ALLIANT INTERNATIONAL UNIVERSITY--CSPP
10455 POMERADO ROAD DALEY HALL, 213
SAN DIEGO, CA 92131
T (858) 635-4743, F (858) 635-4585
AGENCY INFORMATION AND TRAINING PLAN
2016-2017 ACADEMIC YEAR
Agency Name
G2 Practicum
Contact Person
Supervising
Psychologists
Address
Secondary Locations
Phone Number
Email Address
Sharp Mesa Vista Hospital
0
Internship
Through APPIC
G3 Practicum (or G4 / G5
11
match only
elective practicum)
Lynn Northrop, PhD
Title Training Director
Mary Beth Bryan, PsyD (Adult Inpatient – East Wing)
Mary Beth Bryan, PsyD (Intake and Assessment)
Michael Burke, PsyD (Adult ICU and Family Support)
Larkin Hoyt (McDonald Center)
Lynn Northrop, PhD (Senior Behavioral Unit - inpatient)
Dara Schwartz, PsyD (Senior Intensive Outpatient Program)
Kristin Steele, PsyD (Child/Adolescent Inpatient Unit – CAP3)Jen Wojciechowski, PhD and Jen
McWaters, PsyD (Adolescent Partial Hospital Program)
7850 Vista Hill Ave., San Diego, CA 92130
858-836-8394
Lynn.northrop@sharp.com
Fax Number
I. NATURE OF AGENCY
Public
Profit
Other (e.g., church supported)
Private
Non-profit
X
X
General description of the agency, including its purpose, function, and specific programs
Sharp Mesa Vista is 150 bed private, non-profit Psychiatric Hospital. The hospital has six inpatient units and over a
dozen intensive outpatient (IOP) and partial hospitalization (PHP) programs serving children, adolescents, transitionalage youth, adults & seniors. We are proud to have an APA accredited internship program as well as an APPIC
approved postdoctoral fellowship program. In the 2015-16 training year we will have 7 doctoral interns and 2
postdoctoral fellows. We also have opportunities for 11 practicum students (G3 or elective G4/G5).
Clinical Training Placements Include*
1. Adult East Wing Inpatient Programs (2 students)
2. Adult ICU and Family Support (2 students)
3. Adult Residential & IOP Chemical Dependency Treatment at Sharp McDonald Center (1 student)
4. Senior Behavioral Unit (3 students)
5. Senior Intensive Outpatient Program (1 student)
6. Adolescent Partial Hospitalization Program and Dual Recovery IOP (1 student)
7. Child/Adolescent Inpatient Unit (1 student)
*Assessment experience also available under specific circumstances – see details below descriptions of
placements
1. EAST WING ADULT INPATIENT (Dr. Bryan): Dr. Bryan will supervise TWO practicum students. Students
will work on two adult psychiatric units (East Wing I locked unit and East Wing II unlocked unit) and will obtain
clinical experience in the evidence-based treatment of transitional age youth (19-24), adults, and older adults with a
broad range of mood, anxiety, thought, personality, and substance abuse disorders. Practicum students will work on
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each unit for 6 months, where they will develop their skills in rapidly assessing and formulating clinical
conceptualizations of adult psychiatric inpatients. Interventions are provided directly (e.g., individual, group, conjoint,
milieu therapy) and indirectly (e.g., staff consultation, treatment team meetings, discharge planning conferences).
Students on this placement will also work closely the doctoral intern on the units.
2. INTENSIVE CARE UNIT AND FAMILY SUPPORT (Dr. Burke): Student will work side-by-side on the
psychiatric ICU with the unit psychologist and other core staff in providing individual, group and milieu therapy for
adults in the most acute phase of a very severe psychiatric disturbance. Treatment is focused on symptom stabilization
and crisis management as well as preparing the patient for the next level of care. In addition, this student will work with
Dr. Burke and other staff in developing and implementing supportive services for family members of patients. This is
part of a hospital-wide initiative to improve on how we involve families in patient care. There is a lot of exciting and
important work to be done here! These services will primarily target families of ICU patients but could involve
connected with any adult/gero inpatient unit. These supportive services are designed to help people cope with the
stressful aspects of caring for a loved one in psychiatric crisis. Student will be involved in individual education and
counseling with family members, participation in family meetings, and psycho-educational groups, and more.
