez consulter notre site web pour prendreconnaissance du règlement IX - Mise en candidature auhttp://www.cpa.ca/aproposdelascp/reglementsgeneraux/Psynopsis, le Magazine des psychologues du Canada – Automne 2012 – 59

LAUREATES OF THE CPA 2012 CERTIFICATE OF ACADEMIC EXCELLENCEACADIA UNIVERSITYDepartment of PsychologyHonours ThesisNatasha DienesJenna DicksonKristen HigginsMasters ThesisKristen BaileySamantha FizellMichelle ValleyUNIVERSITY OF ALBERTAHonours ThesisJordan ClemensRowan El-BialyMasters ThesisNaheed HosanLisa SmithsonDoctoral ThesisMarc AveyCyrus ShaoulBISHOP’S UNIVERSITYDepartment of PsychologyHonours ThesisSarah DuguayJulie PetrinKayla SmithUNIVERSITY OFBRITISH COLUMBIADepartment of PsychologyHonours ThesisVirginie CousineauGrace QiaoAshley WhillansMasters ThesisMathew DixonKostadin KushlevNatalie MillerDoctoral ThesisLara AkninJeremy A. FrimerCarolin KleinBROCK UNIVERSITYDepartment of PsychologyHonours ThesisTamara SpethMasters ThesisJames DesjardinsStefon van NoordtJayne MorrishDoctoral ThesisMarie GoodUNIVERSITY OF CALGARYDepartment of PsychologyHonours ThesisAmy HamptonMasters ThesisRenata GodlewskiKristin NewmanLaurel WallaceDoctoral ThesisLaura LabelleTerri-Lynn MacKayRoxanne SterniczukUNIVERSITY OF CALGARYDivision of AppliedPsychologyMasters ThesisJennifer DahlMichelle GourSarah KnightDoctoral ThesisJennifer ThannhauserCARLETON UNIVERSITYDepartment of PsychologyHonours ThesisRon KozanGeoffrey PlintJennifer ReedMasters ThesisGeoffrey BarnumBrent BezoKathleen JubenvilleDoctoral ThesisLindsay BerriganJulie DempseyJennifer ThakeST. MARY’S UNIVERSITYDepartment of PsychologyMasters ThesisPatrick HorsmanLuc BourgeoisTimur OzbilirDoctoral ThesisJason SlaunwhiteST. THOMAS UNIVERSITYDepartment of PsychologyHonours ThesisJennifer BennellMichelle BoutilierDaniella DaPonteUNIVERSITY OF TORONTOSCARBOROUGHDepartment of PsychologyHonours ThesisTharanky BalachandranMatthew QuitasolMatthew WilmotTRENT UNIVERSITYDepartment of PsychologyHonours ThesisRobert AidelbaumJohn Ben BlakeyBrittany SirtonskiCONCORDIA UNIVERSITYDepartment of PsychologyHonours ThesisThaisa CottonStephanie GallantDiana MihalacheMasters ThesisElana AugustHannah LevyLevi RivenDoctoral ThesisDorothea ByeJessica DereCaroline OstiguyDALHOUSIE UNIVERSITYDepartment of PsychologyHonours ThesisMeredith BesseyAlex HoggarthKelly O’DriscollMasters ThesisMatthew HilcheyChelsea QuinlanDoctoral ThesisNancy BandstraErin MoonMarc ZahradnikUNIVERSITY OF THEFRASER VALLEYDepartment of PsychologyHonours ThesisMichelle Kimberly MankovitsUNIVERSITY OF GUELPHDepartment of PsychologyHonours ThesisKrista MitchnikAlexander RichettiKiri WillsMasters ThesisSarah DohertyAlexandra MuellerMartin StichtDoctoral ThesisAmy MuiseEvelina RogErin RockKWANTLEN POLYTECHNICUNIVERSITYDepartment of PsychologyHonours ThesisSarah BoormanBrooke KnowltonNiloufar SaffariLAKEHEAD UNIVERSITYDepartment of PsychologyHonours ThesisSarah M Clasen-ByceJenny MorganSamantha A PenneyMasters ThesisKyle M. PrystanskiDanielle RansomMegan F. ShortDoctoral ThesisDr. Jessica L. BirdDr. Megan A. RichardsDr. Julie A. RiendeauLAURENTIAN UNIVERSITYDepartment of PsychologyHonours ThesisOlivia E. BeaudryJessica A. CarmichaelSean C. ThomasMasters ThesisStephanie A. HayesElizabeth McCagueJulie ShilhanST. LAWRENCE COLLEGEHonours ThesisAngel HennigarTara McGivernSarah ObeidiUNIVERSITY OF TORONTOOntario Institute for Studiesin Education (OISE)Masters ThesisKaren Gah-lan LauSarah HorowitzDoctoral ThesisMichael GoldmanRobyn Barbara LeggeKrystle Karine MartinTRINITY WESTERNUNIVERSITYMasters ThesisAlexandra DueckStephanie McLeanUNIVERSITY OF VICTORIADepartment of PsychologyHonours ThesisRhonda Geres-SmithBonnie HeptonstallAmanda KellyMasters ThesisJessical AbramiLindsay McCunnAlina SotskovaDoctoral ThesisJustin KantnerKate RandallChristopher WarrenUNIVERSITY OF MANITOBADepartment of PsychologyHonours ThesisNicholaus BrosowskyKatelin NeufeldSarah Raposo60 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

