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THE ALFRED PSYCHOLOGY DEPARTMENT PROVISIONAL PSYCHOLOGISTS' MANUAL

A GUIDE FOR POST GRADUATE STUDENTS

The Alfred Psychology Department Provisional Psychologists' Manual

Table of Contents 1. Introductions 1.1 Welcome 1.2 Introduction to the Psychology Department 1.3 Introduction to Alfred Health 2. Placement Information 2.1 Placement opportunities 2.2 Process of application 2.3 General expectations of placements 2.4 Supervision 2.5 Managing difficulties in supervisor student relationship 2.6 Professional Development Expectations of student 3.1 General expectations 3.2 Goals and objectives 3.3 Caseload expectations 3.4 Logbook General Placement Information 4.1 Contact details 4.2 Orientation 4.3 Hours of Work 4.4 Standard of dress 4.5 Parking 4.6 Driving Alfred Health vehicles 4.7 Sick leave procedures 4.8 Infection Control & Immunisation 4.9 Computer Access 4.10 Confidentiality 4.11 Security 4.12 Safety 4.13 Emergencies 4.14 Medical Records 4.15 Psychology Staff Contact List 4.16 Meetings 4.17 The Ian Potter Library Appendices 5.1 The Alfred Site Map 5.2 The Alfred Psychology Department Student Placement Application 5.3 Police Check Statement 5.4 Orientation checklist

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Introductions 1.1 WELCOME

On behalf of all the psychologists working at The Alfred, I would like to welcome you to the Psychology Department. Our involvement in the training and supervision of postgraduate students is taken very seriously. It is a very important and satisfying aspect of our professional lives. We endeavour to provide you with learning experiences, which are challenging and rewarding and that will consolidate and develop your skills as psychologists. An important part of the experience is learning about being members of the various teams with which you will work, both within the department and the broader professional community of the hospital. As well as regular supervision you will have access to a range of departmental and hospital professional development activities. Just as we are aware of what we can offer you we are also aware and grateful for what you bring to the Department and to The Alfred. First and foremost you provide your time and labour, providing services to patients and families who might otherwise have a much longer wait to be seen or not be seen at all. We appreciate your hard work and your energy and enthusiasm. We value the fact that you question and make us think about what we are doing. You enrich our professional lives and we are pleased to be able to contribute to yours. I hope that you find your time at The Alfred to be both professionally and personally rewarding and wish you all the very best in your careers as psychologists. Welcome! Lynda Katona Manager Psychology Services, The Alfred

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1.2

INTRODUCTION TO THE PSYCHOLOGY DEPARTMENT

The Psychology Department at The Alfred is comprised of Clinical Psychologists and Clinical Neuropsychologists. Psychology Services report both to the Director of Psychiatry and the Manager of Allied Health. The majority of psychologists are employed by Psychiatry, with only a small number employed directly through the general hospital system. All psychologists are professionally accountable to the Manager of Psychology Services. The current psychology EFT is approximately 18 of this 2.7 EFT is funded through the general hospital (Cystic Fibrosis, HIV Mental Health, & Sex Health & Wellbeing, Hospital Admission Risk Program (HARP), Neuropsychology ­ Neurology). There is approx 15 EFT Clinical Psychology & 2.8 EFT Clinical Neuropsychology. There are 23 psychology staff members, the majority work on a part time basis. In addition there are usually 6-8 provisional psychologists (post graduate students) on placement at the Alfred throughout the year. . Clinical Psychologists are employed in: · The Acute Psychiatry Program ­ Inpatient Units & Crisis Assessment & Triage Service (CAT/Triage) · The Community Psychiatry Program ­ Junction & Waiora Continuing Care Teams, the Mobile Support & Treatment Service (MSTS),the Community Care Unit (CCU), the Primary Mental Health Team (PMHT), & Youth Early Psychosis (YEPS). · Consultation Liaison (CL) Psychiatry/ Hospital Funded- Oncology, Cystic Fibrosis, HIV Services (Mental Health Team & Sex Health & Wellbeing), Burns Service & the Hospital Admission Risk Program (HARP). · Alfred Child & Youth Mental Health Services (CYMHS) Clinical Neuropsychologists work in Consultation Liaison (CL) Psychiatry ­ Neurosurgery, Trauma, HIV Services & the Professorial General Medical Unit (PGMU) and across all other the general medical units. A Neuropsychologist is also employed by Neurology. Neuropsychologists also work across Adult Psychiatry (Acute & Community programs) and Alfred CYMHS. The Psychology Department also operates The Alfred Psychology Clinic on Thursday afternoon from The Alfred Private Consulting Suites and also from Waiora Clinic. It is an outpatient service and accepts referrals from within The Alfred (from units which do not have a psychologist working as part of the service) for the assessment and short-term treatment of a range of common psychological problems eg anxiety, depression & adjustment to illness.