3. SHARP MCDONALD CENTER – CHEMICAL DEPENDENCY RESIDENTIAL AND IOP (Dr. Hoyt):
Sharp McDonald Center provides comprehensive, evidence-based treatment to chemically dependent adults. It is
San Diego’s only freestanding fully Joint Commission-accredited chemical dependency recovery hospital. All
programs are operated out of two buildings and include, at present, three distinct programs that have areas of
integration, including medical detoxification/residential, partial hospitalization and intensive outpatient
programming. The treatments provided are evidence-based interventions for individuals with chemical dependency
diagnoses. The therapeutic services are designed to serve those who are not so at risk that they require an acute
medical or psychiatric hospital stay. The programs are geared to treat patients who are able to function in a subacute
inpatient setting, partial-hospitalization program or intensive outpatient program. All programs are abstinence-based
and are designed to facilitate sober living skills requiring these adults to take more responsibility for selfmaintenance and maintenance of their environment than could be expected from the more traditional acute
population.
The Practicum student in this placement will play a central role on the team for the Intensive Outpatient Program
and have some involvement with Residential Patients. The IOP provides intensive CD assessment and group
treatment one DAY three EVENINGS per week Practicum students co-lead and lead group therapy sessions, educational
classes and workshops, and are introduced to AA/NA/CA as well as other community resources to support long-term
recovery. Individualized treatment plans are integrated into the program design and individual counseling sessions are
also provided as needed. The IOP is committed to involving families in treatment, whenever possible. Practicum
students help in delivery of an educational series designed to help families and significant others understand, cope with,
and support their loved ones through the recovery process. Students and other clinicians introduce participants to the
concept of addiction, communication styles, and roles within the addictive family as well as teach healthy coping
strategies. Practicum students will be expected to work every Wednesday (daytime) and two to three evenings per week
(M, T, and/or TH). Group program hours are M, T, TH from 6-9. Students’ evening schedules can be arranged to start at
3, 4, or 5p.m.. Supervision is provided by Dr. Larkin Hoyt (an Alliant-San Diego alum). Dr. Hoyt is the manager of
the Sharp McDonald Center, overseeing all the clinical programs and staff at the facility.
4. SENIOR BEHAVIORAL UNIT - INPATIENT (Dr. Northrop): Student will serve as a member of the
interdisciplinary team on the Senior Behavioral Unit, a locked geropsychiatric inpatient program for older adults with
psychiatric and neurocognitive disorders. Student will also act as a bridge with the Senior Intensive Outpatient Program
(SIOP), facilitating appropriate referral and smooth transition from inpatient to outpatient care. This may involve
attending some SIOP team meetings and doing some individual therapy or patient education in the outpatient program.
On the inpatient side, student will have the opportunity to do individual and group therapy, behavior management, staff
training, discharge planning, family support/education, and behavioral medicine interventions, as well as program
development and evaluation for a very heterogeneous group of older adults. This is an exciting, dynamic, “think-onyour-feet” environment. Students will encounter a wide range of presenting problems (mood disorders, thought
disorders, dementia, delirium, somatoform disorders, personality disorders, and a lot of medical co-morbidities). This is
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an exciting time for older-adult programming at Sharp. The SBU is recently changed locations and expanded from 13
to 24 beds. The Psychology Team (psychologist, intern, practicum students) are centrally involved in program
enhancements and staff training for the new unit. Dr. Lynn Northrop is the designated supervisor for this practicum. Dr.
Northrop is a geropsychologist and is also the training director for Sharp’s APA accredited internship program. The
SBU Student will work along-side a doctoral intern and Dr. Northrop, transitioning to increasing independence as
developmentally appropriate.
Geropsychology practicum students can expect to advance their knowledge of
 72-hour and 14-day holds, conservatorships
 Capacity assessment
 Caregiver support
 Community reintegration
 Electroconvulsive treatment (ECT)
 Evidence-based, developmentally appropriate individual and group interventions (CBT, ACT, Life Review,
Behavioral Activation, Bmod, etc.)
