Introduction to services at HealthPoint

Match # 204411

Internship positions available: 7

We are excited to announce that HealthPoint and National Psychology Training Consortium – Cascades Region have officially merged!! For those of you looking for HealthPoint, we have retained their APPIC number and even though the APPIC directory information has changed HealthPoint is still here as a part of the consortium.

Thank you for your interest in the HealthPoint Predoctoral Clinical Psychology Internship Program. Our program offers an excellent opportunity to learn skills for behavioral consultation in a primary care setting. Please read this document carefully before deciding to apply. Several qualities will promote the best fit for this opportunity:

  • Students should have some knowledge of behavioral or cognitive-behavioral therapy, or at least an interest in providing brief interventions.
  • An interest or background in health psychology will be important.
  • Students should be interested in working with a wide variety of problems (depression, diabetes, chronic pain, insomnia, tobacco use, parent-child problems, etc.) and populations (kids, couples, older adults, etc.).
  • Finally, because the setting is a Community Health Center, an interest in working with underserved populations and an appreciation for cultural diversity will be important qualities.

Who We Are – What We Do

HealthPoint is a community- based, community-supported, nonprofit Community Health Center network with clinics located in some of the most culturally and economically diverse communities in King County, Washington. We offer primary medical and dental care to everyone, regardless of their circumstances. For over 43 years, we have served the needs of the uninsured and medically underserved populations in King County, Washington. We still maintain the single vision we started with over 43 years ago – to be the provider of choice in the communities we serve.

Our Behavioral Health staff consists of 13 full-time licensed psychologists, across our primary care clinics and school-based clinics. We are behavioral health consultants (BHCs) and utilize a “consultant” model, to augment usual primary care by ensuring a well-rounded biopsychosocial treatment plan. We provide individual, group and family interventions, and work in close collaboration with primary care providers (PCPs) in a fast-paced multidisciplinary setting. Visits are brief (20-30 minutes), limited in number (1-4 generally) and focused on functional restoration rather than diagnosis and therapy. We do not provide mental health therapy in the traditional sense, and our assessments and interventions are geared toward the primary care setting.

HealthPoint also has a variety of community partnerships which support both our patients and the training of diverse interns:

  • Global to Local was created through a partnership between HealthPoint, Public Health—Seattle & King County, Swedish Health Services, Washington Global Health Alliance and the cities of SeaTac and Tukwila, to build on the expertise of Washington state’s global health institutions to bring strategies that have proven effective in developing countries to underserved communities in the United States. The goal is to use innovative, holistic and community-driven solutions to address health and economic development disparities in diverse, low-income populations in King County, WA.
  • In 2013, we partnered with Valley Cities to co-locate services for licensed mental health counseling; chemical dependency treatment for adults; domestic violence services for survivors and perpetrators; homeless outreach services and housing programs; family support programs; and specialized veterans services that deliver counseling and family support. Valley Cities has a full-service center at HealthPoint Midway and additionally, we operate primary care clinics in two of Valley Cities’ other locations (Kent and Auburn).
  • WIC is a special supplemental nutrition program for women, infants, and children. The nutritional program helps pregnant women, new mothers, and young children eat well, learn about nutrition and stay healthy. WIC staff are available in most of HealthPoint’s clinics through either co-location or a regular schedule.
  • Health Care for the Homeless Network is a Public Health – Seattle & King County program that links people who are homeless into primary health care and helps them get other vital services like mental health care and chemical dependency treatment.
  • School-based health centers have been a part of HealthPoint since 2007 when the first primary care clinic opened at a Highline Public Schools high school campus (Tyee Educational Complex) in south Seattle. We opened a second one on the Evergreen Campus in 2010. Highline Public Schools serves nearly 19,000 students Kindergarten through Grade 12 in the communities of Burien, Des Moines, Normandy Park, SeaTac, Boulevard Park, and White Center in Washington State.
  • HealthPoint has enjoyed active teaching partnerships which support learning in all avenues of our organization. We’ve partnered with Bastyr University, one of the best naturopathic medicine schools in the country, since beginning our naturopathic medicine program in 1996. Since 2008, HealthPoint has also helped address the shortage of physicians and dentists in the U.S. through a unique community health center partnership with Arizona’s A.T. Still University School of Osteopathic Medicine and Arizona School of Dentistry and Oral Health. Most recently, we expanded that to include a family medicine residency with The Wright Center Graduate Medical Education program and a residency in general dentistry with the NYU Lutheran Medical Center.
  • MultiCare Auburn Medical Center offers South King County residents a wide range of medical expertise. From prompt, lifesaving treatment for victims of stroke or heart attack to minimally invasive robotic-assisted surgery to our Family Birth Center, MultiCare Auburn Medical Center provides high-quality medical services right here in your community.
  • Community Health Network of Washington (CHNW) promotes public policies that increase access to health insurance and health care, and reduce the number of uninsured people in our state.

