Why Start a Postdoctoral Psychology Residency Program
•
1 like•82 views
The goal of the Postdoctoral Psychology Residency program is to train the next generation of psychologists in the Patient Centered Medical Home model. Through weekly seminars, group and individual supervision and clinical work with diverse, underserved populations, residents will fine-tune assessment and therapy skills. This FREE learning collaborative opportunity will provide health centers with the support, resources and structure to implement a Postdoctoral Clinical Psychology Residency program at their organization.
Recommended
Recommended
More Related Content
What's hot
What's hot (17)
Similar to Why Start a Postdoctoral Psychology Residency Program
Similar to Why Start a Postdoctoral Psychology Residency Program (20)
More from CHC Connecticut
More from CHC Connecticut (20)
Recently uploaded
Recently uploaded (20)
Why Start a Postdoctoral Psychology Residency Program
- 1. Welcome We will begin shortly…
- 2. Welcome Implementing a Post-Graduate Clinical Psychology Residencies: Why Start a Postdoctoral Residency Program? Building the Case for Your Organization April 26, 2018
- 3. Get the Most Out of Your Zoom Experience • Use the Q&A Button to submit questions! • Live tweet us at @CHCworkforceNCA and #primarycareteams • Recording and slides are available after the presentation on our website within one week • CME approved activity; requires survey completion • Upcoming webinars: Register at www.chc1.com/nca Q&A
- 4. Why Start a Postgraduate Clinical Psychology Residency Program?: Building the Case for Your Organization Today’s Objectives: 1. Participants will better understand the value that psychologists bring to a multidisciplinary behavioral health program in the context of the interdisciplinary cleint centered team. 2. Participants will describe the drivers behind the decision to develop a postdoctoral psychology residency program. 3. Participants will begin to answer the questions of how these drivers play out at their health centers and leave with homework to do to more f ully understand the risks and benefits developing a postdoctoral psychology residency.
- 5. CHC Profile Founding year: 1972 Primary care hubs: 14; 204 sites Staff: 1,000 Patients/year: 100,000 Specialties: onsite psychiatry, podiatry, chiropractic Specialty access by e-Consult Elements of Model Fully Integrated teams and data Integration of key populations into primary care Data driven performance “Wherever You Are” approach Weitzman Institute QI experts; national coaches Project ECHO®— special populations Formal research and R&D Clinical workforce development CHC Locations in Connecticut
- 6. CHC’s Postdoctoral Clinical Psychology Residency Program • If we want a team-based model of fully integrated primary care and behavioral health, we have to train the members of the team to that model. • Licensed clinical psychologists are an invaluable member of the healthcare team and they must acquire supervised postgraduate hours for licensure in most states. • Today, only a handful of 152 postdoctoral residency programs are based in FQHCs.
- 7. BH Workforce in FQHCs Now
- 8. Geographic Distribution of Active Psychologists Figure 1: Distribution of Active Psychologists by State, 2013. Sources: 2013 ACS Files; 2013 Topologically Integrated Geographic Encoding and Referencing (TIGER) States Map from U.S. Census Bureau.
- 9. Slowing Growth of the Psychology Workforce Figure 2. Changes in Active, Retired, and Semi-Retired Psychologists, 2005-2013
- 10. Staffing and Utilization National 2016 UDS Data from 1367 Grantees PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits (a) (b) Psychiatrists 687.78 1,570,177 Licensed Clinical Psychologists 821.73 868,790 Licensed Clinical Social Workers 3,171.58 2,849,283 Other Licensed Mental Health Providers 2,298.46 2,164,238 Other Mental Health Staff 2,212.27 1,055,543
- 11. Congressional Funding As currently written, the 2018 omnibus boosts federal health spending by $10.1 billion, providing increases for the Substance Abuse and Mental Health Services Administration (SAMHSA), National Institutes of Health (NIH), Centers for Disease Control and Prevention (CDC) and more. Importantly, about $4 billion of the additional funding is specifically dedicated to addressing the opioid crisis. • Certified Community Behavioral Health Clinics (CCBHCs): Includes $100 million in new funding to support the ongoing Certified Community Behavioral Health Clinic program active in eight states. This new program, spearheaded by National Council members, is dramatically expanding access to comprehensive and evidence-based mental health and addiction care. • Primary and Behavioral Health Care Integration and Technical Assistance Center: $49.877 million, level funding compared to last year. The technical assistance center that supports integration grantees receives level funding at $1.991 million.
- 12. “RxP” –Prescribing Psychologists Prescriptive authority may be granted to psychologists with; – 2 years of postdoctoral training, or Continuing Education training in clinical psychopharmacology and related sciences, – followed by 1 – 2 years of supervised prescribing, or a Certificate from the Department of Defense program, or the Board Certified Diploma from the Prescribing Psychologists Register (FICPP or FICPPM) to enable them, according to state law, to prescribe psychotropic medications to treat mental and emotional disorders. Currently five states and one US territory permit certain psychologists to prescribe medications to their patients; Idaho, New Mexico, Louisiana, Illinois, Iowa and Guam.
