Many clinical psychologists are venturing beyond their traditional therapeutic roles to undertake macro-level work, engaging with social change, policy and public health. However, no research has systematically examined clinical psychologists’ roles in policy work and the implications for the profession. Part 1 of the thesis is a literature review of one area of macro-level policy aimed at improving the social determinants of mental health. It reviews nine intervention studies of housing improvement policy initiatives in the UK and their impact on mental health. Overall, study quality was moderate. There was limited evidence that such interventions improved mental health from some well-designed studies. Further evaluation of housing policy is needed to capture the full range of positive and negative effects on mental health. Part 2 presents the findings from a qualitative study of 37 eminent clinical psychologists’ experiences of macro-level policy work. It examines the processes involved, skills and competencies needed and the barriers and facilitators encountered. Interview transcripts were analysed using Thematic Analysis and resulted in six themes, organised into two domains. Clinical psychologists have core research and clinical skills that have the potential to be translated into work within much broader political systems. However, there are areas for development which involve drawing on applied sciences such as epidemiology, social and organisational psychology. Training, clinical, professional and research implications are offered. Part 3 is a critical appraisal and reflection on the research process. It focuses on the advantages and disadvantages of being an ‘inside’ researcher, the scale of the study and discusses the terminology used in the study, particularly the term ‘activist-practitioner’.

中文翻译：

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从实践到政策：临床心理学家的宏观工作经验。

许多临床心理学家正在冒险超越其传统的治疗角色，从事宏观层面的工作，参与社会变革、政策和公共卫生。然而，没有研究系统地检查临床心理学家在政策工作中的作用及其对职业的影响。论文的第 1 部分是对旨在改善心理健康社会决定因素的宏观政策领域的文献综述。它回顾了英国住房改善政策举措的九项干预研究及其对心理健康的影响。总体而言，研究质量中等。一些精心设计的研究表明，此类干预措施改善了心理健康的证据有限。需要对住房政策进行进一步评估，以全面了解对心理健康的积极和消极影响。第 2 部分介绍了对 37 位著名临床心理学家宏观政策工作经验的定性研究结果。它检查所涉及的过程、所需的技能和能力以及遇到的障碍和促进者。使用主题分析对访谈记录进行分析，得出六个主题，分为两个领域。临床心理学家拥有核心研究和临床技能，这些技能有可能在更广泛的政治体系中转化为工作。然而，有一些发展领域涉及利用流行病学、社会和组织心理学等应用科学。提供培训、临床、专业和研究影响。第三部分是对研究过程的批判性评价和反思。