Integrated Health Psychology Training Program (IHPTP)

Integrated Health Psychology Training (IHPTP)

For the past decade, the Wright Institute's Integrated Health Psychology Training Program (IHPTP) has provided a much-needed and highly sought after training experience in primary care. IHPTP offers three training programs: Practicum, Doctoral Internship and Postdoctoral Fellowship. IHPTP is sponsored by the Wright Institute, an APA-accredited doctoral program in collaboration with Contra Costa Health Services (CCHS) the health department of Contra Costa County California. CCHS health centers are located in the Northern California Bay Area, spanning the East Bay.

Trainees work in the family practice division of CCHS providing exam room consultations, screening, assessments, evidence-based individual and group interventions, and interdisciplinary collaboration for an underserved, culturally diverse adult patient population with a wide range of medical and psychosocial issues. Trainees work alongside medical providers to deliver fully integrated, patient-centered care.

Training Goals

Goals of the training program include the acquisition of competencies as set forth by the Commission on Accreditation - Profession-Wide Competencies (Section II A, July 2017) in 1) the integration and application of science and practice 2) ethical and legal standards 3) individual and cultural diversity 4) professional behavior 5) professional communication and interpersonal skills 6) assessment 7) treatment planning and intervention 8) supervision (internship and postdoctoral fellowship) 9) consultation and interprofessional /interdisciplinary skills.

Specific activities are linked to each level of training and competencies for each level of training are graded in complexity throughout the year.

Training and practical application of the program’s stated training goals spans from the orientation period and continues throughout the year within the yearlong seminars; weekly individual and group supervision, case conferencing, live supervision, and daily clinical experiences obtained in the program’s integrated primary care setting. The training program is structured so that it is sequential, cumulative and increases in complexity and breadth over time.

The Integrated Health Psychology Training Program offers three training programs:


PRACTICUM PROGRAM (P2 & P3)
September - June (10 months)

Description
Since 2004, The Wright Institute Integrated Health Psychology Program (IHPTP) has been training practicum students with clinical psychology skills for best practices in primary care and community health settings.

IHPTP partners with Contra Costa Health Services (CCHS) to provide integrated behavioral health services in their health centers located in San Pablo, Richmond, Martinez, Pittsburg and Concord. Practicum students are assigned to one of two locations: Richmond or San Pablo. Trainees work in the family practice division, providing exam room consultations, screenings, assessments, brief evidence-based individual and group interventions, and interdisciplinary collaboration to help an underserved, diverse adult patient population presenting with a wide range of medical and psychosocial issues. Trainees work alongside medical providers to deliver fully integrated, patient-centered care.

Goals of the training program include the acquisition of competencies as set forth by the Commission on Accreditation - Profession-Wide Competencies (Section II A, July 2017) in 1) the integration and application of science and practice 2) ethical and legal standards 3) individual and cultural diversity 4) professional behavior 5) professional communication and interpersonal skills 6) assessment 7) treatment planning and intervention 8) consultation and interprofessional /interdisciplinary skills.

Specific activities are linked to practicum level of training and competencies for practicum training are graded in complexity throughout the year

Trainees are instructed and supervised within the biopsychosocial model. Training focuses on evidence-based practice and research with a year-long weekly 2 hour training seminar. Interdisciplinary teamwork, cultural competency, ethics, and professionalism are emphasized throughout the training opportunities.

Training and practical application of the program’s stated training goals spans from the orientation period and continues throughout the year within the yearlong seminars; weekly individual and group supervision, case conferencing, live supervision, and daily clinical experiences obtained in the program’s integrated primary care setting. The training program is structured so that it is sequential, cumulative and increases in complexity and breadth over time. Practicum Students are evaluated two times per year to assess their progress in obtaining the above goals and objectives. (Refer to Wright Institute Portal Evaluation)

Interventions focus on applying evidence-based practices to manage symptoms, and helping patients develop knowledge and skills that improve their emotional and physical health.

Practicum Weekly Schedule
(16 hours for P2s, 20 hours for P3s, 12 hours for P4)
P2s are required to be onsite 2 days per week Thursdays required
P3s are required to be onsite 3 days per week Thursdays required

  • 4 hr exam room consults alongside medical provider in exam rooms
  • 4-8 hr individual intervention (4 hr when in group rotation only)
  • 2 hr group intervention
  • 1 hr individual supervision
  • 1 hr group supervision
  • 2 hr weekly seminar
  • 2 hr administrative time
  • 1 hr administrative time

Supervision
Trainees are supervised by IHPTP faculty and postdoctoral residents in the application of skills and knowledge acquired in the orientation, weekly seminar and clinical onsite experiences. Supervision includes 1 hour weekly onsite individual supervision and group supervision/case conferencing.

