Updated September 23, 2024
Psychology Training Provided : The PCMHI rotation is an interprofessional outpatient mental health service embedded within Primary Care. A primary function of this rotation is to provide trainees with experience and training in providing patient-centered care while working collaboratively with providers from other professions (e.g., psychiatrists, physicians, nurses, and nurse practitioners). PCMHI patient referrals are based upon patient request, primary care provider recommendation, and/or cutoff scores on the VA measures of depression, anxiety, and PTSD . Psychology trainees will have the opportunity to provide same-day access to initial PCMHI assessments via warm-handoffs from Primary Care teams. Upon initial referral, patients meet with a co-located mental health provider and complete a brief clinical interview and self- report measures. Based on their level of functioning and interests in treatment, patients may be offered a medication consultation with a PCMHI psychiatrist, group psychotherapy, and/or brief individual evidence-based psychotherapy with a PCMHI psychologist. Within this program, interns will be trained in a wide range of clinical activities, including brief functional assessment and triage, evidence-based psychotherapy, consultation, and coordination of treatment. Treatment modalities commonly used include psychoeducation, behavioral activation, motivational interviewing, mindfulness-based interventions, cognitive behavioral therapy, behavioral medicine interventions/health promotion, and relaxation training. Patients with more severe psychopathology (e.g., bipolar disorder, personality disorders, and psychotic symptoms) and/or impairment are referred directly to more intensive interventions in the mental health department on a case-by-case basis. After completing the PCMHI rotation, interns will be able to: • Conduct brief functional assessments • Triage patients to appropriate level of care including options within PCMHI or referral to specialty mental health • Provide brief evidence-based interventions for a variety of mental health concerns, including depression, anxiety, anger management, stress management, grief, sleep disturbances, mild substance abuse and PTSD. • Provide consultation to providers within the Primary Care and PCMHI programs including communication of assessment findings and collaborative treatment planning.
The following groups based on EBPs may be available for trainees in the PCMHI rotation:
• • •
CBT for Depression group
CBT-Insomnia group
Stress Management Group
• MOVE! (Weight Management) Group • Tinnitus Group • Tobacco Cessation Group • Brief CBT for Chronic Pain
Interns may have the opportunity to learn these individual evidence-based interventions and assessments:
• Cognitive Behavioral Therapy for Chronic Pain (CBT-CP) • Cognitive Behavioral Therapy for Insomnia (CBT-i) • Prolonged Exposure-Primary Care
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