Postdoctoral Residency in Clinical Psychology at San Rafael
Department of Mental Health and Addiction Medicine Recovery Services
111 Smith Ranch Road, San Rafael, CA 94903
The San Rafael (SRF) Department of Mental Health and Addiction Medicine Recovery Services is proud to be part of The North Bay Consortium (NBC) Postdoctoral Residency Program which received APA re-accreditation as of November 2016. The residency is sequential, cumulative, and graduated in complexity. These training elements are achieved through supervision, evaluation, didactic seminars and widely varied direct clinical experience. Residents work 40 hours per week over a 12-month period. Fifty percent of our residents’ time is spent providing direct services to Kaiser members through individual, group or family therapy.
Didactics: Residents from the NBC meet at a satellite clinic in Petaluma for a weekly seminar which is led by a wide range of mental health professionals from the three NBC sites. Approximately six times throughout the training year our residents attend a regional half-day seminar that is open to supervising psychologists for continuing education credits. The first seminar focuses on Ethics and the Law to ensure that all postdoctoral residents have a sound working knowledge of California’s professional code of conduct. Examples of other seminar topics include Psychoneuroimmunology, Supervision, EPPP License Preparation, etc.
Supervision: Residents have two hours of weekly individual supervision with a primary and delegated supervisor and two hours of group supervision with other training faculty. Residents meet periodically with the site training directors and consortia training director to review issues pertaining to the training year and the quality of residents’ clinical life. Residents' group supervision consists of a weekly case conference (rotating between adult and child family cases), weekly assessment supervision and weekly program evaluation supervision. Residents are considered integral members of our department staff and attend team meetings, clinical case conferences, peer reviews and educational seminars.
Training is provided in the outpatient mental health services of the Kaiser Permanente Medical Center in San Rafael, California.
San Rafael is located in Marin County, home to well-known landmarks like the Golden Gate Bridge, Mount Tamalpais, Muir Woods, Sausalito and the Green Gulch Zen Center. Marin County is also well known for its open space and miles of hiking and cycling trails and is geographically positioned for easy access to urban areas of San Francisco, Berkeley and Oakland. The Golden Gate Bridge is a 20-minute drive, the Pacific Ocean is a 25-minute drive, the North Coast is a 30-minute drive and the Sierra Nevada Mountains are a 3-hour drive.
Kaiser Health Plan members, primarily from Marin and Sonoma counties, are from a wide spectrum of primarily middle/working class adults, families, adolescents and children. The patient population is culturally diverse with a wide array of psychological issues.
THE DEPARTMENT OF MENTAL HEALTH
The Department of Mental Health at the San Rafael Medical Center is the second largest department in the medical center and provides a range of diagnostic and treatment services organized into three basic areas: Adult Services, including an Intensive Outpatient Program, Addiction Medicine Recovery Services and Child and Family Services. The clinic also provides for 24-hour psychiatric emergency services for acute psychiatric or addiction medicine needs. Our staff has a wide range of theoretical orientations, although Kaiser emphasizes a multi-modal approach to treatment involving brief therapy and a wide variety of group treatment programs, including both traditional EBT as well as third wave therapies.
Approximately 43 of our providers are licensed psychologists. Other disciplines on staff include psychiatrists, licensed clinical social workers, registered nurses and marriage and family therapists. A team of triage staff members provide front line access for patients through telephone and face-to-face contacts.
TRAINING STAFF & RESOURCES (Supervisor’s Bios)
The supervising staff consist of approximately 16 staff psychologists who have an interest in the residency program, have leadership roles in the clinic and have particular clinical expertise.
Postdoctoral residents are encouraged to keep abreast of current theories and research findings. The hospital’s medical library and computer literature searches are available and attendance at relevant training events within the Kaiser Permanente system is encouraged.
Group programs are based on up-to-date research of the best empirically-supported treatments which consist of EBT, EBT informed treatments, and third wave therapies. Residents will participate in group treatment programs based on both clinic need and resident’s interest. Group assignments may change throughout the year. Postdocs can refer patients to specialty groups. Postdocs may have the opportunity to develop their own group programs based on their interest and department need.
Our department provides a plethora of opportunities to work with adults, children, and families who present with a wide variety of acute and chronic mental health issues, interpersonal and family problems, and substance use disorders. The training program is considered generalist with opportunities for specializations in Chemical Dependency, Eating Disorders, Child/Family and Adult Services.
