POSTDOCTORAL RESIDENCIES IN CLINICAL PSYCHOLOGY
The East Bay Consortium is an APPIC-member postdoctoral residency program in clincial psychology that is well-integrated into the Kaiser Permanente health care system. The consortium is in the process of applying for APA accreditation, and residents entering the program in the fall of 2014 will likely graduate from a program whose status is pending APA approval if not APA approved.
The consortium offers a comprehensive program to 10 Clinical Psychology Residents in Departments of Mental Health and Chemical Dependency. We are located at three sites in the East Bay cities of Antioch, Pleasanton, and Walnut Creek. Residents have primary affiliations to the Adult Team, the Child/Family Team, or the Chemical Dependency Team, and some share their time across two services. Regardless of team assignment, residents may work on other services or teams, depending on their background and interest, and on service needs.
The East Bay Consortium (EBC) postdoctoral residency program is sequential, cumulative, and graduated in complexity. These training elements are achieved through supervision, evaluation, didactic seminars and individualized assignment of cases. Residents are required to complete 40 hours of training per week, over a 12-month period. One half of the residents’ time is spent providing direct services to clientele through individual, group, or family therapy and conducting psychological assessments. Two hours of individual supervision and two hours of group supervision are provided weekly, by licensed psychologists on staff. Residents from the EBC gather at one site for a weekly seminar which is led by a wide range of mental health professionals from the three sites. In addition, residents receive group supervision by the site Training Directors and consortial Training Director, who share the leadership of group supervision. Residents also attend assessment group supervision and seminars at their respective training sites, where they also participate in their site’s case conferences, peer review, Education Seminars and team meetings.
In addition to weekly seminars, and individual and group supervision, residents attend occasional Regional half-day seminars that are also open to supervising psychologists for continuing education credits. The first seminar focuses on Ethics and the Law. This ensures all postdoctoral residents have a sound working knowledge of California’s professional code of conduct. Examples of seminar topics include Diversity, Chemical Dependency, and Supervision. This year’s regional training topics can be found at the top of our web page. More specific information on the sites of the EBC described briefly below can be found by following the individual site links.
THE EAST BAY
The East Bay Consortium Region of the greater San Francisco Bay Area includes Alameda and Contra Costa Counties, and encompasses a wide geographical area of urban, suburban and semi-rural communities. The catchment area includes the central Contra Costa County cities of (Walnut Creek, Pleasant Hill, Concord, and Martinez), the “Tri-Valley Area” (San Ramon/Dublin, Pleasanton, and Livermore), “East County” (Pittsburg, Antioch, Brentwood, and Oakley), and west county cities (Hercules, Rodeo, Crockett). San Francisco and the East Bay communities of Berkeley and Oakland are easily accessible by car or public transprotation. The ocean is an hour’s drive to the west, and the Sierra Nevada Mountains are two hours away, to the east.
The patient population consists of Kaiser Health Plan members possessing prepaid psychiatric benefits. The Diablo Service Area, which contains our three training sites, serves approximately 350,000 members. They comprise a wide spectrum of primarily middle/working class adults, families and couples. The patient population is ethnically diverse and exhibits a wide array of psychological and chemical dependency problems. The East Bay Consortium serves some of the fastest growing areas in the region and thus includes a great number of families with young children.
The Departments of Psychiatry and Chemical Dependency provide individual, group, couples, family, child and adolescent therapy, psychological testing, and psycho-educational programs including stress reduction, couples communication, assertiveness, and mindful meditation. The departments also provide ready consultation with staff psychiatrists for psychopharmacological care. Chemical dependency services include outpatient adult programs, as well as adolescent and family programs. Our departments also provide Intensive Outpatient Programs (IOP) that serve crisis patients and recently hospitalized individuals who would otherwise be at risk for hospitalization. In addition, the department offers a wide range of therapy groups that address problems associated with stages of life (children to elders) and a variety of diagnosis-specific groups such as Dialectic Behavioral Therapy, Mindful Mood Management and Job Stress. In treating patients, members of the staff utilize a variety of theoretical orientations ranging from psychodynamic to cognitive behavioral to brief systemic therapies.