 Interdisciplinary team development
 Mood, anxiety, thought, neurocognitive, somatic, personality and substance use disorders in older adults
 Staff consultation and training
 Strategies to reduce relapse and readmission rates
 The Recovery Model and person-centered care
5. SENIOR INTENSIVE OUTPATIENT PROGRAM (SIOP - Dr. Schwartz)
The SIOP provides behavioral and cognitive behavioral group interventions, as well as case management, individual,
couples and family sessions to support group work. Patients present with severe mood disorders and/or anxiety
disorders. Somatoform and Axis II disorders are also represented, as are thought disorders and mild cognitive
impairment. Patients are triaged into the SIOP track that is the best fit for their presenting problems and level of
functioning. Length of stay ranges from six weeks to six months or more. The SIOP practicum student conducts
cotherapy with a licensed clinician and/or doctoral intern and may provide individual therapy and case management
services as well. The student is an active, integral member of the interdisciplinary team. Under the supervision of the
staff psychologist and the SIOP student is involved in all aspects of the program.The SIOP student can expect to
develop skills in:
 Adult development and aging
 Application of/adaptation of evidenced-based treatments for older adults (individual, group and family)
 Community outreach (building bridges with programs that serve/support older adults in the community)
 Community reintegration and Recovery Model
 Program development and evaluation
6. ADOLESCENT PARTIAL HOSPITAL PROGRAM (APHP) (Dr. Wojciechowski and Dr. McWaters):
The APHP practicum student will participate in leading or co-leading group therapy (process and didactic) for teens
ages 12-17. In addition, the student will get a chance to co-lead group with the psychology intern and a licensed
psychologist/supervisor, and to gain training in leading weekly multi-family group therapy. The student would have an
opportunity to participate in program development and learn foundational CBT and DBT skills-based interventions and
psychoeducation for this population. In addition, when appropriate, they will be included in the psychodiagnostic
rotation and gain experience writing integrated assessment reports for children and adolescents. The ideal candidate
will have some exposure to working with the teen population and be interested in applying skill-based interventions and
theory in practice. Students must be able to work Tuesdays (multifamily group day) and a minimum of 2.5-3 days per
week (around 24 hours on average).
7. CHILD AND ADOLESCENT PROGRAM INPATIENT UNIT (CAP3) (Dr. Steele): CAP3 is a 21-bed locked
inpatient unit divided into two patient treatment programs: An adolescent intensive care unit, treating acutely disturbed
adolescents and dual-diagnosis youth, and a program for children ages 5 through 12. CAP3 treats youth who are
experiencing impairment in their family, school or health functioning as a result of psychiatric illness. Typical
presenting problems include depression/suicidality, runaway/conduct disorders, substance abuse/dependence, mood
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disturbance/behavioral disturbance/bipolar and/or the acute phase of a psychotic disorder. Family work (single and
multifamily sessions) is a critical component of treatment. Work is fast paced, exciting and high demand. Interns on
this rotation are expected to multitask and have balance.
Students will gain experiences in
 Case management skills
 Chemical dependency treatment with dually diagnosed adolescents
 Cognitive-behavioral treatment with youth
 Crisis intervention with youth and families
 Developmental tasks of youth
 Group psychotherapy with adolescents and latency age children
 Inpatient management of acutely disturbed youth
 Multidisciplinary team approach
 Psychopathology of youth
CAP3 strongly emphasizes a team approach in which psychologists, psychiatrists, nursing staff, social workers, activity
therapists, teachers, consulting staff, the patient and the patient's family work together on treatment goals. Interns
become an integral part of the treatment team during the rotation. Interns serve as co-therapists in a variety of groups,
serve as a liaison between staff and consulting psychologists and participate in treatment planning and treatment
conferences, attend team meetings and in-service presentations and provide informal consultation to other staff. In
addition, when appropriate, practicum students will be included in the psychodiagnostic rotation and gain experience
writing integrated assessment reports for children and adolescents. Practicum students are invited to attend a monthly
child/adolescent focused psychodiagnostic seminar with the interns.
ALL PRACTICUM STUDENTS
 MUST participate in Friday morning group supervision (7-8 a.m., with Dr. Northrop, doughnuts provided on an
intermittent reinforcement schedule for getting out of bed that early )
 MUST receive additional supervision by an intern or fellow
 MAY attend TH morning professional development seminars with the interns (8-10 a.m., all but the 1st TH of
the month)
 MAY attend intern case presentations, roughly biweekly, Wednesdays at noon.
ADULT/GERO ASSESSMENT TRAINING
Practicum students MAY combine any adult/gero placement (1-5, above) with experience administering, scoring, and
interpreting psychological assessments and writing integrated reports. However, this is a gradual process that begins
with the student observing interns, learning and practicing administration of tests, participating in clinical interviews,
writing up portions of the report, and then eventually becoming more independent under the supervision and guidance
of the interns and Dr. Bryan. Adult/gero practicum students may attend assessment supervision on Fridays from 9-10am
IF they are assisting with a case. Students interested in gaining assessment experience will be paired with mentor
(intern or fellow) who will help them assess baseline competence and develop learning goals and plan specific to
assessment.
Child/Adolescent ASSESSMENT TRAINING
Practicum students placed in one of the child or adolescent settings (6 and 7, above) will gain experience in intervention
and assessment. There is opportunity for administering, scoring, and interpreting psychological assessments and writing
integrated reports under the supervision of the supervising psychologist on the rotation. Students may or may not be
paired with the intern, depending upon the students baseline level of knowledge and skill in assessment.
