MICHIGAN MEDICINE AND VA ANN ARBOR HEALTHCARE

Transcription

MICHIGAN MEDICINE AND VA ANN ARBOR HEALTHCARESYSTEM POSTDOCTORAL CONSORTIUM IN ADULT CLINICALPSYCHOLOGY2020POSTDOCTORAL FELLOWSHIP BROCHUREApplication Deadline: December 13, 2019Four positions anticipated beginning in September 2020 1 Adult Position (Michigan Medicine) 2 Adult Position (VA Ann Arbor Healthcare System) 1 Adult Women’s Position (VA Ann Arbor HealthcareSystem)ACCREDITED BY THE COMMISSION ON ACCREDIDATIONAMERICAN PSYCHOLOGICAL ASSOCIATION1 Page

Table of ContentsMichigan Medicine/VA Ann Arbor Healthcare System Training Network Overview .3Education . 5Clinical Psychology: Clinical Experiences . 6Michigan Medicine . 8VA Ann Arbor Healthcare System . 9Clinical Adult Psychology: Research Experiences .11Current Fellows .13Training Staff Biographis .14Ann Arbor Life and Community .24Application Process.252 Page

Michigan Medicine/VA Ann Arbor Healthcare System Training Network OverviewMichigan Medicine (MICHMED) and the VA Ann Arbor Healthcare System (VAAAHS) havejoined programmatic forces to create a Postdoctoral Training Network in ProfessionalPsychology, consisting of two consortial programs and one non-consortial program. The twoconsortial programs are Clinical Neuropsychology and Clinical Psychology, and thenonconsortial program is in Clinical Child Psychology. All three programs are accredited by theAmerican Psychological Association (next site visit 2020). The overall Training Network is led bythe Network Training Committee Chair, J. Todd Arnedt, Ph.D.MICHMED and VAAAHS provide a rich interdisciplinary training environment with seminars,invited lectures, and opportunities for collaboration with faculty across disciplines anddepartments. Postdoctoral fellows are offered a diverse set of clinical experiences inassessment, treatment, and consultation with a focus on empirically-based treatments;mentorship in conducting independent clinical research; and didactics focused on professionaldevelopment, the integration of science and practice, cultural and individual diversity, and ethicsand the law.The training philosophy of the programs within the Network is rooted in the scientist-practitionermodel. The institutional philosophy and values of all the Network programs are focused onnormative healthcare ethical values of beneficence, non-malfeasance, and social contract in acontext of public service. The overarching aim of the UMHS postdoctoral program is to trainpractitioner-scientists to an advanced level who are capable of functioning at a high level in arange of occupational settings for psychologists.To serve this overall goal, the training network welcomes applications from individuals who havegraduated from accredited clinical/counseling psychology programs. The program selectscandidates whose academic and clinical preparation, supervisor recommendations, andperceived synergy with our programs are ideally suited. Thus, we hope to identify postdoctoralfellows who demonstrate a readiness and desire to learn and develop professionally. To thatend, the training network provides the breadth and depth of experiences in assessment,treatment, consultation, and scholarly support of practice and research.Fellows in the Clinical Psychology Consortium complete training after one year; fellows at theMICHMED site of the Consortium have the option to extend their training into a second year toenhance their research and advanced clinical training portfolio. Questions about theaccreditation and the accreditation process can be addressed to:Office of Program Consultation and Accreditation American Psychological Association750 First Street N.E., Washington DC, 20002Phone: 202-336-5979Clinical Psychology (Adult) ConsortiumThe Clinical Psychology Consortium provides specialty training in the acquisition and applicationof evidence-based practice in clinical adult psychology. Clinical training occurs in interprofessional settings with a specialized research emphasis for each fellow. In keeping with thegoals of the broader training program, the Clinical Psychology Consortium focus developsprofessionals with the specialty training necessary to accurately assess, diagnose, and providetreatment at an advanced level to individuals with a variety of psychiatric disorders throughoutthe adult lifespan. Fellows select a preferred primary site (MICHMED or VAAAHS) whenapplying to the program, although clinical and research experiences are encouraged at bothsites. Our Consortium prepares fellows to direct clinical programs, educate professional3 Page

