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Internships & Fellowships
The TRC provides trauma-focused internships for both second year MSW candidates and pre/post-doctoral psychology candidates. Doctoral students can also apply to a trauma-focused internship training at an affiliated clinic, the Psychosocial Medical Clinic (PMC) at the SFHG Medical Center. A description of the training opportunities follows.
Program Description: The San Francisco General Hospital Trauma Recovery Center (TRC) is an outpatient mental health program in the division of Psychosocial Medicine in the UCSF/SFGH Psychiatry Department. TRC is located near San Francisco General Hospital and works with adults who have been survivors of violent crime, including sexual assault, domestic violence, physical assault, and violence using weapons.
We are investigating (see Executive Summary) whether assertive psychosocial treatment made available in an acute medical setting assists crime victims with recovery. Thus, we are developing an innovative, new model of care for crime victims and are studying its impact. TRC provides culturally sensitive mental health services including crisis intervention, clinical assessment, assertive outreach, clinical case management, trauma-informed individual psychotherapy, substance abuse counseling, support groups, and psychiatric medication assessment and management.
The PMC provides treatment to patients who have been exposed to a broad range of traumatic stressors and are experiencing acute and chronic posttraumatic stress reactions. Populations treated in this program include women and men with histories of childhood sexual and/or physical abuse, as well as physical assault, sexual assault, intimate partner violence, or traumatic accidents and injuries. Patients treated at PMC differ from those treated at TRC in terms of the recency of the assault. As well the treatment offered at the TRC includes more community outreach and community consultations.
The Model: In our model of care, we provide assertive practical and therapeutic interventions to crime survivors. In some cases, the sequelae of trauma and other barriers to accessing mental health treatment has resulted in underutilization of services. At the TRC we begin with office-based or hospital-based case management and mental health treatment and provide home visits and community outreach as needed in order to establish rapport and to engage clients in service. Our work at PMC is primarily office-based. Treatment modalities which assist therapists in working effectively within a time-limited framework are highlighted. Our treatment goal is to remove barriers to care for crime victims, to reduce their psychological distress, and to promote more rapid return to prior functioning.
Clientele: Clients are San Francisco residents, ages 18 and older, who have experienced interpersonal violence. Most of the clients are low income. About 50% are men and 50% are women. Over 60% are ethnic minorities (primarily African-American and Latino) and nearly 10% are monolingual-Spanish-speaking. Most have suffered from injuries related to domestic violence, sexual assault, gang-related violence, drug-related violence, muggings and robberies, drunk driving incidents, and other forms of interpersonal violence or are family members of crime or homicide victims.
Hours/week: 24
Duration: 1 academic year
Caseload: 6-8
Groups: 1 (possible)
Seminars: 3 hours (weekly)
Individual Supervision: 75 mins (weekly)
Social work interns work 24 hours a week and follow the academic year schedule. They carry a caseload of 6-8 individual clients, conduct weekly psychosocial intake assessments, and possibly co-lead one therapy group. The intern will provide crisis debriefing and assertive outreach in the early phase of the treatment.
The intern will help the client address their psychosocial needs including financial entitlements, housing, medical needs, legal advocacy, and other needs. Once the client is psychosocially stable, the intern will provide him/her with office-based psychotherapy to prevent and/or treat mental disorders such as anxiety disorders, mood disorders, and substance use disorders. Female interns will act as an on-call social worker for weekly 4-hour shifts to respond to recent sexual assault survivors in the emergency department at SFGH. As well interns may be called to meet with patients on inpatient units or to consult with inpatient staff on matters related to post traumatic stress.
Social work interns will attend 3 hours of seminar each week, including a seminar in trauma assessment and treatment and a didactic clinical overview seminar. Cultural competence is emphasized. Interns will obtain an excellent sense of how to conduct a thorough semi-structured interview assessment and will become very familiar with DSM IV diagnosis, treatment planning, therapeutic interventions, and a range of clinical issues.
In addition to seminars, interns will receive 75 minutes of group supervision on their intakes and at least one hour of individual supervision per week on their individual cases. Cases are presented frequently, and interns are requested to do process recording, and by second semester, to frequently audiotape and/or videotape their client sessions.
