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 from the East Bay to the areas surrounding Mt. Diablo approaching the Central Valley.

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. Given the Affordable Care Act and the increasing demand for integrated health services, our trainees are uniquely prepared to enter into a new and expanding workforce.

Philosophy and Training

IHPTP provides generalist clinical psychology professional training with the goal of developing trainee competence in providing psychological services within an integrated community health setting. IHPTP is best described as a practitioner-scholar training program (stemming from the Vail Conference, 1973). IHPTP prepares trainees with advanced training and skills for best practices in clinical psychology, in the context of integrated health care settings. Trainees are instructed and supervised in the biopsychosocial model (Engel, 1980) with a focus on evidence-based practice and research in behavioral medicine. Interdisciplinary teamwork, cultural competency, ethics, and professionalism are emphasized throughout the training.

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

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 and Martinez. 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.

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. IHPTP trainings include objectives to develop and enhance trainees' competence in, and appreciation for the cultural context in health, disease, and treatment.

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

Orientation
In September, trainees attend an orientation related to agency and training program policies and procedures, and specific skills relevant to working in an integrated primary care setting, including (but not limited to) the consultation model, interdisciplinary collaboration, cultural competency, using outcome measures, evidence-based interventions, legal and ethical issues (reporting mandates), suicidal assessment/crisis intervention, motivational interviewing, trauma in primary care, and documentation in an electronic medical record.

Practicum Weekly Schedule Example
(16 hours for P2s, 20 hours for P3s, 12 hours for P4)

  • 4 hr exam room consults alongside medical provider in exam rooms
  • 4-6 hr individual intervention (4 hr when in group rotation only)
  • 2 hr group intervention (6-week rotation)
  • 1 hr onsite case conference provider meeting
  • 1 hr individual supervision
  • 1 hr group supervision
  • 2 hr weekly seminar
  • 1 hr administrative time

Supervision
IHPTP trainees are supervised in the application of skills and knowledge acquired in the seminars, and in their clinical experiences in weekly onsite one-hour individual and two-hour group supervision by IHPTP faculty.

Partnering Health Centers
Contra Costa Health Services 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
Martinez Health Center 2500 Alhambra Ave Building 1, Martinez, CA 94553

Applicants
Only students from the Wright Institute will be considered for the practicum training program in-house application process. Please refer to the Wright Institute Field Placement Office for details about in-house application procedures and deadlines.

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
September - August (one-year full-time captive internship, non-accredited)

Description
The Wright Institute's Integrated Health Psychology Training Program (IHPTP) prepares Doctoral interns with advanced 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 and became an APPIC member in 2014. IHPTP is a captive internship site and 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 Richmond, San Pablo, Martinez and Pittsburg California.

Currently, IHPTP is conducting a self-study through the Commission on Accreditation, with the goal of becoming an APA accredited exclusively affiliated internship for the 2014-15 training year. 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: www.apa.org/ed/accreditation

Setting
IHPTP serves patients of the family practice division of (CCHS) partnering health centers, located in San Pablo, Richmond, and Martinez with plans to expand to Pittsburg in 2014.

Interns provide exam room consultations, screening, neuropsychological 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. Interns work alongside medical providers to deliver fully integrated, patient-centered care. Given the Affordable Care Act and the increasing demand for integrated health services, our trainees are uniquely prepared to enter into a new and expanding workforce.

Philosophy and Training Goals
IHPTP provides generalist clinical psychology professional training with the goal of developing intern competence in providing psychological services within an integrated community health setting. IHPTP is best described as a practitioner-scholar training program (stemming from the Vail Conference, 1973), where interns are trained to provide the highest quality care through the application of evidence-based interventions, research and scholarship. IHPTP prepares trainees with training and skills for best practices in clinical psychology, in the context of an integrated primary care setting.

Goals include the acquisition of competencies in: 1) assessment; 2) treatment planning and intervention; 3) consultation, professional behavior and supervision; and 4) the integration of science and practice.

Interns are instructed and supervised in the biopsychosocial model (Engel, 1980) with a focus on evidence-based practice and research. Interdisciplinary teamwork, cultural competency, ethics, and professionalism are emphasized throughout the training. Competencies are graded in complexity throughout the year.