Partnering Health Centers
http://cchealth.org/
West County Health Center 13601 San Pablo Avenue, San Pablo, CA 94806
North Richmond Center for Health 1501 Fred Jackson Way, Richmond CA 94801

Applicants
Only students from the Wright Institute will be considered for the practicum training program in-house application process. Please refer to BAPIC www.bapic.info for information on how to apply.

BAPIC application process: please refer to www.bapic.info for information on how to apply.

Contact
For further information, please contact program director, Temre Uzuncan, PsyD, at tuzuncan@wi.edu


DOCTORAL INTERNSHIP PROGRAM
APA-Accredited exclusively affiliated (on contingency)
September - August (one-year full-time, 2000 hours)

Description
The Wright Institute's Integrated Health Psychology Training Program (IHPTP) prepares Doctoral interns training and skills for best practices in clinical psychology within a primary care community health setting. Since 2012, IHPTP has been a full-time, 12 month doctoral internship in clinical psychology. IHPTP is an APA-accredited exclusively-affiliated internship site and is sponsored by the Wright Institute, in collaboration with Contra Costa Health Services (CCHS) the health department of Contra Costa County California. CCHS health centers are located in Richmond, San Pablo, Martinez, Pittsburg and Concord California.

Questions related to the program's accredited status should be directed to the Commission on Accreditation: Office of Program Consultation and Accreditation American Psychological Association 750 1st Street, NE, Washington, DC 20002 Phone: (202) 336-5979 / E-mail: apaaccred@apa.org Web: http://www.apa.org/ed/accreditation

Setting
IHPTP serves patients of the family practice division of (CCHS) partnering health centers. Interns are assigned to one of 3 locations in Contra Costa County: San Pablo, Martinez, or Pittsburg.

Interns provide exam room consultations, screening, evidence-based individual and group interventions, and interdisciplinary collaboration and participate in a yearlong clinical rotation (described below) for an underserved, culturally diverse adult patient population with a wide range of medical and psychosocial issues. Interns work alongside IHPTP staff and medical providers to deliver fully integrated, patient-centered care.

Training Goals
Goals of the internship program include the acquisition of competencies as set forth by the Commission on Accreditation - Profession-Wide Competencies (Section II A, July 2017) in 1) the integration and application of science and practice 2) ethical and legal standards 3) individual and cultural diversity 4) professional behavior 5) professional communication and interpersonal skills 6) assessment 7) treatment planning and intervention 8) supervision 9) consultation and interprofessional /interdisciplinary skills.

Training and practical application of the program’s stated training goals spans from the orientation period and continues throughout the year within the yearlong seminars; weekly individual and group supervision, case conferencing, live supervision, and daily clinical experiences obtained in the program’s integrated primary care setting. The training program is structured so that it is sequential, cumulative and increases in complexity and breadth over time.

Clinical Training
IHPTP doctoral interns and supervisory staff work in the family practice division of Contra Costa Health Services health centers providing integrated behavioral health services for an underserved, diverse adult patient population to deliver fully integrated, patient-centered care. Services include:
• Exam room consultations (warm handoffs, brief functional assessments and screenings, brief interventions and referrals)
• Brief evidence-based individual intervention (up to six sessions)
• Evidence-based Group Intervention (i.e. stress reduction, depression, grief, trauma, behavioral weight loss)
Interns also participate in a yearlong clinical rotation to gain exposure to specialty clinical services in one of the following:
• Neuropsychological Assessment Clinic. (Placement in this rotation will be determined based on level of experience and interest)
• Chronic Pain Clinic (Placement in this rotation will be determined based on level of interest)
• Specialty Access Clinic (HIV and Gender Health Clinic) (Placement in this rotation will be based on interest)

Training Seminar
This weekly seminar will use lecture, role-play and discussion to teach interns how to assess and implement specific evidence-based brief interventions techniques to treat a wide-range of behavioral health problems within the primary care setting and how to work effectively on interdisciplinary teams. Beginning in January interns are required to provide a didactic presentation on a health issue, its pathophysiology, the functional and psychological impacts of the disease or problem, and application of clinical insight on how to address the problem through intervention.

Diversity & Multicultural Training Dialogue Series
This monthly seminar provides interns with training in various cultural diversity topics and an opportunity to dialogue around isms, privileges, and systemic oppression. Throughout the class, students will learn skills and interventions for providing culturally sensitive care to patients from diverse cultural backgrounds, underserved and marginalized communities. Interns will be required to develop and provide a formal case presentation of one of their clinical cases, using a multi-sociocultural framework that is integrated throughout the case conceptualization and treatment plan.