LES RÉCIPIENDAIRES DU CERTIFICAT D’EXCELLENCE UNIVERSITAIRE DE LA SCP 2012Masters ThesisJeremy HammBenjamin MeekKristin ReynoldsDoctoral ThesisSandra SalemKendra ThomsonJo Ann UngerMcGILL UNIVERSITYDepartment of PsychologyHonours ThesisElena BernierRui (Mary) JiaRachelle PullmerDoctoral ThesisVincent BerthiaumeMarc Olivier MartelFrederick PhilippeMEMORIAL UNIVERSITYOF NEWFOUNDLANDDepartment of PsychologyHonours ThesisElliot BurseyAmanda CranfordMaria PowellMasters ThesisScott DeibelSarah MacDonaldMegan ShortMOUNT ALLISONUNIVERSITYDepartment of PsychologyHonours ThesisAlexandre Blaire AndersonSylvia Joy MacNeil GautreauNicole Katherine RomanowMOUNT SAINT VINCENTUNIVERSITYDepartment of PsychologyHonours ThesisGrant HatcherEmad TalismanUNIVERSITY OFNEW BRUNSWICKFREDERICTONDepartment of PsychologyHonours ThesisKaitlyn FallowLiza MastikhinaHeather MacArthurUNIVERSITY OFNORTHERN BRITISHCOLUMBIADepartment of PsychologyHonours ThesisHugh W.R. CurtisMasters ThesisMireille RizkallaDoctoral ThesisMa. De Jesus Laura AguileraRodriguezUNIVERSITY OF WATERLOODepartment of PsychologyHonours ThesisBethany DellemanKlint FungMargaret LewisMerrick LeveneMargaret McBeathLindsay StehouwerJulia Van de VondervoortUNIVERSITY OF WINDSORDepartment of PsychologyHonours ThesisHamad AlazaryChantal BoucherC. Darrin ManleyMasters ThesisJenny CarstensCassandra PasiakDoctoral ThesisRobert ClarkTrang LeKaren IpUNIVERSITY OF WINNIPEGDepartment of PsychologyHonours ThesisNicholas KruegerKerri D. PaschkeUNIVERSITÉ LAVALÉcole de psychologieBaccalauréatSophie DubéLéa GosselinFlore Morneau-SévignyD.Psy.Jean-Philippe CôtéMeggy BélairDoctoratCaroline GagnonMichelle-Pierre CollJoëlle Pouliot-LapointeMarie-Ève St-LouisVANCOUVER ISLAND UNI-VERSITYHonours ThesisPatrick AllenJean KingJennifer SorochanUNIVERSITY OF OTTAWAUNIVERSITÉ D’OTTAWASchool of PsychologyÉcole de psychologieHonours ThesisKarine CôtéBenjamin KolisnikChristian LepageMasters ThesisReza AminiDoctoral ThesisCatherine KyeremantengMarie-Pierre Lalande-MarkonNicholas WatierUNIVERSITÉ DU QUÉBECÀ MONTRÉALDépartement de PsychologieDoctoratSimon -Pierre HarveyGeneviève LavigneIsabelle PicardQUEEN’S UNIVERSITYDepartment of PsychologyHonours ThesisStephanie YuKathleen MerwinKathryn AustinMasters ThesisAnnie HsiehMeghan NorrisTessen CliffortDoctoral ThesisJason RajsicLaura KatzMaya GuptaUNIVERSITY OF REGINADepartment of PsychologyHonours ThesisDaniel DevoeJennifer HacklKristie WalkerMasters ThesisNicole AlbertsMatt FetznerMike ThibodeauDoctoral ThesisKelsey CollimoreRYERSON UNIVERSITYDepartment of PsychologyHonours ThesisAntonio CassanoAdam HarleyGabriela M. KostovaMasters ThesisLucy McGarryElizabeth J. PawlukLeanne Karyn WilkinsUNIVERSITYOF SASKATCHEWANDepartment of PsychologyHonours ThesisStephanie BallendineKathrina MazurikMiriam ReeseMasters ThesisNicola ChopinJana GarayAxel GuskjolenDoctoral ThesisCarrie EsopenkoLisa JewellSelina ZaluskiSIMON FRASER UNIVERSITYHonours ThesisDylan GatnerRamsay MalangeMelissa MitchellMasters ThesisJohn GasparBillie Joe RogersDoctoral ThesisKaitlyn McLachlanYORK UNIVERSITYDepartment of PsychologyHonours ThesisSarah D’AmourAzel MulgulovaPedram MossallanejadMasters ThesisKimberley CullenKathryn CurtisMinjung KimDoctoral ThesisAlejandra CalvoSusan RosenkranzYaniv MorgensternUNIVERSITY OFLETHBRIDGEHonours ThesisBrittany L. BlaskovitsLanna J. PattersonMegan SawatskyMasters ThesisSamantha J. DawsonDeanna L. ForresterAlan NielsonDoctoral ThesisKelly D. SuschinskyDoug P. VanderLaanTable des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 61

