Interns participating in a minor rotation through the University of Colorado School of Medicine Department of Psychiatry Consult Service will have exposure to a variety of clinical settings and experiences that align with an interest in health service psychology. The scope of the psychiatry consult service spans all of the inpatient medical services in the University of Colorado Hospital. Licensed psychologists serve as participating members on all organ transplant teams, including liver, kidney, lung, and heart transplant recipients. Additionally, psychologists are designated to the living donor clinic where 100% of all living kidney and liver donor candidates receive psychological assessment and evaluation.
Primary responsibilities occur in the outpatient transplant center where candidates are comprehensively evaluated by the multidisciplinary teams. Additionally, the psychologists receive consultation and evaluation requests for urgent inpatient cases. Psychologists and psychology interns participate as an integral part of multidisciplinary selection committee meetings where they provide consultation on candidates' behavioral health variables and offer recommendations to help patients become more viable candidates. Behavioral health concerns may vary by team although substance use, long-term mismanagement of chronic health conditions, coping deficits, cognitive concerns, and co-morbid psychiatric problems are typical. Psychological assessment of patients often includes comprehensive psychodiagnostic and/or neurocognitive measures. These are utilized to help inform the process referred to as ‘risk stratification’ in transplant, provide more objective data regarding a patient’s candidacy, and to guide treatment recommendations.