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Vol 1 Issue 1 2010
contact infoVincent T Francisco, PhD |
A Rewarding Community Psychology Practice in State Government![]() Abstract: by Maria B.J. Chun, Ph.D., CHC Finding employment as a community psychologist outside of academia or “in practice,” has remained an elusive goal for many community psychology graduates. This is not, however due to a lack of opportunities. Many employers would welcome the skills of a community psychologist, but both applicant and recruiter may not realize this initially. One of the most promising employment venues is state government service. Unfortunately, state jobs are often viewed in a pejorative fashion because of their stereotypic link to mundane, paper-pushing civil service positions. The following article counters this misperception by describing how I was able to find a number of rewarding state government positions that allowed me to utilize virtually all of my community psychology training (e.g., advocacy, organizational assessment, collaboration/consultation, communication, research, resource development, service delivery, planning, and management). Although I was never specifically hired with the job title “community psychologist,” all of my employers came to appreciate the benefits of my community psychology training. In chronological order, I present my employment history, a description of the position, and how my community psychology training was utilized in the position. It is my hope that this article will provide potential employment ideas and options for recent community psychology graduates and those looking for a career change. (Peer Reviewed) Article: (Please see PDF version for the complete article.) Introduction I graduated in August 1996 from the University of Hawaii at Manoa with a Ph.D. in community psychology (i.e. Community and Cultural Concentration). One of my mentors had offered to assist me with locating an academic position, but I declined. I wanted to actively practice what I learned in graduate school. Although I maintained my connection to community psychology through my membership in its professional society, I viewed myself as an “accidental community psychologist.” I felt strongly about this because I had not been working in a community setting or in an advocacy role (i.e., I was a state government worker who just happened to have a community psychology degree and only informally or “accidentally” used those skills). Through my graduate school practicum requirement, I selected public policy as my area of interest since I always wanted to work in a government setting. This eventually led to an entire career spent in state government positions as a budget analyst, auditor/analyst, regulatory reform director, and a university departmental administrator. Frankly, only until recently was I able to clearly articulate and even directly link these skills to my community psychology training, although I knew that much of it was gained as a result of that training. What has been helpful to me are the recent attempts by various groups within community psychology to forge a more solid identity for the profession. There is now some consistency and common understanding with regard to these skills. Most applicable are the Community Psychology Practice (CPP) skills that were reported in the Fall 2009 issue of The Community Psychologist (Dziadkowiec and Jimenez, 2009). The list was derived from a 2008 survey instrument by Hazel that was sent to community psychology graduate programs. I edited the list and made the descriptors more generic and removed terms such as “community setting.” I understand the term “community” to exemplify various types of groups, but utilization of the term may unintentionally narrow the scope and location for which a community psychologist can practice. Following is a list of the thirteen competencies:
I almost sabotaged myself when I was asked to interview for the budget analyst position because I had actually applied for a position as a bill researcher. I did not have a business degree and was not fond of accounting or numbers, despite having worked as a part-time account/audit clerk part-time for five years. When I was called for an interview, I openly shared this concern and tried to convince my future supervisor that I would be more appropriately qualified as a bill researcher. He explained that my resume was selected not because of my accounting experience, but because I was pursuing a Ph.D. in psychology. In his mind, this meant that I had the capacity to understand the bigger picture of budget requests; I would not just be reviewing them from a fiscal standpoint. Each request for a staff person or piece of equipment would be viewed within the context of the department’s mission, its relation to other state departments, and the overall state budget. I was purposely assigned to review the Department of Human Services’ budget because of its size and complexity. There were numerous federal and state funded programs within the department that had submitted requests for current and new initiatives, such as a jobs program to help those on public assistance with training and finding employment; a managed health care Section 1115 Medicaid waiver program; and decisions on how much to set aside for funding for foster care, Aid to Families with Dependent Children/Temporary Assistance for Needy Families, and other types of federal/state assistance. Community Psychology Skills Utilized Because I had to gain an understanding of each program and present that information to the committee verbally and in writing, I utilized my Research skills. This was not done in a traditional sense with scientific study