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Graduate Psychology Education (GPE) FY 2007 Grant Descriptions in Brief California The GPE Program has allowed the Wright Institute, an APA accredited graduate program in Berkeley, CA to expand education and training to students working in primary care with under- and uninsured patients. Currently, four Wright trainees serving adult clients are placed at the Berkeley Primary Care (BPC) Access Clinic one of 8 clinics operated by LifeLong Medical Care (LMC), a federally designated community health center. The GPE Program will add 8 students and utilize two additional training/service sites at LMC and expand services to children, adolescents, families and the elderly. Colorado The GPE Program at the University of Colorado at Denver prepares psychology interns to practice in health care settings, particularly primary care health settings, where underserved, minority and other disadvantaged populations seek health and mental health care services. The key elements of the GPE grant will include a focus on training of psychology interns about the nation's primary care health system, providing the interns with experience in the skills needed to practice in health services settings and training the interns to provide services to a large number of underserved populations including developmentally disabled children, newly arrived refugees, uninsured and monolingual Spanish speaking Latino populations, migrant farm workers, Native Americans, deaf individuals, and incarcerated individuals. There are currently 7 interns working in 7 different major rotation sites. The GPE Program will add 2 new major rotation sites. Connecticut The GPE Program at Yale University's Child Study Center will continue to expand and evaluate a model for developing leaders in the field of child psychology through providing graduate interns in psychology with interdisciplinary training experiences that target specific underserved populations and that increase the integration of health care services by creating linkages between health professionals functioning within a variety of programs and agencies. Collaborative training opportunities for psychology interns involve physicians completing a child psychiatry residency program and social workers completing a post-masters degree fellowship. In addition, psychology fellows actively engage in work with underserved children and youth through collaboration and consultation with a variety of other professionals in the community, including primary care physicians, emergency room personnel, pediatricians, school psychologists, child psychiatrists, nurses, teachers, state child welfare case workers, police officers, detention center workers, juvenile probation officers, and social workers. Four psychology interns participate in the proposed project during each training year. Delaware The Nemours Graduate Psychology Education Program will include training psychology residents to provide screening and implementation of evidence based treatments in primary care settings and child development centers, along with increased training for pediatric residents and advanced practice nurses and community mental health professionals in developmental and behavioral screening and interventions. The Nemours GPE Program will train 15 health service psychologists over a three-year period. The training provided will utilize an integrated model of pediatric mental and physical health, will primarily serve African American and Hispanic, Medicaid eligible children residing in an area that is designated as having a shortage of health care professionals and or designated as a medically underserved area. The program will include completion of the Nemours Pediatric Primary Behavioral Care Modules, as well as six months of supervised clinical experience in primary care settings. District of Columbia Howard University's training in integrated care occurs primarily at 5 hospitals/clinics: Howard University Hospital, Holy Cross Hospital, Kennedy Krieger Institute, Children's National Medical Center, and the People's Community Wellness Center (a church-run clinic), where trainees provide bio-psychosocial evaluations, psychotherapy, behavioral consultations, treatment, and prevention programs targeting hypertension, tobacco and substance use, sexual risk-taking, child and maternal health, and medical compliance. Howard's GPE Program will train the current 35 clinical psychology doctoral students and 3 interns in residence and will target the following underserved populations: the uninsured, children, women, the incarcerated, and people of color with dire medical and mental health needs. Georgia Access to psychologists is particularly limited with Georgia ranking 48th among states in psychologists per capita. Moreover, Georgia is disproportionately low in regard to its psychology workforce development with less than 1 percent of the total internship positions available nationally in a state that ranks 9th in overall population. The three-fold purpose of this project has been to: (1) Enhance the efforts of the MCG-VAMC Psychology Residency Consortium in producing professional and racially/ethnically diverse psychologists; (2) Expand the capability of the Consortium to recruit and train residents in the mental health care delivery to children and to individuals living with HIV/AIDS-two populations of significant need and limited mental health resources in Georgia; and (3) Refine and extend training in dealing with the special mental health needs of women in health care settings- another population in Georgia that has significant and unmet needs. At present there are 7 psychology enrollees in the program and the target for the proposed project is to maintain a comparable number of enrollees in the next three years. Illinois The University of Chicago is located in the South Side of Chicago, a designated underserved mental health area, with a predominantly older, African American