All postdocs will be trained to be part of the On-Call Team, a designated group of providers that rotate daily to provide the clinic with immediate access to crisis services. Chemical Dependency residents will each have two half-day on-call shifts per week when new patients are seen for intake. Residents on both the Adult and Child Teams will be assigned one afternoon per week to work as an integral part of the On-Call Team.
The Adult Mental Health Department provides individual, family and group therapy, and medication evaluations. The staff consists of 23 psychologists, 1 MFT, 2 LCSWs and 9 MDs. Two postdoctoral residents are members of our adult team and will provide individual therapy, conduct ADHD evaluations and co-lead group therapy programs during the training year. Postdoctoral residents on the Adult Team typically co-lead two, sometimes three, groups.
The major groups offered the Adult Services Team include:
- Structured Mindfulness and CBT groups for both Depression and Anxiety
- Dialectical Behavior Therapy (DBT)
- Acceptance and Commitment Therapy (ACT)
- Cognitive Behavior Therapy for Panic Disorder & Generalized Anxiety Disorder
- Exposure Based Therapy for Social Anxiety and OCD
- Bipolar Disorder Support
- Trauma Education and ACT for Trauma
- Self-Compassion and Co-Dependency
- Stage of Life Process Groups for Seniors, Mid-Life and Young Adults
Trauma Program: In addition to our Trauma Education and Skills-based Groups, individual providers offer Cognitive Processing Therapy (CPT) and Eye-Movement Desensitization Reprocessing (EMDR) for PTSD.
Intensive Outpatient Services: The Adult Mental HealthDepartment has an Intensive Outpatient Program which meets 4 days per week from 9:00 am to 12 noon. This program provides a higher level of care for members who are experiencing acute psychiatric crisis but do not meet the criteria for inpatient psychiatric hospitalization. The resident on the Adult Team may participate in the IOP program for one or more rotations.
Eating Disorder Program: One resident will have the opportunity to develop practice specialization in eating disorders. This resident will have individual supervision with a psychologist who specializes in eating disorders, participate in the eating disorder case conference and participate on a multi-disciplinary team with providers from the medical center. Up to 50% of the resident’s clinical case load will be with eating disorder patients. Groups offered by the Eating Disorder Team include: Binge Eating, DBT for Eating Disorders & an Adolescent Skills Group.
CHILD AND FAMILY SERVICES
The Child/Family team provides individual, family and group therapy. The Child Team consists of 8 psychologists, 1 clinical social worker and 2 psychiatrists. Residents working on the Child Team will provide individual and family therapy, conduct ADHD evaluations and co-lead group therapy programs during the training year. One resident on this team often chooses to also work with the Eating Disorder Program to serve adolescents with eating disorders. If a resident chooses to participate in the ED program, he or she will be given the same opportunities (regarding supervision and case-conferences) as the adult team resident who is working with eating disorders.
Group programs: include Teen DBT, Teen Intensive Outpatient Program, anxiety and depression groups, OCD exposure group, younger latency age skills group, and parenting groups. The Child/Family Team has a particular emphasis on providing family therapy to our patients.
ADDICTION MEDICINE RECOVERY SERVICES (AMRS)
Kaiser San Rafael's Addiction Medicine Recovery Services is staffed by a small team of ten mental health professionals, including five licensed Psychologists and one licensed Social Worker, two MDs specializing in addiction medicine and one postdoctoral resident. We are located within the Department of Mental Health and work closely with the staff, including Psychologists, MFTs, LCSWs, MDs, RNs and support staff, as well as health care providers at the main medical center, Emergency Department and downtown offices. We offer a full range of services for adults and adolescents struggling with substance use problems, as well as co-occurring psychiatric disorders, and also offer support for family members and loved ones.
SRF AMRS is a full-spectrum addiction medicine program, providing outpatient (individual and/or group) treatment for adults and adolescents at various motivational levels and stages of recovery, and for their loved ones. We offer:
- CD Education Classes
- Continuing Recovery Groups
- Dual Diagnosis Group
- Early Intervention Adolescent Group
- Early Recovery Groups
- Family Treatment Group
- Harm Reduction (“Exploring Change”) Group
- Long-term Recovery Group
- Medication (Suboxone) Group
- Senior Recovery Group
- Women’s Recovery Group
Our postdoctoral resident is part of a larger cohort of five postdoctoral residents within the Department of Mental Health in San Rafael, with a total of nineteen postdoctoral residents making up the Kaiser Permanente North Bay Consortium.