PSYNOPSISCANADIAN®CANADA’S PSYCHOLOGY MAGAZINE CANADA’S PSYCHOLOGY NEWSPAPER01LE | JOURNAL LE MAGAZINE DES PSYCHOLOGUES DES PSYCHOLOGUES DU CANADA DU CANADA2012/13 ADVERTISING RATESTARIFS PUBLICITAIRES 2012/2013PSYCHOLOGICALASSOCIATIONSOCIÉTÉCANADIENNE DEPSYCHOLOGIEIssued: Quarterly - January - April - July - OctoberPublication : Trimestrielle (janvier, avril, juillet, octobre)Circulation: 6,500 paid subscriptionTirage : 6 500 abonnements payésISSN #: 1187-1180Premium Positions:Inside Front Cover $1,800Outside Back Cover $1,700Colour $500HALF PAGEWIDEDEMI-PAGELARGEHALFPAGETALLHALFPAGETALLEmplacements de choix :Couverture avant intérieure 1 725 $Couverture arrière extérieure 1 700 $Couleur 500 $All rates are net. / Tarifs net.Effective September 14 th , 2012En vigueur le 14 septembre 2012QUARTER PAGEWIDEQUART DE PAGELARGEQUARTERPAGETALLQUARTDE PAGEHAUT1 insertion 2 insertions 3 insertions 4 insertions TypesettingFull page / Pleine page $1,325 $1,200 $1,175 $1,130 $180Half page / Demi-page $800 $730 $700 $690 $901/4 page / Quart de page $675 $600 $575 $560 $701/8 page / 1/8 de page $530 $460 $450 $430 $70Multiple insertion rates apply only when the same ad is repeated. Le tarif pour les insertions multiples ne s'applique que pour la même annonce.Canadian Psychological Association / Société canadienne de psychologie141, rue Laurier Avenue West/ouest, Suite 702, Ottawa ON K1P 5J3Tel./Tél. : (613) 237-2144 ext. 325 Fax/Téléc. : (613) 237-1674Email/Courriel : publicrelations@cpa.ca

ANNONCEZ DANS LE MAGAZINEADVERTISE INDE PSYCHOLOGIE DU CANADAPSYNOPSISCANADA’S PSYCHOLOGYMAGAZINEPublished quarterly, Psynopsis, Canada’s Psychology Magazine,presents articles on a wide range of topics of interest to scientists,educators, and practitioners in psychology.Help increase the awareness of your products and services,including job opportunities, by advertising in Psynopsis,the formal vehicle by which CPA, CPA members, psychologistsand those outside of psychology communicate with the diversepsychology community in Canada.With a circulation of more than 6,000 members,Psynopsis offers the widest and most effective penetrationof the Canadian psychology marketplace.Did You Know?Psynopsis is also posted on the Canadian PsychologicalAssociation’s website, one of the most powerfulmarketing tools available.In 2010, the design, look and feel of the on-line edition ofPsynopsis changed in leaps and bounds! See for yourself, visithttp://www.cpa.ca/membership/membershipbenefitsandservices/psynopsis/With flexible layout options and with the opportunity to display youradvertisement in black and white or in colour, take advantage of our discountsby purchasing repeat advertising placements that can span over a couple ofissues. To view our rates visit http://www.cpa.ca/membership/membershipbenefitsandservices/psynopsis/advertisinginpsynopsis/To submit your advertisement for publication considerationcontact the CPA Head office at publicrelations@cpa.ca.Table des matièresPublié à tous les trimestres, Psynopsis, Le magazine de psychologie duCanada, présente des articles sur une vaste gamme de sujets d’intérêtpour les scientifiques, les enseignants et les praticiens en psychologie.Vous pouvez aider à faire connaître davantage vos produits etservices, y compris vos offres d’emploi, en annonçant dans Psynopsis,l’organe officiel par lequel la SCP, les membres de la SCP, lespsychologues et tous ceux à l’extérieur de la psychologiecommuniquent avec la communauté de la psychologie canadiennedans toute sa diversité.Avec un tirage de plus de 6 000 numéros, Psynopsis offre lapénétration la plus large et la plus efficace dans le marché de lapsychologie au pays.Saviez-vous que?Psynopsis est également publié sur le site Web de laSociété canadienne de psychologie, l’un des outils decommercialisation le plus puissant disponible.En 2010, la conception, l’aspect et la convivialité de l’édition en ligne de Psynopsisont changé à pas de géant! Rendez-vous compte par vous-même, visitezhttp://www.cpa.ca/adhesion/avantagesdemembresdelascp/psynopsis/Grâce à des options de mise en page flexibles et la possibilité d’afficher vosannonces en noir et blanc ou en couleur, tirez avantage de nos rabais en achetantdes placements publicitaires répétés qui peuvent s’étaler sur quelques parutions.Pour voir nos tarifs rendez-vous àhttp://www.cpa.ca/adhesion/avantagesdemembresdelascp/psynopsis/publicite/Pour proposer votre annonce pour fins de publication, communiquezavec le siège social de la SCP à l’adresse publicrelations@cpa.ca.