Hours/week: 24-40
Duration: 12 months (beginning in July)
Caseload: 10-12
Groups/week: 1-2
Intakes/week: 2
Group Supervision: 75 mins (weekly)
Individual Supervision: 2 hours (weekly
Psychology interns/fellows work 24-40 hours a week for 12 months starting in July. They carry a caseload of 10-12 individual clients, providing them with trauma-focused individual psychotherapy. In addition intern/fellows may have the opportunity to co-facilitate 1-2 trauma focused groups per week. Our theoretical orientation is trauma based, which allows for a blend of psychodynamic and cognitive-behavioral approaches. Trauma work necessitates a theoretically flexible approach guided by patient needs. Most often our patients experience anxiety and depression, have substance abuse issues, and experience an exacerbation of pre-existing mental health issues. Cultural competency is strongly emphasized and incorporated into the clinical work and supervision. Interns are requested to do process recording, and by the second semester, to frequently audiotape and/or videotape their client sessions.
In addition, intern/fellows will conduct two psychosocial intakes per week, presenting them in a weekly 75-minute group supervision meeting. This provides excellent experience in refining clinical interviewing and DSM IV diagnosis skills.
Training and supervision are highly emphasized. Intern/Fellows will receive 2 hours of individual supervision by licensed psychologists each week, as well as the intake group supervision provided by a multi-disciplinary team made up of psychiatrists, psychologists, and social workers. In addition, intern/fellows attend a weekly Trauma seminar which helps students learn to apply integrated models of treatment for trauma, incorporating Psychoeducation, Cognitive Behavioral Therapy, Object Relations and Attachment theories.
At the TRC, the intern/fellow will initiate the assertive community outreach approach as described in the social work section above. Female intern/fellows will staff a 4-hour on-call shift, responding to sexual assault survivors in the SFGH Emergency Department, providing support, crisis intervention, safety planning and psychoeducation. As well interns may be called to meet with patients on inpatient units or to consult with inpatient staff on matters related to post traumatic stress.
Please contact the TRC at 437-3000 to receive more information including how to apply.
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Program Description: The San Francisco General Hospital Trauma Recovery Center (TRC) is an outpatient mental health program in the division of Psychosocial Medicine in the UCSF/SFGH Psychiatry Department. TRC is located near San Francisco General Hospital and works with adults who have been survivors of violent crime, including sexual assault, domestic violence, physical assault, and violence using weapons.
We are investigating (see Executive Summary) whether assertive psychosocial treatment made available in an acute medical setting assists crime victims with recovery. Thus, we are developing an innovative, new model of care for crime victims and are studying its impact. TRC provides culturally sensitive mental health services including crisis intervention, clinical assessment, assertive outreach, clinical case management, trauma-informed individual psychotherapy, substance abuse counseling, support groups, and psychiatric medication assessment and management.
The PMC provides treatment to patients who have been exposed to a broad range of traumatic stressors and are experiencing acute and chronic posttraumatic stress reactions. Populations treated in this program include women and men with histories of childhood sexual and/or physical abuse, as well as physical assault, sexual assault, intimate partner violence, or traumatic accidents and injuries. Patients treated at PMC differ from those treated at TRC in terms of the recency of the assault. As well the treatment offered at the TRC includes more community outreach and community consultations.
The Model: In our model of care, we provide assertive practical and therapeutic interventions to crime survivors. In some cases, the sequelae of trauma and other barriers to accessing mental health treatment has resulted in underutilization of services. At the TRC we begin with office-based or hospital-based case management and mental health treatment and provide home visits and community outreach as needed in order to establish rapport and to engage clients in service. Our work at PMC is primarily office-based. Treatment modalities which assist therapists in working effectively within a time-limited framework are highlighted. Our treatment goal is to remove barriers to care for crime victims, to reduce their psychological distress, and to promote more rapid return to prior functioning.
