Updated September 23, 2024
families, health care teams, community service networks), providing medical staff psychoeducation and support, and participating in IDT meetings/huddles/hospital rounds. EBP Opportunities: Mostly ACT, CBT, MI. Given population needs, clinical approaches are often integrative with a focus on a biopsychosocial approach including supportive therapy and existential themes. Assessment Opportunities : Mental health readiness evaluations for pre-surgical transplants (AUDIT-C, BDI-II, GAD, PHQ-9, RBANS, SLUMS, MoCA, MMSE, 3MS), capacity evaluation screenings, additional neuropsychological tests depending on cognitive concerns related to transplant evaluations. Cultural Competence Training: On this service, trainees will work with Veterans across a variety of eras. Trainees will work to recognize and therapeutically address cultural and/or individual differences that might impact treatment and/or the therapeutic relationship. Cultural and/or individual differences encountered on this rotation can include, but are not limited to, gender, age, education level, SES, sexual orientation, race, religion, and political affiliation. Trainees will become familiar with special considerations in working with and advocating for Veterans with chronic medical conditions in the context of other intersecting identities such as race, religion, sexual/gender identity, education, SES, cognitive status. Trainees will also become familiar with special considerations for surgery candidates as well as develop comfort working with interdisciplinary staff. Note: Medical Psychology Outpatient service: virtual schedule is possible if preferred for intern. C&L Psychology Inpatient service requires intern to be on site; please note C&L requires ambulating to multiple locations across our large VA hospital campus. Please feel free to reach out to supervisor to discuss any questions/concerns.
7. Mental Health Integration (MHI) in Hematology/Oncology Primary Supervisor: Lauren Wakabayashi, Psy.D.
Program: The Hematology/Oncology Service at LBVA provides systemic therapies for Veterans diagnosed with cancer, along with management of other non-cancerous blood-related disorders. Mental Health Integration (MHI) is a part of the multidisciplinary approach (including social work, registered dietician, chaplain, pharmacy and palliative care) to care for Veterans who receive a new diagnosis, change in prognosis or a recurrence, and also for those in remission. Veterans are seen by MHI providers outpatient along while inpatient in the main medical center. There are two MHI Hematology/Oncology providers; myself and Emily Faustini, LCSW. We are embedded in the outpatient hematology/oncology clinic for same-day access appointments. We meet with Veteran’s in -person or through telehealth depending on their preference. We receive consults from not only hematology/oncology providers, but from other oncology/specialty providers and throughout the LBVA. Psychology Training Provided: Trainees will be able to advance their skills in clinical health psychology by working with Veterans diagnosed with cancer. The trainee will start by observing and then evaluating and facilitating treatment based on the expressed needs of the Veteran related to mental health concerns due to cancer-related distress. They will learn the intricacies of
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