West Bay Consortium
Two Open Houses for prospective applicants to the consortium will be held at San Bruno on consecutive Thursdays, February 14th and 21st, 2013, from 10am to 12pm.
Location: Chemical Dependency Services, 1001 Sneath Lane, Suite 204, San Bruno, CA 94066. For more information, please contact Dr. Ori Kochavi for details (see below for contact information).
POSTDOCTORAL RESIDENCIES IN CLINICAL PSYCHOLOGY
The West Bay Consortium is an APPIC-member psychology postdoctoral residency program that is well-integrated into the Kaiser Permanente health care system. The consortium is situated in the central San Francisco Bay region, which encompasses the cultural and geographic heart of the Bay Area. The consortial training sites are located in the cities of San Francisco, South San Francisco and Redwood City.
The Departments of Psychiatry at each training site provide psychotherapy, psychological testing, and psycho-educational programs. Each department includes an Intensive Outpatient Program (IOP) that provides services to recently hospitalized individuals, or individuals at risk for psychiatric hospitalization. Certain sites in the consortium include Chemical Dependency Recovery Programs (CDRP) which offer intensive chemical dependency services. One site provides services for those patients with chronic pain/behavioral health concerns. Certain departments offer Neuropsychological assessment services. Each site offers many different treatment groups, for focus areas including Depression, Anxiety, and Dialectic Behavioral Therapy (DBT).
The West 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. Seven postdoctoral residents are required to complete 40 hours per week of supervised training over a 12-month period. In addition to the required two hours of individual supervision weekly by licensed psychologists, the residents also participate in two or more hours of group supervision, case conference, and/or team meetings and a two-hour weekly seminar. In addition, residents are encouraged to attend departmental grand rounds and seminars, and have opportunities to teach and to gain experience conducting supervision.
Residents from each of the sites attend weekly seminars in San Francisco. Residents also attend regular half-day Kaiser Permanente Northern California Mental Health Training Programs' regional seminars. The first seminar focuses on ethics and the law. This ensures all postdoctoral residents have a sound working knowledge of APA's Code of Ethics and California laws. Other examples of seminar topics include diversity and chemical dependency. These seminars provide opportunities for residents to develop professional relationships with a large community of psychologists that can help orient the post-doctoral fellow to his or her career as a professional psychologist. A core feature of our training program is supporting and mentoring new professionals in their transition from internship through licensure.
Kaiser Permanente is committed to develop and employ evidence-based treatments for patients seeking mental health services. Departments throughout the region send specialists to develop Best Practice guidelines based on the most current research for major psychological disorders. The Best Practices literature is made available to all residents and is considered part of the overall curriculum of the residency program.
THE WEST BAY
The West Bay Consortium training sites encompass the cultural heart of the Bay Area, including San Francisco and the “Peninsula”. The Bay Bridge and the BART transit system connect the urban areas on the west and east sides of San Francisco Bay. The area is geographically positioned for its residents to have easy access to the ocean, to the west, and the wine country, to the north. In addition, the Sierra Nevada mountains are within only a three-hour drive, to the east.
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.
LOCATIONS AND SERVICES
The Departments of Psychiatry, Chronic Pain, and Chemical Dependency provide individual, group, 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. This department also provides an Intensive Outpatient Program (IOP) that serves patients in crisis 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 (from children to elders) and a variety of diagnostic specific groups such as Dialectic Behavioral Therapy, Mindful Mood Management and Job Stress. In their provision of mental health services, members of the staff employ a variety of theoretical orientations ranging from psychodynamic to cognitive behavioral to brief systemic therapies.
Redwood City Department of Psychiatry
DEPARTMENT OF PSYCHIATRY
KAISER PERMANENTE, REDWOOD CITY
1400 VETERANS BLVD
REDWOOD CITY, CA 94063 Interim Director of Training: Weiling Liu, Ph.D. 650-299-4743
The Redwood City training site lies on the peninsula approximately 25 miles south of San Francisco, on the northern edge of Silicon Valley. Redwood City has a mild climate, moderated by the effects of the San Francisco Bay on the east and the Pacific Ocean just over the coastal range to the west.