The postdoctoral resident at SRF AMRS will receive two hours of individual supervision, a minimum of two hours of group supervision (adult or family, psychological assessment, and/or program evaluation), and weekly training seminars (at our satellite clinic in Petaluma with the NBC cohort). They will also participate in multidisciplinary team meetings and case conferences (in SRF), and attend four-hour regional trainings at regular intervals (in Oakland) along with residents from other KP Northern California Medical Centers.
In addition to supervision and didactics, a postdoctoral residency year at SRF AMRS may include:
- Several recovery groups and/or classes per week
- Individual return appointments
- Two four-hour on-call shifts per week when new patients are seen for intake
- Weekly AMRS team and Mental Health staff meetings
- Time for psychological testing and research
- Time for electronic charting
- Telephone triage
While our training program can be fast-paced and demanding, we offer ongoing consultation and an open door policy to support our residents throughout the year as they encounter a broad range of patients and clinical situations. Our residents’ experience and contributions are highly valued by our team and by the Department of Mental Health as a whole. We encourage you to follow up with one or both of our former residents to learn more about our program and their respective training years.
Psychological Assessment: Postdoctoral residents complete four psychological test batteries during the training year. Batteries typically involve cognitive assessment, personality assessment measures, and projective tests including the Rorschach. We also provide flexible neuropsych batteries. Residents participate in a weekly assessment seminar where they have an opportunity to present their cases and obtain feedback on their test results. Three licensed psychologists with backgrounds in psychological assessment supervise this weekly meeting.
Program Evaluation Project: Postdoctoral residents participate in weekly (to bi-monthly) supervision to improve services within the department. Some of the topics residents have explored include ACT, Binge Eating D/O group treatment, Analysis of Adolescent Hospital Admits and Use of the Brief Addiction Monitor (BAM) in Early Recovery Groups.
Supervision: On a weekly basis, postdoctoral residents receive two hours of individual supervision from two different licensed supervisors. Supervisors are chosen by the training directors based on the resident’s theoretical orientation, interest, and need. An additional hour of group supervision is provided as a case conference which rotates between adult cases and child/family cases. Informal supervision also occurs throughout the year as residents co-lead specialized therapy programs with other licensed psychologists.
Teaching Opportunities: Postdoctoral residents have opportunities to present cases to the Mental Health Department, as well as to their cohort within the North Bay Consortium. In addition, residents may present to local clinics on areas of expertise.
Weekly Educational Seminars: Postdoctoral residents attend weekly educational seminars in Petaluma, CA with the other North Bay residents. Approximately six times per year, they attend an afternoon seminar in Oakland with residents across the region (see NBC Seminar schedule for details).
DESCRIPTION OF BENEFITS
Postdoctoral residents receive full medical and dental benefits. They may add on spouses and dependents free of charge and domestic partners for a small fee. Whenever possible, residents can request reimbursement for mileage. They also receive $3000 toward tuition reimbursement that can be used for classes required for licensure. For more information, please view the Policies and Procedures Manual, accessible through the Kaiser Permanente Postdoctoral Residency website: http://info.kaiserpermanente.org/html/psychtraining/clinical_postdoctoral.html
The start and end dates of the postdoctoral residency training year vary from year to year but typically start after the Labor Day holliday in September. Please use the How to Apply web page link below to learn about the upcoming training year’s start and end dates. The training program requires a commitment of at least forty hours per week for fifty-two weeks (fifty-four weeks for AMRS). The deadline for applications is January 11, 2019 for positions beginning the following September.
The Department of Mental Health at the Kaiser Permanente Medical Center in San Rafael offers five postdoctoral psychology residency positions.
The five positions for the 2019-2020 training year include two positions on the Child Team (one of these positions may have training opportunities on the Eating Disorder Team), two positions on the Adult Team (one position is split with the Eating Disorder Team), and one position on the Addiction Medicine Recovery Services Team.
Qualifications of Candidates: Candidates must complete all requirements for their doctoral degree, including successful defense of dissertation, from a clinical or counseling psychology program no later than August 30, 2019 for the residency program that begins in September of the same year. Candidates must graduate from APA-accredited doctoral programs and complete their doctoral internships at APA-accredited and/or APPIC-member programs. Applicants must also have the unrestricted legal right to work in the United States at the time that they apply. We regret that we cannot accept any applicant who has already completed a postdoctoral training year.
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