UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE Dept. of Psychiatry and Behavioral Sciences CLINICAL CHILD PSYCHOLOGY POST-DOCTORAL FELLOWSHIP TRAINING PROGRAM 2020 – 2021 UCD Medical Center, Dept. of Psychiatry and Behavioral Sciences Sacramento County Child and Adolescent Psychiatric Services
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UNIVERSITY OF CALIFORNIA, DAVIS · The UC Davis Department of Psychiatry and Behavioral Sciences is located in Sacramento, California, approximately 20 miles east of the main UC Davis
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TheUCDavisMedicalCenter,locatedinSacramento,California,isanintegrated,academichealthsystemthatisconsistentlyrankedamongthenation’stopmedicalschools.WithintheUCDavisSchoolofMedicine,theDepartmentofPsychiatryandBehavioralScienceshasastrong collaborative relationship with Sacramento County’s Department of Health andHumanServices.Ourpostdoctoralfellowshipprograminclinicalchildpsychologyoffersfellowsthebestofbothworlds: training from a strong academic approach that emphasizes evidence-basedtreatmentwithin the context of providing complex clinicalwork in a communitymentalhealthoutpatientsetting.AlongsideUCDavisClinicalFacultyandpsychiatryresidentsandfellows, our doctoral fellowswill receive their training and provide direct psychologicalservices at the Sacramento County Child and Adolescent Psychiatric Services (CAPS)Clinic, which serves diverse Sacramento County Medi-Cal/EPSDT child and familyrecipients.
TheCAPSClinicislocatedattheGraniteRegionalPark(GPR),whichislessthan5milesawayfrom theUCDMedical Center campus. TheGPRprovides a fishingpond, nearbywalkingpaths,outdoorbenches,soccerfields,andanewlyconstructedskatepark.TheCAPSClinicisalsolocatednearalightrailstationthatprovidesfrequentshuttleservices.Businesshoursare from8:00am–5:00pm, therefore fellows arenot expected toworkoutsidebusinesshours,unlessotherarrangementshavebeenmadewiththefellow’ssupervisors.
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CAPSCLINICSTAFFRobertHorst,M.D.servesasthemedicaldirectorfortheCAPSClinic,whichisstaffedbyfourfull-time UC Davis faculty psychologists and three psychiatrists. The CAPS Clinic is theprimary training site for our postdoctoral psychology fellows, as well as our doctoralpsychologyinterns.TheUCDavis’childandadolescentpsychiatryfellows,medicalstudents,andresidentsinpsychiatryalsocompleterotationsattheCAPSClinic.Aswithallofourtrainingsites,thereisastrongcollaborativeatmosphereandemphasisoninterdisciplinaryteamworkwithcounty-employedclinicians(MA,LMFTs,andLCSWs)andpsychiatric nurses. Our trainees develop strongworking relationshipswith a number ofprofessionalswithinthecommunitythatlastbeyondtheirtrainingyear.
CAPSCLINICPOPULATIONTheCAPSClinicisacounty-operatedcommunitymentalhealthoutpatientclinicforroughly275infants,children,adolescents,andtransitional-agedyouth(ages0to21-years-old),whoreceive therapy, psychological testing, and medication management services. The CAPSClinic solely serves children and adolescents who havemental health coverage throughCalifornia’sstate-fundedhealthcareprogram,Medi-Cal/EPSDT.Theseclientspresentwithawiderangeofcomplexdiagnosticconcerns.Mostofourclientsand their families strugglewithmultiple environmental stressors including low income,unemployment, poor social support, and/or family history of mental health oralcohol/substanceabuseproblems.Oftentimes,ourclientsandtheirfamilymembershavealso experienced neglect or abuse and may be involved with Child Protective Services(CPS).Clientsmayalsobeinvolvedwiththejuvenilejusticesystemandareonprobation.Inaddition,manyofourclientsexperiencedifficultiesinthelearningenvironmentandareprovided special educations services (i.e., 504 Behavior Plan or IEP). Clients representdiverse ethnic and racial backgrounds such as African American, Asian, Caucasian, andLatinowhomaybefirst-or-second-generationimmigrants.
