The role of clinical psychology in a multidisciplinary continence service

The new and unique position of a clinical psychologist in a public multidisciplinary Victorian continence service was commenced in June 2013 as a result of the increasing complexity of client conditions. An audit was undertaken to review the clients referred for clinical psychology and their outcomes. A convenience sample was used to audit the first 30 clients referred to the service. The audit data collected included: demographic and socioeconomic information, co-morbidities, treatment, intervention outcomes, pre- and post-treatment DASS21 (Depression Anxiety Stress Scale), and the number of appointments. The data were analysed using descriptive statistics. The clients were seen between July 2013 and September 2016 for an average of five appointments. The average age of those included in the audit was 53 years, and they were predominantly English speakingand female. Co-morbidities were categorised into the areas of mental health and medical conditions. Anxiety or depressive disorders were the most common mental health conditions. Pain or pain conditions were the most common medical conditions. The main reason for referral was anxiety, stress, or paruresis. During the clinical psychology sessions, the main issues noted were clustered under anxiety, stress, conflict, grief and trauma. The interventions most commonly provided were counselling, support, education, and cognitive behavioural therapy. In regard to treatment outcomes, 46.7% of clients completed their treatment. Eleven clients completed a pre- and post-treatment DASS21. There was some evidence of a trend towards improvement following treatment, based on reduced levels of anxiety and stress. The role of a clinical psychologist can be a valuable addition to a multidisciplinary continence service.