WCCHC Behavioral Health Training Programs
Kristy Sakai-Costigan, Psy.D. Director of Psychology Training
WAIANAE COAST COMPREHENSIVE HEALTH CENTER
FQHC on the Leeward Coast of Oahu Integrative medicine is practiced to include primary care, pediatrics, case management, obstetrics, chronic pain management, dentistry, preventive health, 24-hour Emergency Department, Native Hawaiian Healing, and a fully integrated behavioral health program
POPULATION SERVED 7/1/2012-6/30/2013
71% were in the 100% + poverty level 70.56% from Waianae Area
WCCHC #patients WCCHC #encounters Behavioral Health # patients
3,651
Behavioral Health # encounters
28,332
32,453
169,246
POPULATION SERVED: ETHNICITY WCCHC
POPULATION SERVED: INSURANCE
BEHAVIORAL HEALTH DEPARTMENT
Providers: 15 psychologists, 3 psychiatrists, 1 APRN, Medical Receptionists and Assistants
Clinics: Mawaena, Mawaena Kai, Adult Medicine/Emergency Department, Womens Health, Pediatric Clinic, Kapolei, Waipahu, Malama Recovery
BEHAVIORAL HEALTH TRAINING PROGRAMS
WCCHCs Mission
WCCHC is a learning center that offers
health career training to ensure a better future for our community
WCCHC is a healing center that provides
accessible and affordable medical and traditional healing services with aloha
Of our 15 psychologists, 12 from our
program
11 years of training students Internship received APA-Accreditation
August 2013
STUDENT ORIENTATION
Dr. Bradley Welcomes Students at Orientation
Traditional Welcoming with Hawaiian Chanting
LEVELS OF BEHAVIORAL HEALTH TRAINING
Practicum
Diagnostic Practicum (2nd year doctoral students) Intervention Practicum (3rd year doctoral students) Advanced Practicum (4th year doctoral students) 30+ applicants, accept approx. 18
Internship
Interns training before they receive their doctorates APA Accredited APPIC member 130 applicants for 5 slots 2014-2015 Training Year
Current intern Chelsea providing supervision to a first year practicum student
Postdoctoral Fellowship
Postdocs have already graduated/received their doctorates, need to work 1 year before licensed
PSYCHOLOGY INTERNSHIP PROGRAM
Clinical Psychology Internship
Scholar Practitioner Model, w/ focus on generalist training
Critical thinking skills and eval of empirical literature, and integrating this knowledge into
clinical work and continuing scholarly inquiry
Train interns to be consumers of, and possibly
contributors to, psychological research
12 month paid internship Monday-Friday 40 hours weekly 2,000 hours
2012-2013 Interns
PROGRAM GOALS
Assessment/Diagnosis
Intervention
Consultation Scholarly Inquiry Supervision and Teaching Professional Development, Ethical
Awareness
and Appropriate Use of Supervision
Cultural Diversity
REQUIRED ROTATIONS: YEAR LONG ROTATIONS
At Mawaena Clinic
Current Interns
Adult Outpatient Rotation
Supervisor Dr. Chad Taylor and current intern Marita
Child and Family Rotation
2010-2011 Intern Julia on rotation with Dr. Kang
REQUIRED ROTATIONS: 6-MONTH ROTATIONS
Research and Program Development
Research Focus groups Poster presentation Grant writing Presentations to staff
Assessment
Interns Michelle Fukumoto and Larissa Cordeira presenting their poster at the Biomedical Sciences and Health Disparities Symposium at the University of Hawaii
3 Full Batteries 3 Partial Batteries
ADDITIONAL ROTATIONS: - 1 DAY THROUGHOUT YEAR
Crisis Intervention and Outpatient Mental Health
Intern Lauren Consulting with Dr. Bradley in the Adult Medical and Pharmacy Building
ADDITIONAL ROTATIONS: - 1 DAY THROUGHOUT YEAR
Womens Health and Pediatric Rotations
2010-2011 Intern Julia Consulting with Dr. Liao
ADDITIONAL ROTATIONS: - 1 DAY THROUGHOUT YEAR
Kapolei Health Care Center Rotation
ROTATIONS THAT MAY BE AVAILABLE IN THE FUTURE
Biological Bases of Severe Psychopathology Rotation
2008-2009 Intern Sherry
2010-2011 Interns with supervisor Dr. Myhre
Waipahu Clinic Rotation
IF THE ONLY TOOL YOU HAVE IS A HAMMER, YOU TEND TO APPROACH EVERY PROBLEM AS A NAIL. ABRAHAM MASLOW
Minimum 2 hours a week didactics in various
psychology topics
1.5 hours of psychopharmacology
