Internship Elective

Insomnia Treatment Group: UCLA Student Mental Health Clinic – Adult Psychiatry (SHIP Clinic)

Available for the 25-26 training year

DAY, TIME, AND LOCATION:

Tuesdays 1:00-3:30 PM for 8 consecutive weeks (there may be some flexibility in day of week and timing of supervision, to fit with intern’s ongoing obligations).

2-month obligation, offered 4 times/academic year (coinciding with UCLA undergraduate academic calendar)

300 Medical Plaza, Suite 1412

HOURS PER WEEK:

2.5 hours per week: 1.5 hours providing direct clinical care; 1.0 hours in didactics/individual supervision.

FACULTY:

Jennifer Pike, Ph.D., supervising psychologist

Katerina DeBonis, M.D., medical director

PROGRAM DESCRIPTION:

The UCLA SHIP clinic is a multidisciplinary clinic in an outpatient hospital-based medical setting, serving UCLA graduate and undergraduate students with complex chronic psychiatric disorders. Patients are referred from the UCLA Counseling and Psychological Services Center (CAPS) after undergoing brief psychiatric treatment/assessment, for ongoing/consistent care at SHIP.

TRAINING PROVIDED

This elective provides trainees with an opportunity to:

• work with a diverse population suffering from complex psychiatric disorders with co-morbid sleep disorders,

• gain hands-on real-time supervision in delivering evidence-based treatments for sleep disorders,

• learn advanced skills for the assessment and treatment of insomnia, hypersomnia, and other sleep problems, which are commonplace across psychiatric disorders, and can be applied across populations/settings they may encounter in the future,

• in the context of working with a multidisciplinary team, in a safe, structured environment.

Assessment: Trainees will learn to administer a semi-structured interview for the assessment of sleep disorders and factors contributing to poor sleep, to assist them with case conceptualization and treatment planning. They will also learn to administer and score standardized questionnaires for the assessment of sleep quality, and other sleep parameters used to assess progress throughout the intervention.

Group therapy: “A Good Night’s Rest” is a manualized structured intervention, that makes use of stimulus control, CBT-I, psychoeducation, meditation/relaxation, and other behavioral techniques to help patients understand what “normal” sleep is, what contributes to their unique sleep problems, and provides participants will skills to overcome poor sleep using a patient-centered approach to treatment. It also emphasizes how to overcome barriers to good sleep, and how to adjust their schedules to incorporate new/healthy behaviors.

Interns will serve as co-therapists for the group intervention. They will also learn relaxation techniques, and other behavioral techniques to increase intervention adherence and promote behavioral change.

Expand their knowledge of Sleep, Sleep-related disorders:

Interns will be given a set scholarly articles to read (outside of their time in clinic) to improve their understanding of insomnia, the processes that control human sleep, and behavioral factors that influence sleep. There will also be the opportunity for discussions on sleep and training on the use of CBT to treat this population.

DIVERSITY TRAINING

The UCLA SHIP Clinic serves UCLA undergraduate and graduate students who are diverse in terms of race, ethnicity, gender identity, socioeconomic status, sexual orientation, and religion.

As such, considerations of diversity issues play a central role in assessment and treatment planning. At the outset of training interns are provided with readings related to diversity and cultural competence. They are encouraged to self-examine identity factors and potential biases that may impact case-formulation, their relationship with clients, and the supervisor-supervisee relationship. Supervision and case presentation emphasizes diversity and cultural factors that may impact a patient’s clinical presentation, level of trust, and response to treatment interventions. In service delivery we emphasize cultural humility and provide training on how to communicate with patients appropriately and sensitively about their individual differences. Interns are given clinical resources and encouraged to participate in lectures and training on issues related to diversity and ally-ship at the University and in the community.

SUPERVISION PROVIDED:

Method of Supervision: Direct Observation and Didactics

Format: Individual and Group

Hours Per Week: 2.5 hours per week: 1.5 hours providing direct clinical care; 1.0 hours in didactics/individual supervision.

Days and Times: Tuesdays, 1-3:30pm

Names of Supervisor(s): As listed above under Faculty and Staff section.

*In the event that a group does not fill, interns will be offered the opportunity to do CBT-I in an individual therapy format. Session are 45 minutes in length and are conducted over 8-10 consecutive weeks*

For further information contact: Jennifer Pike, PhD, jpike@mednet.ucla.edu