KAISER PERMANENTE SOUTH EAST BAY CONSORTIUM

POSTDOCTORAL RESIDENCIES IN CLINICAL PSYCHOLOGY

The Kaiser Permanente South East Bay Consortium is a comprehensive program that is well-integrated into the health care system. Residents placed in the Departments of Psychiatry and Chemical Dependency are required to complete 40 hours per week over a 12-month period.
One half of the residents’ time is spent providing direct services to clientele through individual, group, family, or couple therapy and conducting psychological assessments. In addition to the required two hours of individual supervision weekly by a licensed psychologist, residents also participate in at least two additional hours of individual and/or group supervision, case conferences, team meetings, and weekly seminars. Residents are encouraged to attend the monthly training seminars for the general staff.

In addition to a weekly seminar, individual and group supervision at their training sites, residents are expected to attend a monthly half-day regional seminar. The first regional seminar focuses on Ethics and the Law. This ensures all postdoctoral residents have a sound working knowledge of California’s professional code of conduct. The four hour monthly seminar is offered on a regional basis. This seminar takes place the second Tuesday of every month (for a total of 11 regional seminars). Examples of seminars that have been presented in the past include: Ethics, Neuropsychology, Diversity, Dialectical Behavioral Therapy and a variety of other topics. These seminars are developed by the Northern California Regional Training Director.

Fremont, Department of Psychiatry

Department of Psychiatry
Kaiser Permanente, Fremont
39400 Paseo Padre Parkway
Fremont, CA. 94538
Director of Training: Susanna Mark, Ph.D.
510-248-3152 E-Mail: susanna.k.mark@kp.org

Fremont is located in the San Francisco Bay area within commuting distance of San Francisco, Oakland, and San Jose. With a population of 203,600, the city has been cited as a rapidly growing community of professionals and families that continues to maintain a suburban atmosphere. The Kaiser, Fremont campus is strategically located within walking distance from BART (Northern California’s Bay Area Rapid Transit rail system) and a short distance from major highways. Surrounding areas within an hour and a half to two hours drive include Napa Valley and coastal regions along the Monterey Peninsula and Big Sur. Currently, the department includes 17 psychologists, 4 licensed clinical social workers, 6 psychiatrists, 3 psychiatric nurses, and 2 marriage family therapists.

Hayward/Union City, Department of Psychiatry

Department of Psychiatry
Kaiser Permanente, Hayward
3555 Whipple Road
Union City, CA 94587

Director of Training:
Kate Lenhardt, Ph.D.
510-675-3322
E-mail: kate.lenhardt@kp.org

The Hayward/Union City Department of Psychiatry is physically located in Union City and is part of a three-building complex of outpatient medical clinics for Kaiser Permanente members. Our hospital is located in Hayward, about seven minutes away. Union City is located in the East Bay of the San Francisco Bay Area in Northern California. The area offers many opportunities for dining, entertainment, the arts, science, and recreation. Enjoyable day trips include San Francisco, the Pacific Ocean or the Napa/Sonoma wine country. Weekend excursions to ski resorts, Yosemite National Park and the Monterey Bay Area are also popular. In all, we have 32 Psychologists, 22 LCSWs & MSWs, 9 MFTs, 13 Psychiatrists, 1 Nurse Practitioner, 1 Dietician, and 4 Psychiatric Nurses.

Union City, Department of Chemical Dependency

Department of Chemical Dependency
Kaiser Permanente, Hayward
3555 Whipple Road
Union City, CA 94587

Director of Training:
Kristine Futa, Ph.D
510-675-2149
E-mail: kristine.t.futa@kp.org

The CDRP is located in Union City while the main hospital is located in Hayward. Union City is nestled in the beautiful San Francisco Bay Area of Northern California. It is situated approximately 30 miles southeast of San Francisco, 20 miles north of San Jose, and 30 miles from California’s finest beaches. The area offers many opportunities for dining, shopping, arts, science, and recreation. Union City is home to many beautiful parks, sports fields, community facilities, and recreational programs for people of all ages. As of winter 2007, our staff consists of 4 Psychologists, 1 Psychological Assistant working towards licensure, a Medical Director, a Nurse Practitioner, 4 MFT’s, and 2 LCSW’s.

BACKGROUND AND HISTORY

The postdoctoral residency program at the Kaiser Permanente Medical Centers (KPMC) in Northern California has a long and intricate history. Nicholas Cummings, Ph.D., led the development of psychology within KPMC in the 1960’s. During the last fifteen years, under the leadership of Robin Dea, M.D., there has been a major movement to regionalize and standardize the mental health delivery system. It has since tripled in size. Several new treatment programs were developed under the initiative referred to as the “model of care”. As a result of this organizational maturation, the postdoctoral training program has grown increasingly organized and extensively supported by the KPMC.