design, but reading through voluminous materials, locating informational resources, and pulling seemingly unrelated matters together. Since the Department of Human Services is tied to the mammoth federal Department of Health and Human Services, an understanding of federal funding mechanisms (e.g., block and categorical grants) and the related mandates tied to receiving that funding was also important. Additionally, state health-related services and funding fall under a separate entity – the State of Hawaii Department of Health – therefore, consideration of any need for coordination or possible duplication of effort, was critical. Professional Judgment and Service Delivery, Planning, and Management were also critical community psychology skills that I had utilized. As a budget analyst, I needed to understand each request, identify any possible alternatives, and have a good basic understanding of human resources and fiscal management. I could have been characterized as a consultant to the legislative committee on these matters. Associate Analyst, Analyst, Senior Analyst – Office of the Auditor (1994 to 1999); As an analytical staff, I conducted performance/management audits and analyses of state organizations; special studies and projects involving complex and substantial issues; and program reviews, analyses, and evaluations of large and complex programs. I coordinated, reviewed, and evaluated the work of lower level analysts to ensure conformance with office standards and practices, completion of project objectives and work plan steps, and adequacy and quality of work performed. I also monitored the conduct of fieldwork to ensure standards were adhered to, and project deadlines met. I ensured that report drafts met office standards and office style. Although the office oversees traditional financial audits, which are contracted out to certified public accounting firms, the bulk of the work and what I was involved in was what are referred to as performance/management audits. The range of audit topics is extremely diverse and often do not have a clearly defined scope if requested by an outside party. The office can initiate audits, but often are based on legislative requests. Once, the office had been tasked with auditing an entire state department. Given that an audit cycle lasts approximately six months, it requires a great deal of skill to gain enough of an understanding of an organization or topic to identify and assess key areas of concern. Community Psychology Skills Utilized I served as a team member of two projects and was then tasked with serving as the lead on a number of complex projects, usually in the areas of health, human services, and education because of my social science background. An example of some the audits I led are: Management and Financial Audit of the Foster Board Payment Program; Follow-Up Report on Study of the MOA for Coordinating Mental Health Services to Children; Management and Fiscal Audit of the Hawaii State Hospital; Audit of the QUEST Demonstration Project; Management Audit of the Department of Human Services; Assessment of the State’s efforts to Comply with the Felix Consent Decree; Audit of the Hawaii School-to-Work Opportunities System; Audit of the Temporary and Emergency Staffing of State Agencies; Joint Senate-House Felix Investigative Committee; Audit of the School-Based Behavioral Health Program. As I moved into management positions within the organization, I continued to oversee staff on projects, but became more involved with the office’s operations. Therefore, I can include Leadership, Supervisory, and Mentoring Skills. When I was the Administrative Deputy Auditor, I served as the auditor when both the Auditor and Deputy Auditor were absent. I assisted them with managing office operations and bringing projects to their timely conclusion. When I became the Deputy Auditor, I was the second in command and assisted the auditor in managing office operations and in bringing projects to their timely conclusion. I chaired the Quality Assurance Committee and directed the implementation of quality assurance policies. I also served as the training coordinator for the office, and performed duties as directed by the Auditor. I assisted in recruitment and hiring. And, I continued to supervise and coordinate audits and other projects. Director, Slice Waste and Tape (SWAT) Regulatory Reform Project -- Office of the Lieutenant Governor (1999 to 2001) Community Psychology Skills Utilized Unfortunately, due to political and economic factors, funding for the program was eliminated. I had, however, been recruited back to my old office in a high level management position. After several years there, I left a rather high- profile and stable position as the Deputy Auditor because I missed actually developing and implementing programs as opposed to reviewing and critiquing them. Although I thoroughly enjoyed my work as an auditor/analyst, I wanted to be more actively involved in program development. Associate Specialist and Associate Chair, Administration and Finance – University of Hawaii at Manoa, Department of Surgery (2006 to present) Trying to link my topic to professionalism, which was the research interest of my Chair, I fell back on my area of focus during my graduate studies, cross-cultural psychology. In graduate medical education, cultural competency falls under professionalism – one of the six competencies the Accreditation Council for Graduate Medical Education (ACGME) expects residents to learn during their training. Specifically, I had an interest in multicultural education, so although I had 11 years of literature to catch up on, I was at least familiar with the basic concepts and theories. Initially, I