Clinical Psychology Training Program - UCSF Department of ...

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UCSF Clinical Psychology Training Program psychopharmacology in collaboration with psychiatrists, and learn about community resources and the role of health care systems in the treatment of patients. III. Additional Rotations for Fellows in the CHILD TRACK: a) Children’s Center at Langley Porter. Fellows will participate in the Hyperactivity, Attention, and Learning Problems (HALP) Clinic housed in the Children’s Center at Langley Porter. This is a specialty clinic for Attention Deficit Hyperactivity Disorder (ADHD) and related Disruptive Behavior Disorders (DBD). The ADHD/DBD clinical research service provides comprehensive, multidisciplinary evaluation of children having attention and/or behavioral problems with related learning and/or emotional problems. The service also includes group and family-based cognitive-behavioral interventions (e.g., social skills training, parent training), school consultations for school-age children; medication evaluations occur in conjunction with the general outpatient service. Trainees gain experience with a range of assessment methods (unstructured clinical interviews, structured diagnostic interviews, parent and teacher rating scales, and psychometric testing) with an emphasis on integration of results for DSM diagnoses and treatment planning. Training in the provision of therapeutic feedback to families and preparation of written summary reports is also included. The intervention component includes training in structured, evidence-based treatments for ADHD including group-based social and life skills training for children, parenting skills groups for parents, and behavioral family therapy. Trainees serve as leaders or co-leaders of therapeutic groups or individual family sessions. Trainees also participate in ongoing clinical research . IV. Elective Rotations Regardless of whether they are in the Adult or Child Track, Fellows may also pursue a minor elective rotation, depending on training needs and interests. For example, in the child area, this may include: a) child neuropsychological assessment, or b) psychological assessment and treatment of children, adolescents, and their families through the Children’s Center at Langley Porter. For instance, Fellows may provide group therapy to adolescents (e.g., dialectical behavior therapy), family therapy, or parent education. These opportunities allow fellows to receive training in evaluating and/or treating a range of child/adolescent disorders such as mood and anxiety disorders. The variety of clinical interventions taught in this cluster by a combination of clinical experience, supervision, and seminars. Research Research in several areas of clinical assessment and intervention is available within this cluster for Fellows' collaborative research during the second, postdoctoral year. These areas include violence and trauma, mental health care in older adults, substance abuse, neuropsychology and ADHD/disruptive behavior disorders. As the clinical rotations vary according to whether trainees are in the Adult Track or the Child Track, these areas of research are organized according to whether the research mentor is in the Adult or Child Track. Adult Track a) Mentor: Patricia Areán, Ph.D. Research Area: 1) Clinical and Clinical Services Research in the Treatment of Mood Disorders in Older Adults 2) Minority Aging Research Postdoctoral fellows have the opportunity to develop their research skills in the area of mental health services research and to specialize in research with older adults from different ethnic groups. Postdoctoral fellows may collaborate on or design their own studies in the following areas: (1) Treatment of mood disorders in low-income and elderly primary care patients; (2) Psychotherapy for management of treatment resistant depression in older adults; (3) Increasing acceptance of and adherence to depression treatments for older adults identified in primary care medicine; (4) Effectiveness of restraint free environments in managing agitation. Fellows will have an opportunity to conduct research on psychosocial interventions for mental disorders in older adults, attitudes toward mental health in elderly patients, access to mental health services in older populations and methods of integrating mental health services into non-mental health settings. 13
) Mentor: Sharon M. Hall, Ph.D. Research Area: Substance Abuse Treatment Research Primary Research Mentor: Sharon Hall, Ph.D. Co-Mentor: Jodi Prochaska, Ph. D., MPH Co-Mentor: Janice Tsoh, Ph. D. UCSF Clinical Psychology Training Program Postdoctoral research specialization is available in the area of substance abuse treatment research. Trainees in this area may become members of the Treatment Research Center (TRC), a center grant funded by the National Institute on Drug Abuse (NIDA). The TRC provides intellectual, administrative, statistical and pilot study support to its constituent investigators and their trainees. Trainees working with Dr. Hall may also become part of the UCSF Habit Abatement Clinic, a clinic affiliated with the TRC that focuses on the treatment of nicotine dependence. Studies at the clinic are funded by NIDA and the National Cancer Institute (NCI). Current TRC studies focus on the treatment of nicotine dependence in complex populations, including individuals with alcohol problems, HIV+ smokers, and smokers with psychiatric disorders. We are also investigating predictors of treatment outcome in these populations, and are developing measures and batteries to best describe outcome, and have an ongoing interest in dissemination of treatment research findings to clinical settings. The nature of the research project completed by trainees will depend upon their needs and the current status of ongoing research projects. Trainees may develop and complete a study of their own design that focuses on some aspect of drug abuse treatment, or may collaborate in ongoing studies being completed by Dr. Hall and her colleagues. Possibilities include treatment outcome studies, process studies, studies of methods of disseminating research findings to the clinical community, and laboratory studies that test processes relevant to treatment outcome. c) Mentor: Joel Kramer, Psy.D. Research Area: Neuropsychological Research Research opportunities for pre- and postdoctoral trainees are primarily around the neuropsychological features of normal and abnormal aging. Trainees have access to patients with Alzheimer’s disease, frontotemporal dementia, cerebrovascular disease, mild cognitive impairment, and Huntington’s disease. Projects linking clinical and experimental data with quantitative neuroimaging can be pursued. Trainees can participate in funded projects related to early detection of dementia, frontotemporal dementia, Huntington’s disease, and vascular disease. Independent projects focusing on specific patient groups or specific aspects of cognition/behavior are encouraged. Trainees are also invited to work with large databases of normals addressing issues related to executive functioning, memory, and cognitive development. d) Mentor: Dale McNiel, Ph.D. Research Area: Violence and Trauma Postdoctoral research specialization is available in the area of violence and trauma. For interested Fellows, suitable projects may be elaborated during the predoctoral year. Potential topics of collaborative research include studies concerning development of improved strategies for assessing violence potential (e.g., development of screening tools); identification of clinical, demographic, and situational correlates of violence risk; studies of family violence and victims of violence; studies of clinical risk management and risk reduction strategies for potentially violent patients; studies of clinical decision making about violent patients; and studies of the interaction of legal and health care systems in the treatment of violent patients; and studies of mandated community treatment (e.g., mental health courts). Fellows may also participate in research on suicide risk assessment. Fellows also may participate in interdisciplinary seminars on topics in mental health and law, such as forensic mental health services research and review of landmark cases, in conjunction with the UCSF Program on Psychiatry and Law, an accredited forensic psychiatry fellowship. 14
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