Under the leadership of Lloyd Linford, PhD., we have made a commitment to evidenced-based treatments. To this end, departments throughout the region send specialists to meet regularly to develop Best Practice guidelines based on the most current research for major psychological disorders, such as: Depressive Disorders, Anxiety Disorders, and Eating Disorders. These guidelines are published in manuals which every department is expected to use in order to provide comprehensive and appropriate treatment. The Best Practices literature is made available to all residents and is considered part of overall curriculum of the residency program.
For a link to the Kaiser Permanente Best Practices Library, click here.

The program functions within the largest HMO in the United States. Each medical center provides a full range of services to thousands of patients. Health care, as envisioned by KPMC, is an integrated system. Providers from specialty areas such as pediatrics, internal medicine, neurology and psychology work together in a collaborative manner to provide integrated treatment. The postdoctoral residents train within this collaborative system and are seen as an integral part of the overall healthcare delivery system. Each medical center has psychologists working in various departments including Psychiatry, Chronic Pain, Chemical Dependency, and Behavioral Medicine.
The South East Bay Consortium emerged in 2007 as one of 6 consortia. The consortium system, now totaling 7, restructures the larger regional Bay Area post doctoral training program into sub regional medical centers that localize training and provide an integrated and comprehensive training cohort. One training director oversees the quality assurance of training in each consortium and site directors manage the specific training programs within their departments in Fremont and Union City.

MISSION AND TRAINING MODEL

The mission of Kaiser Permanente Medical Centers (KPMC) is to provide integrated, efficient, high-quality, evidence-based health care while supporting innovation and continuous quality improvement. The mission of the South East Bay Consortium Postdoctoral Training Program is to provide residents with advanced training within this highly integrated, multidisciplinary healthcare system, in order to prepare them for dynamic roles as practicing psychologists in the healthcare system of the future. Residents train in collaboration with, and with guidance from, psychologists and physicians.
The South East Bay Consortium Postdoctoral Training Program subscribes to the Practitioner-Scholar model of training. This model emphasizes the development of professional skills among practitioners who utilize the field's scientific knowledge (Evidence-Based Treatment) in their professional practice. The program is committed to training professional psychologists who are life-long learners dedicated to engaging in continuous education, scientific inquiry, and scholarly endeavors.

PROGRAM FACULTY

The program faculty includes licensed psychologists and board certified psychiatrists who lead seminars and conduct individual and group supervision. Each site is overseen by a Site Coordinator and the Consortium is led by a Consortium Director. Additional administrative guidance is provided by the Northern California Director of Training.

On Site Coordinators: Each Site Coordinator develop residents schedules which includes supervision from the primary and delegated supervisors, group supervision for psych assessment, case conferences, on site staff meetings, etc. Site Coordinators assign department programs/groups that meet residents’ particular interests and training goals. Site Coordinators are responsible for data collection/documentation and record keeping of trainees in their program, as well as program design, development and evaluation. Site coordinators meet with supervisors once a week to discuss residents, program coordination, disseminate information, etc.

The Site Coordinators and the Consortium Director meet with the Northern California Director of Training on a monthly basis to coordinate the consortiums training seminars, problem solve and insure standardization of training. Topics of discussion include: program development/evaluation, maintenance of records, recruitment, and keeping up-to-date with the Board of Psychology, APPIC, and APA standards.

GOALS & OBJECTIVES

Goal #1
Professional Skills: To provide resident with a competency-based training program centered on the KPMC Evidence-Based Practices. During the training year, resident’s case load will increase in diversity and complexity of issues. Resident will have opportunities to participate in research and teaching.

Objectives	Competencies	Outcome Measurement Tools/ Minimum Thresholds
A) Resident will carry a progressively larger caseload as the residency year proceeds, manage increasingly more complex cases, and see a broad range of clientele including individuals, families, and groups.	A) Resident will demonstrate competency in dealing with a broad range of clientele, carrying a progressively larger caseload, and managing increasingly complex cases.	Proximal Outcomes: Resident Performance Evaluation: An overall rating of 3 (on 5-point Likert scale) by the end of the residency year, in the Professional Skills competency areas (see Appendix E, page --, Resident Performance Evaluation) Distal Outcomes: Resident Program Survey: An average rating of 3 (on 5-point Likert scale) by the end of the residency year, in the Professional Skills section (see Appendix F, page ---, Resident Program Survey).
B) Resident will treat individual clients, families, and groups by providing brief therapy.	B) Resident will demonstrate competency in providing brief therapy to individuals, families, and groups.
C) Resident will adhere to the Practitioner-Scholar Model by applying Evidence-Based Practice guidelines in their clinical practice.	C) Resident will demonstrate competency in applying Evidence-Based Practice to inform clinical practice.
D) Resident will participate in one research or program evaluation project.	D) Resident will present the results of their research or program evaluation to peers and staff.
E) Resident will review the literature on Evidence-Based Practice for a particular diagnosis or topic of interest.	E) Resident will present the results of their Evidence-Based Practice literature review to peers and/or staff.