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Alfred Psychologists are actively involved in providing education to staff and community organisations, consultation to other professionals, research and evaluation. Departmental meetings are held fortnightly business meetings alternate with a case presentation. Most program areas also hold regular meetings eg. Neuropsychologists, Community Psychiatry Psychologists. Psychology specific professional development activities are held every two ­ three months. Neuropsychology also runs a professional development program with Caulfield Hospital Neuropsychology. Students are encouraged to attend the departmental meetings and professional development activities. 1.3 INTRODUCTION TO ALFRED HEALTH Alfred Health In June 2000, the Victorian Government established a number of Metropolitan Health Services, of which Alfred Health is one. Alfred Health is the governance grouping of three health- facilities: The Alfred, Caulfield & Sandringham Hospitals. The range of services offered by each hospital within Alfred Health is distinctive, and collectively they service the local Bayside communities, as well as regional and national communities. The hospitals provide services in areas ranging from obstetrics to aged care, major trauma such as traffic accidents and burns to rehabilitation, infectious diseases and oncology to psychiatric services and intensive care to Hospital in the Home. The Alfred The Alfred was founded in 1871 and is Victoria's oldest hospital operating on its original site. The hospital was built in honour of His Royal Highness, Prince Alfred, Duke of Edinburgh, who survived as assassination attempt in 1868 while visiting Australia. So thankful were the people of Melbourne for the safety of their Prince that they established a fund to build a hospital in his name. Since that time, it has been recognised as a pacesetter in the national medical arena and has consistently been linked to progressive developments in acute care, medical research and health care teaching. The Alfred has a staff of 3500 and treats more than one quarter of a million patients annually. It provides the most comprehensive range of specialist medical and surgical services in Victoria and accommodates six directorates comprising 42 clinical units, offering every type of medical treatment with the exception of obstetrics and paediatrics. The Alfred's Mission is to provide high quality, cost effective care founded on excellent practice, teaching and research "which improves the quality of life of Australians". This is consistent with its Vision ­ to be the driving force in Australia's health care system.

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Today, The Alfred enjoys a reputation as one of the world's leading health care providers ­ largely attributable to its concentration on specialist "high tech" services including Cardiovascular Medicine, Heart-Lung Transplant, Trauma Care, Oncology and Respiratory Medicine. State-Wide Services As a provider of unique national and State-wide services, The Alfred accepts a leadership role in identifying and catering for its community's needs and is an integral part of the Victorian landscape. Critical Care (Trauma Centre, Emergency Department, Intensive Care Unit, Hyperbaric Service): The Alfred accommodates the State's Major Trauma Service and the largest Intensive Care Unit in Australia. The hospital's multimillion-dollar Tattersall's Critical Care Complex unites the Emergency Department and Trauma Centre on the ground floor. A high-speed lift links the facilities to the helipad. The state-of-the-art Emergency Department/Trauma centre represents one of the largest and most sophisticated in Australia, comprising 42 treatment areas. The co-location of the Intensive Care Unit has improved patient access to key services including the Emergency Department, Operating suite and Radiology department. The Alfred also accommodates the State designated Hyperbaric medicine service, incorporating Australia's largest and most technically advanced Hyperbaric Chamber for treatment of conditions causing oxygen deficiency including Decompression Illness ("the bends"), life-threatening infections, side effects of radiation treatment, problem wounds and diabetes-induced complications. Heart/Lung Replacement Service: The hospital is home to the second largest Lung Transplant Unit in the world and introduced Australia's first lung volume reduction surgery program. The Alfred provides these services to the people of Victoria, Western Australia, South Australia, and Tasmania. The Alfred implanted Australia's first artificial heart and has performed over 500 heart and lung transplants. Burns Service: The Alfred accommodates the Helen Macpherson Smith Burns Unit ­ Victoria's only adult speciality burns service. Cystic Fibrosis Unit: The Alfred is home to Victoria's major Adult Cystic Fibrosis Unit. Haemophilia Service: The Alfred incorporates Australia's busiest haemophilia comprehensive care centre. HIV/AIDS Service: The Alfred's Infectious Diseases Unit provides the Victorian HIV/AIDS service. The Unit incorporates a Clinical and Academic Research Centre, which performs a large number of clinical trials in HIV medicine, and accommodates the State-wide Access Information Centre ­ a focal point for HIV/AIDS information.

