West Bay Consortium (San Francisco and South San Francisco)
The City and County of San Francisco (2018 estimated population 864,816) is the fourth-largest city in the state of California. San Francisco has unique characteristics when compared to other major cities in the U.S., like its multi-storied buildings situated on steep hills and its eclectic mix of architecture including Victorian style houses and modern skyscrapers. Landmarks include world-famous cable cars and Golden Gate Bridge. San Francisco is home to a vast multi-cultural population dwelling in diverse communities and neighborhoods.
The patient population consists of Kaiser Health Plan members who possess prepaid benefits, and covers a broad ethnic, cultural, and socioeconomic spectrum. All age groups and virtually all dual diagnostic categories are represented. The ethnic diversity of our members includes Euro-Americans, African-Americans, Latinos, and Asians. Participating clients also include monolingual families who speak languages such as Spanish or Tagalog. We see approximately several hundred patients a week.
We are a dedicated group of clinicians and support staff who work collaboratively in a multi-disciplinary team setting. We rely on nearly daily group consultation in order to develop the best treatment plans and outcomes for our members and families who are suffering from the disease of addiction. That said, we also are very respectful of each patient’s goals and “meet them where they are at” in terms of their Stage of Change. In addition to an intensive abstinence-based program, we have developed a robust harm reduction program in which clinicians work collaboratively with the patient instead of dictating what they should do. We have a strength-based attitude towards our patients and celebrate their successes and remarkable transformations. We also are nonjudgmental and invite patients to consider other treatment options if they are struggling in their goals. We also express daily gratitude and appreciations of one another as clinicians. We also have a temperate sense of humor in order to deal with the challenges of addiction medicine treatment.
The Addiction Medicine and Recovery Services (AMRS) provides treatment for patients with Substance Use Disorders, as well as limited services for their family and friends. The program provides multiple levels of treatment including: Adult Intensive Day Treatment; Evening and/or Morning Intensive Outpatient care; Continuing Care; Adolescent/Family Substance Abuse/Substance Use Disorders, and Intensive Outpatient care; Co-Occurring Disorders treatment; Harm Reduction; and Spanish language treatment. Treatment modalities include individual, couples, family and group therapy, psychoeducational groups, outpatient medical detoxification, and psychiatric services. AMSR provides Day Treatment services for every day of the year.
San Francisco Addiction Medicine Recovery Services has a very diverse population. There is a significant number of patients who are Latino and African Americans who would greatly benefit from bilingual and bi cultural therapist. We also regularly have Cantonese-speaking patients as well as periodically patients who need Thai, Mandarin and Russian interpreters. We also regularly have Persian, Farsi speaking patients. There is also a significant LGBT population. We are a diverse staff always looking to increase our diversity and cultural competence.
Since 2013, we have hired 5 Post-Masters Associates as full-time permanent staff. Recently we celebrated our 25-year anniversary in that Addiction Medicine Recovery Services started in 1993.
Clinical Service Opportunities
- Facilitate several Day treatment Groups
- Conduct Intake Assessments
- Co-facilitate the Family and Friends Group
- Individual Sessions
- Clinical Meetings 4 times a week
- Business Meeting once a week
- Family and Friends Program
- Suboxone Group
- Dual Diagnosis Group
- Day treatment Team
- Assessment Team
- Family Team
- Direct Patient Care: 20 hours
- Non-Patient Care: 20 hours
- Individual Supervision: 1-2 hours depending on number of
- Group Supervision: 2 hours
- Didactic Training: 2 hours
- Cultural Conversations: 1 hour
- License Prep: 1-2
- Community Benefit Project: 32 hours over the course of the year
- What is Addiction?
- What is Codependency?
- Uppers Downers and All Arounders
- Agonist Therapies Such as Suboxone
- Psychopathy and the Antisocial Personality Disorder
- Relapse Prevention
- What To Expect At a 12 Step Meeting
- Family Roles and Rules
- Adult Children of Alcoholics
- Psychopharmacology Considerations in Addiction Medicine
My CDRP experience was very challenging and stretched me to learn new material and counseling strategies, to cater to my individual patients and to determine my therapist style. I also had the sense that this was a powerful learning opportunity, so I sat in on as many groups and sessions as possible and reviewed the many different styles and areas of expertise. Highlights of interning at CDRP included: the range of programming offered, working with on-site medical staff, the relative ease of coordinating care within the greater Kaiser system, working with passionate colleagues, opportunity for supervision, being part of a team, off-site trainings, and on and on. New to CA and making a career change from Education, I felt very supported. It requires flexibility, willingness to accept feedback, open-mindedness and energy. At the same time, it is an opportunity to learn and grow immensely and do work that is meaningful. I had committed to one year and now have been here for over five years.
Joanna Hendrick, LMFT, Previous Fellow/Current Employee
As an intern at the Addiction Medicine and Recovery Services clinic at Kaiser, I received extensive training in assessment, treatment planning, group facilitation and crisis management. I was surrounded by supportive colleagues who happily made themselves available for consultation, care coordination and supervision. I’m especially grateful for the experience I got working in conjunction with the Addiction Medicine Specialists on AMRS’ onsite medical team. The integration of care had a positive impact on each of my patients and I was proud to be part of my patients’ care team. This internship gave me real-world experience that I hadn’t gotten in any of my other internships. The pace was fast-paced, I was expected to pull my weight and my clinical thoughts and recommendations were valued. I believe that my internship at AMRS prepared me well to be the confident clinician I am today.
Michelle Deely, LMFT, Previous Fellow
1201 Fillmore Street
San Francisco, CA 94115
Juliana Nunez-Saksa, Ph.D.
Training Program Director