Antioch, Departments of Mental Health and Chemical Dependency
KAISER PERMANENTE, ANTIOCH
3454 HILLCREST AVENUE
ANTIOCH, CA 94531
Director of Training: Deborah Kaplan, PhD
Antioch is the easternmost clinic in the East Bay Consortium. It is situated at the confluence of the Sacramento and San Joaquin Rivers, and this delta area has many waterways and islands nearby. The Postdoctoral Residency program at the Antioch Departments of Mental Health and Chemical Dependency offers three postdoctoral positions. One position splits time between our Adult Team and Adult Intensive Outpatient Program (IOP). A second position splits time between our Child/Family team and Adolescent IOP. Our third position is full-time in our Chemical Dependency Program (CD).
The professional staff consists of 19 psychologists, 7 psychiatrists (including Adult, Child, and Addiction Specialists), 10 Licensed Clinical Social Workers, 5 Marriage and Family Therapists, and 2 psychiatric advice nurses, and a highly trained reception/support staff.
Pleasanton, Departments of Mental Health and Chemical DependencyKAISER PERMANENTE, PLEASANTON
Mailing Address: 7601 STONERIDGE DRIVE, PLEASANTON, CA 94588
Director of Training: Richard Gelbard, PhD
The Pleasanton Departments of Mental Health and Chemical Dependency are located in the northern part of Alameda County at the intersection of US highways 680 and 580. The departments are nestled in a suburban, bedroom community, serving the area within Alameda and Contra Costa Counties referred to as the Tri-Valley Area, with many commuter families and a mix of socio-economic status, culture, and ethnicity.
The Pleasanton Department of Psychiatry has three full-time postdoctoral residency positions, with specialization in Adult Outpatient Services, Child/Family Services or Chemical Dependency Services. Currently the staff includes 15 Psychologists, 10 LCSW’s, 4 Marriage & Family Therapists, 8 Psychiatrists (including 2 child psychiatrists), and 2 Nurses.
Walnut Creek, Departments of Psychiatry and Chemical Dependency
KAISER PERMANENTE, WALNUT CREEK
1425 SO. MAIN ST
WALNUT CREEK, CA 94596
Director of Training:
Margot Green, Ph.D.
The Walnut Creek Departments of Mental Health and Chemical Dependency are located in the urban center of Walnut Creek, close to shopping, restaurants and entertainment and surrounded by scenic hills. Oakland, San Francisco, the South Bay, and the North Bay are easily accessible by public transportation or car. The service area includes the surrounding urban, suburban and semi-rural communities.
Four full-time Postdoctoral Resident positions are offered at Walnut Creek. Each position has a primary placement on the Adult Outpatient, Child and Family, or Chemical Dependency teams, while all residents have the opportunity to work in all three areas of practice. The professional staff consists of full and part-time includes 41 Psychologists, 18 LCSW’s, 13 Marriage & Family Therapists, and a team of 16 physicians and 6 nurses. Psychiatry also provides daytime consultation to the emergency department at nearby Walnut Creek Medical Center.
The program faculty includes licensed psychologists and board certified psychiatrists who lead seminars and conduct individual and group supervision. Each training site is overseen by a site director and the consortium is led by a consortium director. Additional administrative guidance is provided by the Northern California Director of Mental Health Training.
On Site Directors: Each site director develops resident schedules which includes supervision with the primary and delegated supervisors, group supervision for psych assessment, case conferences, on site staff meetings, etc. Site directors also assign department programs/groups that meet residents’ particular interests and training goals. In addition, site directors are responsible for data collection/documentation and record keeping of trainees in their program, program design, development and evaluation. The directors also meet with the supervisors once a week to discuss residents and the training program.
The site directors and the consortium director meet on a monthly basis to coordinate the consortium’s training seminars, problem solve and insure standardization of training. Topics of discussion include: program development/evaluation, maintenance of records, recruitment, and keeping up-to-date with regional standards, as well as those of the California Board of Psychology, APPIC, and the APA.
The EBC is comprised of training sites in Antioch, Pleasanton and Walnut Creek, California and includes Mental Health and Chemical Dependency Services. The Medical Centers within which the EBC was established are administratively conjoined as the Diablo Service Area (DSA), which includes two hospitals with attached outpatient psychiatry clinics, a multi-specialty medical office building with attached outpatient psychiatry and several other medical office buildings with more limited services.
