San Rafael is located in Marin County, home to well-known landmarks like the Golden Gate Bridge, Mount Tamalpais, Muir Woods, Sausalito, and the Green Gulch Zen Center. Marin County is also well known for its open space and miles of hiking and cycling trails and is geographically positioned for easy access to urban areas of San Francisco, Berkeley, and Oakland. The Golden Gate Bridge and Pacific Ocean beaches such as Stinson Beach and the Point Reyes National Seashore are less than an hour away.
The Kaiser Permanente San Rafael Medical Center is located in Terra Linda, a residential community in the Las Gallinas Valley, approximately 14 miles north of the Golden Gate Bridge. Established in 1976 the medical center has steadily grown to serve over 100,000 health plan members from Marin and Sonoma counties. Satellite clinics are located in Petaluma, Novato, Downtown San Rafael, and Mill Valley.
The Kaiser Permanente San Rafael Department of Mental Health, located on Smith Ranch Road, provides a range of diagnostic and treatment services and is organized into 5 teams: the Adult Team, the Child and Family team, the Intensive Outpatient Program, the Eating Disorder program, and the Addiction Medicine Recovery Services (AMRS). The department also provides for 24-hour psychiatric emergency services for acute psychiatric or addiction medicine needs.
Equity, Inclusion & Diversity
The Kaiser Permanente San Rafael Training Program has a long-standing commitment to Equity, Inclusion, and Diversity. Diversity training and consultation is a major component of our training tracks and curricula, encouraging our staff and residents to foster cultural humility, understanding, and competence.
Our Kaiser Permanente San Rafael Training Program provides a Cultural Diversity Case Consultation for all trainees twice a month. The goal of the cultural diversity case consultation is to provide trainees with a safe environment where they can bring in clinical cases and practice case conceptualization and treatment planning from a cultural diversity lens.
At the clinic level, Kaiser Permanente San Rafael also has a Diversity and Inclusion Committee where all staff are encouraged to attend monthly meetings designed to identify, problem-solve, and implement plans for addressing various diversity issues in our workplace and service system. The Diversity and Inclusion Committee also hosts advanced trainings for all staff on topics designed to promote cultural competence and cultural sensitivity in the workplace.
At the regional level, our Mental Health Training Program’s Regional Equity, Inclusion, and Diversity Committee organizes monthly forums that are designed for trainees only. Forums are held with experts from the community, within Kaiser Permanente, and national leaders on EID topics impacting trainees clinical work and personal development. Example of forum topics include immigration, micro-aggression, unconscious bias, Black maternal mental health, white privilege, and gender-affirming care. In addition to the forums, our Regional EID Officers also provide optional monthly consultation sessions for trainees.
Weekly didactics are now organized and administered at the regional level for all KP NorCal trainees. Practicum externs are required to attend the one-hour weekly seminar, which focuses on different aspects of clinical practice. Diversity issues are always integrated into seminar presentations.
Didactic topics include:
Acceptance and Commitment Therapy, Adverse Childhood Experiences, How Wonder Makes Us Happier, and more.
Our Regional Mental Health Training Program also sponsors professional training courses for continuing professional development. These courses and presentations are offered at select times during the year for all KP mental health trainees and staff at Kaiser Northern California Medical Centers. We bring in national experts and keynote speakers on a variety of cutting-edge topics in mental health treatment and research. Practicum externs are required to attend these monthly regional trainings in addition to the weekly didactic seminars. Training course dates and a list of speakers and topics can be found on the Regional Mental Health Training Programs website. In addition, many of these lectures are recorded and available under the continuing education lecture library.
Seminars and Meetings
Practicum Externs are expected to attend weekly team meetings as a part of their training depending on their current rotations. There will also be opportunities to attend various professional development seminars throughout the year and regular check-ins with their training director. Examples of meetings include:
- Multidisciplinary Team Meetings
- Feedback Informed Care Case Conference
- All Staff Meetings
Kaiser Permanente has greatly expanded its’ virtual presence, which will allow residents to fully train and practice in a variety of trailblazing platforms in telemedicine to provide accessible mental health care.