TRAININGAIMSANDOBJECTIVES Theprimarygoaloftheone-yearUCDavisClinicalChildPost-DoctoralFellowshipTrainingProgram is to provide advanced and specialized training in clinical child psychology topromote professional development and prepare fellows for independent practice aspsychologistswhowillcontributebothtothewelfareofsocietyandtotheprofession.Ourclinicalchildtrainingprogramsubscribestoapractitioner-scholarmodel,whichemphasizesknowledge of current research to guide assessment and intervention. The clinicalpsychologytrainingprogramisachallenginganddynamicfellowshipprogramthatprovidesadvancedtrainingintheareasofdirectevidence-based,developmentallyappropriate,andculturally-sensitiveclinicalservice,professionaldevelopment,ethicaldecision-making,andscholarlyinquiry.Overthecourseoftheone-yearUCDavisClinicalChildPost-DoctoralFellowshipProgram,thefellowswillreceivetrainingandsupervisedexperienceintherapeuticinterventions(e.g.,individual, family, dyadic, and group therapy), psychological testing (e.g., comprehensivepsychological evaluations, intake assessments, and brief psychological screening), andconsultation(e.g.,tofellowprovidersandtolocalagencies/schools).ItisexpectedthatthefellowswilldevelopcompetenciesinarangeofareasoutlinedbytheAssociation of State and Provincial Psychology Boards (ASPPB), the Association ofPsychology Postdoctoral and Fellowship Centers (APPIC), the American PsychologicalAssociation(APA),theAPAStandardsofAccreditation(SoA)forHealthServicePsychology(HSP).Thesecompetenciesinclude:Level1Competencies:
TRAININGACTIVITIESANDEXPECTATIONS Fellowsat theCAPSClinicprovideseveral importantservices toourclients.Followingadevelopmentallyappropriate,culturallysensitive,andtrauma-informedsystemsapproachto client care, fellows develop competencies throughout the training year in order tocoordinateandcollaboratewithseveralprofessionalsinvolvedintheclient’scare,includingthoseworkinginthementalhealth,medical,academic,andlegaldomains.TheCountyhasadeepcommitmenttoprovidingtreatmentthat“meetsclientswheretheyare,”whichallowsproviderstotailortheirinterventionstoeachclient.Fellowsprovideshort-termandlong-termindividualandfamilytherapy,whichifappropriate,maybeconductedoutsidetheclinicsettingintheclient’sschoolorhome.Fellowsalsocompleteintakeservicesfortwo-monthassessments,psychotherapy,medicationmanagement,andpsychologicaltestingreferrals.In addition, fellows conduct extensive psychological assessments that typically involveschoolobservations,interviewswithcaregivers,treatmentproviders,andteachers,andtheadministrationofobjectiveandprojectivepersonalitymeasures.Duringthecourseoftheirtraining year, fellows also participate on and lead theComprehensive MultidisciplinaryAssessmentTeam(CMAT)that is facilitatedbyoursupervisingpsychologistsattheCAPSClinic. Fellows alsohave theopportunity to co-facilitate anddevelop therapy groups. Inaddition,fellowswillhaveopportunitiestoprovideconsultationand/orbriefpsychologicalscreeningwithin theCAPSClinic andwith outsideproviders. Lastly, our fellowsdevelopadvancedprofessionalskillsinteachingandsupervising.Average40hoursperweekforabout50weeks(1800fellowshiphourstotal)
d. AdditionalFellowTrainingActivities§ MINDInstituteSocialSkillsGroupRotation§ LateralSupervisionofDoctoralInterns§ TeachingandPresentations§ DepartmentGrandRoundsandOtherCountyTrainingActivities§ ProgramDevelopmentandEvaluation(basedonavailability)§ ParticipateinFaculty’sResearchOpportunities(basedonavailability)
Productivityreferstothepercentageoftimethataclinicianspendsengaginginservicesthatare“billable.”AspartofthecontractwithUCDavis,SacramentoCountyexpectsthatmentalhealthprovidersfromUCDavismaintainan80%rateofproductivitypermonth.Therefore,itisexpectedthat80%ofaclinician’stotaltimeatacliniceachweekisspentonservicesthatcanbebilledtoMedi-Cal. Forexample,ifaclinicianworks40hoursperweekattheCAPSClinic,thentheyareexpectedtobillfor32hourseachweek,whichis80%of40hours.Becausetheclinicalchildpost-doctoralfellowsarebalancingtheirdirectclinicalservicewithseveralhours’worthofsupervision,seminars,didactics,andcaseconferenceseachweek,theirproductivityiscalculatedoutofa32-hour,ratherthan40-hour,workweek.Therefore,clinicalpsychologyfellowsareresponsibleforspending64%oftheirtimeengagedindirect,billableclinicalactivity.Fellows are expected to complete clinical documentation using AVATAR, our onlinedocumentationsystem(i.e.,progressnoteswithin72hours,treatmentplans,psychosocialassessment paperwork, etc.) in a timely manner consistent with both professionalexpectationsandspecificcounty/clinicguidelines.
