- To educate trainees about the psychological and medical functioning of patients who are cared for in primary care settings
- To teach trainees how to conduct health and behavior evaluations within a primary care medical center
- To teach trainees how to collaborate within a multidisciplinary team
- To teach collaborative care approaches in primary care
- To teach psychology interns to provide primary care psychology services to rural, Latino, migrant farm worker, refugee and underserved or disadvantaged populations.
- The psychology trainee will be trained to administer health and behavior evaluations to assess for mental and behavioral health problems
- The psychology trainee will participate in weekly interdisciplinary team meetings that include physicians, nurses, rehabilitation specialists, nutritionists, and psychologists when/if possible
- The psychology trainee will provide mental health screenings and arrange for appropriate follow-up care as needed
- The psychology trainee will attend monthly case conferences and presentations and will provide one formal case conference OR one presentation during the six months of the rotation if possible
- The psychology trainee will be trained to provide differential diagnosis to inform medication management and psychotherapeutic treatment.
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 at least one Tuesday morning per month
- Weekly individual supervision
- Supervised participation on a primary care team, including a minor rotation at the AF Williams Family Medicine Center
Group psychotherapy: Interns will have opportunities to co-facilitate groups consistent with clinic needs and intern interests.
Testing & Assessment: Interns will have opportunities to provide psychological and intellectual functioning testing batteries.
Additional supervision: Interns with a strong interest in either solution-focused therapy or psychodynamic therapy can request additional supervision from behavioral health providers with specific expertise in these areas.
When available, interns will attend a monthly class to learn about various types of brief psychotherapy.
Salud utilizes a biopsychosocial model of treatment for patients with chronic medical illness. We seek to view the patient’s presenting problems by understanding how medical, psychological, and social problems are interconnected and influence one another.
In general, Salud aims to provide brief psychotherapy. The primary clinical approach is solution-focused, although other appropriate approaches can be utilized as needed in consultation with the intern’s supervisor.
The intern will receive supervision for all aspects of treatment and assessment activities.
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).