Each practicum extern is supervised by a licensed psychologist who meets with the extern for one hour a week in individual face-to-face supervision. This supervisor takes the lead role in developing the extern’s learning plan and schedule, supervising their clinical work, and helping them navigating the KP mental health system. This supervisor additionally is responsible for completing the extern’s evaluation after gathering input from other staff members who have worked with the extern. At some practicum training sites, externs may receive supplemental individual supervision from Psychology Postdoctoral Residents.
Practicum externs also receive 1 hour of group supervision per week for case presentation and consultation. Depending on the training site, externs may also participate in group supervision for psychological testing/ADHD assessment and in a cultural conversation/diversity seminar. Group supervision allows for vicarious learning and modeling as well as giving and receiving feedback. These experiences help the extern to develop both the collegial and supervisory aspects of their professional identity.
Practicum externs at Kaiser San Rafael have the option of participating in ADHD assessments as part of their clinical work. Externs will receive training and weekly group ADHD assessment supervision.
Tracks and Rotations
The Adult Track offers externs the opportunity to work on a multidisciplinary treatment team utilizing evidence-based and multimodal treatments with adults. Externs are assigned cases from a diverse patient population presenting with a range of treatment issues. Externs will evaluate and diagnose mental health conditions based on DSM-5 and ICD-10 criteria, develop treatment plans, and learn how to articulate those plans to their patients.
Externs will deliver interventions within a feedback informed care model that includes the use of outcomes monitoring. Training in evidence-based group therapy will consist of co-facilitating groups under the supervision of licensed therapists. The clinic hosts over 50 groups each week including Depression and Anxiety management, Trauma Recovery, DBT, Bipolar, Mindfulness, Couples Work, Self-compassion, ACT, and many more! Assignment of groups will be based on the extern’s areas of interests and clinical need.
The Child Track offers externs the opportunity to work on a multidisciplinary treatment team utilizing evidence-based and multimodal treatments with children, teens, and their families. Externs are assigned cases from a diverse patient population presenting with a range of treatment issues. Externs will evaluate and diagnose mental health conditions based on DSM-5 and ICD-10 criteria, develop treatment plans, and learn how to articulate those plans to their patients.
Externs will deliver interventions within a feedback informed care model that includes the use of outcomes monitoring at each session. Training in evidence-based group therapy will consist of co-facilitating groups and classes under the supervision of licensed therapists. The clinic hosts over 20 Child groups including Depression and Anxiety management, DBT, Stress Management, Parent Support group, and many more! Assignment of groups will be based on the extern’s areas of interests and clinical need.
Practicum externs on the eating disorder track will be an integrated member of our close-knit multi-disciplinary team of specialists including mental health providers, dietitians, adult medicine physicians, pediatricians, and Hospital-Based Services. Together we treat patients of all ages and genders with a range of eating disorder symptomology (AN, BN, OSFED, ARFID). Externs will get training and practice in the provision of evidence-based treatment models for EDOs, including FBT, MI, RFBT for ARFID, and CBT. Our EDO team meets 2-4 times a week to round on our patients, collaborate, and get support. As a trainee, you can expect to:
• Conduct 1:1 and family therapy
• Co-lead groups
• Treat patients at all levels of programming: Early Recovery, Outpatient, Enhanced and Inpatient Medical
• Collaborate extensively with various members of our multidisciplinary team and colleagues
• Assist in ongoing program development and refinement
• Receive extensive training, supervision, and support
Kaiser San Rafael Addiction Medicine and Recovery Services (AMRS) is an outpatient treatment program providing recovery services for adults and adolescents with substance use disorders and co-occurring psychiatric disorders. We work closely with the Department of Psychiatry and Mental Health Intensive Outpatient Program (IOP) team as well as Kaiser’s nearby hospital emergency department, chronic pain center and medical offices. Practicum externs in the Addiction Medicine track will receive advanced training, supervision, and clinical experience in assessment, diagnosis, and treatment of substance use disorders.