§ Primary Therapy Supervision: Post-doctoral fellows are assigned one of thesupervisingpsychologistsastheirprimarytherapysupervisor,withwhomtheymeetonanindividualandweeklybasistodiscusstheirtherapyclients.Primarytherapy
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supervisors will be responsible for reviewing therapy client documentation (i.e.,notes, initial/annual clinical bundle, client treatment plans, etc.). They will alsooversee administrative duties (documentation timeliness, submitting time-offrequests,completingtimecard,etc).Thefellowmayalsousethistimetoreviewtheoveralltrainingprogram,aswellasassesshisorherprofessionaldevelopmentandtraininggoals.
psychologistsastheirassessmentsupervisor,withwhomtheymeetindividuallytodiscussassessmentclientseveryweek foronehour.Theassessmentsupervisor isresponsible for reviewing assessment client progress notes. The fellows are alsoexpected to use this time to learn newmeasures and discuss various issues (e.g.,responsibility, expectations, ethical concerns, interprofessional relationships, etc.)that pertain to the role of a provider of psychological testing in order to furtherdevelopthisareaofprofessionaldevelopment.Lastly,participationinCMATprovidestheuniqueopportunityforlivesupervisionofpsychologicaltesting.Duringthelastquarter of the training year, the fellowmay be assigned a different supervisor tosupervise1to2assessmentcasesinordertowidenthefellow’sexposuretodifferentassessmentsupervisionandreport-writingstyles.
§ PsychologyTeamGroupSupervision:Thepurposeofthisgroupsupervisionistospend time as a teamon aweekly basis discussing a variety of issues,while alsofosteringasenseofcommunity,buildingrelationships,andincreasingsocializationacrosstheteam.Eachmeetingwillhaveeitherafocusedtopicfortheteamtodiscussand/orincludeacaseconference.Thesetopicstypicallywillfallunderthefollowingcategories:LawandEthics,Research,IndividualandCulturalDiversity,Trauma,andSelf-Care.Thefocusisoftenonemergentinterprofessionalissues.WhileDr.RichelleLong facilitates the Psychology Team Group Supervision, interns and fellows areprovidedopportunitiestoleadtheteamgroupsupervisionthroughouttheyear.
§ ClinicalGroupSupervision:Onalternatingweeks, the fellowswillmeetwith the
countycliniciansanddoctoralinternsforgroupsupervisionfor1.25hours.Fellowswill be asked to bring case-related material to engage in case consultationopportunities.ThisgroupsupervisionisfacilitatedbyTriciaWatters,LCSW.