had difficulty applying my knowledge to the field of medicine since I was unfamiliar with the “medical culture.” Therefore, my Chair recommended that I familiarize myself with both medical and graduate medical education as a start. In January 2008, I met with the Director of the Office of Medical Education (OME) to learn about the medical school’s cultural competency initiatives. Although cultural diversity is included as part of the school’s mission, there were few explicit examples of cultural training. Most of the cultural competency initiatives were integrated into coursework. Additionally, an inventory or catalog of cultural activities did not exist. The only formal acknowledgement of culture was through the Department of Native Hawaiian Health (DNHH) who was the lead on all cultural competency activities at the school. They held workshops and Native Hawaiian cultural immersion programs for medical students, residents, and physicians. The OME Director was kind enough to introduce me to the lead faculty member in that department. She was extremely kind and generous with her time and knowledge and invited me to join her cultural competency committee. This then led to an introduction to other Native Hawaiian physicians as well as a cultural anthropologist in the Department of Family Medicine and Community Health. As a means to help me learn about the cultural competency activities at the school, I asked the OME Director if it would help if I put together a resource guide. He agreed that this would be helpful since the medical school was undergoing accreditation and the Liaison Committee for Medical Education (LCME) has explicit requirements regarding cultural competency. The resource guide would help with identifying what each department, office, or program has done in this area. He suggested that I do this in partnership with his office and with the DNHH. After obtaining approval, my research assistant and I sent emails to all the Department Chairs and Directors requesting interviews and/or documents regarding their cultural competency efforts (on a strictly voluntary basis). Through this endeavor, I realized that there were many pockets of cultural competency but little communication or collaboration. After I was done conducting interviews and collecting data, I thought it might be a good idea for us to meet. The OME Director said he would host a half-day, mini-conference on cultural competency and invite those who participated in the resource guide or their designees. The purpose of the meeting was to learn what others were working on to identify opportunities for collaboration. It was meant to be very informal and no one had a set idea of where the meeting would lead. I emphasized to everyone that I was not the leader, but the facilitator because of my administrative skills (e.g., I didn’t mind setting up meetings, making copies, buying food for the meetings). I did have a “scientific” contribution, which was a project I was working on with my Chair – the adaptation of a validated tool to measure resident preparedness to provide cross-cultural care. In addition to me, there were representatives from the Departments of Family Medicine, Geriatric Medicine, Native Hawaiian Health, Public Health, and Health and Library Sciences. After the initial meeting in September 2008, we had developed an interest in a possible faculty development project in cultural competency. Future meetings varied in attendance and the membership of the group changed over time. We were even unsure how to refer to the group. Since the DNHH already had a cultural competency committee, we did not want to use that name. And, the cultural anthropologist preferred the use of the term cultural humility as opposed to cultural competency. Therefore, I suggested “Cross-Cultural Health Care Interest Group.” At one point, it appeared that we were stuck since we had difficulty coming to consensus regarding what type of faculty development project should be pursued. Frankly, I thought the group would die, but it suddenly became revitalized accidentally when another interdisciplinary collaboration collided with the group. As I had been drafting the cultural competency resource guide draft report, I realized how my lack of knowledge of medical education was hampering my understanding. With my Chair’s permission, I signed up for a nine-month OME Fellowship so that I could learn in depth about medical education. I was the only Ph.D. in a group of six M.D.s. Also, what made it interesting was that I was an administrative faculty with a psychology background, who happened to be working for the Department of Surgery. The group was comprised of faculty from the Departments of Family Medicine, Internal Medicine, Geriatric Medicine, Psychiatry, and Pathology. Research and teaching partnerships grew from that faculty development experience. Some of the projects we are working on currently include validating standardized tools to assess resident preparedness in graduate medical education, and the impact of cultural training on medical professionals in general. We are also planning a cross-cultural health care conference that is a partnership/collaboration between the fields of medicine, psychology, and public health. Our Cross-Cultural Health Care Interest Group still exists after one year and meets on a quarterly basis. Community Psychology Skills Utilized Conclusion References PDF of ArticleAuthor
Dr. Chun is an Associate Specialist and the Associate Chair of Administration and Finance in the Department of Surgery at the University of Hawaii at Manoa. She is also the Editor of The Community Psychologist and has spent her entire career in public service. Comments (0)Add Comment |