VA Puget Sound Health Care System, American Lake Division Clinical Psychology Postdoctoral Residency 2016 - 2017 VA PugCeot mSomuunndi,t yA mLiveirnicga Cne Lnatkeer TABLE OF CONTENTS Training Committee 3 About VA Puget Sound 4 About the American Lake Division 5 The Training Program 6 The Training Year 9 Administrative Policies and Procedures 13 Northwest Living 14 Application Procedures 16 Training Tracks Geropsychology 18 Neuropsychology 22 Interprofesssional Care of Chronic Pain and Disease 26 PTSD in Outpatient and Residential Treatment 30 2 3 TRAINING COMMITTEE Patrick D. Sylvers, Ph.D. Janna L. Fikkan, PhD Chair, Psychology Training Committee Vice Chair, Psychology Training Committee Director, Psychology Training Associate Director, Psychology Training Scott Hunt, Ph.D. Noelle Balliett, Ph.D. Vice Chair, Research Training Vice Chair, Education Zeba Ahmad, PhD Mary Catherine Kane, PhD Vice Chair, Diversity Training Vice Chair, Interprofessional Training Margaret Schwartz Moravec, PhD Brett Parmenter, PhD, ABPP Vice Chair, Supervision Training Vice Chair, Assessment Training Kristen Perry, PhD Natalie Dong, PhD, ABPP Lecture Series Coordination Acting Psychology Chief Entrance, American Lake Division 4 ABOUT THE VA PUGET SOUND HEALTH CARE SYSTEM Overview With a reputation for excellence in caring for of our Nation’s Veterans, VA Puget Sound strives to lead the nation in terms of quality, efficiency and public service. As the primary referral site for VA's northwest region, VA Puget Sound provides care for Veteran populations encompassing Alaska, Washington, Idaho and Oregon. Since its inception, VA Puget Sound Health Care System has distinguished itself as a leader in teaching, research and patient care while earning prestigious recognition as part of the largest health care network in the country. We consider it our privilege to serve the health care needs of more than 80,000 Veterans living in the Pacific Northwest. In addition to two divisions located at American Lake and Seattle, VA Puget Sound offers services at community-based outpatient clinics. They are located in Bellevue, Bremerton, Federal Way, Mount Vernon, North Seattle, Port Angeles, and South Sound (Chehalis). VA Puget Sound is affiliated with the University of Washington, School of Medicine, in Seattle, WA. Mission Honor America’s Veterans by providing exceptional and innovative care that improves their health and quality of life. Vision The Veterans Health Administration will continue to be the benchmark of excellence and value in health care. Our Mental Health Service strives to provide services reflective of the latest technologies in patient-centered and evidence-based care. We provide this care in engaged, interprofessional teams who support learning, discovery and continuous quality improvement. Our efforts also emphasize prevention and population health and contribute to the Nation’s well-being through education, research and service in national emergencies. Core Values Compassion, Commitment, Excellence, Professionalism, Integrity, Accountability, Stewardship More information on the VA Puget Sound Health Care System can be found at: http://www.pugetsound.va.gov 5 ABOUT THE AMERICAN LAKE DIVISION The VA Puget Sound Health Care System (VAPSHCS) is comprised of two divisions (American Lake and Seattle), each with its own Psychology Training Program. The American Lake Division of VAPSHCS is located in Lakewood, a major suburb of Tacoma, Washington. Nestled along 1.8 miles of the beautiful American Lake shoreline with Mt. Rainier standing to the East, this Division enjoys one of the most beautiful settings in the VA system. The 378 acres of medical center grounds include 110 acres of natural habitat, 8 acres of lawns, and a 55-acre golf course. Medical Center Grounds The American Lake campus was founded in 1923 as the 94th Veterans Hospital built by the War Department for the provision of care to World War I Veterans. The Secretary of the Army authorized, under a revocable license, the Veteran Bureau's use of 377 acres of the 87,000 acre Fort Lewis Army Base property. The planning committee chose a site on the western shores of American Lake and aspired to build a facility that was both functional and aesthetically pleasing. They chose a Spanish-American architectural style reminiscent of the United States early military structures, such as the Alamo. Many of the stucco and terra cotta buildings are listed on the National Register of Historical Buildings, and are still enjoyed by both patients and staff for their beauty. The medical center was dedicated in 1924 and chartered with a single mission— neuropsychiatric treatment. On March 15, 1924, the first 50 patients were admitted to the hospital, by transfer, from Western State Hospital at Fort Steilacoom. Over the years, American Lake has grown from its original mission to a national leader in integrated health care. Psychologists, physicians, social workers, nurses and ARNPs, dentists, rehabilitative medicine, physician assistants, and auxiliary staff make up the approximately 800 individuals employed at this campus. American Lake's Psychology Training Program has been training pre-doctoral psychology interns since the 1950s. The postdoctoral residency in clinical psychology began in 2014. Club House, Veterans Golf Course 6 THE TRAINING PROGRAM Accreditation Status The Postdoctoral Residency in Clinical Psychology at American Lake is in its initial training years and