§ SupervisionofSupervision:Twiceamonth, the fellowswillreceive1.5hoursofsupervisionofsupervisionwithStaceyPeerson,Ph.D.andVolunteerClinicalFaculty(VCF), Margaret Bezmalinovic, Psy.D. Supervision of Supervision begins withdidacticsandreviewofliteratureinagroupsupervisionformat.Oncethefellowhasacquiredasufficientunderstandingoftheoriesandmodelsofsupervision,aswellasthe supervisor role and expectations supervision, role-playing and experientialexercised are implemented. Accordingly, fellows may provide an intern withsupervisionofaspecifictherapyand/orassessmentcase,underthesupervisionoftheintern’sprimarytherapyorassessmentsupervisor.
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DIDACTICSEMINARSANDCASECONFERENCES Someofourrequiredseminarsmeetonaregularbasisthroughouttheentiretrainingyear,whileothersaretime-limited.Aspartofthefellowship,wearecommittedtoprovidingourfellowswithopportunities to learn frompsychologistswhohaveexperiencewithawiderangeofclientsinavarietyoftreatmentsettings.Assuch,ourseminarsarefacilitatedbytheprogram’sattendingpsychologistsaswellasseveralvolunteerclinicalfacultymemberswhoareemployedthroughouttheSacramentoarea.Didacticseminarsandcasesconferenceaimtoprovideadditionaltrainingin:
complextraumaandotheradversechildhoodexperiences(ACES).Assuch,RichelleLong, Ph.D. facilitates the TIC Seminar in order to provide fellowswith a strongfoundationinassessingandtreatingtraumaandotherstressor-relateddisorders,aswellaspreventingvicarioustraumatizationandcompassionfatigue.
DiversitySeminar
§ Carlina R. Wheeler, Ph.D. leads this seminar twice per month throughout thetrainingyear,whichprovidesanenvironmenttobravelydiscusscasesandexploredifferent aspects of individual diversity (Arao & Clemens, 2013). Although theDiversity Seminar is required for the interns and fellows, other clinical staff,psychiatrists,youthadvocates,andmanagersarealsoinvitedtoattendthisseminarin order to further enrich the discussions. A primary goal for fellows will be toimprovetheirunderstandingofdiversity,theroleitplaysinclientinteractions,andhowtoreplacefearandmistrustwithculturalhumility,mutualunderstanding,andrespect.FellowswillbeprovidedaspacetolearntheRESPECTFULModel(D’Andrea&Daniels,1997;2001)andADDRESSINGModel(Hays,1996)todeepentheirinsightinto how each aspect of their identity influences their personal perspective andapproachtoclientcare.
§ Thisyear-longrotatingseminarandcaseconference is co-ledbyStaceyPeerson,Ph.DandRichelleLong,Ph.D.toprovidefellowswithclinicaltrainingforinfantsandyoungchildrenandtheirfamilies.TheZerotoFiveSeminarfocusesspecificallyontheuniquedevelopmentalneedsandkeyissuesaffectingchildrenages0-5.Topicsmayinclude:braindevelopment,relationalneeds,behavioralandmentalhealthconcerns,language and literacy development, the role of screening and early intervention,cultural influences, and the specific impacts of maltreatment on early childhooddevelopment.FellowswillalsoreceivetrainingwithintheCPPmodelandcanutilizethistimetoconductcaseconferencesontheirinfant-parentmentalhealthcases.
o EthicalandLegalIssueso IntegrationofScienceandPractice
PsychiatricInterviewingSkills
§ Eachyearourfellowsandpsychologistsareinvitedtolead4-to6-weektraininginpsychiatricinterviewingforUCDavis’medicalstudents.Aspartofthetraining,ourfellows leadasmallgroupofmedicalstudentsthrough live interviewswithadultswhoareinpatientsinapsychiatricfacility.Ourfellowshavebeenhighlyregardedbythemedical students and theDepartment for their ability to educate and supportmedicalstudentswiththeirfirstexposuretoindividualssufferingfromseverementalillness.
