Updated September 23, 2024
discuss the intersectionality of diversity factors of the trainee, the supervisor, and the Veteran to better understand how these factors contribute to the overall level of care provided.
9. Outpatient Mental Health – Behavioral Health Interdisciplinary Program (BHIP) Primary Supervisors: Marisa Glivings, Psy.D., Mary Jacob Mathew, Ph.D., Caroline Prouvost, Ph.D., Brandon Reed, Ph.D. Adjunct: Leela Farina, Ph.D., Veronica Palad, Ph.D. Program : This rotation offers experience providing outpatient individual and group psychotherapy for Veterans presenting with a wide range of problems including PTSD, Anxiety Disorders, Mood Disorders, Adjustment Disorders, interpersonal and relational difficulties, pervasive emotion dysregulation, substance abuse, cognitive impairments, gender dysphoria and gender transition issues, and co-morbid medical complications. Patients are referred to this rotation by psychiatrists and nurse practitioners from the BHIP mental health teams, Primary Care-Mental Health Integration program, and the Urgent Mental Health Clinic. Clinically, this rotation highlights the use of well-formulated CBT case conceptualizations to guide treatment and clinical decision making. Given the wide range of presenting concerns, training will emphasize a balance between adherence to evidence-based treatment protocols and the flexible use of evidence-based techniques and case conceptualizations to tailor treatment based on individual differences. Trainees will be members of Interdisciplinary Teams with their supervisors, consulting with psychiatry, nursing, social work and peer specialists on a routine basis. Psychology Training Provided: Trainees on this rotation can select Dr. Palad, Dr. Glivings, or Dr. Farina as rotation supervisors depending on their "goodness of fit" and the specific interests of the supervisors and trainees. (Note that Dr. Glivings offers supervision solely in-person in the clinic; other supervisors offer virtual supervision.) Supervision will be individual as well as occurring within the IDT. Please note that the IDT meetings encourage conceptualization skills as well as eliciting and providing targeted and concise consultation in a busy hospital setting. Trainees will also participate in the BHIP triage clinic two hours per week where they will hone brief assessment and triage skills within BHIP services. EBP Opportunities: Cognitive Processing Therapy (CPT) for PTSD, Prolonged Exposure (PE) for PTSD, individual therapy informed by Dialectical Behavior Therapy (DBT) for BPD, Acceptance and Commitment Therapy (ACT), Interpersonal Therapy for Depression (IPT-D), Exposure and Response Prevention Therapy (ERP), and Motivational Interviewing (MI). Group treatments include CBT for Depression and Anxiety, Unified Protocol for Emotional Disorders, Trauma Skills, Anger Management, Mindfulness and ACT, and Managing Emotions (informed by DBT Skills). Assessment Opportunities: Primarily trainees will conduct brief assessments of presenting problems utilizing the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder 7- item (GAD-7) Scale, Alcohol Use Disorders Identification Test (AUDIT-10), PTSD Checklist for DSM-5 (PCL-5), and the McLean Screening Instrument for BPD (MSI-BPD) for the purpose of triaging therapy needs and developing initial treatment plans. In addition, trainees are
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