Improving Public Health Through Accreditation

-To help training programs meet the highest standards of a Clinical Science model
-To integrate the science and practice of psychology
-To practice and disseminate the most effective mental health treatments
-To expand the scientific basis for understanding and treating mental illness

The Psychological Clinical Science Accreditation System (PCSAS) is an independent, non-profit organization that provides rigorous, objective, and empirically based accreditation of Ph.D. programs that adhere to a clinical science training model — one that supports and expands the scientific foundation for mental health care and increases the quality and quantity of clinical scientists contributing to all aspects of public health.  

PCSAS has now been accrediting programs for over ten years! Some updates: Arizona became the newest state to recognize PCSAS for licensing with the the Arizona Governor signing legislation this spring. This means more than 30 percent of the U.S. population now live in states that recognize PCSAS; 

The Minnesota Psychology Licensing Board just voted 9-0 to recognize PCSAS, which starts the process to recognize PCSAS graduates for licensing there; 

In funding the U.S. Government for this fiscal year, Congress asked the U.S. Public Health Service, the Department of Defense, and the Health Resources and Services Administration (HRSA) to revise their regulations to recognize PCSAS.. 

For a status report on other PCSAS issues, see PCSAS by the Numbers.

NEW: PCSAS Newsletter – created, peer-reviewed and edited by PCSAS Graduate Students:

Volume 1, Issue 1Special Issue on DiversityVolume 1, Issue 2

Volume 2, Issue 1

The Story Behind PCSAS

The origins of PCSAS are rooted in a 1992 Summit Meeting on the Future of Accreditation that brought together 140 leading scholars in psychological science who were chairs of of Psychology Departments or Directors of Clinical Training in Psychology. 

Three key partners sponsored the Summit, all with serious concerns about psychology’s then-sole accreditation system: the National Institute of Mental Health (NIMH), the $2.6B federal agency within the National Institutes of Health that funds anmajor portion of psychology’s mental health training; the Council of Graduate Departments of Psychology (COGDOP), the umbrella group for 250 Chairs of Psychology Departments; and the Association for Psychological Science (APS), the 35,000-member international organization dedicated to advancing the science of psychology.  

Consensus emerged from the Summit on “the need for urgent reform of the [then-sole] accreditation system in psychology.”

Following years of unsuccessful efforts to achieve reform within the then-prevailing accreditation system, the specifics of PCSAS began to emerge in 1995. PCSAS was formally established as an independent entity in 2007 by the Academy of Psychological Clinical Science, which also grew from the Summit. . 

Since its inception, PCSAS has accredited 44 programs in the United States and Canada, with many others in various stages of the application process (see Accredited Programs).

By almost all measures, these programs are among the most highly regarded in the field. For example, all 20 programs listed as the top 20 by U.S. News & World Report are PCSAS accredited. Forty-one PCSAS programs in the U.S. are listed among the top 50. (U.S. News only ranks U.S. programs.) All 44 PCSAS programs are ranked highly by the National Academies of Sciences, higher than non-PCSAS programs by both their graduates’ scores on state licensing exams and their students’ placements in internships, and by the publication records of their faculties.

Once established, PCSAS sought national evaluation and received formal recognition as soon as it was eligible from the Council for Higher Education Accreditation (CHEA) 

