Post Doctoral Fellowship in Integrated Care and Behavioral Medicine

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Organization Type: 
Program Type: 
Standing Program
Education Level: 
Postgraduate (e.g., residency, fellowship)
Educational Elements: 
Experiential including clinical contact with patients
Other Element(s): 
Teaching, Adminstration, Supervision experiences
Program Description: 

This postdoctoral residency in integrated care and behavioral medicine allows participants to become engaged in multiple activities in both the Oakland and Martinez VA primary care settings.  Both settings provide behavioral health services fully integrated into primary care, but the models of integration are distinct, providing the resident with exposure to different care models.  In both settings, the resident is involved in providing same-day access to mental health services for veterans seen in primary care and specialized behavioral medicine interventions that are critical to the mission of prevention, health promotion, and chronic disease management.  The resident will function on a variety of interprofessional teams in a variety of specific roles.  The program's settings provide experience with a very diverse range of patient backgrounds and presenting problems.  As such, developing competency in the provision of culturally sensitive care is a major training component.

Specific activities include:

  • Behavioral health consultation according to the co-located, collaborative care model.
  • Provision of same-day / as needed access to mental health assessment and treatment services for veterans in primary care.
  • Consultation to primary care providers and other specialists related to management of behavioral health concerns in a medical setting, chronic disease management, and utilization of behavior change strategies related to improving medical outcomes.
  • Implementation of evidence-based / supported individual intervention practices, such as Cognitive Behavioral Therapy, Acceptance/Commitment Therapy, Motivational Interviewing, and skills-based approaches (e.g., stress management, pain management) targeting behavior change to promote physical and mental health.
  • Co-facilitation of interdisciplinary group programs for chronic health conditions, such as diabetes, chronic pain, smoking cessation, and the MOVE! weight management program.
  • Participation in the Codisciplinary Pain Clinic, a twice-monthly interprofessional assessment and intervention setting staffed by a pain medicine physician, a physical therapist, and a behavioral medicine psychologist.  Same-day co-assessments are also conducted with the pain medicine physician on request.
  • Psychosocial assessments for transplant (e.g., lung, kidney, liver, stem-cell) and bariatric surgery.
  • Psychoeducational lectures to specific groups of care providers and patients (e.g., stress management education for patients with diabetes, managing PTSD in a medical setting for nurses).
  • Collaboration and consultation with a variety of other disciplines related to implementation and evaluation associated with the Patient Aligned Care Teams (PACTs).
  • Development of an independent quantitative project related to improving clinical care, such as implementation and evaluation of a clinical program, interdisciplinary trainings, development of a treatment manual, etc.
  • Provision of supervision and didactic presentations to other psychology trainees.
Program Results: 

This program is accredited by the Commission on Accreditation of the American Psychological Association.  The next site visit will be in 2020.

Targeted Professions
Clinical Health
Self-Reported Competencies
PCPCC’s Education and Training Task Force identified 16 interprofessional training competencies critical for preparing health professionals for practicing in team-based, coordinated care models such as patient-centered medical homes. Listed below are the self-reported competencies that this program has achieved, which have been organized by the five core features of a medical home as defined by the Agency for Healthcare Research and Quality
Patient-Centered Care Competencies: 
Cultural sensitivity and competence in culturally appropriate practice
Comprehensive Care Competencies: 
Assessment of biopsychosocial needs across the lifespan
Coordinated Care Competencies: 
Interprofessionalism & interdisciplinary team collaboration
Quality Care & Safety Competencies: 
Evidence-based practice
Last updated July 21, 2014

* Please note: Information contained in this database is self-reported by representatives from each program. It does not represent an exhaustive list of education and training programs and inclusion does not constitute an endorsement from the PCPCC.


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