Experiences of municipal psychologists on their role in local public health work

Background: Municipal psychologists (MPs) in Norway are mandated to contribute to public health work through mental health promotion and preventive efforts. However, the literature indicates that MPs spend most of their time on clinical work. This study aimed to explore the role and situatedness of MPs in public health work, from their perspective. Method: A qualitative design was used, involving 12 semi-structured interviews with MPs from 8 different municipalities in the greater Oslo region. Data were analysed using thematic analysis. Results: Participants reported challenges related to a lack of role clarity, leading to difficulties in balancing clinical and public health work. Collaborative challenges across sectors and services also constituted major findings. Despite this, MPs remained convinced that their competencies are needed and relevant in municipal public health work. Conclusion: The roles of MPs need to be clearly defined. Official guidelines for their roles should be developed, and MPs should be formally included in municipal public health teams. Furthermore, legislation regarding psychological expertise in the Public Health Act can create a clear mandate for MPs and grant them greater authority. Keywords: mental health, prevention, municipal psychologists, new public management, self-determination theory