APPOINTMENT,STIPEND,ANDBENEFITSTwo applicants will be accepted for the 2020 - 2021 training year. Clinical fellowshipappointmentsarefull-time(average40-hourweek)foroneyear.Ourpost-doctoralfellowsacquireatotalof1800supervisedhoursduringthetrainingyearinordertoqualifyforvariousstates’licensurerequirements.Clinicalmoonlightingisnotpermitted.2020–2021TrainingYear:September14,2020–September10,2021
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Fellowsreceiveastipendof$47,484(grossamount)forthetrainingyear,whichispaidonamonthlybasis.Thisstipendiscompetitivewithothercommunitymentalhealth/academicmedicalcenterfellowshipstipendsinthearea.Applicabletaxes,socialsecuritydeductions,andbenefits-relatedcostsarealsowithheld.Fellowsreceiveapproximately24daysofpaidtimeoff,whichincludes12daysofsicktimeper year, andpaidholidays (approximately12days off per year for county andfederalholidays). WeareproudtoofferourfellowsUCDMid-LevelHealthandWelfarebenefits.Employeeshiredtowork100percenttimeforat leastthreemonths(butfor lessthanoneyear)areeligibleforthefollowingMid-LevelBenefits:choiceofmedicalplans,legal,disability,life,andaccidentinsurance,tax-savingprograms,andfamilycareresources.FormoreinformationabouttheMid-Levelbenefitsplan,pleasevisit:http://ucnet.universityofcalifornia.edu/compensation-and-benefits/eligibility/index.htmlOurfellowshaveaprivateofficewitheachhavingtheirowndesignatedworkspace,personalcomputer,voicemail,email (UCDandSacramentoCounty),administrativeassistance,andfullaccesstotheUCDavislibrariesandassociatedservices.Thefellowsalsohaveaccesstoart/play therapymaterials. In addition, fellows can reserve a number of therapy offices,observation rooms (with one-way mirror and audio/visual equipment), and thepsychologicaltestingofficetoprovideconfidential,directserviceswithCAPSClinicclients.Upon successful completion, the post-doctoral clinical child psychology fellow will beawardedacertificateofpost-doctoral fellowshipcompletion fromtheUCDavisSchoolofMedicine.
ELIGIBILITYANDAPPLICATIONPROCEDURESApplicants must have attended an APA-accredited doctoral graduate universitypreferablyinclinicalorcounselingpsychology.Applicantsfromeducationalpsychologywithastrongemphasisinclinicaltrainingwillbeconsidered.Applicantsmusthaveattendedan APA-accredited doctoral internship program. Applicants must have completed allrequirements for their doctoral degree prior to September 1, 2020. Successfulapplicantswillhaveacquireddoctoral levelexperiencewithchildrenandadolescentsandhavewrittenatleastfivechildoradolescentintegratedpsychologicalassessmentreports.OurapplicationdeadlineisFridayJanuary3,2020(11:59PM,EST).Earlyapplicationisencouragedandapplicationswillbereviewedastheyarereceived.Ifyouhaveanyquestions,pleasecontacttheTrainingOfficeat(916)734-2614.
SELECTIONPROCEDURESFellowselectionismadebyacommitteecomprisedoftheco-trainingdirector,theassistanttrainingdirector, and the supervising trainingpsychologists. Applicants are rated on thebasisoftheirclinicaltraining(i.e.,assessmentandtherapy),academiccoursework,letterofrecommendation,clinicalandresearchinterests,progresstowarddissertationcompletion,and stated goals for fellowship. Strong writing skills are also favorably evaluated, asevidencedbytheFellowshipApplicationessaysandredactedpsychologicalreport.Thoseprospectivecandidatesassessedbythecommitteetoholdinterestsandgoalsmostcloselymatchingthoseopportunitiesofferedbyourprogramwillbeaskedtoparticipateinanon-siteinterview.ProspectivecandidateswillbenotifiedviaemailbyFridayJanuary17,2020whetherornottheywillbegrantedaninterviewwiththetrainingstaffandsupervisors.Candidateswillalsohavetheopportunitytomeetwiththecurrentpost-doctoralfellows,clinicalstaff,andtour the clinic. Half-day interviews will be held on Friday February 7 and MondayFebruary10,2020.Interviewsarerequiredandweighheavilyintheselectionprocess,asthis