POSTDOCTORAL RESIDENCIES IN CLINICAL PSYCHOLOGY
The East Bay Consortium is an APPIC-member psychology postdoctoral residency program that is well-integrated into the Kaiser Permanente health care system. The consortium offers a comprehensive program where a total of 10 Clinical Psychology Residents are placed in Departments of Psychiatry and Chemical Dependency in three departmental sites located in Antioch, Pleasanton, and Walnut Creek. Some of the residents have primary affiliations to the Adult Team, the Child/Family Team, or the Chemical Dependency Team, and some are split between two services. Regardless of Team assignment, all residents have possible rotations on the Adult, Child and Family, Intensive Outpatient Program (partial-hospital program), and the Chemical Dependency Services.
The East Bay Consortium postdoctoral residency program is sequential, cumulative, and graduated in complexity. Graduated and sequential aspects of the residency programs are achieved through supervision, evaluation, didactic seminars. Residents are required to complete 40 hours 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 to the residents, weekly, by licensed psychologists on staff. Residents from all East Bay sites gather at one site for a weekly seminar which is led by staff from the four East Bay Sites. They also are assigned to a small group, twice monthly testing seminar, and to weekly group supervision. Residents participate in their local site’s case conferences and team meetings.
In addition to a weekly seminar, and individual and group supervision, residents are expected to 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. The current schedule is available through an online link. More specific information on the sites listed 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 areas of Alameda County and Contra Costa County, and encompasses a wide geographical area of urban, suburban and semi-rural communities. The catchment area for psychiatric service population includes the central Contra Costa County cities (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). The region is geographically positioned for easy drive to the urban areas of San Francisco and the East Bay Communities of Berkeley and Oakland. The ocean is an hour’s drive and the Sierra Nevada Mountains are two hours away.
The patient population consists of Kaiser Health Plan members possessing prepaid psychiatric benefits. Our members consist of a wide spectrum of primarily middle/working class adults, families, couples, and children. The patient population is ethnically diverse and exhibits a wide array of psychological and chemical dependency problems. The East Bay Consortium includes 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 such as stress reduction, couples communication, assertiveness, mindful meditation and other classes. Chemical dependency services include outpatient adult programs, as well as adolescent and family programs. Our departments also provide Intensive Outpatient Programs (IOP) that serves 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 to address problems associated with stages of life (children to elders) and a variety of diagnostic specific groups such as Dialectic Behavioral Therapy, Mindful Mood Management and Job Stress. Members of the staff represent a variety of theoretical orientations ranging from psychodynamic to cognitive behavioral to brief systemic therapies.
Antioch, Department of Psychiatry and Chemical Dependency
MENTAL HEALTH DEPARTMENT
KAISER PERMANENTE, ANTIOCH
2213 BUCHANAN RD. SUITE 203
ANTIOCH, CA 94509-4263
Director of Training: Deborah Kaplan, Ph. D.
Antioch is the easternmost clinic in the East Bay Consortium. It is situated on the Delta, with many waterways and islands nearby. The Postdoctoral Residency program at the Antioch Department of Psychiatry currently offers three postdoctoral positions. One position splits time between our Adult Team and Adult IOP (Intensive Outpatient Program). A second position splits time between our Child/Family team and Adolescent IOP (Intensive Outpatient Program). Our third position is full-time in our CD (Chemical Dependency Program). Currently, the department includes 15 Psychologists, 3 Psychiatrists, 7 LCSW’s, 2 Marriage & Family Therapists (MFT), and 4 Nurses. A new Medical Center is slated to open at Antioch in 2008.
Martinez, Department of Psychiatry and Chemical Dependency Services
Please note: Martinez psychiatry staff have migrated to Walnut Creek. There will be no mental health training positions in Martinez for the 2011-2012 and subsequent training years.
DEPARTMENT OF PSYCHIATRY
KAISER PERMANENTE, MARTINEZ
391 TAYLOR BLVD
PLEASANT HILL, CA 94523
Pleasanton, Department of Psychiatry and Chemical Dependency
MENTAL HEALTH DEPARTMENT
KAISER PERMANENTE, PLEASANTON
7601 STONERIDGE DR
PLEASANTON, CA 94588
Director of Training: Richard Gelbard, Ph.D.
