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
2016/17 ACADEMIC YEAR
Agency Name
G2 Practicum
Contact Person
UC San Diego Family Medicine Collaborative Care
G3 Practicum
XXXX
Bill Sieber, Ph.D.
Title
Katrin Seifert, Psy.D.
Supervising Psychologist
Bill Sieber PhD & Katrin Seifert, PsyD
Address
9500 Gilman Drive, La Jolla CA 92093-0807
Secondary Locations 330 Lewis St. San Diego, CA 92013
9333 Genesee Ave., San Diego, CA 92121
9909 Mira Mesa Blvd, San Diego, CA 92131
Phone Number
619-543-8282
Fax Number
bsieber@ucsd.edu
ksseifert@ucsd.edu
Email Address
I. NATURE OF AGENCY
Public
Private
XXXX
Profit
Internship
Full Professor
Psychologist
619-543-5996
Non-profit
Other (e.g.,
church
supported)
General description of the agency, including its purpose, function, and specific programs
Family medicine outpatient clinic as part of UC San Diego medical group. The main focus of the clinic is
providing primary healthcare services; however, the Collaborative Care program is an integrated service offered
to all patients of the clinics. Students will function in a collaborative/integrated primary care setting, working
alongside medical providers in both integrated and co-located modalities. Students will provide traditional
psychotherapy as well as consultation services and health coaching. Additionally, trainees can seek further
optional training and experience in biofeedback and neurofeedback services if student has prior exposure to
one or both modalities.
Is the agency accredited or approved by any local, state, or national accrediting organization?
No
Yes (specify)
Although UCSD has an APA-accredited Pre-doctoral
Psychology Internship, the Collaborative Care program is
currently not part of that internship
II. POPULATION SERVED
Age (percentages)
children
5%
adolescents
5%
adults
70%
seniors
20%
Diagnosis (rank order proportion of clientele)
adjustment
2
character/behavior
3
psychosis
7
alcoholism 5
disorder/neurosis
disorder
substance abuse
6
affective disorder
1
other (specify)
4 behavioral medicine
Ethnic-Racial Mix (approximate percentages)
Caucasian
50
African10
Latino
30
Asian
10
Other
American
(specify)
Sources of Referral (approximate percentages)
self
5
court
0
school
0
physician
95
other
(specify)
1
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III. DIRECT SERVICES
Indicate approximate number of hours per week students would spend in each activity listed below:
Number of Hours Per Week
Activity
G2 Practicum
G3 Practicum
Internship
Intake Assessment
2
Crisis Intervention
Individual Therapy (short-term)
4
Individual Therapy (long-term)
2
Group Therapy
Couples Therapy
1
Family Therapy
Play Therapy
Milieu Therapy
Diagnostic Testing
Forensic Assessment
Peer Supervision
Consultation
4
Other (specify): Documentation, Scheduling
4
Health Coaching
1
Biofeedback and Neurofeedback (optional)
2
If your agency offers any combination of G2 Practicum, G3 Practicum and Internship positions, please describe
how they will differ from each other
N/A
IV. INDIRECT SERVICES
Describe, as fully as possible, all indirect services offered (e.g., consultation, public education, etc.)
For 4 hours per week, the student will provide collaborative services in the primary care clinic, consulting and
providing “curbside consultations” and “warm handoffs” with medical providers, and providing brief interventions
and triage services to patients during their medical appointments.
V. THEORETICAL ORIENTATION
Evidence-based interventions based on preference of student and supervisor competency, integrating CBT,
DBT, ACT, motivational interviewing, family systems, psychodynamic approaches/strategies, biofeedback and
neurofeedback.
VI. TRAINING AND SUPERVISION
Supervisor is on site at least 1/2 of the time each supervisee is at the agency?
Yes XX
No
Supervisor is licensed at least 3 years? Yes
XX
No
How Long?
2003/2011
License Number of primary supervisor
CA PSY 19435/26257
Licensed psychologist on staff at least 20 hrs/per week?
Yes
XX
No
What is the orientation program for new
Full day on use of EMR and scheduling software, 2 nd day on
trainees?
SOPs of clinic, assessment procedures, triaging, and case
management, 3rd day on diagnosis, and treatment planning
What are the overall training goals of the agency? For what is the student being trained?
