Depot Hill Integrated Primary Care

This major rotation of the psychology internship program provides interns with opportunities to learn aspects of working as a psychologist in primary care settings. The primary practice site serves patients of all ages, including adults, children, infants, pregnant women and seniors.  The clinic patients are from a variety of ethnic, religious and socio-economic backgrounds and we consider this diversity to be one of our greatest strengths as a training site for multiple health care disciplines. Behavioral health is an integral part of the practice.

As a part of their time with the general integrated care training experience, interns would also spend focused time addressing the needs of the family medicine population that is struggling with opioid use disorder, chronic pain, or is in need of medication assisted treatment. This work may involve delivering evidence-based individual or group treatment to individuals with chronic pain or receiving chronic opioid therapy (COT), participating as a part of an interdisciplinary team member in complex case conferences involving patients receiving COT, or supporting quality improvement or program evaluation efforts to assess the efficacy of these programs.

 

Interns will engage in the provision of primary care psychology services in collaboration with attending psychologists, family physicians, psychiatrists, care managers, psychiatric nurse practitioners, physician assistants, RN’s, MAs, social workers, medical students, residents, graduate psychology students, and pharmacy students. These services may include:

  1. Consultation regarding behavioral health questions and presenting problems 
  2. Consulting with physicians about patient care, mental health and health behavior change
  3. Provision of team based care
  4. Teaching and supporting patient self management skills
  5. Facilitation of health-related support groups
  6. Individual patient assessment and intervention
  7. Health promotion/disease prevention interventions
  8. Psychological screening and assessments
  9. Participation in Psychiatry Addictions Residency Didactics through CeDAR (our inpatient clinic for SUD)

Interns will contribute to the education and training of medical trainees via:

  1. Collaborative care/clinical teaching
  2. Small group teaching
  3. Coaching physicians in techniques of health behavior change
  4. Medical precepting (supervision of psychosocial aspects of medical care)
  5. Hospital rounds

Interns may potentially participate in ongoing research and/or program development in community based medicine with options including:

  1. Serving on grant writing teams
  2. Participation in clinical home visits
  3. Participation in practice based research working groups
  4. Focal study of a selected underserved population

Interns will master a primary care psychology curriculum through:

  1. Direct patient care in the primary care setting
  2. Selected readings
  3. Attending lecture and seminar series
  4. Participation in medical school education activities
  5. Participation in supervision

Our patient population includes insured and underinsured patients from a large variety of ethnic and socio-economic backgrounds.

The rotation supervisors are well versed in evidence-based approaches to interventions in primary care, medical specialty, and traditional mental health settings. Trainees can expect to gain exposure to and expertise in behavioral activation, cognitive behavioral therapy, dialectical behavior therapy, mindfulness-based cognitive therapy, acceptance and commitment therapy, and health behavior change assessment and intervention.

 

Interns will receive a minimum of 4 hours of supervision per week.