E.03.24.CAS – HealthPoint Training Manual Addendum

Site Learning Activities and Requirements

All interns will participate in the internship learning activities as specified in the manual. Specific site activities/rotations/requirements above and beyond what is listed in the manual are provided below:

At HealthPoint, the primary training is our Primary Care Behavioral Health (PCBH) model of integrated care, with a focus on working with underserved populations. Additional learning activities include a rotation in one of our school-based health centers (SBHC), consultation with psychiatrists, conducting brief integrated assessment reports (examples are ADHD, cognitive impairment, N-648 forms for citizenship testing exemption, and letters for gender-affirming surgery), as well as learning much more about medical and psychiatric conditions, medications, natural medicine, and nutrition from providers across these disciplines. Some examples of training opportunities are listed at the bottom of this section.

We are excited to have interns involved at all levels of our program. After an initial period of intensive training in the PCBH model, associated assessment and intervention skills, and crisis management procedures, students will be placed in a clinic where they will typically have an on-site staff Behavioral Health Consultant (BHC) as their Main Primary Supervisor. Occasionally, an intern may have an off-site supervisor or may at times be the only behavioral health consultant on-site and may need to operate with much autonomy. Supervision and consultation will always be readily available from staff BHCs, postdocs, and primary care providers (PCPs). 

Additional training throughout the year may include relevant behavior change theories, such as Cognitive-Behavioral Therapy, Motivational Interviewing, Acceptance and Commitment Therapy (ACT/fACT), and group approaches. This training may also be individualized based on the clinical interests of the intern and clinic needs.

Interns will receive HealthPoint-specific didactics and group supervision at HealthPoint Admin in Renton, WA. Interns will also receive one day per month of didactics with other interns from Cascades Region consortium sites. Some of these didactics will occur at HealthPoint Admin in Renton, WA, others will occur at Community Health of Central Washington in Yakima, WA, and Yakima Valley Farm Workers in Toppenish, WA.

Additional Learning Activities:

Interns will write 6 integrated reports using primary care-appropriate brief neurocognitive assessment batteries that are supervised by the assessment supervisors. Batteries are designed by Dr. Allred and the BHC team. Patients will be selected by the interns and approved by Main Primary Supervisors. Interns will conduct a contextual interview and biopsychosocial history of the patient prior to the assessment. Once approved to schedule the assessment, students will coordinate with Dr. Allred checking-out the assessment kit. Assessments will be completed in 1-3 visits.

Interns will complete a Quality Improvement project over the course of the training year. This is an informal project that will be designed in collaboration with the intern’s Main Primary Supervisor. 

Interns may elect a six-week or longer rotation (one day/week) at one of our school-based health centers 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.

It is expected that the internship and training activities come first, and any other roles/duties are secondary to the completion of the internship program.

Administrative Overview

Salary:

$40,000

Schedule:

Full-Time (40-45 hours per week) primarily Monday-Friday from 8:00 am – 5:00 pm. Specific schedules will be tailored to the needs of the clinic. Outside of training/didactic activities and meetings, interns will be in the clinic seeing patients with 30 min scheduled visits and unscheduled same-day “Warm Handoffs”. Interns also get 1 hour of administrative/paperwork time for each day in the clinic.

Overtime:

Some overtime work is required, but interns should never work over 50 hours per week. Interns are classified as non-exempt employees and are paid overtime for any hours worked over 40 in a given week.

Worker Category: Temporary

FLSA Status: Non-Exempt

Nights/Weekends:

One day per week interns will be required to work the late shift, for example from 11:00 am – 8:00 pm. There is no call coverage required. There are no required weekend hours.

Malpractice Insurance:

Consistent with NPTC policy, if an intern is not covered by their school, HealthPoint will provide reimbursement for the cost of an APA Student Policy during the internship year.

Mileage:

HealthPoint will reimburse interns who use their personal vehicle while conducting approved HealthPoint business with supervisor approval.

Reimbursement for mileage will be according to the current HealthPoint Employee Handbook as approved by the Board of Directors. Reasonable parking and toll fees will also be reimbursed. Fines for all traffic and parking violations are the sole responsibility of the employee.

Every intern using their personal vehicle for approved agency business is required to have liability insurance as required under the law in Washington.

Pre-approval by your supervisor is required for reimbursement of other travel arrangements. Employees are required to accurately record mileage/parking fees on the HealthPoint approved form. An intern shall not be reimbursed for any mileage between home and their initial or final, normally assigned, HealthPoint work site. If an intern begins or ends their workday at a site or agency-approved destination other than their normal site, they may be reimbursed for their mileage less the number of miles normally driven from home to their assigned HealthPoint site.