Located in the northern part of Alameda County at the intersection of highways 680 and 580, the Pleasanton Department of Psychiatry is located 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 or the Child/ Family Service, yet with opportunities for providing treatment services associated with both teams. Currently the staff includes 10 Psychologists, 9 LCSW’s, 2 Marriage & Family Therapists, 5 Psychiatrists, and 2 Nurses.
Walnut Creek, Department of Psychiatry and Chemical Dependency
DEPARTMENT OF PSYCHIATRY
KAISER PERMANENTE, WALNUT CREEK
1425 SO. MAIN ST
WALNUT CREEK, CA 94596
Director of Training:
Margot Green, Ph.D.
The Walnut Creek Department of Psychiatry is located in the urban center of Walnut Creek, located close to shopping, restaurants and entertainment. It is conveniently located near a nexus of freeways allowing for easy commutes to Oakland, San Francisco, the South Bay, and the North Bay. The service area includes the surrounding urban, suburban and semi-rural communities. Two full-time Postdoctoral Resident positions are offered, each with a primary placement on the Adult Outpatient, Child and Family Services, or Chemical Dependency teams, while all Residents will have the opportunity to work in all three areas of practice. Currently, the professional staff includes 26 Psychologists, 14 LCSW’s, 5 Marriage & Family Therapists, 10 Psychiatrists, 2 Nurse Practitioners, and 7 Nurses. Psychiatry also provides daytime consultation to the emergency department at nearby Walnut Creek Medical Center.
BACKGROUND AND HISTORY
The postdoctoral residency program at the Kaiser Permanente Medical Centers (KPMC) in Northern California has a long and intricate history. Nicholas Cummings, Ph.D., led the development of psychology in the 1960’s within KPMC. During the last fifteen years, under the leadership of Robin Dea, M.D., there has been a major movement to regionalize and standardize the mental health delivery system. It has since tripled in size. Several new treatment programs were developed under the initiative referred to as the “model of care”. As a result of this organizational maturation, the postdoctoral training program has grown increasingly organized and extensively supported by the KPMC.
Under the leadership of Lloyd Linford, PhD., we have made a commitment to evidenced-based treatments. To this end, departments throughout the region have sent specialists to meet regularly to develop Best Practice guidelines based on the most current research for major psychological disorders, such as: Depressive Disorders, Anxiety Disorders, and Eating Disorders. These guidelines are published in manuals which every department is expected to use in order to provide comprehensive and appropriate treatment. The Best Practices literature is made available to all residents and is considered part of overall curriculum of the residency program.
KPMC mental health is increasingly recognizing the importance of outcome measurement and management as guides to increasing the effectiveness of psychotherapy. Evidence from psychotherapy outcome studies over the last forty years indicates that common factors and the patient’s perception of the alliance contribute more to outcome than specific techniques. Therefore, while training in empirically validated techniques gives residents a menu of interventions, supervision keeps a focus on the particulars of each therapist/client pairing.
The program functions within the largest HMO in the United States. Each medical center provides a full range of services to thousands of patients. Health care, as envisioned by KPMC, is an integrated system. Providers from specialty areas such as pediatrics, internal medicine, neurology and psychology work together in a collaborative manner to provide integrated treatment. The postdoctoral residents train within this collaborative system and are seen as an integral part of the overall healthcare delivery system. Each medical center has psychologists working in various departments including Psychiatry, Chronic Pain, Chemical Dependency, and Behavioral Medicine.
The East Bay Consortium emerged in 2006 as one of 6 consortia. The consortium system, now totaling 7, was a way to restructure the larger regional Bay Area post doctoral training program into sub regional medical centers that could localize training and provide an integrated and comprehensive training cohort. One training director oversees the quality assurance of training in the consortium and site directors manage the specific training programs within their departments in Antioch, Martinez, Pleasanton, and Walnut Creek. The East Bay Consortium is an APPIC member; as such the residents need not register as psychological assistants with the California Board of Psychology.
MISSION AND TRAINING MODEL
The mission of Kaiser Permanente Medical Centers (KPMC) is to provide integrated, efficient, high-quality, evidence-based health care while supporting innovation and continuous quality improvement. The mission of the East Bay Consortium Postdoctoral Training Program is to provide residents with advanced training within this highly integrated, multidisciplinary healthcare system, in order to prepare them for dynamic roles as practicing psychologists in the healthcare system of the future. Residents train in collaboration with, and with guidance from, psychologists and physicians.