Psychopharmacology Neuroscience Seminar
Interns will be taught the fundamentals of psychopharmacology, including classes of medications dosages, side effects, indications / contraindications, boundaries of scope of practice, how to monitor symptom change and develop skills in working with prescribing clinicians. Interns will gain an understanding of clinical applications of medications through review of current research, learning to evaluate primary research critically, understanding theoretical perspectives in psychopharmacological treatment, and addressing complex treatment issues. Interns will be required to develop and provide a didactic presentation beginning in January.

Supervision Training
Three seminars are provided throughout the year to cover key domains of supervision including legal and ethics overview, key supervision competencies, guidelines, relationships, professionalism, diversity, evaluation and feedback. Experiential activities will be included. Interns are given opportunities to role play, practice supervision while being observed by a clinical supervisor and through peer consultation and feedback in the weekly seminar case conference/group supervision.

Case Conference / Group Supervision
The weekly case conference group supervision allows interns to present cases both formally and informally and provide peer feedback and consultation.

Yearlong Clinical Rotation Opportunities
Interns participate in a yearlong rotation to gain exposure in one of the following specialty clinical services:

  • Chronic Pain Clinic This training rotation was established to develop skills in assessment, treatment and interdisciplinary treatment of chronic pain. Interns in this rotation will be assigned to a weekly chronic pain clinic paired with a medical provider who is a specialist in chronic pain management and develop integrated treatment plans to address patient care needs. Interns in the pain rotation will be given weekly group supervision and trainings (Mondays) on pain interventions and assessment and frequent onsite direct supervision.
  • Neuropsychological Assessment This rotation allows interns to develop skills in clinical neuropsychology assessment through clinical interviews, test administration, scoring and interpretation and communication of findings through report writing and patient feedback. All supervision is live in this rotation and is designed to increase skills and competencies gradually throughout the rotation.
  • Specialty Access Clinic Rotation This training rotation was established to allow interns to develop skills in assessment, brief intervention, and interdisciplinary collaboration and consultation. These clinics serve populations who have historically had significant barriers to accessing medical and mental health care.

    Gender Health Clinic (1st Friday monthly). CCHS is designated as a leader in healthcare equality by the Human Rights Campaign Foundation (HRC), the largest national organization advocating for lesbian, gay, bisexual and transgender rights. Interns work alongside a family practice physician

    Positive Health Clinic (weekly) CCHS provides primary care to people living with HIV/AIDS. Interns work alongside positive specialists in family practice to deliver comprehensive integrated healthcare to patients with HIV positive status.

    Supervision
    Interns are supervised by IHPTP faculty in the application of skills and knowledge acquired in the orientation, weekly seminars and clinical onsite experiences. Supervision includes 3 hours weekly onsite individual supervision 2 hours group supervision/case conferencing. Additionally interns receive live supervision through the groups intervention program and the clinical rotations as well as intermittent live supervision of their exam room consultations and individual sessions. Live supervision consists of supervisor modeling clinical interventions and observing intern.

    • Exam room consultations (on-the-spot assessments, warm handoffs, screenings, brief interventions, and referrals community resources)
    • Onsite, brief individual evidence-based treatment of up to six sessions
    • Evidence-based support groups such as stress reduction and grief
    • Yearlong Clinical Rotation

    Evaluation
    Interns are evaluated three times a year to monitor progress in obtaining the program training goals and objectives (in graded complexity).

    Internship Weekly Schedule - 44 hours

    • 8 hr exam room consults with medical provider
    • 8-12 hr individual brief intervention*
    • 6-10 hr weekly yearlong rotation**
    • 2 hr group intervention
    • 1 hr onsite group supervision
    • 3 hr individual supervision
    • 1 hr group supervision/case conference
    • 5 hr training seminars (refer to seminar descriptions above)***
    • 4 hr administrative time (documentation, neuropsychological assessment report writing)