HealthPoint follows the NPTC Travel Policy regarding Intern travel reimbursement when didactic training is located at Community Health of Central Washington in Yakima, WA, or at Yakima Valley Farm Workers in Toppenish, WA.

Benefits:

Interns are eligible for benefits at HealthPoint consistent with their status as temporary, non-exempt. The available benefits package will be discussed in detail during the HealthPoint Benefit Orientation held in July.

Leave Time

Paid Time Off (PTO):

14 days (112 hours) combined vacation and sick leave are available on your first day.

Professional Development Leave:

3 days (24 hours) of continuing professional development (CME/CPE) leave are available on your first day.

Professional Development time is not considered PTO time. It should be used for completing continuing education courses, attending conferences, or for other professional development opportunities. It may be used to attend an intern’s own dissertation defense or graduation ceremony. To use this time, interns will coordinate their schedules with their Main Primary Supervisor and site leadership. Once approved, the intern will enter the hours as continuing education hours in ADP, and the Training Director will make the final approval. These hours should be tracked as “Professional Development Leave” in the NPTC time tracking portal. All professional development requests need to be made at a minimum of 2 weeks in advance, if possible, a month’s notice is recommended.

Unused professional development time is not paid out at the end of the internship, nor will it roll over if an intern is staying with HealthPoint.

Time off for CPE is discouraged during the final two weeks of the training year.

Interns requesting PTO will coordinate their schedules with their Main Primary Supervisor and site leadership. PTO requests are then submitted through HealthPoint’s employee timecard system (ADP) and the Training Director will make the final approval. Prior to taking PTO (unless the PTO was taken for an emergent illness or situation), PTO must be recorded on the intern’s timesheet (NPTC and HealthPoint). All PTO requests need to be made at a minimum 2 weeks in advance, if possible, a month’s notice for PTO is recommended.

To promote self-care, interns are encouraged to utilize all their PTO. The intern can roll over any unused  PTO if they stay on with the organization as post-docs or enter full-time, regular employment with HealthPoint. 

Interns are also encouraged to make sure that their PTO does not fall on NPTC Didactic Training days, which are held on the first Friday of each month. Should PTO be approved for an NPTC Didactic training day, the intern must make up that didactic according to NPTC policies as outlined in the manual.

PTO should not be used during the final two weeks of the training year.

Holidays:

This site observes the following holidays:
Holiday List
New Year’s Day
Martin Luther King, Jr. Day
Memorial Day
Independence Day
Labor Day
Thanksgiving Day
Day After Thanksgiving
Christmas Day

When a scheduled holiday falls on a weekend, the observed holiday will either be taken on Monday or Friday depending on if the scheduled holiday falls on a Saturday or Sunday. Note that observed holidays are subject to change. Please refer to the HealthPoint Talent Management Department for the most up-to-date information.

Floating Holidays:

Interns receive 3 (24 hours) floating holiday time front-loaded on their start date. 

Floating holidays are not considered PTO time. Use of this time is subject to the rules for floating holidays in the HealthPoint Employee Handbook. To use this time, interns will coordinate their schedules with their Main Primary Supervisor and site leadership. Once approved, the intern will enter the hours as floating holiday hours in ADP, and the Training Director will make the final approval. These hours should be tracked as “Holiday” in the NPTC time tracking portal. The intern is responsible for communicating with NPTC to get this time added to their time tracking. All floating holiday requests need to be made at a minimum of 2 weeks in advance, if possible, a month’s notice is recommended.

Unused floating holidays are not paid out at the end of the internship, nor will they roll over if an intern is staying with HealthPoint.

If the trainee clinical site is closed for any other reason, the intern will follow HealthPoint’s related holidays and site closure policies detailed in HealthPoint’s Employee Handbook. Interns will receive the link and login information on their first day.

Reporting for Duty: 

Our interns are considered frontline personnel and must report for duty and attend all required clinical, educational, and administrative activities as specified by the program and training schedule.

Any interns who are unable to report for duty due to illness or other events must notify their Main Primary Supervisor and clinical site leadership. Learners with scheduled clinical responsibilities who are unable to report for duty during inclement weather must maintain appropriate communication with their Main Primary Supervisor and site leadership and may be allowed to complete other academic endeavors with the approval of the Training Director. During such events, learners reporting for duty will be provided with appropriate accommodations.

Additional Information

These forms and evaluations have been provided on the following pages:

HealthPoint Trainee Behavioral Health Consultant Core Competency Tool
HealthPoint Psychology Intern Job Description and Expectations