It should be noted that monthly didactic training will be held at the HealthPoint administrative office in Renton, Washington. Depending on office placement, interns may have to travel up to 45 minutes each month for didactic training.

In addition to the information provided on this page, you can watch the recording of the September 20th Training Director’s Panel below for additional information about this site.

NPTC Cascades Region Training Director’s Panel

Our Mission

HealthPoint strengthens communities and improves people’s health by delivering quality health care services, breaking down barriers and providing access to all.

Our goals are healthier people, lower costs, fewer visits to the emergency room, lower rates of hospitalization and ultimately, a healthier community.

The mission of the clinical psychology doctoral internship is to train future psychologists in the primary care behavioral health model of service delivery with a focus on an underserved and culturally diverse patient population.

Our Supervisors

Site Training Director

Melissa Baker, Ph.D.

Dr. Baker is a board certified clinical health psychologist and has worked with HealthPoint since 2008 as a Behavioral Health Consultant. She received her degree from the Seattle Pacific University and completed her predoctoral internship with Olive Crest Consortium in a pediatric psychology outpatient setting with inpatient rotation. She is also an Adjunctive Professor at Seattle Pacific University and Northwest University teaching Integrated Behavioral Health courses to clinical psychology doctor students and an active member of Collaborative Family Healthcare Association, Primary Care SIG member. Dr. Baker is trained in ACT and Focused ACT (FACT). She has provided presentations, trainings, and consultative services in integrated behavioral health and ACT. Her research interests include PCBH model of care, BH program evaluation/quality improvements, brief ACT interventions in primary care, PCP burnout, and pediatric behavioral health.

Primary Supervisors

Ann Wilson, Psy.D.

Dr. Wilson is a licensed psychologist and has worked with HealthPoint since 2013 as a Behavioral Health Consultant. She received her degree from the California School of Professional Psychology at Alliant International University and completed her predoctoral internship with San Francisco General Hospital. Her research interests include sport and exercise psychology.

Cara Dalbey, Psy.D.

Dr. Dalbey is a licensed psychologist and has worked with HealthPoint since 2008 as a Behavioral Health Consultant and is currently a Lead BHC. She received her degree from Argosy University Seattle and completed her predoctoral internship with Ryther Child Center. She specializes in Primary Care Behavioral Health (PCBH) and Neuropsychology and is certified in Dialectical Behavior Therapy and Advanced Cognitive-Behavioral Therapy. Her research interests include chronic conditions, BH and diabetes.

James Berghuis, PhD

Dr. Berghuis is a licensed psychologist and has been part of HealthPoint since the behavioral health program began over 13 years ago.  In 1994 he completed a post-doctoral fellowship at University of Washington School of Medicine in the Reproductive and Sexual Medicine clinic. He then worked at UW for several years on training projects regarding psychiatric illness associated with HIV/AIDS and conducting clinical research projects using motivation interviewing interventions with adolescents and adults using marijuana. Therapeutic modalities include motivational interviewing, CBT, ACT, and hypnosis. His experience and interests include mood and anxiety disorders, substance use disorders (alcohol, drug, nicotine), health behavior promotion, sexual issues, HIV/AIDS, stress management, and chronic illness management.

Anya Zimberoff, Psy.D.

Dr. Zimberoff is the NPTC-Cascades Director of Diversity Enhancement and a licensed psychologist in Washington. She has worked with HealthPoint since 2009 as a Behavioral Health Consultant. She received her degree from Argosy University Seattle and completed her predoctoral internship with HealthPoint. She believes that life stressors have to be taken into consideration when treating or managing care for persons who live in challenging circumstances or who have experienced trauma. She wrote her doctoral dissertation about psychological processes involved in chronic pain disorder and has a special interest in mind-body suffering and treatments. She has collaborated in training and supervising a number of interns and practicum students since 2010, many of whom have become integrated behavioral health professionals. Dr. Zimberoff has a strong understanding of stress physiology, psychopharmacology, as well as life style interventions. ACT, mindfulness, CBT, as well as EMDR and a newer approach called LifeSpan integration are some of her favorite interventions. She is a member of APA and Division 38–Health Psychology. Her research interests include chronic pain, anger management, integrated primary care.