Goal #2
Sensitivity to Diversity: To train resident to treat clients of different socioeconomic backgrounds, ethnic groups, religious backgrounds, gender identities, and sexual orientations with sensitivity and cultural competence.

Objectives	Competencies	Outcome Measurement Tools/ Minimum Thresholds
A) Resident will be provided with opportunities to work with clients from diverse socioeconomic backgrounds.	A) Resident will demonstrate competence in working with clients from diverse socioeconomic backgrounds.	Proximal Outcomes: Resident Performance Evaluation: An overall rating of 3 (on 5-point Likert scale) by the end of the residency year in the Sensitivity to Diversity competency area. Distal Outcomes: Resident Program Survey: An average rating of 3 (on 5-point Likert scale) by the end of the residency year in the Sensitivity to Diversity section.
B) Resident will address issues relevant to the treatment and assessment of individuals from diverse ethnic groups, religious backgrounds, gender identities, and sexual orientations.	B) Resident will demonstrate competence with and sensitivity to the issues relevant to the treatment and assessment of individuals from diverse ethnic groups, religious backgrounds, gender identities, and sexual orientations.

Goal #3
Assessment Skills: To enhance resident's proficiency in the use of assessment instruments for the purpose of evaluation, diagnosis, and treatment planning.

Objectives	Competencies	Outcome Measurement Tools/ Minimum Thresholds
A) Resident will expand their working knowledge of the most prominently used psychological instruments, including their administration, scoring, and interpretation.	A) Resident will competently use psychological testing instruments, including their administration, scoring, and interpretation.	Proximal Outcomes: Resident Performance Evaluation: An overall rating of 3 (on 5-point Likert scale) by the end of the residency year in the Assessment Skills competency area. Distal Outcomes: Resident Program Survey: An average rating of 3 (on 5-point Likert scale) by the end of the residency year, in the Assessment Skills section.
B) Resident will complete a minimum of two integrated test batteries.	B) Resident will complete a minimum of two test reports that address referred questions and augment a more refined treatment plan for client.

Goal #4
Professional Development: To provide resident with opportunities to function as a full member of multi-disciplinary treatment teams in order to increase his/her knowledge and handling of legal and ethical issues involved in the practice of professional psychology.

Objectives	Competencies	Outcome Measurement Tools/ Minimum Thresholds
A) Resident will interact with health care professionals from other specialty areas, including psychiatrists, social workers, nurses, and internists.	A) Resident will form reciprocal consulting relationships with health care professionals from other disciplines and use this information to facilitate case conceptualization and treatment.	Proximal Outcomes: Resident Performance Evaluation: An overall rating of 3 (on 5-point Likert scale) by the end of the residency year in the Interdisciplinary Collaborations, Ethics, and Managing Personal Processes and Professional and Educational Goals competency areas. Distal Outcomes: Resident Program Survey: An average rating of 3 (on 5-point Likert scale) by the end of the residency year in the Interdisciplinary Collaborations, Ethics, and Managing Personal Processes and Professional and Educational Goals sections.
B) Resident will discuss the legal, ethical, and professional issues relevant to each clinical case they are assigned to, and function in a manner which is consistent with the highest ethical standards outlined by the APA.	B) Resident will demonstrate competency in discussing the legal, ethical, and professional issues relevant to each clinical case. These issues include but are not limited to personal boundaries, scope of practice, and confidentiality.
C) Resident will develop an understanding that further supervision and education are life-long, enriching experiences.	C) Resident will actively pursue educational and scholarly endeavors to keep current with the most recent research within their areas of interest. Resident will also continue to seek out supervision to refine and enhance their professional skills.

THE SOUTH EAST BAY

The South East Bay is nestled within the beautiful San Francisco Bay Area of Northern California. It is situated approximately 30 miles southeast of San Francisco, 20 miles north of San Jose, and 30 miles from California’s finest beaches.

The area offers many opportunities for dining, shopping, arts, science, and recreation. It is home to many beautiful parks, sports fields, community facilities, and recreational programs for people of all ages.

PATIENT POPULATION

Our clients primarily reside in the Union City, Hayward, Fremont, San Leandro, and the San Lorenzo areas. The clientele are diverse in terms of socioeconomic, age, sexuality, disability, cultural, and ethnic backgrounds. We work with translators and interpreters to aid in assessment and treatment when needed. The patient population consists of Kaiser Health Plan members possessing prepaid psychiatric benefits.

