The practice of psychotherapy in Quebec: What have we learned from clinicians, and where should we take it from here.

As the acknowledgment for effective and accessible mental health care services is coming to the forefront of current health care needs in Canada, the timing is apt to document the current practices of psychologists and psychotherapists. This serves to aid in informing their continued and potentially enhanced role in mental health service delivery in Canada. The following paper amalgamates data from a series of survey studies targeting psychologists and psychotherapists licensed to practice in Quebec. These studies, taken together, highlight important themes and challenges in the field of psychology and in the practice of psychotherapy. The first survey documented the practice characteristics of psychologists and psychotherapists currently in private psychotherapy practice (N = 671). This study provides a snapshot of the current populations being served, the cost and length of treatment, the clinical tools being used in practice, and current referral routes and collaboration with other health professionals, among other variables. The second survey looked to the future of psychotherapy service delivery, and documented psychologist and psychotherapist attitudes toward a potential government-funded model of psychotherapy (N = 1,275). Comparisons were made within each study looking at differences in attitudes and practice characteristics among respondents of different clinical groups (e.g., years of experience, theoretical orientation, level of education). Important themes and clinician characteristics were identified across the studies, such as the use of evidenced-based practices now and in a future government-funded psychotherapy model, autonomy in clinical decision making, collaborative practices, differences in compensation, and gaps in service delivery. Opportunities and challenges presented by these themes are discussed in the context of policy development, training initiatives, and in the role of professional psychology boards and associations. (PsycINFO Database Record (c) 2019 APA, all rights reserved)