psychologists, and perform programmatic research. Clinical research opportunities are availablein a range of areas, including mood disorders; women’s mental health; sleep and circadianresearch; health psychology; anxiety and related disorders (e.g., posttraumatic stress disorder);substance use disorders; psychotic disorders; primary care mental health integrations; andmental health recovery.For the 2020-2021 class, the MICHMED/VAAAHS Clinical Psychology Consortium will berecruiting 4 fellows for the following positions (more than one position can be ranked perapplicant): MICHMED-Adult(1 position available) VAAAHS-Adult(2 positions available) VAAAHS-Adult Women’s(1 position available)Clinical Psychology SectionsMichigan Medicine (MICHMED) Clinical AdultSectionThe MICHMED Clinical Adult Section providesoutpatient assessment, consultation, andtreatment services across the range of adultpsychiatric disorders.MICHMED FacilitiesMichigan Medicine is one of the largest hospitalsin Michigan and a premier academic medicalcenter made up of the University of Michigan (UM) Health System, U-M Medical School, and one of the nation’s largest biomedical researchcommunities. Michigan Medicine is known for conducting cutting-edge biomedical research anddelivering premier patient care. According to the US News and World Report, the institutionranks among the best in the nation in a range of both pediatric and adult specialties. MichiganMedicine consists of 9 Basic Science Departments, 20 Clinical Departments, and 50Interdisciplinary Departments, Programs, Centers and Institutes. Major facilities consist of theUniversity Hospital (UH), the Frankel Cardiovascular Center, Rogel Cancer Center, Kellogg EyeCenter, and C.S. Mott Children’s Hospital. The East Ann Arbor Medical Campus, TurnerGeriatric Center, and the VAAAHS are in close proximity. Adding to the University’s researchcapabilities in 2009, UM acquired the North Campus Research Complex—formerly the Pfizerproperty—which is close to the East Ann Arbor Medical Campus, and encompasses fourparcels of land and 30 buildings. The acquisition added nearly two million square feet ofsophisticated laboratory facilities and administrative space, along with furnishings.4 Page

resPostdoctoral activities for Adult Clinical Psychology fellows take place primarily in theDepartment of Psychiatry’s Depression and Ambulatory Care Center within the Rachel UpjohnBuilding, a state-of-the-art facility located on the East Ann Arbor Medical Campus that wascompleted in 2006. This building includes over 39,000 net square feet (over 54,000 BGSF), andprovides key new laboratories for current PHS-funded investigators, clinical investigationfacilities and offices, educational facilities, and treatment clinics.VAAAHS Clinical Adult SectionThe VAAAHS Clinical Adult Section has a long history of evaluating and treating Veterans inacute and long-term care inpatient, outpatient, and rehabilitation settings.VAAAHS FacilitiesThe VA Ann Arbor Medical Center is located adjacent to the University of Michigan campus andmedical center. Our medical center is a 105-bed general medical-surgical hospital, whichincludes an inpatient psychiatric unit, outpatient mental health clinics, substance abusedisorders treatment and extensive medical and community-based psychiatric and recoveryservices. The Community Living Center (CLC), specializing in short-term geriatric work, isattached to the Medical Center. Community Based Outpatient Clinics (CBOCs) provideoutpatient mental health services to Veterans in the VAAAHS catchment area but residingnearer to Jackson and Flint, Michigan, and to Toledo, Ohio. Mental Health facilities have beenfully updated in the past few years. Offices for fellows have modern support facilities, with fullcomputer access to the University of Michigan information systems and library, as well asVAAAHS information systems.EducationIn addition to core curriculum, fellows in the MICHMED/VAAAHS Clinical PsychologyConsortium have several unique learning opportunities, ranging from targeted coursework tovisiting lectures. Educational opportunities include both mandatory training requirementsdesigned to ensure smooth and consistent progress throughout the training program, and5 Page

optional training opportunities that can be pursued to enrich the training experience to the extentthat there is available time.Required:Weekly Professional Development SeminarWeekly Grand RoundsMonthly Postdoctoral ForumMonthly International Case ConferenceMonthly Bioethics Conference (Minimum two per year) Optional as time permits:Section meetingsInvited Lecturers throughout the MICHDMED and VAAAHS Teaching/Supervision ExperiencesFellows are provided with the opportunity to perform clinical supervision of predoctoralpracticum students and interns. Additional supervision of undergraduate students who work withfaculty and fellows on a wide variety of research projects is also available. Fellows may alsoassist faculty with teaching seminars and take part in an annual half-day supervision skillsworkshop.Clinical Psychology Consortium: Clinical ExperiencesAdult fellows develop individualized training plans comprised of experiences selected by thefellows in conjunction with their faculty mentor. Clinical experiences typically account for 50% ofthe fellow’s experience and may be a combination of experiences at either the MICHMED orVAAAHS site from those described below. The following figure provides an overview of theclinical experiences at the two sites:6 Page