    *hours based on rotation assignment

    IHPTP Clinical Faculty
    Temre Uzuncan, PsyD Training Director, Clinical Supervisor
    Michael Changaris PsyD Clinical Training Officer, Clinical Supervisor
    Emma H. Wilson, PhD Program Evaluation Coordinator, Clinical Supervisor
    Franca Niameh, PsyD Diversity Committee Chair, Clinical Supervisor
    Rachel Greenberg, PsyD Quality Assurance Coordinator, Clinical Supervisor
    Lauren Gent, PsyD Clinical Supervisor
    David Velleman, PsyD Clinical Supervisor
    Nina Eisenberg, PhD Clinical Supervisor
    Katherine Plambeck, PsyD Clinical Supervisor
    Rebecca Chandler-Humphries DPhil, PsyD Trauma Specialist, Clinical Supervisor
    Nitu Hans, PhD Neuropsychological Assessment Clinical Supervisor
    Nancy Chen, PsyD Neuropsychological Assessment Coordinator, Clinical Supervisor
    Sara Storm, PhD Postdoctoral Resident, Site Liaison

    Partnering Health Centers
    Contra Costa Health Services http://cchealth.org
    West County Health Center 13601 San Pablo Avenue, San Pablo, CA 94806
    Martinez Health Center 2500 Alhambra Ave Building 1, Martinez, CA 94553
    Miller Wellness Center 25 Allen Street, Martinez, CA 94553
    Pittsburg Health Center 2311 Loveridge Road, Pittsburg CA 94565

    Stipend/Benefits
    Stipend is $25,000 inclusive of health benefits.

    In addition to the federal holidays, interns receive 12.5 days of personal time off for the year.

    Applicants
    IHPTP is a 12-month, full-time exclusively affiliated non-accredited doctoral internship and a member of the Association of Psychology Postdoctoral and Internship Centers (APPIC). Please refer to http://appic.org for instructions to apply. Note: only applicants from The Wright Institute will be considered.

    IHPTP is specifically looking for highly motivated, self-aware clinicians who are eager to work with a diverse community with complex medical and psychological needs. We seek applicants who have strong basic skills in standard assessment, neuropsychological assessment (for neuropsychological assessment rotation only), brief intervention and group therapy skills in addition to the personal characteristics necessary to function in the internship. Applicants from diverse backgrounds and identities are encouraged to apply. Our selection criteria are based on goodness-of-fit with our practitioner-scholar model. We look for intern applicants whose training goals match sufficiently the training IHPTP provides.

    Questions related to the program's accredited status should be directed to the Commission on Accreditation: Office of Program Consultation and Accreditation American Psychological Association 750 1st Street, NE, Washington, DC 20002 Phone: (202) 336-5979 / E-mail: apaaccred@apa.org Web: http://www.apa.org/ed/accreditation

    Contact
    Contact Temre Uzuncan, PsyD, Training Director, at tuzuncan@wi.edu for more information


    POSTDOCTORAL RESIDENCY TRAINING PROGRAM
    One-Year Program (32 - 40 hrs)

    Description
    Since 2004, the Wright Institute's Integrated Health Psychology Training Program (IHPTP) has provided a much needed, highly sought primary care training experience. IHPTP prepares postdoctoral residents to work independently with advanced training and skills for best practices in clinical psychology within primary care and other community health settings.

    IHPTP is sponsored and facilitated by the Wright Institute, an APA-accredited doctoral program, in collaboration with Contra Costa Health Services (CCHS). CCHS partnering health centers are located in San Pablo, Richmond, Martinez and Pittsburg.

    Philosophy and Training Goals
    Goals of the postdoctoral residency include the acquisition of competencies as set forth by the Commission on Accreditation - Profession-Wide Competencies (Section II A, July 2017) in 1) the integration and application of science and practice 2) ethical and legal standards 3) individual and cultural diversity 4) professional behavior 5) professional communication and interpersonal skills 6) assessment 7) treatment planning and intervention 8) supervision 9) consultation and interprofessional /interdisciplinary skills.

    Training and practical application of the program’s stated training goals spans from the orientation period and continues throughout the year within the yearlong seminars; weekly individual and group supervision, case conferencing, live supervision, and daily clinical experiences obtained in the program’s integrated primary care setting. The training program is structured so that it is sequential, cumulative and increases in complexity and breadth over time.

    Application of Acquired Skills
    The postdoctoral residency training provides opportunities in the following: 1) clinical intervention in an integrated community health setting (exam room consultations, brief individual and group treatment; 2) collaborating with an interdisciplinary team of physicians, nurses, social workers, psychiatrists and other medical providers; 3) teaching; 4) supervision of practicum students; 5) leadership (site liaison).

    Postdoctoral Residents supervise practicum students on a weekly basis and function as site liaisons at participating health centers (managing referrals, facilitating onsite case conferences, participating in administrative meetings.). Opportunities for teaching assistantships are available to those who have completed IHPTP as interns, or who have supervised experience in a similar setting with training in behavioral medicine.

