St. Luke's Hospital Health and Rehabilitation Psychology Postdoctoral Fellowship
Inpatient Health/Rehabilitation Rotation
Inpatient psychological services are provided for all patients and families on the Inpatient Rehabilitation Unit. Fellows will conduct psychosocial evaluations with patients and families to assess adjustment to new onset disability, emotional dysregulation, coping skills/style, substance use, sexual health/functioning, personal strengths/assets, and other barriers that may impact patients' ability to participate in rehabilitation activities.
Psychology services on the Inpatient Rehabilitation Unit are well respected and the health care team frequency requests recommendations and consultation from health psychology providers. Fellows will be integrated within the multidisciplinary team and attend morning report, case conferences, and other family meetings.
Opportunities to provide recommendations and coach team members are also present, along with providing in-services on a variety of topics (e.g., dealing with self-injurious behaviors; enhancing motivation to make health behavior changes; respecting patients' autonomy and individuality).
Fellows will carry a regular caseload and follow patients over the course of their hospitalization. Additionally, the health psychology service is also developing a consultation-liaison service. Fellows will also have opportunities to assist with program development and other administrative responsibilities in relation to health-service delivery.
Outpatient Psychology/Pain Psychology Rotation
Outpatient psychological services at St Luke's are provided in the PM&R Clinic, and fellows will be part of this rotation throughout the entire year. Presenting concerns include: post-discharge follow-up from the rehabilitation unit (stroke, traumatic brain injury, neurological disorders, spinal cord injuries, and amputations), caregivers of and patients with chronic illnesses, and pain-related disorders with psychological features. Referrals often involve psychosocial problems with adjustment to the presenting concerns previously listed.
Fellows will have the opportunity to hone skills in outpatient psychotherapy through diagnostic interviews and utilization of evidence-based treatment approaches. In addition to providing individual psychotherapy, fellows will co-facilitate groups for the Pain Psychology Program.
There are four main groups that are part of this program: a bi-monthly screening group, cognitive behavioral group therapy for chronic pain, acceptance and commitment therapy for chronic pain, and a monthly maintenance group for patients who completed the CBT group. Additionally, on occasion, fellows may have the opportunity to conduct psychological evaluations for spinal cord stimulators. The overall goal of this rotation is to build and refine individual and group psychotherapy skills from a health psychology perspective.
Neuropsychological services at St Luke's are provided in outpatient PM&R Clinic, on the Inpatient Rehabilitation Unit and on acute inpatient units for individuals with a wide range of diagnostic issues including stroke, dementia, head traumas, tumors, seizures, multiple sclerosis, neurological disorders, and various cognitive and psychiatric disorders. Inpatient referral questions often relate to decision making capacity and level of needed care at discharge, while outpatient evaluations are focused on differential diagnosis and outpatient care planning.
Fellows learn how to conduct neuropsychological clinical interviews, administer and score neuropsychological/personality assessments, interpret findings within the framework of differential diagnosis, and provide feedback to the patient and family members. Fellows will also gain experience in working within an interdisciplinary team.
As this fellowship is focused on training in health service psychology, the training is not intended to meet Houston conference criteria for training in neuropsychology. The goal is to introduce health psychology trainees to the specialty of neuropsychology and to make them more informed consumers of neuropsychological assessments over their careers.