Clinical Psychology Postdoctoral Fellowship in Integrated Primary Care – Mental Health

The Edith Nourse Rogers Memorial VA Medical Center in Bedford, MA is pleased to announce that we are accepting applications for 3 clinical post-doctoral fellowships in integrated primary care behavioral health for the 2018-2019 training year. Applications will be accepted on a rolling admission basis until all positions have been filled.

The Primary Care Behavioral Health (PCBH) program is a co-located collaborative model that aims to provide improved access and coordination of patient centered care within Patient Aligned Care Teams in Primary Care (VHA’s version of the Patient Centered Medical Home).  The team is physically located in the primary care clinic so that we see patients in the same setting where they receive their general medical care. PCBH services are delivered by an interprofessional team consisting of three psychologists, one psychiatrist, one clinical nurse specialist, one social worker along with several trainees (5 psychology interns/post-docs, 1 nurse practitioner fellow, 2 social work interns, 1 psychiatry resident, and 2 family medicine residents).

As a member of the PCBH team, post-doctoral fellows will have the opportunity to provide services in the Patient-Aligned Care Teams (PACT), Women’s Health Clinic, Polytrauma/TBI Clinic and the Infectious Disease Clinic. Our collaboration with these clinics includes curbside consultation, warm hand-offs, co-visits, and shared treatment planning. Our PCBH team provides services that address common mental health conditions (depression, anxiety including PTSD) and chronic disease management (chronic pain, diabetes, hypertension) presenting in the medical setting. Our PCBH team also completes pre-surgical evaluations for organ transplantation and bariatric surgery. In addition to providing individual behavioral interventions, post-doctoral fellows will be involved in facilitating interdisciplinary group treatment that focuses on chronic disease management. Currently, we offer group therapy for chronic pain self-management, diabetes self-management, smoking cessation, weight management, and a mindfulness-based wellness group for stress management. Additionally, the post-doctoral fellow will be directly involved in our interdisciplinary group medical visit for Veterans with diabetes. Fellows also have the opportunity for training and certification in Clinical Video Telehealth (CVT) to work with Veterans in Community Based Outpatient Centers (CBOCs). Training also includes biofeedback for chronic pain, anxiety and other conditions.

Another major component of the PCBH training program is care management. Our PCBH program uses the empirically supported Behavioral Health Lab to provide the care management aspect of integrated care. Referrals are generated from primary care providers either by their discretion and/or positive screens on clinical reminders for depression, PTSD, smoking, and substance use. The software assists team members in the delivery of a brief core assessment and for making timely and thorough psychological evaluations. Guided brief interventions are then offered for depression, anxiety, alcohol misuse, and referral management for patients who need additional specialty services. 

In addition, post-doctoral fellows will have the unique opportunity to be a part of the established collaborative training program with the University of Massachusetts School of Medicine, home of one of the original postdoctoral residencies in primary care psychology. The clinical experience at UMass will be in providing behavioral health treatment at one of the family medicine practices in the University of Massachusetts Memorial system. They will see patients collaboratively with primary care, participate in multidisciplinary chart rounds and have ample opportunities for consultations and other informal and formal learning gatherings. Residents will also attend the UMass Primary Care and Behavioral Health Certificate training program and receive a certificate upon completion.

Lastly, the PCBH fellowship includes training in systems redesign, which is facilitated by having post-doctoral fellow design, implement and evaluate a quality improvement program development project of their choice as matched with the needs of the program.

The fellowship program is accredited by the American Psychological Association as a generalist program with an emphasis on integration of Mental Health with Primary Care in clinical psychology.

Eligibility: Completion of an APA accredited doctoral program in Clinical or Counseling Psychology (PhD/PsyD) as well as an APA accredited internship. Please note that we can only accept applicants who are US citizens.

Start Date: September 4, 2018
Stipend: $50,941 annually
Benefits: VA fellows are eligible for health insurance (for self, married spouse
and legal dependents), life insurance, 10 annual holidays, four hours of sick
leave and four hours of annual leave for each two week pay period, 4 days of authorized
absence without charge to leave for activities deemed to be of substantial
benefit to VA or activities that advance education and training.

Given the rolling admission for the extension of this posting, please submit the application materials below to the following email address:

Anna Cassel, Ph.D.
Psychology Service 116B
Edith Nourse Rogers Memorial VAMC
200 Springs Rd
Bedford, MA 01730
781-687-3895
Anna.Cassel@va.gov

The following materials are required:

 1. Cover letter. 

a) Description of your interest and experience with regard to the specific position.

b) Description of the status of your dissertation, including details related to phase of the project and expected dates for subsequent phases and/or completion

2. CV (which includes a brief description of internship rotations)

3. Three letters of recommendation (at least one from an internship supervisor, and at least one from doctoral program faculty).  Letters should be signed and saved as a PDF document. 

4. Official undergraduate and graduate degree transcripts (photocopies of official transcripts are fine)

To review additional information about the post-doctoral fellowship’s larger philosophy, program structure and learning objectives/goals, and application procedure (pages 46-47), please review our on-line brochure at the following website: 

http://www.psychologytraining.va.gov/bedford/