    Supervisor Training (Ongoing)
    Postdoctoral residents participate in a monthly supervision training seminar. This course provides training in supervision, including best practices, ethical and legal issues, developmental framework for supervision, faculty consultation, and focused workshops on current research and interventions.

    Postdoctoral Residency Weekly Schedule (example based on 40 hours)

    • 8 hr primary care consults alongside medical provider in exam rooms
    • 12 hr individual/group intervention/assessment
    • 2 hr supervision of students
    • 1 hour site-specific group supervision of trainees
    • 1 hr onsite case conference
    • 2 hr individual supervision
    • 2 hr group supervision
    • 4 hr teaching assistant in weekly training seminar(s)
    • 6 hr administrative time (documentation, seminar preparation, liaison work)
    • 3 hr monthly training on supervision

    Supervision
    IHPTP residents are supervised in the application of skills and knowledge from their clinical experiences, and supervisory experiences with students in weekly onsite two-hour individual and two-hour group supervision by IHPTP licensed clinical psychologists.

    Partnering Health Centers
    Contra Costa Health Services http://cchealth.org
    North Richmond Center for Health 1501 Fred Jackson Way, Richmond, CA 94801
    West County Health Center 13601 San Pablo Avenue, San Pablo, CA 94806
    Martinez Health Center 2500 Alhambra Ave Building 1, Martinez, CA 94553
    Pittsburg Health Center 2311 Loveridge Road, Pittsburg CA 94565

    IHPTP Clinical Faculty
    Temre Uzuncan, PsyD Training Director, Clinical Supervisor
    Michael Changaris PsyD Clinical Training Officer, Clinical Supervisor
    Emma H. Wilson, PhD Program Evaluation Coordinator, Clinical Supervisor
    Franca Niameh, PsyD Diversity Committee Chair, Clinical Supervisor
    Rachel Greenberg, PsyD Quality Assurance Coordinator, Clinical Supervisor
    Lauren Gent, PsyD Clinical Supervisor
    David Velleman, PsyD Clinical Supervisor
    Nina Eisenberg, PhD Clinical Supervisor
    Katherine Plambeck, PsyD Clinical Supervisor
    Rebecca Chandler-Humphries DPhil, PsyD Trauma Specialist, Clinical Supervisor
    Nitu Hans, PhD Neuropsychological Assessment Clinical Supervisor
    Nancy Chen, PsyD Neuropsychological Assessment Coordinator, Clinical Supervisor
    Sara Storm, PhD Postdoctoral Resident, Site Liaison

    Applications
    IHPTP is specifically looking for highly motivated, self-aware clinicians who are eager to work with a diverse community with complex medical and psychological needs. We seek applicants who have strong basic skills in standard assessment, neuropsychological assessment, brief intervention and group therapy skills in addition to the personal characteristics necessary to function in the internship. Our selection criteria are based on goodness-of-fit with our practitioner-scholar model. We look for intern applicants whose training goals match sufficiently the training IHPTP provides. Applicants from diverse backgrounds and identities are encouraged to apply.

    Contact
    Temre Uzuncan, PsyD, Training Director, at tuzuncan@wi.edu

    Testimonials

    "My training during IHPTP taught me the importance of multidisciplinary teamwork, and that it's not just a matter of getting mental health and medical professionals together and magically, multidisciplinary teamwork happens. It requires shared goals and values, respecting the competencies of team members, being open to learning from other disciplines, and supporting each other. I have found the collaborative nature of integrative primary care and the interchange of ideas between professionals is helpful to my patients and me as I develop professionally."
    Tiffany Latham, Practicum Student

    "The IHPTP training was one of the most challenging in scope; during the whole year, we were trained about common medical conditions seen in public health clinics, we conducted screenings for mental health issues such as depression and anxiety, and we participated in seminars on neuropsychology assessment and psycho-pharmacology. I also worked with clinic medical providers, staff, and patients at a small neighborhood clinic in North Richmond. I participated in the medical examinations for two shifts per week, met with patients in individual sessions, facilitated a weekly stress management group, and provided case management services. In addition to getting individual supervision and group supervision, I supervised two trainees.

    This training experience greatly impacted my professional development. I have a better understanding about how the public health systems work at the clinic and provider levels. I have more knowledge about medical conditions and medications. I understand how stress exacerbates sickness and I can help patients manage their stress. I've gained a lot of experience doing screenings, providing mental health outreach to patients, and offering brief therapy (primarily CBT, Solution Focused Therapy and Psycho-education) to help patients understand their illnesses and motivate them to take action."
    Ahmed Kamil Jibril, Psy.D., post-doctoral fellow, 2012-2013