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Bay Pines VA Healthcare System

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STP and PCT- Psychology Postdoctoral Fellowship Training

Posttraumatic Stress Disorder Residential Treatment Program (STP)  & Outpatient Clinical Team (PCT)
Supervisors: Bruce D. Houtler, Ph.D.

  1. Patient population:  The population for both programs are men and women (Veterans, Active Duty personnel and Reservists) with military PTSD, many of whom have additional comorbid diagnosis (i.e., Substance abuse, TBI, Depression, Panic Disorder, etc).  The Veteran population consists of individuals who have served in WWII, Korean War, Vietnam War, Persian Gulf War, OIF/OEF/OND as well as other areas of conflict (Somalia, Bosnia, Kosovo, Lebanon Korea, etc).  Both programs provide assessment and psychotherapy to individuals with a wide range of traumatic experiences.
  2. Psychology's role in the setting:  Psychologists are an integral part of an interdisciplinary treatment team primarily providing direct patient care, consultation, and supervision of students.
  3. Other professionals and trainees in the setting:  Post-doc Fellows, psychology Interns, psychiatric residents, nurse practitioner, social work and nursing students.
  4. Nature of clinical services delivered:  The 6 month rotation emphasizes empirically supported treatments for PTSD such as Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), Motivational Interviewing (MI), Acceptance and Commitment Therapy (ACT) and Seeking Safety in both the PCT and residential treatment program.  Furthermore, RTP offers psycho-educational classes, psychiatric services, individual and group psychotherapy as well as case management.
  5. Fellow's role in the setting:  Each Fellow will function as an important member of the interdisciplinary team and will provide a variety of clinical services.  These services include case conceptualization, treatment planning, consultations, individual and group psychotherapy, psycho-education classes and supervision of psychology Interns.
  6. Amount of supervision:  A minimum of one hour per week of individual supervision will be provided along with several opportunities for in-vivo supervision through co-facilitating various groups with one's supervisor.
  7. Pace:  Fellow's case load will be determined at the onset of the rotation and this will depend on the Fellow's areas of interest and level of skill.  Fellows are expected to complete all paperwork (assessments, individual and group progress notes, treatment plans, etc) within 24 hours of providing the service.

This rotation provides an excellent opportunity to individuals who are interested in developing an expertise in the area of combat-related PTSD. Presently the majority of the patients are males who served in the Vietnam, Iraq and Afghanistan; however we are beginning to see more women who were deployed to Iraq and/or Afghanistan.  Every effort will be made for the Fellow to work with as varied a population as possible (i.e., women veterans, veterans with co-occurring psychiatric problems, veterans from various eras).  Fellows are active members of the treatment team for both the PCT and residential treatment program.  The PCT provides outpatients services (assessment, medication management and psychotherapy) to a wide range of military related traumatic experiences.  The residential program is a 14 bed, rolling admission program with a varying length of stay (approximately 4-6 weeks) depending on the individual patient's needs.  In both programs the Fellow will have the opportunity to participate in program development as well as be exposed to several evidence based treatments such as Prolonged Exposure, Cognitive Processing Therapy, Motivational Interviewing, Seeking Safety and Acceptance and Commitment Therapy.