Sierra Swing, Psy.D.

Dr. Swing is a licensed psychologist and has worked with HealthPoint since 2008 as a Behavioral Health Consultant. She received her degree from Argosy University Seattle and completed her predoctoral internship with Fremont Community Therapy Project. She specializes in individual, couples, and family therapy; brief behavioral health visits; as well as psychological testing. She also maintains a part-time private practice in Seattle, Washington, specializing in the treatment of trauma, chronic health conditions, and mood/emotional disorders. She has been trained and has certifications in multiple areas of psychological treatment, including EMDR, DBT, ACT, MI, CBT, etc. Her research interests include ACEs/Trauma on health and mental health.

Amanda Foster, Psy.D.

Dr. Foster is a licensed psychologist and has worked with HealthPoint since 2012 as a Behavioral Health Consultant. She received her degree from the Washington School of Professional Psychology Seattle and completed her predoctoral internship with HealthPoint. Her research interests include child and adolescent psychology, multicultural approaches to treatment, health psychology, and diabetes management.

Alena Droze, Psy.D.

Dr. Droze is a licensed psychologist and has worked with HealthPoint since 2015 as a Behavioral Health Consultant. She received her degree from Argosy University Seattle and completed her predoctoral internship with HealthPoint. She specializes in working with adolescents in primary care and uses solution-focused and brief interventions. She is also a certified nutrition and wellness consultant. Her research interests include obesity and sleep.

Alesha Muljat Bailey, Ph.D.

Dr. Muljat Bailey is a licensed psychologist and has worked with HealthPoint at the Tyee Campus since 2011 as a Behavioral Health Consultant. She received her degree from Seattle Pacific University through the Clinical Psychology PhD Program and completed her predoctoral internship with HealthPoint. Her special interests include school-based health care, child and adolescent development, suicide prevention, and supporting healthy lifestyle change.

Robert Allred, Ph.D.

Dr. Allred is a licensed psychologist and completed his PhD in clinical psychology at Nova Southeastern University, College of Psychology. His dissertation was on the spiritual and psychological impacts of clergy perpetrated sexual abuse compared to abuse by family members and strangers. He then completed his internship at HealthPoint in Kent, WA. Dr. Allred’s primary interests include the PCBHC model and trauma informed care. He started working at HealthPoint in 2013 and is a Behavioral Health Consultant.

Kristin Tiernan. Psy.D.

Dr. Tiernan is a licensed psychologist and graduated from Pacific University, School of Professional Psychology, with her degree in Clinical Psychology 2014. She completed her APPIC internship at HealthPoint 2013-2014, and stayed as a Behavioral Health Consultant. She has a passion for Primary Care-Behavioral Health models of care, reducing health disparities, and promoting healthy communities.

Current Internship Placement Locations

We have several clinic locations for our doctoral psychology internship program. All of our clinics are within 23 miles of Seattle. Each intern will be assigned to either one large clinic or two smaller clinics where he/she will split his/her time. Travel to other sites may be required throughout the internship for meetings, training, and supervision. This is a wonderful area of the country to live in, and it offers many cultural and outdoor activities.

 

View HP Office Locations in a full screen map

Training Opportunities

Services Overview

This is a great position for applicants interested in an innovative model of care that will likely become a fixture in primary care clinics of the future. HealthPoint has been a leader in primary care behavioral health integration. This internship will provide an exciting, challenging, and rewarding opportunity, in a supportive and enjoyable team atmosphere. Interns have a good balance of autonomy and readily available supervision. HealthPoint clinics provide more than just conventional medical care. Our services include preventive medicine, natural medicine, dental care, behavioral health services, acupuncture, nutrition counseling, and advocacy on behalf of our patients. We connect patients with other needed services as part of our mission.

