Access Institute | How to Apply
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Individual, couples, and group therapy as well as assessment services are offered at our Hayes Valley clinic. Fellows spend up to 26 hours per week providing direct clinical services to children, adolescents, adults and seniors. The psychodynamic approach allows for more intensive treatments and many patients are seen at the clinic up to two or three times per week. Most fellows also work off-site providing services at one of our partner programs.

Access Institute values diversity in its Fellowship Program and encourages applications from individuals with diverse backgrounds (race, social/economic class, ethnicity, gender, sexual orientation.)

The stipend for the first year of the fellowship is $25,000.
The stipend for the second year of the fellowship is $12,000.
Fellows receive 2,000 hours towards licensure in the first year.

Positions will include:
• Outpatient Emphasis
• School-Based Emphasis
• Elder Emphasis
• Psychological Testing and Assessment Emphasis

Outpatient Emphasis

Fellows with this focus concentrate on providing individual, couples, and group work with adult patients at our Hayes Valley Outpatient clinic. Beyond their work with adult patients, fellows with this emphasis receive additional training and gain experience conducting telephone intake interviews to assess and refer potential patients for treatment within the clinic.

School Based Emphasis

Fellows with this emphasis receive specialized training in child treatment, including psychodynamic play therapy at a public elementary school. In addition to working at the Hayes Valley Clinic seeing adults, couples, adolescents, children and families, these fellows spend part of their clinical hours working at a school site and receive specialized individual and group supervision focusing on school-based, psychodynamic treatment, parent consultation, and collaboration with teachers and other school-based providers.

Elder Emphasis

In addition to working at the Hayes Valley Clinic seeing individuals and couples, fellows in the Elder Emphasis work either at the Bayview Hunters Point Adult Day Health Center where they offer individual, group and milieu therapy to primarily African-American seniors or at Openhouse where they offer individual and group therapy to LGBT seniors. Fellows collaborate with the professional staff at both agencies (including nurses, social workers & physical therapists), and provide staff consultation and training, in order to facilitate an integrated approach to elder care. There is additional individual and group supervision for fellows in this track focusing on clinical geropsychology, consultation and person-centered dementia care.

Psychological Testing and Assessment Emphasis

Fellows with this emphasis perform psychological assessments, in addition to providing therapy to individuals and couples at the outpatient clinic.  Fellows receive specialized supervision in neuropsychological, psychological and cognitive assessment. Assessments include testing for differential psychiatric diagnosis, learning ability, ADHD, cognition, memory, and dementia. Supervision includes assistance with interpretation and writing of the test battery.

Application Procedure

POST-DOCTORAL and POST-MASTERS APPLICANTS:

Applications from interested candidates are submitted directly to Access Institute by mailing your paper application to:

Ruth Simon, Ph.D.
Director of Training, Access Institute
110 Gough Street, Suite 301
San Francisco, CA 94102

Deadline: Friday, January 5th, 2018

Materials:

  • cover letter (Please describe two areas of training emphasis you are interested in and why)
  • resume/curriculum vitae
  • three letters of recommendation
  • autobiographical essay
  • essay describing your theoretical orientation

Note: We are a CAPIC Postdoctoral Program member.

Pre-doctoral Internship

Psychoanalytic Psychology Internship Program

Access Institute offers two-year, half-time psychoanalytically-oriented pre-doctoral internship. Interns participate in an intensive program where half of the 24 hour per week commitment is comprised of supervision and didactic training from some of the Bay Area’s top clinicians. This internship begins July 1 and ends June 30 and pays a yearly stipend of $12,500.  It is open to pre-doctoral interns who have completed their coursework and practica requirements. Interns in this program receive 1200 hours per year for a total of 2400 hours.

Interns spend up to 12 hours per week providing direct clinical services.  This can include individual therapy for adults, adolescents, and children, as well as therapy with couples and families.  The psychodynamic approach supports the use of more frequent sessions, and many patients are seen at the clinic two and three times per week. The 12 hours per week also includes the completion of at least three psychological assessment batteries over the course of the training year.