The Redwood City training site offers 2 full-time postdoctoral residency positions each year. Residents train in the department of Psychiatry. The catchment area for Kaiser-Redwood City includes virtually all ethnic groups. A large number of Latinos are served by the Redwood City Department of Psychiatry through the Clinica Latina. In addition, there are staff members who speak French, Farsi, Signing Exact English and the Chinese dialects of Mandarin, Cantonese and Taishanese. With the addition of The San Mateo County Partnership, our clientele also includes people who qualify for Medi-Cal.
In their service provision, staff members employ a variety of theoretical orientations, but their emphasis is on brief interventions using primarily cognitive and behavioral methods. Redwood City is Kaiser's Neurosurgery Center for Northern California and it offers residents opportunities to treat individuals who have psychiatric disorders in combination with neurological disorders. The Kaiser-Redwood City Department of Psychiatry is large, consisting of 25 psychologists with Ph.D.’s or Psy.D’s, 4 MFT’s, 10 psychiatrists, 11 LCSW’s, 4 advice nurses, 2 nurse practitioners and 1 psychological assistant.
San Francisco Department of Psychiatry
DEPARTMENT OF PSYCHIATRY
KAISER PERMANENTE, SAN FRANCISCO
4141 GEARY BLVD, 3RD FLOOR
SAN FRANCISCO, CA 94118
Director of Training: Bruce Nemirow, Ph.D.
The Department of Psychiatry at Kaiser San Francisco is situated in a large and very diverse urban environment. The area is geographically positioned for easy drives to the greater Bay Area including urban areas of San Jose and the East Bay Communities of Berkeley and Oakland. The ocean is within a 15 minute drive and the Sierra Nevada Mountains are a three hour’s drive away.
The San Francisco training site offers 2 full-time postdoctoral residency positions each year. Residents train in the Department of Psychiatry. The professional staff consists of full and part-time staff. In addition to the mental health trainees, including postdoctoral residents, ASWs and MFTIs, there are 18 licensed psychologists, 23 licensed psychiatric social workers, 8 licensed marriage and family therapists, 2 case managers, 19 physicians, 1 nurse practitioner, 5 registered nurses, 1 pharmacist and 2 neuropsychology testing technicians.
The Department of Psychiatry provides individual, family and group psychotherapy with children, adolescents and adults. We also provide neuropsychological and psychological testing. We offer various psycho-educational programs and we run approximately 50 different psychotherapy groups. The department also includes an Intensive Outpatient Program (IOP) that provides services to recently hospitalized individuals or people who would otherwise be at risk for hospitalization.
In their provision of mental health services, staff members employ a variety of theoretical orientations ranging from psychodynamic to cognitive behavioral therapy. The basic training philosophy adopted by this department stresses a commitment to a continuous reassessment, modification, and enrichment of counseling techniques. Residents are exposed to a unique and diverse training environment. There is a clear emphasis on the role of the psychologist in a multi-cultural community and outpatient setting. Residents are encouraged to become familiar with the demographic composition of the community in which our clients reside.
San Francisco Department of Chronic Pain Management
CHRONIC PAIN MANAGEMENT CENTER
KAISER PERMANENTE, SAN FRANCISCO
4141 GEARY BLVD, SUITE 212
SAN FRANCISCO, CA 94118
Director of Training: Sloan Norman, Ph.D.
The San Francisco Chronic Pain Management Center is appropriate for all adult patients with benign physical pain for whom medical and diagnostic interventions have been unsuccessful. The Chronic Pain Department is staffed by a multidisciplinary team of 19 service providers, including 2 physicians, 2 nurses, 6 psychologists, 1 social worker, 2 physical therapists, 4 acupuncturists, 1 pharmacist and 1 postdoctoral resident, along with many case managers and support staff. Chronic pain is a difficult and complex problem for which, in many cases, no one discipline has an adequate answer. A multidisciplinary approach which combines the unique contributions of health psychology, medicine, physical therapy and other interventions has been proven to be very effective treatment for most people.
Services within the Chronic Pain Department fall into four main categories – evaluation, medical intervention, behavioral and psychological therapies, and physical reconditioning.
- Evaluation: All patients complete a multidisciplinary evaluation by a physician, a physical therapist, and a health psychologist to determine their individual needs.
- Medical Intervention: Our physicians are trained and practiced in state-of-the-art medical therapy for chronic pain.
- Behavioral and Psychological Therapies: Our behavioral team provides powerful tools to enable patients to manage pain and improve quality of life. The program offers several different treatment groups, at varying levels of intensity, as well as individual and family counseling, biofeedback, and an ongoing program for follow-up and support.