Adult Anxiety & Depression ProgramsBehavioral Sleep MedicineMICHMED Clinics &ProgramsEarly PsychosisUM Addiction Treatment ServiceWomen & Infants Mental HealthMICHMED/ VAAAHSConsortiumHealth PsychologyMental HealthPosttraumatic Stress DisorderVAAAHS Clinics &ProgramsPsychosocial Rehabiliation & RecoverySubstance Use Disorders SectionWomen Veterans' Mental HealthCouples & Family7 Page

Michigan MedicineAdult Anxiety and Depression ProgramsThe adult anxiety and depression programs are committed to providing state-of-the-arttreatment for adult anxiety and mood disorders and maintaining scientific leadership in the studyof these disorders. The clinics affiliated with these programs focus on individual and groupevidence-based therapies for patients with anxiety, depression, and comorbid disorders.Postdoctoral fellows receive supervised training in CBT for anxiety disorders andCBT/Interpersonal Therapy for depressionand may have the opportunity to provide tieredclinical supervision to predoctoral clinical psychology practicum students.Behavioral Sleep Medicine (BSM) ClinicThe BSM Clinic conducts initial consultations and follow-up visits (individual and group therapymodalities) for adults 18 years of age and older with sleep disorders amenable to evidencebased sleep treatments (e.g., CBT for insomnia). The primary referrals to the BSM clinic are forinsomnia, hypnotic discontinuation, circadian rhythm sleep-wake disorders, and adherence tomedical regimens (e.g., Continuous Positive Airway Pressure, CPAP). Many initial consultationsare conducted in a multidisciplinary context, where clinical psychologists work side-by-side withsleep medicine physicians. Fellows are additionally encouraged to rotate through otherMichigan Medicine sleep-related clinics, including the General Sleep Disorders Clinic, PediatricSleep Clinic, and Alternatives to CPAP Clinic, where they gain exposure to various medicalspecialties involved in the care of patients with sleep disorders. (e.g., Neurology, Pulmonology,Pediatrics, Otolaryngology, Oral and Maxillofacial Surgery).Early Psychosis (PREP) ClinicThe PREP Clinic conducts initial consultations and early interventions for adolescents andyoung adults 14 years of age and older presenting with early psychosis or symptoms suggestiveof increased risk for developing a psychotic disorder (attenuated psychosis syndrome or“prodromal” psychosis). We are the only early psychosis clinic in southeast Michigan. Ourtreatment focuses on evidence-based psychosocial interventions, including individual CBT forpsychosis (CBTp), family psychoeducation, case management, and group therapy. Medicationtreatments are also available when appropriate. We are a multidisciplinary team consisting ofclinicians and researchers from multiple disciplines, including clinical psychologists,psychiatrists, and social workers. Fellows have the opportunities to learn and providespecialized assessments and individual, family, and group interventions for this youngpopulation. Fellows are also encouraged to participate in local educational outreach activities tohelp promote early detection and intervention on campus and in the community.University of Michigan Addiction Treatment Service (UMATS)The University of Michigan Addiction Treatment Service is an outpatient substance use disordertreatment center located in the Department of Psychiatry, Rachel Upjohn Building. In addition topsychiatric services (medication management, outpatient detoxification, and opioid substitutiontreatment), psychotherapy services include intensive outpatient programming, aftercare groups,dual diagnosis groups, family/couple’s therapy, individual therapy, treatment for healthcareprofessionals, and a blended motivational interviewing/psychoeducational group. Fellows willwork collaboratively in our interdisciplinary team of psychiatrists, social workers, psychologists,and certified addiction nurses to treat patients with substance use or dual diagnoses. Fellowswill conduct individual and group therapies and have the opportunity to receive specializedtraining in Motivational Interviewing and Behavioral Couple’s Therapy, in addition to cognitivebehavioral approaches.8 Page