All trainees receive at least two hours of individual supervision per week for their psychotherapy work.  One of these hours is on-site at Access Institute, with a primary supervisor who is an Access Institute staff member.  The second hour of supervision is provided by an affiliate of Access Institute and takes place off-site in the delegated supervisor’s private office.  In addition, interns attend five one and a half hour seminars per week. Seminars are progressive throughout the two year period and are designed to facilitate the building of clinical thinking and skills. Interns also attend the weekly staff meeting where, in addition to covering general clinic business, they have the opportunity to consult on cases with the clinic’s prescribing psychiatrist and participate in “Care Team” where patients in need of adjunctive services are discussed.  When interns have been assigned an assessment battery, they are also assigned an external supervisor with whom they meet for the duration of the time that they are working on that battery up through the completion of the report and the feedback session.

Intern’s weekly time commitment will include:

  • Direct patient services, up to 12 hours per week (half-time).
  • Attending all required didactic training seminars. Attending a weekly staff meeting.
  • Meeting weekly with the primary on-site supervisor for one hour.
  • Meeting weekly with the adjunct supervisor(s) for one hour.
  • Maintaining all clinic paperwork.
  • Attending all in-house Grand Rounds presentations.
  • Attending and completing other assigned activities related to training and patient care.

Goals

The overall goal of the internship programs at Access Institute is to teach young clinicians how to flexibly integrate psychoanalytic approaches to be used with an underserved, inner city population. We train clinicians to be culturally competent and theoretically sound. Our graduates have a dedication to working with underserved populations and carry this commitment with them as part of their enduring professional identity.  More specifically, students can expect to gain experience working with a culturally and diagnostically diverse caseload, spanning the lifecycle. They will become proficient in diagnosis, case formulation, treatment planning and become well versed in contemporary psychoanalytic theory that flexibly integrates cultural and sociopolitical perspectives. Through this intensive training, they will find their own clinical voice among others in the psychoanalytic tradition.

In their psychotherapy work, after completing their internship at Access Institute, interns will be able to:

  • Use psychoanalytic concepts in case formulation
  • Accurately diagnose a broad range of patients
  • Understand how cultural forces interact with internal dynamics
  • Use psychoanalytic techniques flexibly
  • Intervene appropriately in a crisis situation
  • Self confidently assess their own strengths and weaknesses
  • Use supervision and consultation maturely and appropriately
  • Know ethical principles and legal mandates

In their assessment work, after completing their internship at Access Institute, interns will be able to:

  • Perform a clinical interview and Mental Status Exam
  • Administer Cognitive, Educational, Personality, Projective and Neuropsychological assessments
  • Write assessment reports
  • use assessment supervision efficiently and appropriately
  • communicate findings and give clinical feedback about assessment results
  • manage assessment cases in a timely and responsible manner

Curriculum overview

This sequence of courses follows a developmental trajectory, starting with basic principles, beginning treatment and formulation, and becoming more specific, with classes in working with special populations, like children and couples and ending with a course on termination.  The theoretical sequence begins with Freud and continues through Contemporary Object Relations. Additionally, courses include Substance Abuse and Trauma, as these are common problems in the community mental health population served in our clinic.  We place special emphasis on Sociocultural Processes in each and every class, in addition to having a designated course which addresses this topic alone.  The case conference is designed to follow a developmental process, whereby in the first semester, the students focus on case formulation and diagnosis and in the second semester, the focus is more on issues that arise once treatment is established. This sequence of courses continues the developmental trajectory that was started in their first year of training.  Human Development is taught, the sequence in psychoanalytic theory is completed and technique specific courses are included having to do with ending treatments.  The case conference continues the developmental process, and the students become more and more collegial and collaborative, with less structure provided by the instructor as the sequence goes on.  The assessment seminar meets weekly for the whole year.

Bilingual Services
Access Institute provides therapy in both English and Spanish and strongly encourages applications from Spanish bilingual interns.

How to Apply

We are not accepting applications for the 2018-2019 training year.  Please check back in Fall 2018 for new application dates.