intends to seek accreditation by the Committee on Accreditation of the American Psychological Association. Questions related to APA accreditation should be directed to the Committee on Accreditation: Office of Program Consultation and Accreditation American Psychological Association 750 1st Street, NE Washington, DC 20002 Phone: (202) 336-5979 Email: [email protected] Web: http://www.apa.org/ed/accreditation Overview The Postdoctoral Residency in Clinical Psychology at American Lake provides intensive clinical, administrative, and research training. We view psychology as a leadership profession that drives innovations in clinical care and mental health research. Our training program is open to graduates of APA-Accredited Doctoral Programs who have also completed an APA-Accredited Internship Program or any VA internship training program that has applied for APA accreditation. We currently offer 4 training tracks: Geropsychology (2 positions), Primary Care/Pain Psychology (1 position), and Posttraumatic Stress Disorder (1 position) are all 1 year residences; our Neuropsychology track is 2 years with 2 positions (1 accepted each year). Residents are accorded initial responsibilities commensurate with their skill level at the beginning of the training year. During the training cycle, they can anticipate being challenged to enhance their skills, learn new techniques, and assume greater responsibilities. By the end of each training year, residents are expected to function as full contributing members of the clinical team and be prepared for independent practice. This "hands-on" experience forms the foundation for professional training offered at this facility. Psychology Setting The Psychology Service at the VA Puget Sound Health Care System is comprised of over 100 psychologists, 46 of whom are assigned to the American Lake Division. American Lake’s Psychology Service, under the leadership of Dr. Natalie Dong, Acting Chief of Psychology, is primarily affiliated with the larger Mental Health Service Line, though consists of additional staff that cut across service lines (e.g., Addictions; Geriatrics and Extended Care; General Medicine Service; Rehabilitation Medicine; and Primary Care). 7 Training Model and Program Philosophy The postdoctoral residency at American Lake is based upon the Scientist-Practitioner model. We subscribe to the belief that psychologists pursuing a career in clinical work should implement empirically-based practices and be discriminating consumers of the treatment literature, and that those who engage in research should understand the complexities of clinical work when designing and implementing their studies. Accordingly, while clinical care is the primary focus of the training year, residents are encouraged to participate in research and program evaluation activities to complement this training. Program Goals and Objectives The Postdoctoral Residency in Clinical Psychology has three overarching goals: 1. Residents will develop the full range of skills required for independent functioning as a clinical psychologist in their respective specialty area. 2. Residents will receive the advanced training necessary to serve as a leader in their respective specialty area. 3. Residents will engage in the necessary training experiences while a resident to be eligible to sit for ABPP specialty certification in their respective specialty area, if applicable. Competencies are defined by the general advanced competence domains identified by the American Psychological Association and can be categorized in three areas: core competencies, competencies specific to the clinical psychology residency program (program specific), and those specific to each specialty track (track specific). Residents are expected to demonstrate, by the end of the year, competence in the following areas: Core Competencies: Integration of Science and Practice: Resident must demonstrate ability to consult the scientific literature to inform treatment/assessment decisions and case conceptualization. Resident is aware of the psychometric properties of measures used as well as their strengths and limitations and is able to identify the strengths and limitations of the corresponding scientific knowledgebase. She/he consistently uses the scientific method to inform therapy and assessment. Sensitivity to Individual and Cultural Diversity: Residents must demonstrate an awareness of and sensitivity to individual and cultural differences, (e.g., age, disability, ethnicity, gender, gender identity, language, national origin, race, religion, culture, sexual orientation, or social economic status), especially as those differences inform the interpretation of assessment results and therapy approach. Resident must demonstrate awareness and sensitivity in working professionally with diverse individuals, groups, and communities. He/she must have an awareness of when to seek consultation about these matters. Ethical and Legal Awareness and Conduct: Resident must be knowledgeable of ethical and legal issues and must recognize and act appropriately when these issues arise, showing good professional judgment. As such, he/she should be intimately familiar with the American Psychological Association’s code of ethics, State of Washington law, and VA ethical standards by the end of the training year. She/he must have an awareness of when to seek consultation about these matters. 