The East Bay Consortium Postdoctoral Training Program subscribes to the Practitioner-Scholar model of training. This model emphasizes the development of professional skills among practitioners who utilize the field's scientific knowledge (Evidence-Based Treatment) in their professional practice. The program is committed to training professional psychologists who are life-long learners dedicated to engaging in continuous education, scientific inquiry, and scholarly endeavors.
The program faculty includes licensed psychologists and board certified psychiatrists who lead seminars and conduct individual and group supervision. Each site is overseen by a Site Coordinator and the Consortium is led by a Consortium Director. Additional administrative guidance is provided by the Northern California Director of Training.
On Site Coordinators: Each Site Coordinator develop residents schedules which includes supervision for the primary and delegated supervisors, group supervision for psych assessment, case conferences, on site staff meetings, etc. Site Coordinators assign department programs/groups that meet residents’ particular interests and training goals. Site Coordinators are responsible for data collection/documentation and record keeping of trainees in their program, program design, development and evaluation. Site coordinators meet with supervisors once a week to discuss residents and the training program.
The Site Coordinators 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, Board of Psychology, APPIC, and APA.
THE TRAINING PROGRAM
Our training philosophy is to foster clinical competence and professional identity through the mastery of basic and specialized skills. Our department stresses a commitment to a continuous reassessment, modification, and enrichment of therapy techniques. Residents are exposed to a unique and diverse community of clients. There is a clear emphasis on the role of the psychologist in a multi-cultural community, an outpatient setting and integrated with the medical center in providing quality health care to its members. Residents will be encouraged to become familiar with the demographic composition of the community in which our clients reside.
The Best Practices literature provides the foundation for the training program curriculum. This body of literature is comprised of well researched treatment guidelines for various mental health problems, such as depression and anxiety.
As KPMC moves towards a region-wide outcome management system for mental health, individual clinics and teams within the East Bay Consortium are piloting the use of point of service rating scales which can inform and guide treatment. Supervisors, residents and their patients will also participate in the eventual region-wide outcome management implementation.
The residency consists of three components:
- Regular exposure through active participation to all facets of outpatient services.
- Professional guidance through sessions of formal supervision, staff meetings and informal contacts with staff members.
- Weekly local training seminars, and regional seminars to be held on a regular basis throughout the training year.
GOALS, OBJECTIVES, AND COMPETENCIES
The training directors and primary supervisors are responsible for completing the resident’s Competency Quarterly Progress Reports in collaboration with the rest of the training staff. All efforts are made to provide ongoing feedback to residents throughout the year. Residents also have an opportunity to evaluate this program twice a year.
It is the goal of the Psychology Postdoctoral Residency Programs to provide learning environments that foster congenial professional interactions among training faculty and residents that are based on mutual respect. However, it is possible that situations will arise that prompt residents to file grievances.
The Regional Policy and Procedure manual provides a full description of grievance procedures. The manual is available on the Psychology Postdoctoral Residency Programs main web page.
We offer 10 postdoctoral residency positions with possible rotations or primary team affiliations on the Adult, Child and Family, or Chemical Dependency services. An Open House for prospective applicants to the consortium will be held at Walnut Creek Mental Health, Friday, January 25th 2013 from noon to 2pm. A brief presentation will be followed by the opportunity to meet training directors, faculty, and current residents.
To begin the application process, please click on the How to Apply heading above, and follow the procedure as listed. After completing the procedure, please follow directions for additional application materials, as outlined below.
The following additional application items are specific to the East Bay Consortium and should be sent via email attachment directly to the training director of the site of interest (Deborah.Kaplan@kp.org at Antioch, Margot.L.Green@kp.org at Walnut Creek, Richard.Gelbard@kp.org at Pleasanton). Attachments should be in PDF or Microsoft Word 97-2003 format (.DOC not .DOCX) format and clearly state the candidate's name on the top of each page.
1) Letter of Intent - must include:
a) Specific position for which you are applying (e.g. Adult, Chemical Dependency, Child/Family). In the EBC some positions are designed to include work on more than one service within a team (e.g. Child/Family/Adolescent IOP at Antioch) – see site webpage for more detail. Applying for multiple positions at a single site is strongly discouraged. Apply for the position at any site of interest that most closely matches your interests and preparation.
b) Timeline for completion of dissertation, including the date for the conclusion of your data collection and the date of your dissertation defense.
c) Description of how your prior training and interests match the position.
d) Feel free to also outline the mix of clinical responsibilities that would constitute, for you, the ideal training year.
2) One recently completed testing report, redacted, with all identifying information removed.
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