- 13. “RxP” –Prescribing Psychologists Prescriptive authority may be granted to psychologists with; -2 years of postdoctoral training, or Continuing Education training in clinical psychopharmacology and related sciences -Followed by 1 – 2 years of supervised prescribing, or a Certificate from the Department of Defense program, or the Board Certified Diploma from the Prescribing Psychologists Register (FICPP or FICPPM) to enable them, according to state law, to prescribe psychotropic medications to treat mental and emotional disorders. • Currently five states and one US territory permit certain psychologists to prescribe medications to their patients; Idaho, New Mexico, Louisiana, Illinois, Iowa and Guam.
- 14. What psychologists add to a BH team • Doctoral level trained clinicians – more extensive coursework and longer clinical training • Greater experience and training early career • Skilled in psychological assessment • Research skills which may apply to QI work • More likely to have had EBT training and experience
- 15. Drivers: Why Start a Postdoctoral Psychology Residency Program? For the common good For the good of the resident For the good of your agency
- 16. For The Common Good Address the shortage of behavioral health providers, particularly those trained to an integrated model of primary care and behavioral health
- 17. For The Good of Your Health Centers Influx of new energy and enthusiasm with the most recent evidence based knowledge •Increased staff satisfaction oProfessional development: – Learning to supervise – Increasing skill of clinical teaching oRecognition of skill oPassing on knowledge oImproved retention • Increased access for clients • Opportunity to build a strong talent pool from which to hire
- 18. • Prepares residents to work with vulnerable populations in an FQHC setting • Build confidence within a clinical setting to become an independent clinician with enhanced treatment abilities and leadership skills • Learn by doing and introject a picture of the role of a psychologist in a integrated care setting that informs professional self image at the start of a career • Prepares the resident for the EPPP licensing exam • Increases competitiveness in the job market for those who do not remain at their residency site. For the Good of the Resident
- 19. Darius Fathi, Psy.D. CT Licensed Psychologist On Site Behavioral Health Director for CHC Site in Danbury, CT. Graduated residency in 2016 Tanesha Rankine, Psy.D. Current Postdoctoral Resident at the CHC Site in Middletown, CT. Stories from the Field
- 20. Please pull the following slide numbers from the survey data below - I am thinking two charts per slide but do what looks best. https://www.surveymonkey.com/results/SM-YCMNW9DKL/ Q6 – first employment Q 12 to 15 Please show the circle graph and the chart below, if there are “other” answers (as there are for some) please open the ‘other” responses and dis play them as well. Graduate Survey Data
- 25. The Road to Developing a Postdoctoral Psychology Program • Answer the question: What are your drivers for starting a postgraduate program? • Learn the essential elements of a postgraduate program • APPIC/APA standards • State licensing requirements • Assess your own resources (physical, human, financial) • Secure board, leadership, and clinical buy-in • Develop financial and strategic plan including potential partners • Costs and benefits: • Direct and indirect costs • Return on Investment: immediate and longer term • Benefits beyond the financial return
Editor's Notes
- Margaret welcomes Quick introduction the people around the table
- Kerry Anna: Kerry & Margaret done by 3:05
- Kerry – review of webinar objectives Margaret or Kerry will tell them about sign up – three separate tracks (team based care, postgraduate residencies, increasing students and trainees of the health professions) CME approved activity Please send in your questions using the question function of the Zoom webinar – which we will address at the end of the session Focus first on NP residencies and then post-doc Should end at 3:10PM
- Tim: In the psychology world, after completing all degree requirements and being awarded a doctoral degree (typically Ph.D. in Clinical Psychology/Counseling Psychology or Psy.D. Doctor of Psychology.) we still need about a year’s worth of supervised experience before being able to sit for the EPPP (expand it) or national exam and in many states a state exam to get licensed to practice independently. Most states require a postdoc fellowship, though some (about a dozen) no longer require a formal program but accept an equivalent of supervised. (Note to any staff you have who may be on the Psych licensure tract – those that do not all have quite different quirky requirements so probably best to do the post doc unless you are sure you are going to practice in one state only your whole professional career). Specifics of licensure requirements vary from state to state – so you have to be sure to be sure to build your program to meet your specific state’s licensing standards. Additionally APPIC (expand it) and APA have specific requirements for membership and accreditation respectively ,which you should bear in mind while planning and implementing your program. More on all this in our next webinar As you might surmise from all those, when you have seen one postdoc residency, you have seen one post doc residency. Though they will all share some characteristics, each is unique in focus and training goals. Let me give you the 5,000 foot view of our postdoc, and you will hear about Salud’s shortly.