Women and Infants Mental Health Clinic (WIMHC)The WIMHC is an outpatient clinic in the Department of Psychiatry in the University of MichiganHealth System. Our clinic is staffed by a multidisciplinary team of psychiatrists, nursepractitioners, psychologists, and social workers. Trainees on the team include psychologypracticum students, psychiatry fellows, and social work interns and fellows. As a tertiary careclinic, we specialize in assessment and treatment of mental health conditions in women,primarily during pregnancy, postpartum, and other times of hormonal change (e.g.,perimenopause). We also offer dyadic-based psychotherapy services for mothers and theirinfants and young children. As one of very few clinics in Michigan that specialize in perinatalmental health, we serve a diverse population, often with medical and psychiatric comorbidities.As part of this rotation, postdoctoral fellows complete a mentorship in InterpersonalPsychotherapy.VA Ann Arbor Healthcare SystemHealth PsychologyThe health psychology offerings emphasize functional assessments and brief interventions forpatients presenting in ambulatory care settings. Exposure to interprofessional practice and the“medical home” model are important elements in learning. The fellow can gain experience withchronic pain management, MOVE! Weight Management and other patient education programs,and tobacco cessation services with some additional options. Working with the Pain Clinic andPrimary Care (and Brent Coy, Ph.D.), the fellow can learn to provide comprehensive, biopsychosocial assessments and provide integrated CBT-based chronic pain managementservices. Fellows can be integral part of the MOVE! Weight Management, Diabetes Education,or Cardiac/Pulmonary Rehabilitation, facilitating behavior change enhancement and stressmanagement classes in these programs. Using Motivational Interviewing (MI) and Acceptanceand Commitment Therapy (ACT) principles, the fellows may collaborate with Pharmacy andNursing to offer tobacco cessation services as well. Integrated care opportunities are alsoavailable with Oncology, Women’s Health and the Sleep Clinics. The fellows may also conductorgan transplant and/or bariatric surgery mental health evaluations. Therefore, assessment andconsultation skills, and both individual and group intervention modalities are availableexperiences. We aim to provide the fellow with experience in working as part of medical teamsin different parts of the hospital setting, consult with referring providers, and practice serving asa representative of the field of psychology in the broader healthcare setting.Mental Health Clinic (MHC)Training opportunities in the Mental Health Clinic include thorough diagnostic assessment andpsychotherapy training with a wide variety of outpatient clients. Fellows may learn riskassessment and crisis intervention strategies, interviewing and assessment skills, and otherscreening techniques. Individual therapy cases and group therapy experiences (e.g., depressionand anxiety) are available. The clinic offers opportunities to work closely with a variety of mentalhealth professionals. Treatment approaches include empirically supported strategies, such asCBT, Dialectical Behavior Therapy (DBT), Motivational Interviewing, and SolutionFocused/Strategic Therapies. There are opportunities for fellows to work with individuals fromdiverse backgrounds who present with a wide range of psychopathology. There is flexibility toaccommodate individual fellow interests in terms of caseload, development and implementationof treatment groups, and program assessment and evaluation activities.Posttraumatic Stress Disorder Clinical Team (PCT)The PCT functions as an outpatient specialty clinic within the medical center. This multidisciplinary team provides comprehensive assessment, treatment, and research-based protocols9 Page

to patients with PTSD. The fellow may attend teaching rounds, perform assessments, and followcases within this specialty clinic. Fellows will have opportunities for training and practice inspecialized PTSD evaluation and empirically supported treatments, including ProlongedExposure (PE) and Cognitive Processing Therapy (CPT). In addition to weekly individualsupervision, fellows participate in weekly PCT staff meetings. This includes clinical casepresentations, evaluation presentations, and didactic presentations on topics related to PTSD.Psychosocial Rehabilitation & Recovery (PSR&R)Psychosocial Rehabilitation and Recovery (PSR&R) offers training opportunities across multiplespecialty clinics (e.g., Psychosocial Rehabilitation & Recovery Center; Mental Health IntensiveCase Management, Acute Inpatient Mental Health, Compensated Work Therapy, etc.) spanningthe full continuum of care. The focus of PSR&R is weighted tow

in Michigan and a premier academic medical center made up of the University of Michigan (U-M) Health System, U-M Medical School, and one of the nation’s largest biomedical research communities. Michigan Medicine is known for conducting cutting-edge biomedical research and deliverin