Clientele: Clients are San Francisco residents, ages 18 and older, who have experienced interpersonal violence. Most of the clients are low income. About 50% are men and 50% are women. Over 60% are ethnic minorities (primarily African-American and Latino) and nearly 10% are monolingual-Spanish-speaking. Most have suffered from injuries related to domestic violence, sexual assault, gang-related violence, drug-related violence, muggings and robberies, drunk driving incidents, and other forms of interpersonal violence or are family members of crime or homicide victims.
Hours/week: 24
Duration: 1 academic year
Caseload: 6-8
Groups: 1 (possible)
Seminars: 3 hours (weekly)
Individual Supervision: 75 mins (weekly)
Social work interns work 24 hours a week and follow the academic year schedule. They carry a caseload of 6-8 individual clients, conduct weekly psychosocial intake assessments, and possibly co-lead one therapy group. The intern will provide crisis debriefing and assertive outreach in the early phase of the treatment.
The intern will help the client address their psychosocial needs including financial entitlements, housing, medical needs, legal advocacy, and other needs. Once the client is psychosocially stable, the intern will provide him/her with office-based psychotherapy to prevent and/or treat mental disorders such as anxiety disorders, mood disorders, and substance use disorders. Female interns will act as an on-call social worker for weekly 4-hour shifts to respond to recent sexual assault survivors in the emergency department at SFGH. As well interns may be called to meet with patients on inpatient units or to consult with inpatient staff on matters related to post traumatic stress.
Social work interns will attend 3 hours of seminar each week, including a seminar in trauma assessment and treatment and a didactic clinical overview seminar. Cultural competence is emphasized. Interns will obtain an excellent sense of how to conduct a thorough semi-structured interview assessment and will become very familiar with DSM IV diagnosis, treatment planning, therapeutic interventions, and a range of clinical issues.
In addition to seminars, interns will receive 75 minutes of group supervision on their intakes and at least one hour of individual supervision per week on their individual cases. Cases are presented frequently, and interns are requested to do process recording, and by second semester, to frequently audiotape and/or videotape their client sessions.
Hours/week: 24-40
Duration: 12 months (beginning in July)
Caseload: 10-12
Groups/week: 1-2
Intakes/week: 2
Group Supervision: 75 mins (weekly)
Individual Supervision: 2 hours (weekly
Psychology interns/fellows work 24-40 hours a week for 12 months starting in July. They carry a caseload of 10-12 individual clients, providing them with trauma-focused individual psychotherapy. In addition intern/fellows may have the opportunity to co-facilitate 1-2 trauma focused groups per week. Our theoretical orientation is trauma based, which allows for a blend of psychodynamic and cognitive-behavioral approaches. Trauma work necessitates a theoretically flexible approach guided by patient needs. Most often our patients experience anxiety and depression, have substance abuse issues, and experience an exacerbation of pre-existing mental health issues. Cultural competency is strongly emphasized and incorporated into the clinical work and supervision. Interns are requested to do process recording, and by the second semester, to frequently audiotape and/or videotape their client sessions.
In addition, intern/fellows will conduct two psychosocial intakes per week, presenting them in a weekly 75-minute group supervision meeting. This provides excellent experience in refining clinical interviewing and DSM IV diagnosis skills.
Training and supervision are highly emphasized. Intern/Fellows will receive 2 hours of individual supervision by licensed psychologists each week, as well as the intake group supervision provided by a multi-disciplinary team made up of psychiatrists, psychologists, and social workers. In addition, intern/fellows attend a weekly Trauma seminar which helps students learn to apply integrated models of treatment for trauma, incorporating Psychoeducation, Cognitive Behavioral Therapy, Object Relations and Attachment theories.
At the TRC, the intern/fellow will initiate the assertive community outreach approach as described in the social work section above. Female intern/fellows will staff a 4-hour on-call shift, responding to sexual assault survivors in the SFGH Emergency Department, providing support, crisis intervention, safety planning and psychoeducation. As well interns may be called to meet with patients on inpatient units or to consult with inpatient staff on matters related to post traumatic stress.
Please contact the TRC at 437-3000 to receive more information including how to apply.
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