  • CHEA is the body of 3,000 colleges and universities that serves as the gold standard for evaluating accreditors as the “primary national voice for quality assurance to the U.S. Congress, U.S. Department of Education, the general public, opinion leaders, students, and families.” CHEA’s sole purpose is quality assurance of higher education. In this role, CHEA provides a “seal of approval” (top of page) for meeting standards that are indicators of quality. “CHEA recognition affirms that the standards, structures and practices of accrediting organizations promote academic quality, improvement, accountability and needed flexibility and innovation in the institutions they accredit.”
  • Recognized by the U.S, Department of Veterans Affairs (VA), by far the largest trainer and employer of clinical psychologists in the world and the federal agency that began the accreditation movement in the 1940’s. 
  • Recognized by the National Institutes of Health (NIH), with the Director of the $1.9 billion National Institute of Mental Health (NIMH) stating, “At NIMH, we thought of PCSAS at the cutting edge of where training should be in clinical psychological science, and as the model for how rigorous accreditation might have an influence even beyond psychology.”
  • Recognized by psychological and mental health organizations including: the Association for Psychological Science; the Academy of Psychological Clinical Science; the Association for Behavioral and Cognitive Therapies; the Society for a Science of Clinical Psychology; the Society for Research in Psychopathology; the Council of Graduate Departments of Psychology; and the Council of University Directors of Clinical Psychology. .
  • Recognized by the Association of Psychology Postdoctoral and Internship Centers (APPIC), the organization that runs psychology’s internship placement service. PCSAS students are fully eligible for the APPIC “Match.”
  • Recognized in the licensing laws and regulations of states representing nearly 30 percent of the U.S. population, including the top population states of California, New York and Illinois. Michigan is the most recent state to recognize PCSAS . More states are pending as evidence increasingly demonstrates that PCSAS programs exceed state requirements for graduates seeking to be licensed psychologists.
  • Recognized for support in the U.S. Congress over multiple years and in multiple federal agencies, most recently in both House and Senate U.S. Dept. of Health and Human Services Appropriations for 2021, in which HHS legislation states:
  • “The [House Appropriations] Committee supports the review by the Surgeon General’s office to update HHS regulations to permit the graduates of the 44 doctoral programs in clinical psychology accredited by the Psychological Clinical Science Accreditation System (PCSAS) to be employed by the Public Health Service Corps. This update is necessary as PCSAS was recognized in September 2012 by the Council for Higher Education Accreditation (CHEA) and now accredits 44 programs that are among the highest ranked clinical psychology programs in the country. The Veterans Administration, the Association of Psychological Postdoctoral and Internship Centers, and others have already updated their regulations to permit the employment of the graduates of PCSAS accredited programs. The Committee urges the Surgeon General’s office to finalize and implement these changes as soon as possible.” And
  • The [Senate Appropriations] Committee encourages HRSA [Health Resources and Services Administration] to update eligibility requirements for the BHWET Program [Behavioral Health Workforce Education and Training] and the GPE program [Graduate Psychology Education] to account for accreditation changes that have occurred since the eligibility requirements were established. The Committee notes the Council for Higher Education Accreditation, as well as the Department of Veterans Affairs, recognizes the Psychological Clinical Science Accreditation System (PCSAS). HRSA is encouraged to make administrative updates to ensure that HRSA’s health workforce programs continue to have access to the best qualified applicants, including those who graduate from PCSAS programs.”

Science plays a part in all clinical training programs, but it is preeminent in PCSAS programs — in research training, clinical training and, importantly, in their integration. This commitment to a scientific perspective in all aspects of clinical psychology plus growing concerns that the nation’s pressing mental health needs are too often not being met, gave rise to PCSAS as an accreditation system designed to promote science-centered doctoral training. The creation of PCSAS rests on the desire to spark training innovations that will lessen the burden of mental illness. 

PCSAS fosters clinical scientists who will improve public health by disseminating existing knowledge of what mental health treatments work, delivering empirically-based clinical services, and expanding scientific knowledge in clinical psychology through their research. 

Want proof of both the service delivery and research capabilities of those trained in PCSAS programs? In a comprehensive analysis of over ten years of PCSAS graduates, 73% report engaging in clinical service delivery in their current positions and 33% report being investigators on federal research grants. Many are doing both. Our ultimate goal is to provide the public with new and better mental health services that are safe, that work and that are cost effective.   

And all this has been accomplished while PCSAS is still young. PCSAS accredited its first program in late 2009. In 2012, PCSAS was formally recognized by the Council for Higher Education Accreditation (CHEA), the “national advocate and institutional voice for promoting academic quality through accreditation.” Ten years later, with 44 world-class programs accredited and with increased recognition coming from many sectors in mental and behavioral health, including from the U.S. government, PCSAS is seen as promoting the highest scientific standards in the training of clinical psychologists. 

Contact information for PCSAS:
Alan G. Kraut, Executive Director
Psychological Clinical Science Accreditation System (PCSAS)
1800 Massachusetts Ave NW, Suite 402
Washington, DC  20036-1218  USA
(301) 455-8046

Want to Know More? 

For more detailed information about PCSAS’s Purpose, Organization, Policies, and Procedures, read the POPP Manual, a link to which also can be found at at the top of the Publications & Links page of this website.