UCSD Collaborative Care seeks to train health psychologists to effectively assess and treat a diversity of
patients seen in primary care clinics. Training and experience in is focused on behavioral medicine as well as
2
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evidence-based interventions for anxiety, depression, and psychological disorders using multiple modalities
including individual short and long-term therapy, marital and family therapies, as well as consultation services in
inpatient settings. If the trainee chooses, he or she may seek additional training and experience in health
coaching, and biofeedback/ neurofeedback services. The availability of this option will depend on the student’s
previous experience and education in these modalities.
What training does the agency offer in providing culturally sensitive services?
35% Hispanic, 20% Asian-American, and 10% African-American. Nearly 25% of patients are from ‘underserved- populations.’
Training methods (indicate frequency and length per week):
Activity
Individual Supervision
- Licensed Ph.D./Psy.D.
- Other
Group Supervision
Peer supervision
Team Meetings
Case Conferences
Co-therapy with Staff
Observation/Discussion with Staff
Seminars, Workshops, etc.
Videotaping of sessions
Comments
G2 Practicum
Number of Hours Per Week
G3 Practicum
Internship
1
2
Occasional
Occasional
What training do you offer in general safety procedures?
Orientation each June/July includes crisis management and procedures for addressing patient and staff safety
when dealing with suicidal and/or aggressive patients.
Specific procedures for your agency, e.g. violent patients?
Addressed in June/July orientation.
VII. ADMINISTRATION
Staff and Trainees
How many clinical staff are on site
full-time
(varies by clinic)?
What disciplines are represented?
MD
25
PHD 2
LCSW
12
RN
part-time
2
MFT
3
30
Other
Medical
Assistants
What opportunities do trainees have to interact with non-psychologists?
The entire training experience is integrated into a medical setting, offering constant interaction with various
medical providers, students/residents, and staff. Psychology students work alongside MFT students, and the
director of the Collaborative Care program is a PhD-level MFT. Students are welcome to attend clinic meetings
and Family Medicine Resident trainings.
How many trainees (from Alliant) does the agency usually have
Full-Time
at one time?
Is there always staff coverage during the time the trainees are there?
Half-Time
3
3
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Yes
X
No
If no, give specifics
Required and Preferred Days
Are there any required days the students
Yes
must be at the agency?
and specific times
From
What is scheduled during these required times?
No
X
If yes, what days
To
Are there preferred days/times the agency wants students to be there?
No
Yes
X
If yes, which?
Thursday mornings (10-12) preferred – for group
supervision & staff meetings
Are trainees expected to work
Evenings
no
Weekends
no
Are trainees on-call when they are not at the agency?
Yes
No
X
Starting and Ending Dates
Training begins
July 1
And ends
June 30
Vacation
How many weeks of vacation will the trainee be given during the training period? PRN
Does vacation time coincide with CSPP/AIU semester breaks?
Yes
X
No
Stipend
Is there a stipend?
No
X
Yes
if yes, indicate amount below
G2 Practicum
G3 Practicum
Internship
Are taxes and social security deducted?
No
X
Yes
Is there a mileage allowance?
No
X
Yes
VIII. FACILITY
Students have access to
own office
rotate as available X
administrative support
disability access
X
share permanently
if they rotate, is there a clearly posted schedule? Yes
X
computers
X
copy machines
IX. EQUIPMENT
Play Therapy:
If the agency sees children, is there adequate Yes
play 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
X
No
N/A
No
N/A
None
X
orientation for
new trainees
X
No
X
X
X. APPLICATION PROCEDURE
Please indicate the number of openings by year level
G2 Practicum
G3 Practicum
3
Internship
Material to be submitted for application
Email CV, Cover letter outlining how collaborative care fits into the student’s career objectives, as well as 2
4
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letters of recommendation.
Is there an application deadline?
Additional Comments
No
x
Yes
If yes, when?
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.)?
fingerprinting/background check, TB test
Are students responsible for paying for such requirements?
Yes
No
X
Are AIU students competing with students from other schools?
If agency has trainees from other schools, which schools are they?
Yes
No
X
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
Family/Child
Health
X
Organizational/
Behavior
Forensic
Psychodynamic
Sports
Integrative
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
Supervisor/Director
Bill Sieber and Katrin Seifert
Bill Sieber, PhD
Date
Date
11/2/2015
11/2/2015
5
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