Didactic Training

The training program is structured so that it is sequential, cumulative and increases in complexity and breadth over time. We expect that interns will have core competencies and abilities in providing evidenced based, quality care by the time they complete their internship. Training and practical application of the program's stated training goals spans from the orientation period and continues throughout the year within three yearlong seminars; weekly group and individual supervision; monthly interdisciplinary case conferencing and daily clinical experiences obtained in the program's integrated primary care setting.

Training Seminar (Weekly)
Interns build skills throughout the year in assessment, evidence-based treatments,consultation, supervision and professional development and the integration of science and practice. Interns are trained to review and integrate research findings into their clinical work. Interns are taught to develop an understanding of the relationship between psychological factors, cultural factors, social factors, behavior factors, and physical health. Interns are required to provide a public health needs assessment and develop an clinic-specific intervention and provide formal case presentations within the seminar. Interns are provided with opportunities to supervise small groups of practicum students beginning mid-year.

Psychopharmacology and Affective Neuroscience Seminar (Biweekly)
Interns learn the fundamentals of psychopharmacology, including pharmacology, psychotropic drugs, adverse effects, indications/contraindications, and drug interactions. Interns will learn how to support patients in managing psychotropic medication side effects and collaborating with medical providers. Interns will develop an understanding of the biopsychosocial bases of behavior including basics of pharmacology, neurobiology of psychopathology, and social cultural factors impacting treatment.

Neuropsychological Assessment (Biweekly)
The IHPTP neuropsychological assessment program provides training and supervision preparing interns to meet the challenges of frontline neuropsychological assessment referrals for underserved and complex adults/older adults in community health care settings. Utilizing a flexible battery assessment model, biopsychosocial and traditional diagnostic formulations of patients with cognitive impairment are emphasized, as well as practical recommendations to support optimal functioning.

Supervision Training (twice a year)
Two seminars are provided in the training year, which cover key domains of supervision including legal and ethics overview, key supervision competencies, guidelines, relationships, professionalism, diversity, evaluation and feedback, and management of supervisees who do not meet performance competency standards. The seminars allow for discussion of previous supervision experiences and self-assessment about areas of needed development and supervision in the integrated health setting

Application of Acquired Skills
IHPTP interns and staff work alongside medical teams in the family practice division of Contra Costa Health Services, providing integrated behavioral health services for an underserved, diverse adult patient population to deliver fully integrated, patient-centered care.

Supervised by licensed clinical psychologists, psychology interns participate in the following clinical activities:

  • Exam room consultations (on-the-spot assessments, warm handoffs, screenings, brief interventions, and referrals to county/community resources)
  • Onsite, brief individual evidence-based treatment of up to six sessions
  • Evidence-based support groups such as stress reduction and grief
  • Neuropsychological assessment (6-12 month rotation) for adults presenting with complex cognitive problems such as mild cognitive impairment and onset of dementia

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

Neuropsychological Assessment Experiential Rotation.
Interns participate in a six to twelve-month rotation in neuropsychological assessment. This rotation is unique and specific to the internship level. The rotation focuses on: a) developing and honing skills in chart review and clinical interviewing; b) test administration and scoring; c) integrating history, behavioral observations, cultural factors, test scores, and research to formulate diagnostic impressions; and d) communicating findings via report writing and feedback to patients and providers. All interns begin by observing supervisors perform interviews, testing, and feedback. They are then observed practicing these skills in seminar and supervision, and, when ready, with patients.

Group Intervention
The yearlong group training rotation is specific to the internship level. In the yearlong group training rotation, interns and a member of clinical supervision team co-facilitate groups. At the beginning of the training year interns are assigned to a skills development intervention group. As interns' skills mature they develop a group psycho-educational training, facilitate group interpersonal interactions, and develop and facilitate the group session under supervisor observation. Later they are supervised in developing a group curriculum and starting and facilitating a group. Interns are supported in adapting evidence-based treatment protocols to address patient needs.

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 - 40 hours

  • 8 hr exam room consults with medical provider
  • 8-15 hr individual brief intervention*
  • 8 hr weekly neuropsychological assessment 6-12 month rotation
  • 4 hr group intervention
  • 1 hr onsite supervised case conference provider meeting
  • 2 hr individual supervision
  • 2 hr group supervision
  • 4 hr training seminars (refer to seminar descriptions above)
  • 4 hr administrative time (documentation, neuropsychological assessment report writing)

*hours based on neuropsychological assessment rotation

Supervision
Trainees are supervised by IHPTP licensed faculty in the application of skills and knowledge acquired in the orientation, weekly seminars, and clinical onsite experiences. Supervision includes two hours of weekly onsite individual supervision and two hours of group supervision, as well as clinic case conferencing and grand rounds.