Is the agency accredited or approved by any local, state, or national accrediting organization?
No
Not for practicum
Yes (specify)
4
APA, APPIC F.T.
Internship (separate)
II. POPULATION SERVED
Varies. See descriptions of PLACEMENTS, above.
Age (percentages)
children
adolescents
adults
seniors
Diagnosis (rank order proportion of clientele)
adjustment
character/behavior
psychosis
alcoholism
disorder/neurosis
disorder
substance abuse
affective disorder
Ethnic-Racial Mix (approximate percentages)
Caucasian
60%
African10%
Latino
20%
Asian
10%
Other
American
(specify)
Sources of Referral (approximate percentages)
self
court
school
physician
100%
other
(specify)
III. DIRECT SERVICES
Varies. See descriptions of PLACEMENTS, above.
If your agency offers any combination of G2 Practicum, G3 Practicum and Internship positions, please describe
how they will differ from each other
Practicum students are generally here ½ time. Doctoral interns are full time. Students at all levels of training interact with
similar patient populations (in terms of acuity, diagnosis, etc.). Interns function with more autonomy and are involved in
supervision of students. Interns rotate through three four-month rotations. Students are in the same setting for the full year.
IV. INDIRECT SERVICES
Describe, as fully as possible, all indirect services offered (e.g., consultation, public education, etc.)
Varies. See descriptions of PLACEMENTS, above.
V. THEORETICAL ORIENTATION
Cognitive Behavioral, Behavioral, ACT, humanistic
VI. TRAINING AND SUPERVISION
Supervisor is on site at least 1/2 of the time each supervisee is at the agency?
Supervisor is licensed at least 3 years?
Yes
X
No
License Number of primary supervisor
Yes
How Long?
X
No
See table below
See table below
Licensed psychologist on staff at least 20 hrs/per week?
Yes
X
No
Last
Northrop
First
Lynn
Degree
PhD
License
psy 18656
Date of license
11/14/2002
Years as of 8/2016
14
Wojciechowski
Hoyt
Bryan
Schwartz
Steele
McWaters
Burke
Jen
Larkin
Mary Beth
Dara
Kristin
Jen
Michael
PhD
PsyD
PsyD
PsyD
PsyD
PsyD
PsyD
psy 23566
psy 24510
psy 25129
psy 25489
psy 26112
psy 26521
psy 26521
6/1/2010
9/8/2011
7/24/2012
1/16/2013
12/2/2013
8/4/2014
8/4/1988
6
5
4
3
3
2
28
5
What is the orientation program for new trainees?
Psychology Program Orientation (tentative date: August 22)
What are the overall training goals of the agency? For what is the student being trained?
To provide training and experience applying evidence-based practices in intensive outpatient and acute inpatient settings.
To increase competence and confidence in theoretically-grounded case conceptualization, evidence-based treatment
planning, implementation and evaluation, interdisciplinary team functioning, and psychological assessment. Students
should arrive with solid foundational skills in clinical interviewing, establishing rapport, basic CBT and/or ACT
conceptualization and treatment planning, risk assessment, and crisis intervention.
What training does the agency offer in providing culturally sensitive services?
Cultural diversity is an integral part of the training experience at Sharp Healthcare. We incorporate cultural competence
training into individual and group supervision sessions throughout the year.
Training methods (indicate frequency and length per week):
supervision >/= 10%; direct observation/live supervision likely
Activity –
G2 Practicum
Number of Hours Per Week
G3/Elective
Internship
Practicum – sample
schedule, details
may vary week to
week
Individual Supervision
- Licensed Ph.D./Psy.D.
- Other (intern or fellow
Group Supervision
Peer supervision
Team Meetings
Case Conferences
Co-therapy with Staff
Observation/Discussion with Staff
Seminars, Workshops, etc.
Videotaping of sessions
1-1.5 hrs weekly
1
2 hr weekly
0
1-3 hr weekly
3-6
3-6
1-2 hr weekly
Several times per
year
Comments
What training do you offer in general safety procedures?
Standard safety and HIPAA training for all Sharp HealthCare employees.
Electronic Medical Record training
Specific procedures for your agency, e.g. violent patients?
Trainees participate in Code green Training along with other employees. “Code Green” is the hospital code that is called
when a patient is assaultive or when a patient on a hold is attempting to elope. Code green Training includes risk
reduction, self-defense, and physical restraint training. However students are prohibited from physically participating in
patient restraint efforts.
VII.
ADMINISTRATION
Staff and Trainees
How many clinical staff are on site?
full-time
What disciplines are represented?