- Kerry – review of webinar objectives Margaret or Kerry will tell them about sign up – three separate tracks (team based care, postgraduate residencies, increasing students and trainees of the health professions) CME approved activity Please send in your questions using the question function of the Zoom webinar – which we will address at the end of the session Focus first on NP residencies and then post-doc Should end at 3:10PM
- Kerry – review of webinar objectives Margaret or Kerry will tell them about sign up – three separate tracks (team based care, postgraduate residencies, increasing students and trainees of the health professions) CME approved activity Please send in your questions using the question function of the Zoom webinar – which we will address at the end of the session Focus first on NP residencies and then post-doc Should end at 3:10PM
- Kerry – review of webinar objectives Margaret or Kerry will tell them about sign up – three separate tracks (team based care, postgraduate residencies, increasing students and trainees of the health professions) CME approved activity Please send in your questions using the question function of the Zoom webinar – which we will address at the end of the session Focus first on NP residencies and then post-doc Should end at 3:10PM
- Dave - It can be divided into 3 categories.
- Tim For the common good Increase the pool of qualified, effective well trained psychologists Provide quality training settings for upcoming psychologists who need supervised hours for licensure Shape the future of the field by teaching postdocs how to conceptualize the role of the psychologist by what they see and what they do in their last year of supervised experience prior to licensure
- Dave Have students increases staff satisfaction – by giving staff the opportunity to expand their own professional skills in learning how to supervise and the opportunity for clinical teaching (often across discipline). Staff consistently tell us they enjoy the experience and learn from their students by increasing variety of daily activities for staff – varied work day is consistently linked in the literature to job satisfaction by being recognized as a role model and someone who is able to teach how to be an excellent clinician. by passing on knowledge and feeling the reward of watching a resident’s skill level increase Of course not all of these apply to every supervisor, and some staff have no interest or no skill in clinical teaching and would not want to (and probably should not be asked) to supervise, but for most of our staff participating in the program in a big plus In addition to the rewards for staff, residents in and off themselves, may bring many benefits to the agency, including increased intellectual rigor to clinical team meetings and supervision. While those of us in the clinical setting for decades keep up with continuing education and some professional reading, our postdocs are fresh out of school with great ideas and current knowledge – some tremendously applicable to our settings, some maybe a little ivory towerish, all of it blowing a breath of fresh air into our agency postdocs bring additional minds and hands to put to work for program development – fresh, trained eyes may spot something we do not see or bring us ideas we can borrow from another setting where they saw something in action we can adapt to our situation, and their lowered clinical load allows them time to work to plan and implement ideas postdocs require supervision ( 3 per week for us) and didactic training (another 2 for us) as well as the real time consultations that occur during the clinical day, but on balance, they see clients for many more hours per week than we spend in teaching, supervision, and consulting and that represents a net gain in access for our clients depending on how your state allows for billing for work done under supervision (most private insurances not allow it but the CT Medicaid program does under specific conditions which our postdoc program meets) you may find that your postdoc program is a break even or even a moneymaking operation. Many agencies who cannot bill find the other benefits compelling and start a program anywayl As we will show you on the next slide, postdoctoral residencies also give the opportunity to train a group of bright young psychologists to our model and then hire the best of them who want to stay in the area. And as a segue into the next slide, even if they don’t stay we have helped to produce a good employee who can continue to contribute to the field elsewhere.
- Tim For the Good of the Resident: High quality setting that prepares the postdoc for the job market Further clinical experience, training, and the consolidation of professional identity Build confidence within a clinical setting to become an independent clinician with enhanced treatment abilities and leadership skills,. Experience in the job setting will increase postdocs success at first independent job setting and thus improve retention and morale
- Tim For the Good of the Resident: High quality setting that prepares the postdoc for the job market Further clinical experience, training, and the consolidation of professional identity Build confidence within a clinical setting to become an independent clinician with enhanced treatment abilities and leadership skills,. Experience in the job setting will increase postdocs success at first independent job setting and thus improve retention and morale
- Tim For the Good of the Resident: High quality setting that prepares the postdoc for the job market Further clinical experience, training, and the consolidation of professional identity Build confidence within a clinical setting to become an independent clinician with enhanced treatment abilities and leadership skills,. Experience in the job setting will increase postdocs success at first independent job setting and thus improve retention and morale
- Tim For the Good of the Resident: High quality setting that prepares the postdoc for the job market Further clinical experience, training, and the consolidation of professional identity Build confidence within a clinical setting to become an independent clinician with enhanced treatment abilities and leadership skills,. Experience in the job setting will increase postdocs success at first independent job setting and thus improve retention and morale
- Tim For the Good of the Resident: High quality setting that prepares the postdoc for the job market Further clinical experience, training, and the consolidation of professional identity Build confidence within a clinical setting to become an independent clinician with enhanced treatment abilities and leadership skills,. Experience in the job setting will increase postdocs success at first independent job setting and thus improve retention and morale
- Tim For the Good of the Resident: High quality setting that prepares the postdoc for the job market Further clinical experience, training, and the consolidation of professional identity Build confidence within a clinical setting to become an independent clinician with enhanced treatment abilities and leadership skills,. Experience in the job setting will increase postdocs success at first independent job setting and thus improve retention and morale
- Tim For the Good of the Resident: High quality setting that prepares the postdoc for the job market Further clinical experience, training, and the consolidation of professional identity Build confidence within a clinical setting to become an independent clinician with enhanced treatment abilities and leadership skills,. Experience in the job setting will increase postdocs success at first independent job setting and thus improve retention and morale
- Tim