provides an opportunity for program staff and applicants to determine fit. Shouldeconomicorotherreasonsinterferewithahighlyrankedcandidate’sabilitytotravelforanin-person interview, a case-by-casedecisionwill bemadeby training staff to arrangeanalternativevideo/phoneinterview.Interviewswillonlybeofferedtoapplicantswhohavesubmittedacompleteapplicationandonlyaftertheseapplicationshavebeenscreenedbythefaculty.ApplicantswhowishtobeconsideredforinterviewsshouldsubmitapplicationmaterialspriortoJanuary3,2020. Thepost-doctoralfellowshiptrainingprogramagreestoabidebytheAPPICguidelinesforUniformNotificationDateonMondayFebruary24,2020. Information regardingAPPICPost-doctoral Selection Guidelines can be found at: http://www.appic.org/About-APPIC/Postdoctoral/APPIC-Postdoctoral-Selection-Guidelines
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ACCREDITATIONSTATUSOur fellowship trainingprogram is currently amemberof theAssociationof PsychologyPostdoctoral andFellowshipCenters (APPIC).At this time,wearenot accreditedby theAmerican Psychological Association (APA). Any questions about accreditation may beaddressedto:OfficeofAccreditation,AmericanPsychologicalAssociation,750FirstStreet,NE,Washington,DC20002.Telephone:(202)336-5979.
NON-DISCRMINATIONPRACTICESTheUniversityofCalifornia,Davis,doesnotdiscriminateonthebasisofrace,color,nationalorigin, religion, sex, gender identity, pregnancy (including pregnancy, childbirth, andmedical conditions related topregnancyor childbirth),physicalormentaldisability, age,medical condition (cancer related or genetic characteristics), ancestry, marital status,citizenship,sexualorientation,orserviceintheuniformedservices(includesmembership,applicationformembership,performanceofservice,applicationforservice,orobligationforservice in the uniformed services) status as a Vietnam-era veteran or special disabledveteran, in accordance with all applicable state and federal laws, and with universitypolicy.AsrequiredbyTitleIX,theUniversityofCalifornia,Davis,doesnotdiscriminateonthebasisofsexinitseducationalprograms,admissions,employmentorotheractivities.InquiriesrelatedtoTitleIXandtoSection34CFR§106.9maybereferredtotheTitleIXcoordinator:WendiDelmendoMrakHall,FourthFloorOneShieldsAve.,Davis,California,95616530-752-9466
PERFORMANCEEVALUATIONTheevaluationprocessisapproachedinamannertoprovidetimelyfeedbacktoandfromthefellowinordertoensuretraininggoalsandexpectationsarebeingmet.Atthebeginningof the fellowship year, fellows complete a self-assessment of their experience relative totrainingobjectivesofthefellowship.Theinitialself-assessmentopensadialogueaboutthefellow’sstrengthsandspecifictrainingareasofgrowth.Progressismonitoredthroughoutthe fellowship year, however,more formal verbal andwritten feedback provided at themidpoint (March) and end of the training year (September). During these biannualevaluations,thefellowwillmeetwiththeirprimaryandassessmentsupervisorstoreviewthe Fellow Performance Evaluation completed by the supervisors, then time is spent inindividual supervision to discussmore specific aspects of the evaluation, alongwith theSupervisorEvaluationcompletedbythe fellow.Theseevaluationsareusedtoprovideanopportunity tocommunicate the fellow’sprogress. Inaddition, theSupervisorEvaluationallowsthefellowtospecifywhatthefellowwouldlikemore(orlessof)fromthesupervisor.Attheendofthefellowshipyear,formalsummativefeedbackisprovidedtothefellow.TheCo-TrainingDirectorsmayparticipateinthefinalperformanceevaluation.
Seriousconcernsregardingafellow’sperformancewillbeaddressedthroughdueprocessprocedures. Fellows are strongly encouraged to address grievances related to training,supervision, or evaluation with their primary supervisor first and resolve concernsinformally.FormalproceduresaredescribedintheTrainingManualAppendix.