MD
20+
PHD/ 10+
LCSW
20+
PsyD
100+
RN
50+
6
part-time
MFT
10+
100+
Other
Mental Health Wkr,
rec therapist,
pharmacist, physical
therapist, chaplain
What opportunities do trainees have to interact with non-psychologists?
Daily – MD, RN, rec therapist, social work, chaplain, dietician, other psychology trainees
How many trainees does the agency usually have at one time?
Is there always staff coverage during the time the trainees are there?
Yes
X
No
If no, give specifics
Required and Preferred Days
Yes X
No
Are there any required days the students
must be at the agency?
Full-Time
7 intern
2 fellow
Half-Time
10-12
G3-G5
Friday 7-8 am (all)
Friday 9-10 (if
participating in psych
assessment)
Group Supervision followed by psychodiagnostic Seminar
What is scheduled during these required times?
Are there preferred days/times the agency wants students to be there?
No
Yes
X
If yes, which?
Varies by setting – see descriptions above
McDonald
no
Are trainees expected to work
Evenings
Weekends
Center only
No
Are trainees on-call when they are not at the agency?
Starting and Ending Dates
Training begins
August 22, 2016
And ends
negotiable
Vacation
2 weeks
How many weeks of vacation will the trainee be given during the training period?
negotiable
Does vacation time coincide with CSPP/AIU semester breaks?
Stipend
Is there a stipend?
No
if yes, indicate amount below
G2 Practicum
G3 Practicum
Internship
Are taxes and social security deducted?
n/a
Is there a mileage allowance?
No
VIII.
FACILITY
Students have access to testing materials and computer scoring programs, shared desktop computers, therapy materials
and references.
own office - no
Share - yes
rotate as available
n/a
if they rotate, is there a clearly posted schedule?
Yes
No
administrative support
Yes
computers
Yes
copy machines
Yes
disability access
Yes
IX. EQUIPMENT
Play Therapy:
If the agency sees children, is there adequate play Yes
therapy equipment?
Assessment Materials
If testing is done, are there adequate test
Yes
materials?
What recording equipment is available to students?
Audio
Video
Do you have written manuals for the following
general policies & X
safety
procedures
X
7
If yes, what days
No
N/A
No
N/A
X
None
X
orientation for
new trainees
X
X
X. APPLICATION PROCEDURE
Please indicate the number of openings by year level
G2 Practicum
0
G3 or elective
Internship
APA/APPIC only
11
Material to be submitted for application
Cover letter, CV, transcripts (can be unofficial), reference letters (min 2 max 3). Cover letter should state general training
goals as well as which of the 7 settings they would be interested in training. Applicants are encouraged to be open to being
offered training in more than one setting AND to rank order their preferences. Once all the potential candidates have been
interviewed the faculty will decide which of the applicants are a good fit with what we have to offer AND we will
determine the best match between specific trainees’ experience and goals and specific training setting (1-7, above).
Trainees MAY state that they are expressly NOT interested in one or more setting (1-7, above), however, this may reduce
the chance of being offered a practicum at SMV/SMC.
No
X
Yes
If yes, when?
Is there an application deadline?
Additional Comments
 We will interview candidates until we have identified individuals whom we feel confident can be successful in this
training environment.
 Practicum students at Sharp HealthCare often do co-therapy with supervisors and are in other situations in which
they are directly observed by supervisors. Practicum students may also be observed by and receive supervision from
APA interns. Applicants who are interested in and comfortable with this level of observation are encouraged to
apply.
 Although we can in no way guarantee admission to our APA accredited internship program, practicum students are
given special consideration when we are making decisions about interviewing and selecting interns.
Are there any special requirements students will have to complete prior to beginning at the site (e.g.
fingerprinting/background check, TB test, medical examination, etc.)?
Finger printing
Drug testing (urine analysis)
TB Testing
Students will also be required to provide proof of flu vaccine in the fall (or to wear a mask)
Are students responsible for paying for such requirements?
Yes
x
No
Are AIU students competing with students from other schools?
Yes
No
X
If agency has trainees from other schools, which schools are they? n/a
AIU has the following emphasis areas. Please indicate whether or not you are interested in students with the following
emphasis areas (please feel free to choose as many or as few as deemed appropriate)
Cultural
yes
Family/Child
yes
Health
yes
Organizational/
no
Forensic
no
Psychodynamic
no
Sports
no
Integrative
yes
In addition to the completed Training Site Information form, please submit the primary supervisor's vita, a
complete staff list and any other descriptive agency information (i.e., brochures, etc.) Failure to do so may delay
the processing of your application.
Completed by
Lynn Northrop, PhD
Date
November 11, 2015
Supervisor/Director
Lynn Northrop, PhD
Date
November 11, 2015
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