The EBC’s Pleasanton campus is associated with a multi-specialty medical office building (MOB). Antioch and Walnut Creek training sites are associated with hospitals which provide non-psychiatric inpatient medical care. Consortial training activities are held primarily at Walnut Creek, which is 20 and 22 miles from Antioch and Pleasanton, respectively, while Antioch and Pleasanton are at a 40 mile distance from each other. At both Antioch and Walnut Creek campuses, the Mental Health and Chemical Dependency Services departments reside at a small distance from their respective hospitals or MOB.
Each site in the EBC provides a full range of services to thousands of patients who have a wide range of diagnoses. At each medical center, providers from numerous departments including pediatrics, internal medicine, neurology, occupational medicine, oncology and psychiatry work together in a collaborative manner to provide integrated treatment. In the EBC, Mental Health and Chemical Dependency Services are parts of intradepartmental networks of collaborative integrated health care at each medical center.
The EBC postdoctoral residents have the opportunity to engage in diverse training experiences and are exposed to patient populations consisting of Kaiser Health Plan members possessing prepaid benefits, who are diverse in terms of age, sexuality, disability, socioeconomic, cultural and ethnic backgrounds. Residents are assigned by their interests to treatment teams that may include child, adult and/or chemical dependency services.
The EBC trains postdoctoral psychology residents in advanced practice competencies in clinical psychology and prepares them to work as professional psychologists in a broad range of settings. All residents work toward achieving the same core set of clinical competencies through their training experiences. Since the EBC training program provides residents with advanced practice competencies in the “generalist” model of practice, it embraces a broad spectrum of training goals. Residents are expected to demonstrate advanced competencies in these areas by the completion of the training year. Behavioral anchors serve as the guide for the measurement of specific competencies and have been adapted from Competencies Benchmarks: A Model for Understanding and Measuring Competence professional Psychology Across training Levels, published in Training and Education in Professional Psychology (Fouad, N., et al., 2009).
Over a twelve-month period (usually September through August), residents spend 40 hours per week in the training program. Approximately one-half of a resident’s time is spent providing direct services to patients through individual, group and/or family therapy. During this time the resident also conducts psychological assessments and a program evaluation/research project and provides crisis services. In addition to a minimum of two hours per week of individual supervision by licensed psychologists, each resident participates, for a minimum of two hours per week, in group supervision and, for a minimum of two hours per week, in didactic training.
Residents are evaluated on specific competencies by their primary supervisors on an ongoing basis. At quarterly intervals there are formal evaluations conducted by the supervisory team. The second and fourth quarters of the Competencies Evaluation data are aggregated to compare site-specific performance to performances across all three sites.
The essential components of the residency program include but are not limited to:
- The program’s goals, objectives and competencies
- The Competencies Evaluation, which measures and monitors the resident’s progress in attaining competencies on a quarterly basis
- An individualized learning contract which specifies goals and generates a plan for the resident to accomplish each goal by engaging in graduated and sequential experiences
- Weekly supervision that ensures that the resident accomplishes his/her goals:
- 2 hours of group supervision
- Graduated and sequential activities in advanced practice:
- Quarterly regional seminars
- 20 hours per week of direct patient care
Administrative evaluation by the regional training director, the consortial director and the site training directors to monitor the training program to ensure that the program achieves its goals
These components provide structure for the program to ensure adequate breadth and depth of training, while allowing for flexibility of individual differences in residents’ professional aspirations.
ADDITIONAL PROGRAM INFORMATION
- Program Mission and Training Model
- Program Background and History
- Program Goals, Objectives and Competencies
- Resident Hours, Supervision and Training
- Resident Competencies Evaluations and Program Surveys
- Resident Due Process and Grievance Procedures
Accessible from the main page is the Postdoctoral Residency Programs Policy and Procedure Manual, where most program information is located. Information located in this manual includes but is not limited to the items listed above, as well as the following policies:
- Program Minimum Requirements
- Program Minimal Levels of Achievement
- Resident Remediation and Corrective Action Procedures
- Resident Benefits and Services
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