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Antonia DePalma-Brandt, LCSW

 
 

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  • 0 NP007 The Road to Clinical ExcellenceNP007, Excellence, Session 1, Scott Miller 09.07.2011 11:08
    I have just listened to this segment of the clinical excellence program and am both moved to do better with self-assessment and deliberate practice yet somewhat perplexed by the data on unrealistic perceptions of effectiveness by practitioners. Are these private practitioners, are they psychologists, clinical social workers in community mental health, psychiatrists, or lumped together ( I may have missed the detail)? As a clinical social worker in nyc, in small private practice and working in a clinic, I can honestly say I do not have an inflated perception of my effectiveness and accept the need to work at improving skills. I want to comment on my perception of how the impact of overwhelming competition for clients in private practice ( i.e. in NYC); as well as the overall devaluing of mental health services that (in my view) has been occurring over the last 15-20 years, i.e. by insurance companies has become a factor in relation to this topic overall and perhaps the inflated professional self-assessment cited. Many of us persuing private practice are currently being "coached" to market ourselves, find our "niche" and provide bullet points on our practice effectiveness on websites as though we're producing a "guaranteed" product. While I recognize my view may be limited by my experience and agree that improving skills and accountability are important to growth as a clinician ( and to practice); I think it is important to look at the issue of professional "validation" at hand in an increasingly competitive economic environment, where let's face it, we're all trying to support ourselves doing work we believe is our calling. Our clinics expect excellence in comprehensive treatment/accountablility without acknowledgement in pay which is again, a macro issue and we are in the position of fighting for fees (which keep going down due to issues with insurance) that can adequately support practice--- and I'm not talking about inflated fees---- I guess my main point is, although I absolutely agree with the presentation, I think the issue of self-perception in practice is not only a matter of deliberate practicebut has a socio-economic component that often seems "taboo" to discuss. I wonder if some studies have been done on this topic and about how it may be related. Then again, I wonder if the bubble of delusion about effectiveness may have more to do with the level of education that causes a kind of "ivory tower"/"entitlement to excellence" effect on a particular practitioner's self-assessment?

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