REFERENCE LISTReimagining a System of Mental Health Care for Children andYouth: The Implementation of the Choice and PartnershipApproach at the IWK Health CentreSharon Clark, PhD.; Debbie Emberly, PhD, IWK Health Centre,HalifaxReferences1. Kessler, R.C., Berglund, P., Demler, O., Jin, R., Merikangas,K.R., Walters, E.E. (2005). Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National ComorbiditySurvey Replication. Archives of General Psychiatry, 62 (6),593-602.2. Singh, S.P., M. Paul, Z. Islam, T. Weaver, T. Kramer, S. McLarenR. Belling T. Ford, S. White, K. Hovish, K. Harley and TRACKProject Steering Committee members: J. Dale, N. Evans, N.Fung, D. Hayes, B. Jezzard, A. Rourke, M. Zwi. (2010). Transitionfrom CAMHS to Adult Mental Health Services (TRACK): AStudy of Service Organisation, Policies, Process and User andCarer Perspectives Report for the National Institute for HealthResearch Service Delivery and Organisation Programme.3. York, A., Kingsbury, S. (2009). The Choice and Partnership Approach:A guide to CAPA. Bournemoth, UK , Caric Press Ltd.Return to articleThe psychological side of health: Innovations in service deliveryfor person with chronic conditionsSarah Hillis, Ph.D., R.D. Pysch., Dawn Phillips, Ph.D., R.D. Psych.,Department of Clinical Health Psychology, Saskatoon Health RegionFootnotes1. Felitti, V.J., Anda, R., F., Nordenberg, D., et al., (1998). Relationshipof childhood abuse and household dysfunction to many ofthe leading causes of death in adults. American Journal of PreventiveMedicine. 14, 245-258.2. Abass, A. A., Hancock, J.T., Henderson, J., & Kisley, S. (2006).Short-term psychodynamic psychotherapies for common mentaldisorders. Cochrange Database of Systematic Reviews, Issus 4,Article No. CD004687.3. Young, Q.R., Ignaszewski, A, Fotonoff, D., & Kaan, A. (2007).Brief screen to identify 5 of the most common forms of psychologicaldistress in cardiac patients: Validation of the screeningtool for psychological distress. Journal of Cardiovascular Nursing,22(6), 525-534.4. Horowitz, L.M., Rosenberg, S.E., Baer, B.A., Ureno, G., & Villasenor,V.S. (1988). Inventory of Interpersonal Problems: Psychometricproperties and clinical applications. Journal ofConsulting and Clinical Psychology, 56(6), 885-892.5. Derogatis, L.R. (2004). Symptom Checklist-90-R. Minneapolis:Pearson Assessments.Return to articleRelapse Prevention Following First Episode PsychosisStephanie A. McDermid Vaz, Ph.D., C.Psych., Heather Hobbs, RN,B.ScN., Elizabeth Ward, RN, B.A., Allison Henderson, MScOT.,Kevin S. Tregunno & Sarah Wallace, B.A., MSW.Cleghorn Early Intervention in Psychosis Program, St. Joseph’sHealthcare, Hamilton, OntarioDepartment of Psychiatry and Behavioural Neurosciences, McMasterUniversity, Hamilton, OntarioReferences1. Agius, M., Oakham, H., Biocina, S.M., & Murphy, S. (2006). Theuse of card sort exercises in the prevention of relapse in seriousmental illness. Psychiatria Danubina, 18, 61-73.64 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological Association2. Birchwood, M., Spencer, E., & McGovern, D., (2000). Schizophrenia:early warning signs. Advances in Psychiatric Treatment,6, 93-101.3. Copeland, M.E. (2001). Wellness Recovery Action Plan: a systemfor monitoring, reducing and eliminating uncomfortable or dangerousphysical symptoms and emotional feelings. OccupationalTherapy in Mental Health, 17, 127-150.4. Foster, J.H., & Jumnoodoo, R. (2008). Relapse prevention in seriousand enduring mental illness: a pilot study. Journal of Psychiatricand Mental Health Nursing, 15, 552-561.5. Fraser, R., Berger, G., Killackey, E., & McGorry, P. (2006).Emerging psychosis in young – Part 3 Key issues for prolongedrecovery. Australian Family Physician, 35, 329—332.6. Gleeson, J. (2005). Preventing episode II: relapse prevention infirst-episode psychosis. Austalasian Psychiatry, 13, 384-387.7. Gleeson, J.F.M, Cotton, S.M., Alvarez-Jimenez, M., Wade, D.,Gee, D., Crisp, K., Pearce, T., Newman, B., Castle, D., & Mc-Gorry, P.D. (2009). A randomized controlled trial of relapse preventiontherapy for first-episode psychosis patients. Journal ofClinical Psychiatry, 70, 477-486.8. Jackson, H., McGorry, P., Edwards, J., Hulbert, C., Henry, L, Harrigan,S., Dudgeon, P., Francey, S., Maude, D., Cocks, J., Killackey,E., & Power, P. (2005). A