- Physical Reconditioning: Using both traditional and non-traditional approaches, physical therapists help chronic pain patients to regain ease of movement, strength, flexibility, coordination, and balance.
Kaiser San Francisco Chronic Pain Department has been involved in postdoctoral training since 1995. We offer 1 full-time postdoctoral residency position. Postdoctoral residents participate fully in staff meetings and patient rounds and are involved in many of the department’s work teams and committees.
South San Francisco Department of Psychiatry
DEPARTMENT OF PSYCHIATRY
KAISER PERMANENTE, SOUTH SAN FRANCISCO
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA. 94080
Director of Training: Ori Kochavi, Ph.D.
The South San Francisco site is situated in a broad valley formed by the San Bruno Mountains to the north and the Coast Range to the west. Most of the valley is adjacent to San Francisco Bay, affording sweeping vistas from the higher elevations of the city. South San Francisco experiences generally mild winters and dry cool summers. The hills to the west shield the city from much of the fog that prevails in neighboring areas.
We offer 2 postdoctoral residency positions. One position is based in Chemical Dependency Services. The other position is based on the Child and Family team.
The ethnic diversity of these counties is also fairly broad, and includes Caucasians, African-Americans, Latinos, and Asians. Our clients also include monolingual families who speak languages such as Chinese, Spanish and Tagalog. The Psychiatry Department includes 57 mental health professionals. The Adult Services team consists of 4 PhDs, 6 PsyDs, 6 MDs, 1 DO, 10 LCSWs, 1 MSW, 1 MFT and 2 RNNPs. Chemical Dependency Services consists of : 4 PhDs, 3 LCSWs, 1 MD, and 1 postdoctoral resident. The Child and Family team consists of 1 B.A.(pre-MSW intern), 1 M.A. (MFT intern), 1 psychology postdoctoral resident, 4 PsyDs, 1 PhD, 4 LCSWs, 1 MFT, 2 MDs, and 1 psychiatry medical resident.
The Child and Family team provides individual, group, and family therapy for children and adolescents, psychological testing, psychotherapy groups, psychoeducational programs, and the Parent Project®. The department also provides an Intensive Outpatient Program to teens just released from psychiatric hospitals. The Chemical Dependency Services team provides pre-recovery, early recovery, continuing recovery, and aftercare for teens as well as adults. Staff members in the Department of Psychiatry employ a variety of theoretical orientations ranging from psychodynamic to cognitive behavioral therapy.
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 within KPMC in the 1960’s. During the last eighteen years, under the leadership of Robin Dea, M.D., there has been a major movement to regionalize and standardize the mental health delivery system. During this time it 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 send 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.
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 West Bay Consortium emerged in 2008. It was formerly part of the Central Bay Consortium. The consortium system, now totaling 7, restructured the larger regional Bay Area postdoctoral training program into sub-regional groups of medical centers that localize training and provide integrated and comprehensive training cohorts. One training director oversees the quality assurance of training at each consortium and site directors manage the specific training programs within their departments.
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 West 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 West 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 training director and the consortium is led by a consortium director. Additional administrative guidance is provided by the Northern California Director of Training.
Each site training director develops their residents' schedules which include supervision from the primary and delegated supervisors, group supervision for psych assessment, case conferences and on-site staff meetings. Site training directors assign residents to department programs/groups that meet the residents’ particular interests and training goals. Site training directors are responsible for data collection/documentation and record-keeping of trainees in their programs, as well as program design, development and evaluation. Site training directors meet with supervisors once a week to discuss residents, program coordination, disseminate information, etc.
The site training directors and the consortium training director confer with the Northern California Director of Training on a regular 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 the Board of Psychology, APPIC, and APA standards.
THE TRAINING PROGRAM
Our training philosophy is to foster clinical competence and professional identity through the mastery of basic and specialized skills. Our departments stress 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 practicing in a multi-cultural community, in an outpatient setting that is integrated with the medical center in providing quality health care to its members. Residents are 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.
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.
- Regular weekly and regional training seminars.
GOALS, OBJECTIVES AND COMPETENCIES
The training directors and primary supervisors are responsible for completing the resident’s Competencies Evaluations 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 opportunities to evaluate this program formally, 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 7 postdoctoral residency positions with possible rotations based on preference on the Adult, Child and Family, Chemical Dependency, Chronic Pain, and/or Behavioral Medicine Teams.
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