population. The purpose of this grant is to develop, operate and maintain a multidisciplinary training program at The University of Chicago that focuses on the goal of developing health service psychologists who will work with underserved populations. In order to achieve this goal, faculty from psychology, psychiatry, geriatrics, and social work will work collaboratively to integrate and focus the curriculum and broaden the training sites to community centers, in order to meet the needs of the underserved African American patient population within our community. Psychology students will train along side trainees from geriatrics, psychiatry, social work, and neurology. The ultimate goal of this program is to eliminate barriers to care and ultimately eliminate health provider disparities for African Americans. Missouri The GPE Grant extends and enhances a 4-year-old funded program entitled, Pediatric-Psychology Partnership for Abuse Prevention (PPP-AP). PPP-AP uses culturally competent psychology trainee-pediatric resident and medical trainee pairs to assess for intimate partner violence (IPV) and intervene with underserved women presenting with their children for pediatric care. Pediatric-Psychology Partnership for Dating Violence Prevention would extend IPV assessment and intervention to adolescent patients. The project would train clinical psychology/pediatric trainees to assess for and intervene in adolescent dating violence, utilizing adolescent-specific assessment and intervention materials, and provide these services within University Pediatrics, an ambulatory healthcare setting with a history of successful pediatric-psychology collaboration. The proposed enhancement would reduce issues of health disparity in dating violence by eliminating barriers to care for underserved African American adolescents and by increasing the number of ethnic minority students trained. Five psychology trainees and four pediatric residents would receive in-depth training while 16 pediatric residents and 50 medical students would receive exposure to the project each year. Nebraska This GPE Grant is designed to address the critical shortage of psychologists treating children, adolescents and families in underserved rural communities and will be accomplished through an expansion of the psychology internship training program located in the Psychology Department of the Munroe-Meyer Institute at the University of Nebraska Medical Center (UNMC). This “integrated behavioral health internship model” provides interdisciplinary training experiences in serving children and adolescents with disabilities and their families, and integrated “learning through service” clinical experiences in rural primary care settings. With continued funding from the GPE Program, the behavioral health model will be extended to a minimum of three additional rural sites over the next three years with the goal of providing internship training and placement of interns into integrated behavioral health practices in underserved Health Professions Shortage Areas. This project will provide training for 18 psychology interns, 12 pediatric and family medicine residents, and 20 mid-level mental health practitioner (counseling, marriage and family, and social work) students. New Mexico The purpose of the NMSU GPE Grant is to increase the number of trainees in the disciplines of counseling psychology (CP), social work (MSW), and family medicine (FM) who provide integrative, comprehensive primary care in medically underserved committees (MUCs). This goal will be obtained by creating coursework and practical experiences in which trainees from these three disciplines learn about and work collaborative with underserved populations in New Mexico. This collaborative project will involve the APA accredited Ph.D. Program in CP at New Mexico State University (NMSU), the MSW Program at NMSU, and the Southern New Mexico FM Residency Program, located in Las Cruces. The objective is to increase the number of counseling psychologists (6 students/year = 18 total), social workers (6 students/year = 18 total), and family practice physicians (5-6 residents/year for 3 year residency = 28 total) trained to provide integrated health care to underserved populations in medically underserved areas, particularly along the US-Mexico border. New York This GPE Grant is aimed at increasing access to culturally competent services for the underserved, largely ethnic minority populations to the medically underserved communities in the areas served by the Lutheran Family Health Centers, one of the nation's largest federally qualified health centers. The program will develop an interdisciplinary curriculum from the fields of psychology, social work, and medicine to create a collaborative environment among professional staff and provide continuous services to consumers who might otherwise not have access. The psychology internship has the capacity for seven pre-doctoral psychology interns. Organization Name: University of Rochester Medical Center The GPE program will provide postdoctoral training with underserved child, adolescent, and family populations within an interdisciplinary health care environment via linkages throughout the University of Rochester Medical Center and the community. The proposed program will train two Child and Adolescent Psychology postdoctoral fellows per year for three years, six fellows total. The program will enable trainees to develop expertise in innovative models of mental health care delivery and preventive interventions for underserved youth in both community and medical center-based settings in order to achieve integrated health care approaches and increased access to care. Special emphasis will be placed on integrating mental health care into pediatric primary care settings, as well as implementing public health initiatives in school settings. North Carolina The underserved populations targeted by this project include children birth to five years of age, economically