controlled trial of cognitivelyoriented psychotherapy for early psychosis (COPE) with fouryearfollow-up readmission data. Psychological Medicine, 35,1295-1306.9. Robinson, D., Woerner, M.G., Alvir, J.M.J., Bilder, R., Goldman,R., Geisler, S., Koreen, A., Sheitman, B., Chakos, M., Mayerhoff,D., & Lieberman, J.A. (1999). Predictors of relapse following responsefrom a first episode of schizophrenia or schizoaffectivedisorder. Archives of General Psychiatry, 56, 241-247.Return to articleIncreasing access to therapist assisted internet cognitivebehaviour therapy in Saskatchewan: A description of the OnlineTherapy Unit for Service, Education, and ResearchNicole E. Pugh & Heather D. Hadjistavropoulos, Department ofPsychology, University of Regina, Regina, SK, S4S 0A2References1. Andrews, G., Cuijpers, P., Craske, M.G., McEvoy, P., & Titov N(2010). Computer therapy for the anxiety and depressive disordersis effective, acceptable and practical health care: A metaanalysis.PLoS ONE 5, e13196.doi:10.1371/journal.pone.00131962. Barak, A., Klein, B., & Proudfoot, J. G. (2009). Defining internetsupportedtherapeutic interventions. Annals of Behavioral Medicine,38, 4-17. doi: 10.1007/s12160-009-9130-73. Spek, V., Cuijpers, P., Nyklicek, I., Riper, H., Keyzer, J., & Pop,V. (2007). Internet-based cognitive behaviour therapy for symptomsof depression and anxiety: A meta-analysis. PsychologicalMedicine, 37, 319-328. doi:10.1017/S00332917060089444. Statistics Canada. (2010a). Internet use by individuals, by selectedcharacteristics. Retrieved fromhttp://www40.statcan.gc.ca/l01/cst01/comm35a-eng.htm5. Statistics Canada. (2010b). Internet use by individuals, by type ofactivity. Retrieved fromhttp://www40.statcan.gc.ca/l01/cst01/comm29a-eng.htm6. Tempier et al. (2009). Mental disorders and mental health care inCanada and Australia: Comparative epidemiological findings. SocialPsychiatry and Psychiatric Epidemiology, 44, 63-72.Table of Contents

REFERENCE LIST7. Weissman, M.M., Verdeli, H., Gameroff, M.J., Bledsoe, S.E.,Betts K, et al. (2006). National Survey of Psychotherapy trainingin psychiatry, psychology, and social work. Archieves of GeneralPsychiatry, 63, 925–934.Return to articlePartnering Hospital Services and Community Therapists forPeople with Borderline Personality Disorder: DialecticalBehaviour Therapy ‘Lite’Sarah Birnie, Ph.D., C.Psych.Outpatient Mental Health, The Ottawa Hospital, Civic CampusReferences1. Cohen, K. (2012, February). Needs, demands and supply in professionalpsychology or how well is psychology prepared to dowhat with whom? Colloquia presented at Psychology Day, TheOttawa Hospital, Ottawa, Ontario.2. Federici, A., & McMain, S. (2009). Recent advances in psychosocialtreatments for borderline personality disorder. Medicine Reports,1, 51.3. Koons, C. R., Robins, C. J., Tweed, J. L., Lynch, T. R., Gonzalez,A. M., Morse, J. Q., Bishop, G. K., Butterfield, M. I., & Bastian,L. A. (2001). Efficacy of dialectical behaviour therapy in womenveterans with borderline personality disorder. Behaviour Therapy,32, 371-390.4. Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., &Heard, H. L. (1991). Cognitive-behavioural treatment of chronicallyparasuicidal borderline patients. Archives of General Psychiatry,48, 1060-1064.5. Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z.,Gallop, R. J., Heard, H. L, Korsland, K. E., Tutek, D. A.,Reynolds, S. K., & Lindenboim, N. (2006). Two-year randomizedtrial and follow-up of Dialectical Behaviour Therapy vs therapyby experts for suicidal behaviours and borderline personality disorder.Archives of General Psychiatry, 63, 757-766.6. Linehan, M. M., Dimeff, L. A., Reynolds, S. K., Comtois, K.,Welch, S. S., Heagerty, P., & Kivlahan, D. R. (2002). Dialecticalbehaviour therapy versus comprehensive validation therapy plus12-step for the treatment of opioid dependent women meeting criteriafor borderline personality disorder. Drug and Alcohol Dependence,67, 13-26.7. Linehan, M. M., Heard, H. L., & Armstrong, H. E. (1993). Naturalisticfollow-up of a behavioural treatment for chronically parasuicidalborderline patients. Archives of General Psychiatry, 50,971-974.8. Linehan, M. M., Schmidt, H., Dimeff, L. A., Craft, J. C., Kanter,J. & Comtois, K. A. (1999). Dialectical Behaviour Therapy forpatients with borderline personality disorder and drug-dependence.American Journal of Addictions, 8, 279-292.9. Linehan, M. M., Tutek, D. A., Heard, H. L., Armstrong, H. E.