The primary goal of this rotation is to expose trainees to working in the multidisciplinary primary care environment. Interns will learn to be effective clinicians, collaborators, and consultants within that setting. Training includes immersion in the world of healthcare policy and organizational and systems-level considerations in providing integrated primary care. There is an emphasis on special considerations working with Latino, underserved/disadvantaged, and rural populations.
Interns will engage in the provision of primary care psychology services in collaboration with physicians, nurse practitioners, physician assistants, other behavioral health providers, care managers, and health educators. These services will include:
- Psychosocial Screenings: Provided universally to patients of all ages, aimed at identifying and addressing various psychiatric and psychosocial needs.
- Consultation: Consultation services as requested by medical providers, including, but not limited to, providing differential diagnosis, supportive counseling, crisis intervention and safety planning, referrals, and resources.
- Follow-up during Medical Visits: Appropriate follow-up care provided to identified patients including, but not limited to, psychoeducation, skills building, other brief interventions, motivational interviewing, self-management skills, and solution-focused therapy.
- Psychotherapy: Brief individual, family, group psychotherapy; approx 3-5 patients per week.
- Formal Psychological Assessment: Provided as requested by patient and/or treating care team, including cognitive, personality, ADHD, and neuropsychological screenings, for children and adults, in English and in Spanish.
Interns will master a primary care psychology curriculum through:
- Direct patient care
- Selected readings
- Participation in site-specific monthly didactics/case conference with other members of the psychology training program including Tuesday mornings
- Weekly individual supervision
- Supervised participation on a primary care team, including a minor rotation at the AF Williams Family Medicine Center
Salud utilizes a biopsychosocial model of treatment for patients. Supervisors are well-versed in evidence-based approaches in primary care and traditional mental health settings. Therapy at Salud is brief. Interns can expect to gain exposure to and expertise in behavioral therapy, cognitive-behavioral therapy, relational, solution-focused and health behavior change approaches.
Interns will receive a minimum of 2 hours of supervision per week. Interns receive supervision for all aspects of treatment and assessment activities, including the potential for bilingual supervision and discussion of issues unique to bilingual trainees.
Katrin Seifert, Psy.D. (Clinical Psychology, University of Denver, 2010). Director of Integrated Services and Psychology Training, Salud. Areas of expertise include primary care psychology, adolescent psychotherapy, complex trauma, and psychological assessment. Theoretical approach is integrative with a strong foundation in attachment theory, object relations, self psychology, and trauma theory. Recent foci include clinical supervision as well as administration/leadership/management concerns and healthcare policy.
Jonathan Muther, Ph.D. (Counseling Psychology, University of Denver, 2011). Associate Psychology Training Director, Salud. Primary area of interest is working with the Spanish-speaking population providing clinical interventions and assessment. Additional areas of research and clinical interest include integrated primary care psychology, provision of supervision, training bilingual supervisees, child/adolescent therapy, and acculturation discrepancies within Latina/o families. Theoretical approach is integrative, involving a predominantly Cognitive-Behavioral perspective, with consideration of the common factors for therapeutic change.
Given Salud’s population, it is required that interns are either fluent or proficient in Spanish (required for major rotation; preferred for minor rotation).