Outpatient Abstinence-based Program (OP), Psychoeducation and Relapse Prevention, Continuing and Long-Term Recovery, Harm Reduction and Controlled Use Support, Dual Diagnosis, Men’s & Women’s Recovery, Codependency/Family Support.
Teen early intervention, harm reduction, and abstinence-based programs; Family therapy and psychoeducation
Medication Assisted Treatment (MAT)
Detoxification and withdrawal, Anti-craving (Naltrexone, Camphral, Antabuse, Buprenorphine), General psychiatric medication support
16-20 hours weekly, usually spread across 2 days
- Direct Patient Care: 8-14 hours (varies by program)
- Indirect patient care: 4-8 hours (varies by program)
- Didactics: 1 hour
- Individual Supervision by licensed psychologist: 1 hour
- Individual Supervision by post-doctoral resident: 1 hour
|Graduate||University/Institute||Track/Specialty Rotation||Current Position, Specialty & Location|
|Jadasey Pivin||Wright Institute||Adult Outpatient/ADHD Assessment|
|Lisa Vassiliadis||Alliant University||Child and Family Outpatient Psychiatry/ADHD Assessment|
|Cedi McCorkle||Palo Alto University||Adult Outpatient/ADHD Assessment|
|Noah Anderson||Palo Alto University||Addiction Medicine Recovery Services/ADHD Assessment|
|Nathaniel Sawyer||Alliant University||Addiction Medicine Recovery Services/ADHD Assessment|
“I am so grateful that I had the opportunity to do my post-doctoral training at Kaiser San Rafael in the General Adult and Eating Disorders tracks. I was learning constantly and felt fully supported by my supervisors. I loved how smart and kind the clinicians in San Rafael were. I learned more about how to treat eating disorders than in all my other training. I was impressed by how cohesive, collaborative, and creative the eating disorder team was (and still is!) and was lucky enough to be hired here. This is my dream job.”
Former Postdoctoral Resident, Eating Disorder, Kaiser San Rafael
“What I wanted most out of my postdoc year was an experience that would push my comfort zone and allow me to end my postdoc year feeling more confident and well-rounded in my clinical skills. My residency at Kaiser absolutely provided that. I was exposed to so many clinical issues that I had never run into before and was provided with great supervision not only by my assigned supervisors but also by the other members of the clinical team. I feel like a much more complete and competent therapist because of the training I received at Kaiser.”
Former Postdoctoral Resident, Addiction Medicine, Kaiser San Rafael
“I sought more than another training experience in my post doc year - I wanted to launch my independent professional career. The North Bay Consortium Post Doc Program gave me that opportunity. They provided training, but also encouraged pursuit of your individual professional interests. This blend of program training and personal development is a great way to transition to full time work. Unsurprisingly, almost all post docs from the Addiction Medicine track go on directly to a job following their post doc year, be it with Kaiser Permanente, a university, or a private practice. Since completion of my post doc in 2012, I have been happily employed at Kaiser while also maintaining a small private practice. Choosing the North Bay Consortium was a great move for me and my career.”
Former Postdoctoral Resident, Addiction Medicine, Kaiser San Rafael
"My training at Kaiser San Rafael Addiction Medicine exposed me to a perspective on healthcare and therapy that was entirely novel to me. The emphasis on team-based care, with supportive colleagues and managers ready to step in and help at a moment's notice, allowed me to feel confident and competent in my work with patients with substance use disorders, as did the strong emphasis on therapy groups and community recovery meetings. I was given the opportunity to see how connection with other patients going through similar difficulties lifted the spirits and expanded the perspectives of our patients. The combination of individual and group supervision along with staff meetings and consultation with other staff members made me feel like I could nearly always find the answers to any questions that arose during my work. The community of other providers and staff felt like just that - a community - and the value of this cannot be overstated."
