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 two training programs: Doctoral Internship and Postdoctoral Fellowship. IHPTP is sponsored by the Wright Institute, an APA-accredited doctoral program in collaboration with partnering community health organizations throughout the San Francisco Bay Area.

Trainees work in the frontlines of primary care 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 get the opportunity to work alongside medical providers to deliver fully integrated, patient-centered care.

Training Goals

Goals of the training program include the acquisition of competencies as part of preparation for practice in health service psychology (HSP) 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:


APA-ACCREDITED CLINICAL PSYCHOLOGY INTERNSHIP

The Integrated Health Psychology Training Program (IHPTP) is an APA-Accredited exclusively affiliated internship program of the Wright Institute in collaboration with partnering health centers throughout the San Francisco Bay Area https://www.wi.edu/training-ihptp#internship.

The singular aim of the Internship Program is to prepare program graduates through the acquisition of entry-level to practice competencies in health service psychology (HSP) as set forth by the Commission on Accreditation - Profession-Wide Competencies (Section II A, July 2017) in 1). These include 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 profession-wide competencies 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 psychology interns and supervisory staff work in the frontlines of primary care 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)

Program Seminars

  • Integrated Health Psychology Training Seminar
    This seminar will use presentations, discussion and case consultation to teach interns how to assess and implement specific evidence-based brief interventions to treat a wide-range of behavioral health problems within an interdisciplinary primary care setting. Throughout the seminar, Interns will learn skills and interventions for providing culturally responsive care to patients from diverse cultural backgrounds, underserved and marginalized communities who are most impacted by social determinants of health (SDOH). Interns learn the ability to review and integrate and apply research findings into their clinical work through case presentations and teaching a didactic beginning mid-year.
  • Psychopharmacology 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 Seminar Series 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.

Supervision
Interns are supervised by IHPTP faculty in the application of skills and knowledge acquired in the orientation, weekly seminars and clinical onsite experiences. Interns receive a minimum of 4.5 hours of supervision weekly (individual and group) and 4 hours of monthly live supervision of their clinical work to ensure that interns are meeting their expected level of competency through each evaluation period.
Group Supervision (Thursdays). The weekly one-hour group supervision allows interns to present cases both formally and informally for supervisory feedback and permits for interns to provide and receive peer feedback and consultation.

Example of Weekly Schedule - 40 hours onsite (4 hours offsite)

  • 12 hrs primary care consults with medical provider in exam rooms
  • 12 hrs individual intervention*
  • 2 hrs group intervention
  • 4.5 hrs individual and group supervision (primary and delegated) includes live supervision
  • 4 hrs training seminars
  • 7.5 hrs Research / Preparation / Administrative / Patient Outreach

Individual hours based on clinical rotation assignment*

IHPTP Clinical Faculty
Temre Uzuncan, PsyD Training Director, Clinical Supervisor
Michael Changaris PsyD Clinical Training Officer, Clinical Supervisor

Benefits
Stipend is $28,352. and $2,400 that can be used towards health insurance costs.
In addition to the federal holidays, interns receive 12 days of personal time-off for the year. to support your participation during the academic training year.

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

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

Training Manual - Internship Overview

Internship Admissions, Support and Initial Placement Data

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 Phone: (202) 336-5979 Email: apaaccred@apa.org Web: www.apa.org/ed/accreditation


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 community health organization partners throughout the San Francisco Bay Area.

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.

IHPTP Clinical Faculty
Temre Uzuncan, PsyD Training Director, Clinical Supervisor
Michael Changaris PsyD Clinical Training Officer, Clinical Supervisor

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


COMMUNITY HEALTH ORGANIZATIONS PARTNERSHIP OPPORTUNITIES

"Helping healthcare organizations serve their patients through timely, accessible, quality-driven, culturally responsive integrated behavioral health services while creating a highly skilled health psychology workforce."

Workforce Development and Service Delivery

Since 2006, the Integrated Health Psychology Training Program (IHPTP) has been partnering with community health organizations in the San Francisco Bay Area to provide high quality patient-centered, culturally responsive integrated services in order to promote better health and mental health outcomes while addressing the workforce development need to train health service psychologists to work in primary care and other medical settings and address the needs of populations facing the most health disparities. IHPTP is a clinical service and training program affiliated with the Wright Institute, an American Psychological Association (APA) accredited psychology program located in Berkeley, CA and is comprised of a team of health psychologists, an APA-accredited internship, post-doctoral residency, masters and practicum-level training programs.

With a focus on clinical research, education, cultural competency and quality services, IHPTP has a track record of creating a highly qualified workforce pipeline while providing much-needed frontline support and training to medical providers and our comprehensive centralized multi-level training program provides direct-access behavioral health service delivery in Health Care, Primary Care and other Community Health settings.

Excellence in Internship Recruitment

  • 14 years of Experience
  • 117+ Program Completers
  • Highly Sought APA-Accredited Internship
  • Academic & Research Focus

Training, Supervision and Clinician Development

  • Increased weekly availability and access to services.
  • Amplified support to residency leadership.
  • Ensures high level of clinical competency needed to be effective members of the health care team

Quality Improvement and Patient Outcomes

  • We monitor and report quality metrics to support patient improvement
  • We regularly monitor clinical outcomes and key metrics to drive quality improvement

High Impact Services and Sustainability

  • Develop specialty clinical services to meet community partner's goals.
  • Support ongoing needs analysis for population heath.
  • Support the development of billing processes that can sustain these changes.

117 Program Completers (2007-21). For over a decade, our partnerships with community health organizations has allowed comprehensive yearlong primary care training opportunities to psychology students and interns.

90% of our APA-accredited internship completers have continued onto post-internships and jobs in primary care and other medical settings

33% of our annual cohorts continued as postdoctoral residents (prelicensure) in our program each year

IHPTP Training and Service Model

Our team of clinical training supervisors have expertise in a wide range of health and mental health issues. primary care psychology and health coaching, chronic pain, trauma, addiction, HIV/AIDS, LGBTQ services, primary care pediatric services and neurocognitive and Adult ADHD assessment. Supervisors provide centralized didactic training, supervision and precepted billable clinical visits alongside the trainees to create no-cost or revenue generating contract opportunities. We utilize patient feedback data, clinical outcomes, treatment planning and case presentation reviews and training outcome data to ensure our services are high quality and effective.

With more than a decade of experience, we recruit and retain high quality team members. The IHPTP training model adheres to the APA's Profession-Wide Competency standards as well as the Core Competency Guidelines for Integrated Behavioral Health and Primary Care set forth by SAMHSA - HRSA Center for Integrated Health Solutions.

Core Training Competencies include

  • Integration & Application of Science & Practice
  • Ethical & Legal Standards
  • Individual & Cultural Diversity
  • Professional Behavior and Attitudes
  • Communication & Interpersonal Skills
  • Assessment & Screening
  • Treatment Planning & intervention
  • Consultation, Interprofessional & Interdisciplinary skills
  • Leadership & Administration

Consultation Services

In addition to training a quality behavioral health workforce, IHPTP has expertise in needs assessment, building integrated behavioral health infrastructure and services, guiding organizations as they develop and implement improvement projects and assessing and creating revenue opportunities. We regularly monitor clinical outcomes and key metrics to drive quality improvement and patient outcomes. Our model is flexible and can be adaptable to fit your organization's needs.