Our Behavioral Health Program

We see a wide range of patients (children and adults) and problems. We serve a mostly low income and uninsured population, many of whom are immigrants. Patients are referred to Behavioral Health for all types of behavioral issues, including “medical” problems such as coping with chronic illnesses, like diabetes, obesity, and chronic pain; “lifestyle modification” regarding exercise, diet, and smoking cessation; and “psychological” problems such as anxiety, depression, and the whole range of mental health disorders. Many patients are also seen for subclinical problems such as stress management, parent-child problems or medication nonadherence. Interns will be involved with brief patient assessments, developing a treatment plan and coordinating that plan with the primary care provider. We also engage in preventive activities such as parenting education and stress management classes. At HealthPoint, unique learning opportunities/training include learning our PCBH model, a rotation on one of our school-based health centers, consultation with psychiatrists, conducting brief ADHD, cognitive, and chronic pain evaluations, as well as learning much more about medical and psychiatric conditions, medications, natural medicine, and nutrition from providers across these disciplines. In short, students will be exposed to any and all problems that fall into the health/mental health spectrum. There is no better place than a Community Health Center to gain experience with a wide variety of problems!

Intern Training

We are excited to have interns involved at all levels of our program. After an initial period of intensive training on the consultant model, associated assessment and intervention skills, and crisis management procedures, students will be placed in a clinic where they may be the only behavioral health consultant, or may operate with much autonomy. However, supervision will always be readily available from staff psychologists and primary care providers (PCPs). Additional training throughout the year will include relevant behavior change theories, such as cognitive-behavioral, motivational interviewing, acceptance and commitment therapy (ACT) and group approaches. This training may also be individualized based on the interests of the intern and clinic needs.

Interns will receive HealthPoint specific didactics which are incorporated into group supervision on site, and will also receive 1 day per month of didactics with other interns from Cascades Region consortium sites. Interns may elect a four-week rotation (one day/week) at one of our school-based medical clinics to learn more about behavioral health consultation in schools with middle and high school students. Interns may also elect to be involved in behavioral health research relevant to our primary care setting.

All interns have access to computers and we use an Electronic Health Record (EHR) system for patient care and communications so all of our office spaces and exam rooms have computers in them. We have a centralized folder on our main frame that interns have access to with all of our behavioral and medical health training materials, handouts, meeting minutes, etc… , as well as information and policy resources from other HealthPoint departments (e.g, Human Resources). Another resource that interns can access is EthnoMed which is a website that contains information about cultural beliefs, medical issues and other related issues pertinent to the health care of recent immigrants to Seattle, many of whom are refugees fleeing war-torn parts of the world.

Intern Supervision

Interns receive two hours of formal individual supervision per week, and supervision and oversight are always available from staff psychologists. Supervision includes discussion of crisis management, ethics, standards of care, development as a psychologist, shadowing during patient visits, and case consultation. Interns also will receive four hours of formal group supervision (with case discussion and didactics) twice a month.

PCPs also provide onsite supervision because of the nature of the population and medical clinic setting. In addition, much informal contact and consultation also occurs with other physicians, providers and staff.

Supervision is flexible and oriented around the learning interests of our interns, while at the same time ensuring that basic professional competencies are achieved. Patient appointments may be recorded for evaluation and supervision when the supervisor is not able to shadow the intern.

APPIC Training Experiences

Example treatment modalities for this rotation (as listed by APPIC):

  • Assessment
  • Individual Intervention
  • Couples Intervention
  • Family Intervention
  • Group Intervention
  • Consultation/liaison
  • Crisis Intervention
  • Brief Intervention
  • Long-Term Intervention
  • Primary Care
  • Evidence-Based Practice

 

Example supervised experiences (as listed by APPIC):

  • Health Psychology
  • Women’s Health
  • HIV/AIDS
  • Eating Disorders
  • Physical Disabilities
  • Learning Disabilities
  • Developmental Disabilities
  • Assessment
  • Anxiety Disorders
  • Trauma/PTSD
  • Sexual Abuse
  • Serious Mental Illness
  • Anxiety Disorders
  • Trauma/PTSD
  • Sexual Abuse
  • Substance Use Disorders
  • Geropsychology
  • Pediatrics
  • Counseling
  • Integrated Health Care – Primary

 

Example patient populations (as listed by APPIC):

  • Children
  • Adolescents
  • Adults
  • Older Adults
  • Families
  • Outpatients
  • LGBTQI+
  • Ethnic Minorities
  • Spanish-Speaking
  • French-Speaking
  • Deaf/Hearing-Impaired
  • Students
  • International Students
  • Rural
  • Urban
  • Low Income
  • Homeless
Example Schedule

Interns work a Monday-Friday 40-50 hours/week schedule that is typically 8am-5pm for 4 days of the week with a late shift (e.g. 11am-8pm) for 1 day per week. Specific schedules will be tailored to the needs of the clinic. There is no call coverage required. Outside of training/didactic activities and meetings, interns will be in clinic seeing patients with 30 min scheduled visits. Interns also get 1 hour of administrative/paperwork time for each day in clinic.

