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UCSF Clinical Psychology Training Program Fellows in this area will become part of a newly emerging, multidisciplinary clinical research team, the Pain Management Clinical Research Team. The PMCRT is developing programmatic, effectiveness-based, treatment outcome investigations evaluating the roles of cognition and affect mediating the management of acute and chronic pain, focused especially on diverse, multicultural and underserved populations. Several projects have been designed for investigation at different time frames in the course of an individual’s treatment to address a central issue, namely, investigating the extent to which motivational strategies can enhance engagement, utilization and maintenance of multidisciplinary treatments for chronic, persistent physical pain. d) Mentors: James L. Sorensen, Ph.D., and Valerie Gruber, Ph.D. Research Area: Substance Abuse Research-Practice Linkages Primary Research Mentor: Primary Clinical Supervisor: James Sorensen, Ph.D. Valerie Gruber, Ph.D. Training in the Substance Abuse Research-Practice Linkages area focuses on narrowing the gap between research and clinical practice in substance abuse treatment. Fellows develop skills in conducting clinical assessment, treatment, and research in drug treatment programs. Fellows have the opportunity to develop evidence-based treatment innovations for use with substance use and co-occurring psychiatric and medical conditions. Consistent with its mission, this training area is set within the Division of Substance Abuse and Addiction Medicine at San Francisco General Hospital. The Division of Substance Abuse and Addiction Medicine provides state-of-the-art substance abuse treatment including on-site mental health and medical services, with an emphasis on understanding and treating clients within the context of their culture. Programs include a methadone clinic, office-based opiate treatment, and outpatient programs specializing in the treatment of cocaine and methamphetamine use disorders. The majority of clients have HIV, Hepatitis C or other chronic medical conditions. Many have post-traumatic stress, bipolar, attention deficit, and personality disorders, and substantial numbers have chronic drug induced or previously undetected psychotic disorders. Clients include large proportions of African-American, Latino, Asian Pacific Islander, and Native American individuals, as well as large proportions of gay, lesbian, bisexual, and transgender individuals. These programs have been the site of 40 funded research investigations of psychological, social, and biologically-based treatment innovations. Fellows choosing to train in the Substance Abuse Research-Practice Linkages area gain experience conducting clinically relevant research and implementing research-based interventions in clinical settings serving diverse urban client populations. Fellows have the opportunity to develop and test improved psychological interventions for substance abuse or dependence, and related psychological or medical problems. Fellows may also join in research activities through the California-Arizona Research Node of the Clinical Trials Network, and through the San Francisco Treatment Research Center. These NIDA-funded center grants focus on research that improves drug abuse treatment. Dr. Sorensen is Principal Investigator for the California- Arizona Research Node of the Clinical Trials network, and Dr. Gruber is co-investigator. Fellows can participate in the evaluation of treatment innovations and develop their own research using intramural or extramural funding. Faculty Drs. Sorensen and Gruber are the primary mentors in this research track. The Public Service and Minority Cluster faculty includes Daniella Cortez Cavenagh, Ph.D., Valerie Gruber, Ph.D., Vanessa Kelly, Psy.D., Alicia F. Lieberman, Ph.D., Miriam Martinez, Ph.D., Ricardo F. Muñoz, Ph.D., Eddie Ong, Ph.D., Stephen Rao, Ph.D., Susan Scheidt, Psy.D., and James L. Sorensen, Ph.D. (cluster leader). 11
2. CLINICAL ASSESSMENT AND INTERVENTIONS CLUSTER (Dale McNiel, Ph.D., Cluster Leader) UCSF Clinical Psychology Training Program The Clinical Assessment and Interventions Cluster offers training in evaluation, assessment, and treatment appropriate to a wide variety of clinical situations. The cluster’s clinical settings, based at Langley Porter Psychiatric Institute (LPPI), include the Adult Psychiatry Clinic, the Adult Inpatient Program, the Moffitt-Long Emergency Department, the Partial Hospitalization Program and the Children’s Center at Langley Porter. The relative emphasis among these rotations is affected by which of two tracks the Fellow applies to work in: Adult or Child. Clinical Clinical training for all Fellows in this cluster includes rotations in the Adult Psychiatry Clinic, the Adult Inpatient Program, and the Moffitt-Long Emergency Department. Fellows who pursue the Adult Track also do rotations focused on psychological/neuropsychological assessment and in the Partial Hospitalization Program. Those who pursue the Child Track also do rotations in the Child and Adolescent Psychiatry Service. I. Required Rotations for All Fellows: a) Clinical experience in the major components of the Adult Psychiatry Clinic. Fellows gain experience in shortterm and long-term individual psychotherapy and may lead long-term groups. Training and supervised experience is available in cognitive-behavioral, interpersonal, and psychodynamic approaches. Trainees may participate in the Coping with Depression Program, a comprehensive evidence-based treatment program for major depression. Trainees may also gain experience in short-term cognitive-behavioral groups focusing on specific issues such as depression, stress reduction, panic disorder, obsessive-compulsive disorder, people with HIV, people with medical illness, and shyness and social anxiety. Experience in marital and family therapy is also available. b) Acute care experience in LPPI's Adult Inpatient Program, including functioning as primary therapist for patients with major psychopathology who range in age from late adolescence to the elderly. Supervised experience in differential diagnosis, case formulation, development of treatment plans, supportive psychotherapy, crisis-oriented family intervention, working with a multidisciplinary team including collaboration with psychiatrists regarding medication issues, and working with community resources and the legal system (e.g., regarding civil commitment). c) Crisis intervention experience in the Moffitt-Long Emergency Department. Fellows learn to assess rapidly behavioral emergencies, perform differential diagnoses, and begin appropriate interventions. Fellows learn to make clinical decisions regarding issues such as hospitalization, legal aspects of emergency care, and coordination of community services. II. Additional Rotations for Fellows in the ADULT TRACK: a) Fellows receive training in neuropsychological and psychological assessment of patients with actual or suspected neurological diseases or disorders, patients with a wide range of psychiatric disorders, and pediatric and general medical patients with neurobehavioral disorders. Consultations are provided to various clinical services at Langley Porter. In addition, an elective rotation at the UCSF Memory and Aging Center in the Department of Neurology is possible. Experiential training in assessment is complemented by relevant case conferences, grand rounds, and seminars (e.g., neuropsychological assessment, neuroanatomy and brain cutting, pharmacology, etc.) Fellows develop individually tailored training plans in the amount and types of their assessment activities pertinent to their professional goals (e.g., those intending to become clinical neuropsychologists have different training plans than those intending to become general clinical psychologists.) b) In the Partial Hospitalization Program, trainees gain experience in case management, individual and group psychotherapy, and family intervention, in an outpatient program serving patients who are sub-acute. Some patients are admitted following an inpatient admission to prevent rehospitalization; others are referred by their outpatient providers to avert inpatient hospitalization when their symptoms are too severe for conventional outpatient treatment. In addition to experience in psychotherapeutic intervention, fellows learn about 12
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