and biological bases of mental illness
1 hour biweekly Supervision of Supervision 1 hour individual supervision per clinical day
1 hour of group supervision on Fridays
Dr. Kyle Chang, 2011-2012 Interns, and Cournty East APRN attending at a didactic at WCCHC
EVALUATIONS OF INTERNS
Supervisor Evaluation
Baseline, Mid-Year, End-of-Year Case Formulations Mid-Year and End-Year Intern Competency Evaluation 3 case conferences, 6 assessments
Interns Kainoa Kaneakua & Mestisa Gass presenting to students/faculty
Interns collaborating with 3rd year medical students to formulate a complex case in practice for their Case Formulations
GRADUATION: DEPARTMENT AND WCCHC
2012-2013 Interns at Behavioral Health Retreat
2008-2009 Interns at Behavioral Health Retreat
2011-2012 Interns at WCCHC Graduation
POST-INTERNSHIP SATISFACTION SURVEYS FROM 2007-2013
NUMBER OF STUDENTS = 21; ALL ITEMS RATED ON A 5 POINT SCALE : 1=STRONGLY DISAGREE, 2=DISAGREE, 3=NEUTRAL, 4= AGREE, 5=STRONGLY AGREE
Intern Evaluation
Didactic Rating Forms Mid-Year Overall Evaluation of Internship Experience Form Intern Evaluation of Rotational Experience Form End-of-Year Overall Internship Experience Form Former Intern Survey (1 yr, 3 yrs)
APA-ACCREDITATION: WHAT DOES IT MEAN
Public awareness that we meet nationally endorsed
standard for the profession
Publically confirms the high standard and quality
work provided
Increase the quality of applicants
More employment opportunities for our interns Reduce the deficit in APA sites Increases opportunities for grant application
Dr. Sakai and Dr. Myhre with 2012-2013 Interns
STEPS TO BECOMING AN ACCREDITED INTERNSHIP: APPLICATION
Application
Complete a Self-Study
Eligibility; program philosophy, objectives, and
training plan; program resources; cultural and individual differences and diversity; intern-staff relations; program self-assessment and quality enhancement; public disclosure; relationship with accrediting body
Applied for and received a $20,000 grant
from APA
Accreditation Specialist Review and decisions from Commission on
Accreditation (defer, authorize, deny)
STEPS TO BECOMING AN ACCREDITED INTERNSHIP: SITE VISIT
Site Visit Preparation
Presentations for everyone who may participate Preparation of all items that site visitors would like to review Preparing the clinics Arranging tours of each clinic
Answering site visitor questions
Arranging enjoyable experience for site visitors Preparing the health center
Day of Site Visit (2-full days)
1 staff person to help with tours
1 staff as timekeeper to ensure everyone ready Interviews (supervisors, directors, interns, admin, DOT)
Site visitor feedback
STEPS TO BECOMING AN ACCREDITED INTERNSHIP: THE DECISION!!!
Site visitors submit report
to CoA
Respond to the report Review and decision from
CoA
Accreditation!!
3-years, 5-years, or 7-years
Periodic Review
RESOURCES
APA Office of Program Consultation and Accreditation: http://www.apa.org/ed/accreditation/index.aspx APPIC Training Director Resources: http://www.appic.org/Training-Resources/For-Training-Directors Accreditation resources Internship development toolkit
Sample self-studies
Sample evaluation and application forms APA Competency Benchmarks: www.apa.org/education/grad/competency-benchmarks.pdf Guidelines on Multicultural Education, Training, Research, Practice, and Organizational Change for Psychologists-
American Psychological Association: http://www.apa.org/pi/oema/resources/policy/multicultural-guidelines.aspx
Questions related to the programs accredited status should be directed to the Commission on Accreditation. Contact the CoA at Office of Program Consultation and Accreditation, American Psychological Association, 750 1st Street, NE, Washington, DC 20002; Phone: (202) 336-5979; E-mail:
[email protected]; Web: www.apa.org/ed/accreditation.
STUDENTS WORK SETTING FROM 2007-2013
Total = 24 former interns in clinical practice
29% Private Practice
54% Community Mental Health
Community Mental Health Private Practice School Hospital
THANK YOU FROM WCCHC BEHAVIORAL HEALTH!!