IHPTP Clinical Faculty
Temre Uzuncan, PsyD Training Director, Clinical Supervisor
Michael Changaris PsyD Clinical Training and Groups Coordinator, Clinical Supervisor
Jackie Fine Dahan PsyD - Clinical Supervisor
Sharon Perlman-Berry PsyD - Neuropsychological Assessment Coordinator, Neuropsychological Assessment Clinical Supervisor
Summi Kaipa PsyD - Neuropsychology Seminar Instructor, Neuropsychological Assessment Clinical Supervisor
Fiona Barwick PhD - Neuropsychological Assessment Clinical Supervisor
Emma H. Wilson, PhD - IHPTP Program Evaluator, Practicum Supervisor
Franca Niameh, PsyD - Supervisor and Site Coordinator to North Richmond Center for Health and Pittsburg Health Center, Practicum Supervisor
Rachel Greenberg, PsyD, Postdoctoral Fellow - Supervisor and Site Liaison to West County Health Center, Teaching Assistant, Practicum Supervisor
Lauren Gent, PsyD, Postdoctoral Fellow - Supervisor and Site Liaison to Martinez Health Center and Miller Wellness Center, Teaching Assistant

Partnering Health Centers
Contra Costa Health Services 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
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

Benefits
Stipend is $23,000 inclusive of elective health benefits.

In addition to the federal holidays, interns receive 10 days of vacation for the year.

Applicants
IHPTP is a 12-month, full-time captive 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.

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


POSTDOCTORAL FELLOWSHIP 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 fellows 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
IHPTP provides clinical psychology professional training with the goal of developing the fellow's competence in practicing independently, providing psychological services, training and supervision within an integrated community health setting. Goals include the acquisition of competencies in: 1) assessment; 2) treatment planning and intervention; 3) consultation, professional behavior and supervision; and 4) integration of science and practice. Competencies are graded in complexity throughout the year. Fellows are instructed and supervised in the biopsychosocial model (Engel, 1980) with a focus on evidence-based practice and research in behavioral medicine. Interdisciplinary teamwork, cultural competency, ethics, and professionalism are emphasized throughout the training.

Application of Acquired Skills
The postdoctoral fellowship 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; and 5) leadership (site liaison). Fellows 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 fellows who have completed IHPTP as interns, or who have supervised experience in a similar setting with training in behavioral medicine.

Supervisor Training (Ongoing)
Postdoctoral fellows 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 Fellowship Weekly Schedule (example based on 32 hours)

  • 4 hr primary care consults alongside medical provider in exam rooms
  • 8-10 hr individual/group intervention/assessment
  • 2 hr supervision of students
  • 1 hr onsite case conference provider meeting
  • 2 hr individual supervision
  • 2 hr group supervision
  • 2 hr co-teaching training seminar(s)
  • 6 hr administrative time (documentation, seminar preparation, liaison work)
  • 4 hr monthly training on supervision

Supervision
IHPTP fellows 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
West County Health Center 13601 San Pablo Avenue, San Pablo, CA 94806
North Richmond Center for Health 1501 Fred Jackson Way, Richmond, CA 94801
Martinez Health Center 2500 Alhambra Ave Building 1, Martinez, CA 94553
Pittsburg Health Center 2311 Loveridge Road, Pittsburg CA 94565 (anticipated site 2014)

Applications
Only applicants from APA-accredited schools with supervised experience in a medical setting and training in integrated behavioral health will be considered. IHPTP internship completers will have priority in the application process.

Applications include letter of interest, three letters of recommendation, and curriculum vita. Submit application to Training Director, Temre Uzuncan tuzuncan@wi.edu

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

IHPTP Faculty

Temre Uzuncan, PsyD - Training Director, Clinical Supervisor
Michael Changaris, PsyD - Clinical Training and Groups Coordinator, Clinical Supervisor
Jackie Fine Dahan, PsyD - Clinical Supervisor
Emma H. Wilson, PhD - IHPTP Program Evaluator, Practicum Supervisor
Franca Niameh, PsyD - Supervisor and Site Coordinator to North Richmond Center for Health and Pittsburg Health Center, Practicum Supervisor

Contact

For further information regarding the Integrated Health Psychology Training Program, please contact Program Director, Temre Uzuncan, Psy.D., 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