Example schedule for interns

Monday Tuesday Wednesday Thursday Friday
AM Group Supervision In Clinic In Clinic BH Meeting

Site/Team Meeting

In Clinic
PM In Clinic Shadowing medical provider Journal Review Time

1:1 Supervision

In Clinic In Clinic

 

Site schedules are a general guideline and interns may be required to make themselves available at other times as needed.

Salary and Benefits

Salary for the 2019-2020 Training Year: $25,000

Benefits provided at this site include:

  • 112 hours of PTO (vacation / sick leave)
  • 24 hours of Professional Development
  • Discounted health insurance
  • Free vision insurance
  • Free dental insurance
  • Professional liability insurance (for those not already covered)

HealthPoint observes the following 10 holidays:

  • New Year’s Day
  • Martin Luther King Jr. Day
  • President’s Day
  • Memorial Day
  • Independence Day
  • Labor Day
  • Thanksgiving Day
  • Friday after Thanksgiving
  • Christmas Eve
  • Christmas Day

More information about the Support and Benefits offered in each of our regions can be found here.

Background Checks

Employment with HealthPoint is contingent on a satisfactory background check, which, depending on the position at issue and other circumstances, may include review of conviction records, credit histories, and/or driving records. HealthPoint may also re-run background checks for current employees on an annual basis depending on the position.

A conviction record may, but will not necessarily, bar employment. Investigation of conviction records will be restricted to specified convictions reasonably related to fitness to perform the particular job being applied for, unless we determine that it is not practicable to inquire so narrowly.

Intern Selection Process

Our psychologists use an applicant rating form to rate applicants based on their application materials. We choose which applicants to interview based on these ratings (typically 20-25 applicants). Applicants are notified by phone or email regarding whether or not we are inviting them to interview. We participate in the NPTC universal interview day in December and hold an all-day open house in January. We conduct interviews on both days. During the January open house, in the morning we have candidates tour a HealthPoint clinic, and shadow psychologists and other providers seeing patients to get a sense of working in a primary care setting. We then have a lunch for the applicants so they can meet all of our psychologists and interns. We present an overview of our PCBH model and describe the internship over lunch. A 30 minute individual interview occurs in the afternoon with 2 psychologists present for each interview. Psychologist pairs complete an interview rating form for each interview. Applicants who can’t come in person are asked to interview over telephone or by Skype, preferably on the same day. Our psychologists meet after the interviews to debrief and make a preliminary rank order list. The Internship Training Director makes and submits the final rank order list based of feedback from the program psychologists.

We are looking for applicants who have a variety of life experiences, independent, open-minded, mature, proactive, and easy to get along with, and who enjoy clinical work in a fast-paced environment. We also want applicants with a demonstrated interest and experience in health psychology and primary care as well as an interest in working with a low-income, culturally diverse population. Fluency in additional languages other than English is a plus. Interview factors that contribute to ranking include:

  • Ratings of an applicant’s maturity of self-presentation
  • Ability to articulate treatment interests and philosophies
  • Ability to articulate professional goals
  • Capacity for self-reflection
  • Quality of case presentation (if applicable)
  • Suitable fit between experiences/interests and HealthPoint.

Low ratings on these factors would make us less likely to rank an applicant.

Qualified applicants must be currently enrolled in a PhD, PsyD, or EdD program in clinical or counseling (preferred) or school (acceptable) psychology and have completed all formal coursework.

Employment with HealthPoint is contingent on a satisfactory background check, which, depending on the position at issue and other circumstances, may include review of conviction records, credit histories, and/or driving records. HealthPoint may also re-run background checks for current employees on an annual basis depending on the position.

A conviction record may, but will not necessarily, bar employment. Investigation of conviction records will be restricted to specified convictions reasonably related to fitness to perform the particular job being applied for, unless we determine that it is not practicable to inquire so narrowly.

Interview Day

Interns applying to HealthPoint will have the option to attend an on-site interview in Washington on Friday, January 18th, 2019 as well as the NPTC universal interview day (more details about the universal interview day available here). Location of interview will not impact match rankings; rather, they offer multiple interview dates at different sites to allow travel flexibility for applicants.

For questions regarding the HealthPoint specific interview day, please contact Chris Schei, Volunteer Coordinator, by email or telephone. He can be reached at (425) 203-0962 or cschei@healthpointchc.org.