The graduate training of psychologists should prepare them for Central
roles in state hospitals. especially roles involving direct patient c
are and supervision of colleagues. To what extent do actual job practi
ces match graduate preparation! To find out, 55 psychologists from 12
state hospitals in the Midwest were surveyed regarding their education
al backgrounds and rime currently spent in various job activities. Res
ults indicated that paperwork consumes more time than any other activi
ty, followed by therapeutic services, psychological assessment, superv
ision, and case management. Almost 50% oi the sample was trained under
a cognitive-behavioral orientation: however, more than 60% of survey
participants now practice according to eclectic models. These results
imply that psychologists in these settings may not be utilized to thei
r full potential because of a variety of organizational constraints. (
C) 1998 John Wiley & Sons. Inc.