Updated September 23, 2024
Cultural Competence Training: As Salvador Minuchin said, “Every relationship is a cross - cultural experience.” On this rotation, trainees have the opportunity to work with diverse couples and families. Moreover, we conceptualize relational distress from a multicultural model, and explore the therapeutic process with attention to the intersectionality of identities, perceptions, experiences, and relationship values that are based in cultural values and norms. We view identity as a core aspect of individual and relational experience, and make space regularly in our supervision for discussion, reflection, and processing around the intersections of these identities with the therapist’s own identity and values, as well as the cross - cultural validity of our EBPs and relational theories, including attachment theory. 4. Geropsychology – Community Living Center (CLC) & Geriatric Evaluation and Management (GEM) Supervisors: Phuong Chau, Ph.D., ABPP-CN (postdoc supervisor), Morgan Macaluso, Ph.D. (intern supervisor); Lauren Dill, Ph.D. (delegated intern supervisor) Program: The CLC rotation is an 85-bed subacute transitional care unit where veterans receive skilled nursing care, rehabilitation services, and/or inpatient residential hospice care. Veterans receiving care in the CLC range in age from 25 to 100+ and frequently have complex medical, psychiatric, cognitive, substance use, and/or social problems. Common reasons for admission to CLC include wound care, infections requiring IV antibiotics, amputation, post-surgical recovery, cancer treatment, deconditioning, respite care, and/or comfort care for life-limiting illness. The CLC psychologist is an integral member of a large interdisciplinary team comprised of physicians, nurse practitioners, nursing staff, social workers, pharmacists, dieticians, chaplains, and recreation, physical, and occupational therapists. Psychology services are typically provided at bedside. Our training program emphasizes supervised clinical experiences that are tailored to interns’ degree of prior training, experience, and competence in key domains. Training focuses on (1) helping interns to appreciate the diversity of experience of adults with complex medical needs; (2) the biopsychosocial and lifespan developmental perspectives necessary for understanding older adults; (3) the complex ethical dilemmas that can arise in inpatient medical care; (4) the importance of interdisciplinary collaboration; and (5) the utilization of evidence-based practices in a skilled nursing and rehabilitation setting. Interdisciplinary team consultation and collaboration • Brief/problem focused and comprehensive psychological, cognitive, behavioral, and functional assessment • Neuropsychological assessment in older adults including differential diagnosis (e.g., delirium, dementia, depression) • Evaluations of decision-making capacity (e.g., can the Veteran make medical decisions, manage finances, live alone) • Adapting psychotherapy interventions for older adults and at hospital bedside • Consultation within complex systems (e.g., families, health care teams, community service networks) In general, CLC trainee skills of focus include: •
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