Health Psychology Track
The Health Psychology Track emphasizes hospital-based as well as outpatient behavioral health services for patients of all ages. This includes assessment, consultation and intervention for a diverse patient population with psychological issues associated with adjustment to a broad range of medical conditions. The patient population includes those with spinal cord dysfunction, acute and chronic pain, progressive neurological disorders, pulmonary disorders, orthopedic disabilities, traumatic brain injury, organ transplantation, metabolic disorders, burns, cancer and stroke. Interns in this track provide inpatient medical/surgical consultation services across the age span and outpatient services in primary care behavioral medicine and health psychology. A wide variety of opportunities are available.
The primary training method is experiential with conscientious attention to didactic exposure, mentoring, modeling and supervisory/consultative guidance. Clinical experiences are structured in order to achieve a balance between ongoing activities throughout the internship year (e.g., outpatient psychotherapy) and activities that change according to predictable time frames (e.g., 3, 4 or 6 month rotations and elective experiences). All clinical activities are carefully supervised according to the required needs and desires of the individual intern. Special attention is given to training in and provision of evidence-based practice in all training activities. Professional and ethical conduct as well as the highest standards for quality of care are also highly emphasized.
Health psychology track training activities include, but are not limited to, the following:
- Medical-Surgical Consultation Service (12 months)
- Pediatrics (1/2 day for 6 or 12 months)
- Health Psychology Outpatient Service (2 clinical contacts per week)
- Primary Care Behavioral Health -Access Community Health Center (12 months)
- Elective Rotations (1 half day for 12 months)
- Psychiatry Outpatient Clinic (1 half day for 12 months)
- Case consultation with psychology practicum trainees
- Supervision: Individual and group as well as case consultation
- Research elective
- Journal club (monthly)
An intern in the health psychology track can expect 3 hours of individual face-to-face supervision per week. Additional weekly supervision activities may include 1 hour of Outpatient Psychiatry Clinic (individual), 1 hour of case consultation supervision (group), and 1 hour of peer supervision (group).
Inpatient Medical-Surgical Consultation Service.
Interns provide evaluation and consultation to numerous multidisciplinary services throughout the hospital (e.g., neurology, burn unit, orthopedics, trauma, rehabilitation medicine, palliative care, and transplant) serving adult medically ill patients with a range of mental health issues. Typical referral questions relate to anxiety management, depression, adjustment to disability, coping, loss, terminal illness, and mental status. Short-term behavioral interventions are offered as needed although extended follow-up outpatient care may also be provided when appropriate. Interventions are consistent with evidence-based clinical practice for these patients although it is important to appreciate the limits of our knowledge base in this arena. Interns also provide outpatient pre-transplant patient/donor assessments. Patients are ethnically and economically quite diverse.
Primary Care Behavioral Health (PCBH).
Access Community Health Center (ACHC) offers exposure to PCBH via a model which fully integrates the behavioral health professional (called a Behavioral Health Consultant) into the primary care team (medical home). Trainees learn to assess and intervene efficiently in brief patient encounters for a variety of behavioral health and mental health issues. Supervision is dynamic, utilizing shadowing and real-time case review. Interns benefit from close working relationships with 7 staff psychologists, 10 trainees and over 20 medical professionals. Skills developed include real-time communication skills in a medical setting, managing diverse patient presentations, exposure to electronic medical records and databases, population-based care management, psychopharmacology training, and brief intervention skills in a step-wise care model. Interested interns may review -primarycareshrink.com for more on the PCBH model as well as ACHC.
Pediatric Consultation Service.
Interns work with patients from infancy through young adulthood providing evidence-based individual and family intervention as well as consultation to numerous multi-disciplinary teams throughout UW Children’s Hospital (e.g., endocrinology, neurology, orthopedics, trauma, rehabilitation, hematology/oncology, transplant, pulmonary, and cardiology). Typical referral questions relate to behavior and mood management, pain regulation, adjustment to disability, medical treatment non-adherence (e.g., pill swallowing, diabetes care) coping, grief/loss, terminal illness, and mental status. Intervention are provided in the form of individual, family, and group psychotherapy (e.g., CBT, IPT, play therapy). In addition, interns provide psychological evaluations, mental status evaluations, and cognitive screening. Follow-up outpatient treatment is provided when appropriate. Patients served come from diverse ethnic and socioeconomic backgrounds and length of stay varies from brief to prolonged with a number of patients repeatedly returning for hospital-based care.
Outpatient Health Psychology Service.Consult requests are received from specialty medical clinics within the UW Health system. Typical presenting problems include difficulty adjusting to diagnoses, coping with medical conditions, problems with treatment adherence, managing chronic illness, lifestyle changes supporting physical health (e.g., weight loss, smoking cessation), relationship issues with providers, and family or relationship impact of illness or injury. Interns serve as members of the Outpatient Health Psychology Service throughout the training year providing two hours of outpatient psychotherapy per week. Patients are ethnically and socially diverse.
Seminars covering a broad range of topics are offered throughout the training year. In addition, the General Psychology and Health Psychology tracks offer didactic activities specific to each track.
Clinical Science and Consultation: Includes guest speakers, faculty presentations, and presentations by interns on various topics, including research, ethics, diversity issues, and psychopharmacology for nonmedical providers.
Supervision Seminar: This seminar includes didactic material for the first 10 sessions. Interns begin case consultation with a practicum student after this section and this seminar then assumes an experiential group supervision format. Gregory G. Kolden, PhD and Erri Hewitt, PhD
Couple/Family Interventions (10 sessions) Jane Gogan, PhD
Psychotherapy: Basic Skills (8 sessions), Gregory G. Kolden, Ph.D
Interpersonal Psychotherapy (8 sessions) Gregory G. Kolden, Ph.D
Mindfulness-Based Psychotherapy (2 sessions) Andrew Moore, MD
Acceptance and Commitment Therapy (8 sessions) Erin Costanzo, PhD
Pragmatic Psychodynamic Psychotherapy (6 sessions) Gregory G. Kolden, PhD
Overview of Dialectical Behavior Therapy (4 sessions), Erri Hewitt, PhD
Child and Adolescent psychopathology (10 sessions), Greg Rogers, PhD
Track-Specific Didactic Training Activities: Health Psychology
Health Psychology Training Forum: This forum involves faculty and trainee presentations on various health psychology related topics including case presentations, ethics discussions, research, and journal reviews.
Health Psychology Seminar Series: This seminar focuses on clinical issues that are unique to working as a psychologist in a medical setting.