disadvantaged children and families, and aging adults. Services to each of these groups will be provided within the framework of cultural competence and the interface of health and mental health care through collaboration with local community agencies and health care providers. This project also seeks to enhance the scope of training for graduate students in clinical psychology as well as train students who are committed to providing services in underserved populations upon program completion. Training across the three years of funding will ensure that training opportunities reach all 35 current trainees, as well as 18 new students (6 per each year of the project). Oklahoma The goal of the this GPE program, Interdisciplinary Training Initiative for Underserved Children (ITIUC), is to improve the health of abused or traumatized infants, children, and adolescents by increasing psychology trainees' knowledge, skills, and competencies to work with these underserved groups of children through a discipline-specific and interdisciplinary training program. Psychology students will be trained to provide culturally competent, integrated services to two groups of underserved children, victims of child maltreatment and children exposed to trauma. Eight psychology enrollees will be recruited from three APA-approved graduate psychology programs in Oklahoma (University of Oklahoma, Oklahoma State University, and the University of Tulsa) and from the APA-approved internship and Postdoctoral Fellowship programs at the University of Oklahoma Health Sciences Center. Pennsylvania This GPE program is designed to prepare trainees in psychology, child and adolescent psychiatry, and developmental-behavioral pediatrics for careers that will benefit medically underserved populations (MUPs), with a particular focus on children with or at risk for disabilities and chronic illnesses from racial/ethnic minority groups and low socioeconomic status. Consistent with the mission of The Children's Hospital of Philadelphia (CHOP), the project is dedicated to the preparation of leaders in providing clinical care and conducting research that is directly related to practice. The project emphasizes the preparation of professionals in the areas of cultural effectiveness and public health. Further, the project is designed to develop strategies to recruit and select trainees of underrepresented racial/ethnic minority status. Each year, five psychology interns will be selected for this project. Tennessee Cherokee Health Systems (CHS) a Federally Qualified Health Center (FQHC) serving 11 counties in East Tennessee at 20 clinic sites, proposes to expand its internship training class to four from three and increase the level of multidisciplinary training for the internship program as a whole. The overall purpose of the project is to increase the trained workforce in integrated care while improving services for underserved and disadvantaged populations in East Tennessee. The additional intern will be placed in Cherokee Health System's newest clinic in inner city Knoxville, serving a predominantly African-American community. This clinic (Center City clinic) provides medical and behavioral outpatient services to the community at large. The Center City clinic multidisciplinary staff includes internal medicine physicians, pediatricians, psychiatrists, psychiatric nurse practitioners, a physical therapist, family nurse practitioners, pharmacists, psychologists, and clinical social workers. They work in unison to provided comprehensive, integrated health care to patients with complex medical, social, and mental health needs. Virginia The GPE program will fund an educational model that teaches psychology interns about the subtleties of working in a primary care environment. Simultaneously the mental health education of family medicine residents will be fostered. Through minor rotations in primary care psychology, psychology interns, will complete morning rounds with residents in the inpatient setting, serve as consultants and educators for outpatient primary care practices, and receive specialized training in cultural diversity, obesity, geriatrics and child settings. Psychology interns will also receive enhanced didactics on primary care psychology topics and teach didactics to family medicine residents. The educational model also has components that are on the cutting edge of new practices seen in primary care settings as psychology interns will participate in co-leading enhanced medical visits with family physicians. Lastly, and in addition to enhancing the training of psychology interns, the program plans to also expand the cultural competence of the faculty who provide training for the interns. Concurrently, the family medicine residents will develop enhanced skills at diagnosing and treating psychosocial issues within the primary care setting. Training will occur in sites that provide services to a high percentage of medically underserved patients from an urban area (estimated at 81% African American, 2% Asian or Hispanic in the SNGH facility and 62% African American, 2% Asian or Hispanic in the GFP facility). West Virginia The Department of Psychology at Marshall University has developed a unique program to train doctoral level (Psy.D.) behavioral health professionals who are sensitive to, and informed about, the cultural issues involved in working with underserved rural populations. The GPE program will establish an interdisciplinary, rurally focused training program that will collaboratively integrate students in the clinical psychology doctoral program and students enrolled in the Joan C. Edwards School of Medicine. We anticipate that this program will have significant impact on recruitment and retention of professionals who are well prepared to meet the challenges of rural practice and who will ultimately choose to provide culturally sensitive and effective services for underserved populations. |
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