Clinical psychologist responsible clinicians: exploring experiences and factors influencing uptake of the role

Section A presents a systematic literature review of the empirical research of the factors (barriers and facilitators) influencing uptake of the Multi-Professional Approved Clinician role by mental health professionals, other than psychiatrists. Seven studies were identified from the systematic search. Barriers and facilitators were categorised into internal and external factors. Internal factors included: attitudes, and knowledge and skills. External factors included: organisational structures, resources and peer support. A critical evaluation of the studies is discussed, and the practical and research implications are considered.

Section B presents a qualitative study exploring the experiences of clinical psychologists in the role of Responsible Clinician. Eight clinical psychologists who had been working as responsible clinicians were interviewed, and interviews were analysed using interpretative phenomenological analysis. Five superordinate themes and accompanying subthemes capturing the experiences of the participants were identified. The superordinate themes are: “From psychologist to approved clinician psychologist”, “The psychological effects of responsibility”, “The system makes or breaks”, “Relationships shift in the face of power”, and “Making our mark: From paralysis to influence”. Findings are discussed in the context of existing literature. Clinical implications, as well as limitations and directions for future research, are also considered.