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Alfred Psychiatric Intensive Care State-Wide Service (APICSS) The Alfred Psychiatry Inpatient Service includes a four bed Statewide Intensive Care service, APICSS which is integrated physically and clinically within the Psychiatric Intensive Care Unit (PICU) of the Alfred Psychiatry Ground Floor inpatient unit. The APICSS service is for patients who are inpatients of other Victorian Area Mental Health Services who present with significant behavioural and treatment difficulties in that setting. Speciality Services Cancer and Blood Diseases: The Alfred's Cancer and Blood Diseases Services comprise the Richard Turner Oncology and Haematology Ward and The Alfred Clinic for Blood Diseases and Cancer, providing one of the State's fully-integrated cancer care services. The Clinic is home to the William Buckland Radiotherapy Centre and accommodates facilities designed to support groundbreaking research carried out by the Hospital's nationally renowned Haematology Department. These comprehensive services provide chemotherapy, radiotherapy, brachytherapy, haematology and palliative care. Allergy, Asthma and Clinical Immunology: The Alfred accommodates Australia's only academic department of Allergy, Asthma and clinical Immunology, including a major asthma service centre and a major allergy and immunology unit. Cardiology/Cardiovascular Services: The Heart Centre at The Alfred enjoys a distinguished reputation as the most complete heart service in Australia and is a recognised World Health Organisation (WHO) Centre for Research and Training in Cardiovascular Disease. Neurosurgery: The Alfred provides major neurosurgery and cerebral-vascular services. The Hospital accommodates the State sterotactic radiosurgery service, which treats malformations in the brain without recourse to surgery. Psychiatry Services: The Alfred provides comprehensive psychiatry services including inpatient and community services. Ambulatory Care: The Alfred's Ambulatory & Community Services Department delivers health services in non-patient settings. Acute home care is provided through [email protected], which facilitates the transition of patients from hospital to home with an emphasis on pre- and post discharge planning. The Ambulatory & Community Services directorate provides the interface between hospital and community, and fulfils an important developmental role in working with community providers to establish models of care, systems and processes to integrate and connect care across health sector boundaries.

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Research and Teaching The Alfred fosters leading scientific techniques to forge the vital link between knowledge and advanced clinical practice utilising leading edge technology. As a result, patients enjoy the best health outcomes. The many achievements to date include: · First use of penicillin in Victoria · First use of dialysis in Australia · Australia's first hip replacement · Australia's first artificial heart implant · More than 600 heart and lung transplants · First hospital-based bone marrow transplant unit in Australia · First hospital-based burns unit to develop and use skin culture techniques in Australia · Australia's first lung volume reduction surgery program As one of Melbourne's largest teaching hospitals, The Alfred provides research, undergraduate and post-graduate training for medical, nursing, allied health and other support staff. The Hospital has strong links with a range of organisations fostering professional training and research, including: · Monash Medical School ­ one of Australia's leading tertiary medical schools which has components of its Medicine, Surgery, Pathology, Immunology, Microbiology, Hospital and Community Psychiatry, and Epidemiology and Preventive Medicine departments situated on The Alfred campus · The Baker Medical Research Institute ­ a pre-eminent heart research institute which carries out world-leading research into heart disease · The Macfarlane Burnet Centre for Medical Research ­ a leader in research efforts aimed at targeting viral infectious diseases including HIV/AIDS, Hepatitis A, B, and E, Rubella and children's respiratory diseases · Division of General Practice. The Inner South East Division of General Practice is located on The Alfred Campus. The Division is committed to improving the health of people living and working in the Inner South East by increasing the knowledge and skill base of the general practitioners in the local community The $93 million Alfred Medical Research and Education Precinct unites research scientists, clinicians and students from The Baker Institute, The Macfarlane Burnet Centre for Medical Research and the Monash medical School in a central complex, providing opportunities for shared resources and knowledge.