(1994). Interpersonal outcome of cognitive behavioural treatmentfor chronically suicidal borderline patients. American Journal ofPsychiatry, 151, 1771-1776.10.Verheul, R., van den Bosch, L. M. C., Koeter, M. W. J., De Ridder,M. A. J., Stijnen, T., & van den Brink, W. (2003). DialecticalBehaviour Therapy for women with borderline personality disorder:12 month, randomized clinical trial in The Netherlands.British Journal of Psychiatry, 182, 135-140.11.van den Bosch, L. M., Verheul, R., Schippers, G. M., & van denBrink, W. (2002). Dialectical Behavioural Therapy of borderlinepatients with and without substance abuse problems: Implementationand long-term effects. Addictive Behaviour, 27, 911-923.12.McMain, S. F., Guimond, T., Streiner, D. L., Cardish, R. J., Links,P. S. (2012). Dialectical Behaviour Therapy compared with generalpsychiatric management for borderline personality disorder:Clinical outcomes and functioning over a 2-year follow-up.American Journal of Psychiatry, 169, 650-661.13.Rathus, J. H., & Miller, A. L. (2002). Dialectical Behaviour Therapyadapted for suicidal adolescents. Suicide and Life ThreateningBehaviour, 32, 146-157.14.Harley, R., Sprich, S., Safren, S., Jacobo, M., & Fava, M. (2008).Adaptation of Dialectical Behaviour Therapy skills training groupfor treatment-resistant depression. Journal of Nervous and MentalDisease, 196(2), 136-143.15.Chen, E. Y., Matthews, L., Allan, C., Kuo, J. R., & Linehan, M.M. (2008). Dialectical Behaviour Therapy for clients with bingeeatingdisorder or bulimia nervosa and borderline personality disorder.International Journal of Eating Disorders, 41, 505-512.16.Axelrod, S. R., Perepletchikova, F., Holtzman, K., & Sinha, R.(2011). Emotion regulation and substance use frequency inwomen with substance dependence and borderline personalitydisorder receiving Dialectical Behaviour Therapy. AmericanJournal of Drug and Alcohol Abuse, 37(1), 37-42.17.Harned, M. S., Korslund, K. E., Foa, E. B., & Linehan, M. M.(2012). Treating PTSD in suicidal and self-injuring women withborderline personality disorder: Development and preliminaryevaluation of a Dialectical Behaviour Therapy Prolonged ExposureProtocol. Behaviour Research and Therapy, 50, 381-386.18.Harned, M. S., Jackson, S. C., Comtois, K. A., & Linehan, M. M.(2012). Dialectical Behaviour Therapy as a precursor to PTSDtreatment for suicidal and self-injuring women with borderlinepersonality disorder. Journal of Traumatic Stress, 23(4), 421-429.19.Neacsiu, A. D., Rizvi, S. L., & Linehan, M. M. (2010). DialecticalBehaviour Therapy skills use as a mediator and outcome oftreatment for borderline personality disorder. Behaviour Researchand Therapy, 48, 832-839.20.Harley, R. M., Baity, M. R., Blais, M. A., & Jacobo, M. C.(2007). Use of Dialectical Behaviour Therapy skills training forborderline personality disorder in a naturalistic setting. PsychotherapyResearch, 17, 362-370.21.Sambrook, S., Abba, N., Chadwick, P. (2006). Evaluation of aDBT emotional coping skills group for people with parasuicidalbehaviours. Behavioural and Cognitive Psychotherapy, 35, 241-244.22.Safer, D. L., Telch, C. F., & Agras, W. S. (2001). Dialectical BehaviourTherapy for bulimia nervosa. American Journal of Psychiatry,158, 632-634.23.Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on anacceptance-based emotion regulation group intervention for deliberateself-harm among women with borderline personality disorder.Behaviour Therapy, 37, 25-35.Return to articleA Positive Psychology Approach to Education for At-Risk HighSchool YouthSophia Fanourgiakis, Ph.D. student and Margaret Lumley, Ph.D.,C.Psych., University of GuelphReferences1. Franklin, C., Streeter, C. L., Kim, J. S., & Tripodi, S. J. (2007).The effectiveness of a solution-focused, public alternative schoolfor dropout prevention and retrieval. Children & Schools, 29(3),133-144.2. Rumberger, R. W. (1987). High school dropouts: A review of issuesand evidence. Review of Educational Research, 57(2), 101-121.3. Lerner, R. M., Lerner, J. V., Almerigi, J., & Theokas, C. (2005).Positive youth development: A view of the issues. 