Noah Anderson, Practicum Extern, Addiction Medicine, Kaiser San Rafael
"I’ve loved my experience working with Kaiser Permanente’s Addiction Medicine Recovery Services (AMRS) and Intensive Outpatient Program (IOP) tracks. I’ve learned so much while feeling supported and encouraged every step of the way. The opportunities here will certainly serve me in my continuing work with San Rafael, CA, but also in the future with whatever career paths come my way. I’m incredibly happy and fortunate to get to work with these amazing teams and fantastic colleagues. "
Johnathan Wright, Psy.D., Postdoctoral Resident, Addiction Medicine/IOP, Kaiser San Rafael
"I am Nathaniel Q. Sawyer, and I am profoundly grateful for the life-changing experience I had during my practicum at Kaiser's San Rafael and Petaluma AMRS program. The training I received surpassed all expectations, building upon my background in anti-trafficking, law enforcement, and international training. Guided by Dr. Carl Oddo, I delved into the five pillars of recovery and actively contributed as a co-therapist in both the education series and early recovery group. In addition, Dr. Stacey Nelson imparted expert-level knowledge in ADHD assessment work, further expanding my skill set. The unwavering support and guidance from Dr. Schwimmer enabled me to become the best version of myself. With a diverse caseload, I gained comprehensive experience in addressing a wide range of mental health and addiction diagnoses. Thanks to Kaiser San Rafael AMRS, I am fully equipped for the next phase of my career, ready to make a profound and lasting impact in the field."
Nathaniel Q. Sawyer, Practicum Extern, Addiction Medicine, Kaiser San Rafael
"My experience at Kaiser San Rafael has been invaluable, particularly due to the exceptional supervision I have received. The guidance and support from supervisors, colleagues, and managers have equipped me with valuable skills and knowledge that has been instrumental in the work that I have accomplished at this site and will greatly benefit how I show up in future practices. Additionally, I have had the opportunity to work with a diverse range of patients, including those with complex and challenging presentations. This experience has enhanced my clinical competence, allowing me to navigate various clinical scenarios and develop a well-rounded approach to patient care. I have truly appreciated my time here at Kaiser San Rafael and feel incredibly lucky to have been a part such an amazing team."
Jadasey Pivin, Practicum Extern, Adult Psychiatry, Kaiser San Rafael
"Working at Kaiser San Rafael and Petaluma Addiction Medicine and Recovery Services has been a profound and transformative experience. The wealth of information I have acquired from the many trainings and consultation groups, in tandem with the direct clinical experience, caused me to push myself to limits that I never thought I could reach, and I experienced emotional and professional growth beyond my expectation. Through the encouragement of my supervisors and senior clinicians, I not only have increased my ability to provide excellent care to my patients; it also resulted in an emergence of personal growth outside of my role as a therapist. The respect and gratitude I experienced in my cohort of other trainees has also been a positive experience, and we continue to support each other as we continue our professional journeys, teaching and learning from each other. I am so grateful to have completed this Post-Masters Fellowship at Kaiser. It has shown me that I am capable of so much more than I ever thought possible."
Kevin Bley, Post-Master Fellow, Addiction Medicine, Kaiser San Rafael
"My postdoctoral residency on the Adult Team at Kaiser San Rafael was exactly what I was looking for to round out my formal training. I pushed myself to tackle new clinical challenges and felt well-supported by my supervisors to pursue experiences that were important to me. I felt much more confident as a psychologist by the end of the year and ended up getting hired for my dream role within the medical center after postdoc."
Nicole Inlow, PhD, Former Postdoctoral Resident and Current Employee, Adult Psychiatry, Kaiser San Rafael
Mental Health Department
111 Smith Ranch Rd
San Rafael, CA 94903
Addiction Medicine Recovery Services
111 Smith Ranch Road
San Rafael, CA 94903
Thu Pham, PhD
Carl Oddo, PhD
Member of the Association of Psychology Postdoctoral and Internship Centers (APPIC)