8 Program Specific Competencies: Intervention Skills: Residents must demonstrate ability to conduct intake evaluations that lead to well- developed diagnoses and appropriate treatment plans, as well as demonstrate strong rapport building skills and an awareness of patients’ frames of reference. Resident must demonstrate ability to effectively deliver a variety of interventions tailored to meet the individual needs of a particular client, as well as demonstrate awareness of the therapy process and how to respond to this awareness (e.g., transference/countertransference issues). Resident understands theoretical basis for empirically supported treatments that are implemented. Assessment Skills: Resident demonstrates the ability to independently administer and interpret tests of cognitive performance and objective personality measures and to select, administer, and interpret other tests in resident’s area of practice that are clinically indicated. Resident is able to perform clinical interviews and to organize and consolidate information in a meaningful way to address referral questions. Resident administers, scores, and writes reports in a timely manner and consistently demonstrates skill in conducting feedback interviews and explaining results and recommendations to clients. Professional Relationships and Communication: Resident addresses colleagues, staff, patients, and family members respectfully and courteously. Consistently demonstrates an understanding of own emotional reactions and uses them constructively. Consistently demonstrates positive coping strategies with personality and professional challenges such that professional functioning and quality patient care is maintained. Resident seeks out consultation when needed and accepts responsibility for own actions across settings and contexts. Teaching and Education: Resident demonstrates knowledge of theories of learning and incorporates those theories into teaching strategies. Demonstrates clear communication skills. Demonstrates accommodation of teaching methodologies to individual differences in audience. Understands how to evaluate teaching practices and incorporates feedback to modify current and future teaching strategies. Please note that track-specific competencies can be found under the descriptions of training tracks. 9 THE TRAINING YEAR Program Structure The postdoctoral residency begins in September every year. The dates for the 2015-2016 training year are September 6, 2016 to September 1, 2017. Specific track information is listed following the general program description. Seminars and Educational Offerings Education is an integral part of the training year, with a variety of available opportunities. Psychology residents play an important role in shaping these didactic and other educational experiences by completing evaluation forms and participating in periodic reviews with the Training Director(s). Core Postdoctoral Residency Seminars: Postdoctoral Seminar Series: All psychology residents will participate in monthly didactic seminars pertaining to development of competencies as a professional, independent clinical psychologist. These seminars will be facilitated by Drs. Sylvers and Fikkan (Training Directors) and cover topics including ethical practice, preparation for EPPP and licensure applications, ABPP certification, among others. Specialty Track Seminar Series: Residents will attend weekly seminars in their specialty track. These seminars will be provided by track faculty along with other invited guest speakers, and include a range of topics germane to the specialty track (please see specific track information for details). Interprofessional Didactic Series: The Interprofessional Didactic Series is a monthly training in collaboration with the VA Seattle and Boise Divisions. These trainings focus on issues related to providing patient-centered care and learning to work seamlessly with providers from other professions, such as psychiatry, nursing, social work, and occupational therapy. These seminars are coordinated by Dr. Mary Catherine Kane. This is a required training activity. Geriatric Research, Education, and Clinical Center Seminar Series: The GRECC Seminar Series is a monthly continuing education program for the psychology faculty and trainees at the American Lake Division. Topics and presenters are quite varied although the primary focus is memory disorders. Presenters are drawn from within the VA, nearby educational and governmental institutions. This is an optional training activity. Steven C. Risse Memorial Lecture Series: The Risse Lecture is an annual seminar series co-sponsored by the psychology training program at American Lake and the Risse endowment. This series provides half- and full-day trainings on a variety of mental health topics relevant to VA providers. This is a required training activity. UW Psychiatry Grand Rounds: Grand Rounds is a Department of Psychiatry & Behavioral Sciences Continuing Medical Education program, which consists of a series of educational lectures. Speakers at the Grand Rounds include both Department faculty and speakers from other institutions around the country. This is an optional training activity based on relevance to resident’s interest. Madigan Professional Development Series: The American Lake Division enjoys a strong training relationship with Madigan Army Medical Center, located at nearby Joint Base Lewis-McCord. American Lake interns are regularly invited to join active duty Army psychology interns and residents for a number 10