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REFERENCE LISTEarly Adolescence, 25(1), 10-16.4. Rawana, E., & Brownlee, K. (2009). Making the possible probable:A strength-based assessment and intervention framework forclinical work with parents, children and adolescents. Families inSociety, 90(3), 255-260.5. Baker, J. A. (1998). The social context of school satisfactionamong urban, low-income, AfricanAmerican students. SchoolPsychology Quarterly, 13(1), 25–44.6. Murray, C. & Murray, K. M. (2004). Child level correlates ofteacher–student relationships: An examination of demographiccharacteristics, academic orientations, and behavioral orientations.Psychology in the Schools, 41(7), 751-762.Return to articleTreating Insomnia in Primary Care:A Key Role for PsychologistsJudith R. Davidson, Ph.D., C. Psych., Kingston Family Health Teamand Departments of Psychology and Oncology, Queen’s University,Kingston, Ontario, CanadaReferences1. Aikens JE, Rouse ME. Help-seeking for insomnia among adultpatients in primary care. 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Insomnia and its relationship to health-care utilization,work absenteeism, productivity and accidents. Sleep Medicine2009;10(4): 427-438.7. Hayward R, Jordan KP, Croft P. Healthcare use in adults with insomnia:a longitudinal study. British Journal of General Practice2010; 60: 334-340.8. Siriwardena AN, Apekey T, Tilling M, Dyas, JV, Middleton H,Orner R. General practitioners’ preferences for managing insomniaand opportunities for reducing hypnotic prescribing. Journalof Evaluation in Clinical Practice 2010; 16: 731-737.9. Morgenthaler R, Kramer M, Alessi C, Friedman L, Boehlecke B,Brown T, et al. Practice parameters for the psychological and behaviouraltreatment of insomnia: An update. An American Academyof Sleep Medicine Report. Sleep 2006;29(11): 1415-1419.10.Schutte-Rodin S, Broch L, Buysse D, Dorsey C, Sateia M. Clinicalguideline for the evaluation and management of chronic insomniain adults. Journal of Clinical Sleep Medicine 2008;4(5):487-504.11.Wilson SJ, Nutt DJ, Alford C, Argyropoulos SV, Baldwin DS,Bateson AN et al. British Association for Psychopharmacologyconsensus statement on evidence-based treatment of insomnia,parasomnias and circadian rhythm disorders. J Psychopharmacol.2010; 24(11): 1577-1600.12.Smith MT, Huang MI, Manber R. Cognitive behavior therapy forchronic insomnia occurring within the context of medical andpsychiatric disorders. Clinical Psychology Review 2005;25(5):559-592.13.Manber R, Edinger JD, Gress JL, San Pedro-Salcedo MG, KuoTF, Kalista T. Cognitive behavioral therapy for insomnia enhancesdepression outcome in patients with comorbid major depressivedisorder and insomnia. Sleep 2008;31(4): 489-495.14.Vitiello MV, Rybarczyk B, VonKorff M, Stepanski EJ. Cognitivebehavioral therapy for insomnia improves sleep and decreasespain in older adults with co-morbid insomnia and osteoarthritis.Journal of Clinical Sleep Medicine 2009;5: 355-362.15.Morin CM, Colecchi C, Stone J, Sood R, Brink D. Behavioraland pharmacological therapies for late-life insomnia. A randomizedcontrolled trial. JAMA 1999; 281(11): 991-999.16.Espie CA, Inglis SJ, Tessier S, Harvey L. The clinical effectivenessof cognitive behaviour therapy for chronic insomnia: implementationand evaluation of a sleep clinic in general medicalpractice. Behaviour Research and Therapy 2001;39: 45-60.17.Bastien CH, Vallieres A, Morin CM. Validation of the InsomniaSeverity Index as an outcome measure for insomnia research.Sleep Medicine 2001;2(4): 297-307.18.Bootzin, R. R. Stimulus control treatment for insomnia. Proceedingsof the American Psychological Association 1972; 7: 395-396.19.Spielman, A. J., Saskin, P., & Thorpy, M. J. Treatment of chronicinsomnia by restriction of time in bed. Sleep 1987; 10: 45-56.20.Davidson JR. Treating insomnia in primary care –Early recognitionand management. Insomnia Rounds 2012 1(3): 1-10.www.insomniarounds.caReturn to articleProviding Psychological Services and Training in Primary Care:Ryerson University and St. Michael’s HospitalJen Rouse, MA, Kelly McShane, PhD, & Candice Monson, PhD