The city of Santa Clara is 35 miles south of San Francisco and has 130,000 residents. Santa Clara County, in which the city is located, is the heart of Silicon Valley, an economic center for high technology. It is considered one of the most desirable places in the US to live not only because of its temperate climate and scenic attractiveness but also because of its cultural diversity, sports, arts, research and development, and academic opportunities. It is home to Mission Santa Clara de Asis, Levi’s Stadium (headquarters of San Francisco 49ers football team), and a Great America amusement park. Santa Clara is bordered by the cities of San Jose, Sunnyvale, and Cupertino.
A new Kaiser Permanente Santa Clara Medical Center was opened in 2007 with a 327 bed hospital and new medical office building. More than 485 physicians and 4300 staff provide care to 300,000 health plan members in a geographical area that stretches from Palo Alto on the north to San Jose on the south; from Milpitas on the east to the westerly Santa Cruz Mountains.
The Kaiser Permanente Santa Clara Psychiatry Department is comprised of a larger clinic housed in Cupertino with smaller clinics located in Campbell, Mountain View, Milpitas, and Skyport. Santa Clara Psychiatry draws its clientele from Santa Clara, Santa Cruz, and Monterey Counties. It serves an urban and suburban, lower middle to upper-middle-class, multi-ethnic community with some rural families from the central valley and coastal hills. There is a large population of monolingual and bilingual Spanish speakers, as well as communities speaking Vietnamese, Chinese, Russian, Hindi, and other languages.
Equity, Inclusion & Diversity
We are committed to nurturing and integrating diversity training into all aspects of our training program by:
Providing interns with opportunities to work with patients who represent various aspects of diversity, including age, religion, gender, disability status, socioeconomic status, ethnicity, values, and lifestyle.
Placing a high value on interns’ willingness to engage in self-reflection, and supporting the exploration of attitudes, beliefs and therapeutic postures that could impact clinical interactions.
Maintaining a consistent focus in clinical supervision on expanding interns’ multicultural awareness and competence in the provision of psychotherapeutic services and cultivating a sense of inclusion and belonging in the workplace.
Encouraging interns to participate in the Regional Mental Health Training Program Equity, Inclusion, and Diversity Committee’s seminars related to cultural sensitivity and competence as their schedule permits.
Regularly scheduled weekly didactic seminars, formerly held at the consortium level, are now organized, and administered at the regional level for all KP NorCal trainees. Doctoral externs are required to attend the one-hour weekly seminar. 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. 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.
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.
Tracks and Rotations
Adult Psychiatry Generalist
The Adult Outpatient Mental Health Track provides training on a multidisciplinary team within an integrated health care setting. The program is designed to provide a breadth of experiences with the purpose of developing a generalist practitioner in adult psychiatry.
Externs will gain experience in intake assessments, individual and group psychotherapy, and ADHD screening. They will be assigned cases from a broad and diverse patient population and address treatment needs related to mood disorders, anxiety disorders, personality disorders, trauma, aging, adjustment disorders, crises, and work or life stress. The extern 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.
The extern will deliver evidence-based interventions within a feedback informed care model. Training in evidence-based individual treatment will consist of providing therapy within treatment tracks (example: mood, trauma and trans-diagnostic). Training in evidence-based group therapy will consist of co-facilitating groups under the supervision of licensed psychologists. The extern will also have the opportunity to complete a rotation in the Adult Intensive Outpatient Program.
Behavioral Medicine Services (Adult)
The Health Psychology extern will receive excellent training in primary care psychology while working within a tight knit team. The extern will spend approximately half of their time in Behavioral Medicine Services (BMS), embedded within primary care or OBGYN.
Externs are integrated into these respective clinics and build support and collaboration throughout the training year. The externs will assist medical care providers and their patients by addressing behavioral and psychological factors that contribute to overall improved health. In this role, externs will have the opportunity to diagnose, develop treatment plans, and care for patients within the department of medicine. Behavioral medicine providers co-treat chronic conditions such as diabetes mellitus, chronic pain, headaches, insomnia, and irritable bowel syndrome. In addition, BMS providers are integral in treating adjustment disorders often related to coping with medical diagnoses and help to improve whole health patient outcomes. This position broadens and deepens your brief assessment and intervention skills across many diagnoses with a very diverse group of patients.
The BMS model allows for warm handoffs from the physicians for patients who may be ambivalent about treatment engagement or likely to benefit from a brief intervention. The externs will collaborate with physicians on the evaluation of psychotropic medications within their scope of practice.
Behavioral Medicine Services (Pediatric)
The Pediatric Health Psychology Extern will receive training in Pediatric primary care and Pediatric specialty care psychology while working within a tight knit team. The BMS model allows for warm handoffs from the physicians for patients who may be ambivalent about treatment engagement or likely to benefit from a brief intervention.
In this role, the extern will have the opportunity to diagnose, develop treatment plans, and deliver interventions that target behavioral and psychological factors contributing to improved overall health. The extern will collaborate with physicians on the evaluation of psychotropic medications within their scope of practice, and may serve as a liaison between patient and physician in monitoring medication compliance and response. BMS providers are integral in treating adjustment disorders related to coping with medical diagnoses. This position broadens and deepens the extern’s brief assessment and intervention skills across many diagnoses with a diverse group of patients.
While the externs will be housed primarily in Behavioral Medicine, they will also have opportunities to work and train in other areas of the medical center.
Child & Adolescent Psychiatry Generalist
The Child and Adolescent Psychiatry track provides an opportunity to work on a multidisciplinary team utilizing evidence based and multimodal therapies with children, teens, and families. The extern may complete rotations in the Child and Adolescent Psychiatry Intensive Outpatient Program (IOP), ADHD assessment and psychotherapy groups and classes. This program is designed to provide a breadth of training experiences with the purpose of developing a generalist practitioner in child and adolescent psychiatry.
The psychology externship will offer generalist training within the Child and Adolescent Psychiatry department. The extern will have the opportunity to complete a rotation in the Child and Adolescent Psychiatry Intensive Outpatient Program (IOP) as well as ADHD assessment and other evidence-based psychotherapy groups and classes.
This program is designed to provide a breadth of training experiences with the purpose of developing a generalist practitioner in child and adolescent psychiatry. Externs are assigned cases from the broad and diverse patient population addressing needs related to the treatment of mood disorders, anxiety disorders, autism spectrum disorders, attention and impulse control disorders, behavioral issues, and more. The psychology extern will utilize evidence-based interventions within a feedback informed care model with the use of outcome monitoring at each session.
The doctoral extern will utilize both individual and group supervision for case formulation and treatment planning and will receive training in individual and family psychotherapy as well as group treatment. Training in evidence-based individual and family treatment will consist of providing individual and family therapy within a focused therapy treatment model. Training in evidence-based group treatment will consist of co-facilitating groups under the supervision of licensed therapists.
- Direct Patient Care: 15
- Individual Supervision: 1 hours
- Group Supervision: 1 hours
- Didactic Training: 1 hour
- Non-Patient Care: 4 hours
- Hybrid work option with 2 days in clinic and 1 day remote