Trainees with competence problems are common in professional psychology training programs. This comprehensive resource guides trainers and administrators as they navigate the challenges involved in supporting these trainees. Trainees with problems of professional competence (TPPC) have difficulty acquiring and/or maintaining developmentally appropriate levels of functional or foundational competence, with deficits in skills, functioning, attitudes, ethical practice, and/or interpersonal behaviors. These situations can be stressful for all involved, from trainees facing difficult feedback and remediation, to trainers navigating their responsibility to both educate and gatekeep, to administrators and other stakeholders who uphold academic standards and assist trainees in their educational experience. Problems of professional competence are complex, often involving assessment, evaluation, relational, ethical, and even legal challenges. Although excellent resources exist to guide trainees, trainers, and training programs through these challenging situations, no centralized, comprehensive source of information has been available until now. The editors and chapter authors bring together incredible depth and breadth of knowledge, experiences, and practical guidance in this volume.

Table of Contents:
Introduction: Building a Supportive Culture for Trainees Managing Competence Issues Rebecca Schwartz-Mette, Evelyn Hunter, and Nadine Kaslow Chapter 1: Creating a Communitarian, Multiculturally-Sensitive, and Socially Just Training Culture Mary Mendoza-Newman and Jennifer A. Erickson Cornish Chapter 2: Competencies in Health Service Psychology Lydia McGaffee, Cassandra Rasmussen, and Emil Rodolfa Chapter 3: Problems of Professional Competence Suzanne H. Lease and Catherine L. Grus Chapter 4: Systemic Perspectives on Trainees with Problems of Professional Competence Debra Mollen and Marlene Williams Chapter 5: Identification and Assessment of Problems of Professional Competence Salina Renninger and Consuelo Cavalieri Chapter 6: Remediation, Counseling Out, and Dismissal Rebecca Schwartz-Mette Chapter 7: Trainee Confidentiality: The Hidden Challenge of Competence Problems Linda Forrest and Nancy S. Elman Chapter 8: Ethical Issues in Working with Trainees with Problems of Professional Competence (TPPC) Jeffrey E. Barnett and W. Brad Johnson Chapter 9: Legal Issues in Working with TPPC Sanjay Shah and Sarah Fishel Chapter 10: Building Program Policies in a Communitarian and Multiculturally-Sensitive Training Culture Jennifer C. Veilleux and Meredith Scafe Chapter 11: Troubleshooting Common Pitfalls Evelyn Hunter and Rebecca Schwartz-Mette Appendix A: Key Terms Appendix B: Cube Model for Competency Development Appendix C: Competency Remediation Plan Appendix D: Additional Resources for Readers References