RyersonUniversityReferences1. Smetanin, P., Stiff, D., Briante, C., Adair, C., Ahmad, S. & Khan,M. (2011). The life and economic impact of major mental illnessesin Canada: 2011 to 2041. Risk Analytica, on behalf of theMental Health Commission of Canada.2. Chambless, D. L., & Ollendick, T. H. (2001). Empirically supportedpsychological interventions: Controversies and evidence.Annual Review of Psychology, 52, 685-716. doi: 10.1146/annurev.psych.52.1.6853. Hunsley, J. (2002). The cost-effectiveness of psychological interventions.Retrieved from http://www.cpa.ca/cpasite/userfiles/Documents/publications/Cost-Effectiveness.pdf4. Myhr, G., & Payne, K. (2006). Cost-effectiveness of cognitivebehaviouraltherapy for mental disorders: Implication for publichealth care funding policy in Canada. Canadian Journal of Psychiatry,51, 662-670.5. United Kingdom Department of Health. (2001). Treatment choicein psychological therapies and counselling: Evidence based clinicalpractice guidelines. Retrieved fromhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4058245.pdf6. Mental Health Commission of Canada. (2012a). Changing directions,changing lives: The mental health strategy for Canada. Calgary,AB: Author. Retrieved from:strategy.mentalhealthcommission.ca/pdf/strategy-images-en.pdf7. Health Care Innovation Working Group. (2012). From innovationto action: The first report of the health care working group. Retrievedfrom: www.councilofthefederation.ca/pdfs/Health%20Innovation%20Report-E-WEB.pdfReturn to article66 – Fall 2012 – Psynopsis, the magazine of the Canadian Psychological AssociationTable of Contents

Dear students and psychology faculty,The CPA student section is proud to present MindPad, the Student Sections’ latest endeavour! It is astudent written and reviewed newsletter. MindPad aims to publish material that is of interest to all who arepracticing and studying psychology, but targets students in particular. Our second issue is now availableat http://www.cpa.ca/docs/File/Students/MindPad/mindpadSpring2012/. You will find articles as diverse asour students. Topics explored are those of language comprehension impairments and psychosis, anexamination of cross-cultural gender counselling and the role of psychologists in an aging Canadianpopulation.MindPad offers students the opportunity to experience boththe writing and the formal reviewing process that everypsychologist (and psychologist in training!) must navigate.MindPad is a platform for discussion and learning. I encourageyou to support our section and students by submitting yourcomments to the articles or by your sending in your ownsubmission! For more information on MindPad and thesubmission process, please visitwww.cpa.ca/students/MindPad.Rana Pishva MSc.Editorrana.pishva@gmail.comÀ tous les étudiants et professeurs de psychologieLa section des étudiants de la SCP est fière de vousprésenter Notes d’idées, la dernière entreprise de la sectiondes étudiants! Il s’agit d’un bulletin écrit et révisé par lesétudiants. Notes d’idées vise à publier du matériel qui intéressetous ceux qui pratiquent et étudient la psychologie, mais cible tout particulièrementles étudiants. Vous pouvez maintenant trouver notre deuxième numéro à l’adressehttp://www.cpa.ca/docs/File/Students/MindPad/mindpadSpring2012/. Vous trouverez des articlesd’une diversité aussi grande que celle de nos étudiants. Les sujets explorés sont ceux des déficiences dansla compréhension du langage et les psychoses, un examen du counseling des genres interculturels et lerôle des psychologues dans la population vieillissante canadienne.Notes d’idées offre aux étudiants la possibilité de s’exercer à la rédaction et de se frotter au processus derévision officiel comme le font tous les psychologues (et les psychologues en formation!). Notes d’idées estune tribune pour la discussion et l’apprentissage. Je vous encourage à appuyer notre section et lesétudiants en présentant vos commentaires sur les articles ou en nous faisant parvenir vos propres articles!Pour plus d’information sur Notes d’idées et le processus de présentation d’articles, veuillez vous rendre àl’adresse www.cpa.ca/students/MindPad.Rana Pishva MSc.Rédactrice en chefrana.pishva@gmail.comTable des matièresPsynopsis, le Magazine des psychologues du Canada – Automne 2012 – 67