SERVICES

The Departments of Psychiatry and Chemical Dependency provides individual, group, family, psychological testing, and psycho-educational programs such as stress reduction, mood management, communication skills, and other classes. Each Psychiatry department offers approximately 30 different groups, from Dialectic Behavioral Therapy to Job Stress. The Chemical Dependency offers programs for individuals first entering into recovery to those with longer term recovery. The members of the staff represent a variety of theoretical orientations ranging from psychodynamic to cognitive behavioral therapy

THE TRAINING PROGRAM

GENERAL PRINCIPLES

The basic training philosophy adopted by this department stresses a commitment to a continuous reassessment, modification, and enrichment of psychotherapy techniques. Residents are exposed to a unique and diverse community. There is a clear emphasis on the role of the psychologist in a multicultural community and outpatient setting. Residents are encouraged to become familiar with the demographic composition of the community in which our clients reside.

The Best Practices literature serves as the curriculum for the training program. This body of literature is comprised of well researched Evidence Based guidelines for the treatment of various mental health problems such as depression and anxiety. The Best Practices Literature is available on-line and in hard copy form.

The residency consists of three components:

Regular exposure through active participation to all facets of outpatient services.
Professional guidance through sessions of formal supervision, staff meetings and informal contacts with staff members.
Regular weekly and monthly training seminars.

EVALUATIONS

The primary supervisors are responsible for completing the resident’s evaluation in collaboration with the rest of the training staff. There are two evaluations, one mid-year and one at the end of the year. All efforts will be made to provide ongoing feedback to residents throughout the year. Residents will also have an opportunity to evaluate this program twice a year.

GRIEVANCES

Any problem, which might arise, should be addressed with the resident's primary supervisor. If the problem cannot be resolved, then this matter should be taken up by the Director of Training. A Policy and Procedures manual provides a lengthy description of grievances procedures.

APPLICANTS

We offer 5 postdoctoral residency positions. While each resident is assigned to one location, they are nevertheless part of the larger training program. Assignment to site-specific positions is based a “goodness of fit model” meaning that candidates have experience and interest in developing particular interests that match specific sites/departmental programs. For example, Fremont and Union City Psychiatry offer training in adult psychiatry and child psychiatry while Union City Chemical Dependency Department offers specialized training working with clients in different stages of recovery.
Candidates are required to have a completed doctorate before entering the program. A doctorate from an APA accredited academic program is preferred. An APA accredited pre-doctoral internship is also preferred but not required.

SALARY

Kaiser Permanente provides financial support for residents including stipends and heath care insurance through Direct Community Benefit Program and Psychiatry Department funds. Stipends are competitive with other training programs locally and nationally at $37,705 per year. For additional details, see http://residency.kp.org/ncal/psych/psychology.html

HOW TO APPLY

All applications are due by January 15th for the training year beginning the following September. Interviews take place during the month of February. Notification day is coordinated with the other postdoctoral programs in California and occurs on a date in late February.

Each applicant must send a letter of intent, including date when doctoral training will be completed, along with current vita and three letters of recommendation to the training director(s) at site(s) of interest, using the address and contact information listed below. To learn more about a specific site, including application requirements, go to the site webpage by clicking on the left-hand menu bar at the top of this page.
Each applicant must also express their interest in one or more postdoctoral resident position(s) by following these steps:
Go to kaiserpermanentejobs.org
Create a job profile
Find the correct job listing(s) by selecting these parameters:

Area of interest: Behavioral/Mental Health - Other
State/City: California (Northern) – All
Job Type: Full-Time

Submit one resume per each listing you are interested in

If you are invited to be interviewed, you will be emailed a job application which you will need to print, fill out, and fax back to sender.

APPLY TO:

Fremont, Department of Psychiatry
Department of Psychiatry
Kaiser Permanente, Fremont
39400 Paseo Padre Parkway
Fremont, CA. 94538
Director of Training: Susanna Mark, Ph.D.
510-248-3152 E-Mail: susanna.k.mark@kp.org

Hayward/Union City, Department of Psychiatry
Department of Psychiatry
Kaiser Permanente, Hayward
3555 Whipple Road
Union City, CA 94587
Director of Training: Kate Lenhardt, Ph.D.
510-675-3322 E-mail: kate.lenhardt@kp.org

Union City, Department of Chemical Dependency
Department of Chemical Dependency
Kaiser Permanente, Hayward
3555 Whipple Road
Union City, CA 94587
Director of Training: Kristine Futa, Ph.D
510-675-2149 E-mail: kristine.t.futa@kp.org