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Placement Information 2.1 PLACEMENT OPPORTUNITIES The Alfred Psychology Department endeavours to provide provisional psychologists (clinical, health, and neuropsychology) undertaking postgraduate training a variety of placement opportunities. The number and location of placements may vary from year to year depending on the availability of supervisors. MENTAL HEALTH Child and Youth Mental Health Service Alfred CYMHS provides clinical placements for students undertaking post graduate clinical psychology and clinical neuropsychology training. Staffing: The current staffing of the psychology department at CAMHS is: Clinical Psychologists P4: Marilyn Boots (0.8) - Middle South, Developmental Assessment Program (DAP) P3: Jane Miller - Intake & Consultation, Inner South Team P2: Fiona Macdonald ­ Inner South, DAP, Koori Kids P2: Celeste Benetti­Middle South, P2: Anne Booth (0.8) ­ Inner South, Infant Program P2: Jacinta Bleeser - Middle South P-2: Ruth Tisher ­ Inner South P-2: Alison Gomes - Youth Outreach Team (YOT) - currently based at Waiora CMHS Neuropsychology P3 ­ Alexia Pavlis (0.4) (Currently on maternity leave ­ locum appointment pending) All clinical psychology staff members have extensive experience in child and adolescent work, and many have additional experience beyond this domain. They bring a wide range of specialist skills to the service. Anne has had additional training in clinical child psychology and psychotherapy. Fiona and Marilyn have both completed specialist family therapy training. All are members of the APS College of Clinical Psychologists Clinical psychology placements are arranged through Marilyn Boots. One or two clinical psychology placements are offered each year. Neuropsychology placements will not be available over the next twelve months.

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The service: Alfred CYMHS provides community psychiatry services for infants, children and young people (up to 25 years) and their families living in thecatchment area (Cities of Port Phillip, Stonnington, Glen Eira, Bayside and Kingston). The service is located at 999 Nepean Highway Moorabbin (Tel: 8552 0555). Services are primarily clinic based though some limited outreach to youth clientele is provided by YOT in the Inner south area of the catchment. The young people seen at CYMHS present with a wide range of behavioural, emotional, social and developmental difficulties. Staffing of the service is multidisciplinary. Psychologists at CYMHS are involved in all areas of service delivery. For provisional psychologists on placement the priority is given to their involvement in direct clinical casework. This would usually begin with some observations and then become increasingly involved with undertaking clinical assessments and developing and implementing therapeutic programs with the young people and their parents and families. Some assessments will involve formal psychological assessment of children or adolescents ­ including cognitive, developmental, educational, diagnostic and projective assessments. Services provided from the service include individual psychotherapy for children and adolescents, family therapy, parent counselling and group work. A range of theoretical perspectives inform clinical practise ­ psychodynamic, CBT and systemic. Provisional psychologists work in collaboration with one or more permanent staff member on most cases. In addition to the generic case work, which is the majority of the clinical work, provisional psychologists may have opportunities to work with one or several of the specialist programs at CYMHS (Infant Program, Developmental Assessment Program). A number of young people referred to the service present with significant neurodevelopmental problems. Neuropsychology placements at CYMHS involve observation and eventually implementation of specialised cognitive and behavioural (intellect, memory, executive functioning etc) assessments of CYMHS clients from the Neuropsychiatry program, as well as the general clinic. This is for the purpose of diagnosis, monitoring of cognition and development over time, and for the development of appropriate management advice and intervention strategies. In addition, the provisional psychologist will be involved in case conferences, and work towards participating in feedback sessions to parents and carers, which enables development of skills in counselling, education and appropriate communication. They will also deal with external agencies, providing (usually written) feedback to schools and other services. As with clinical psychology, the neuropsychologist works within a multidisciplinary framework, so the student has the opportunity to observe the work of a range of clinicians within the service.

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Acute Psychiatry Program Student placements are offered on one of the two inpatient wards (not CATT). This placement provides students with an opportunity to enhance their assessment skills, develop crisis intervention skills, as well as treatment planning with patients experiencing an acute psychiatric illness. The client population includes those new to psychiatric services as well as those with a long history. The work involves patients with Axis I and Axis II disorders. Personality assessments are generally completed with the MMPI-2 or the PAI. There is limited opportunity for cognitive assessment. As the ward work is truly multidisciplinary it is also an opportunity to develop consultation skills. It is an exciting placement. While students may start out feeling uncertain of their skills, it is a placement which leaves them feeling much stronger clinicians, having consolidated many essential skills and having had contact with many complex problems. Students usually feel much more confident with diagnosis at the end of this placement, and better able to treat and manage people with an acute episode of major mental illness. This provides a strong backbone for all future clinical work. Acute Psychology Staff Acute Psychiatry Unit P-3 Daniel Rylatt CAT/First Floor (1 EFT) P-2 Tara Coppins Ground Floor (0.9 EFT) Supervisors Dr Daniel Rylatt, Member of APS & College of Clinical Psychologists Senior Clinical Psychologist Daniel has worked on the First Floor Acute Inpatient Unit since September 2008. Currently he works 3 days per week on the inpaitent unit and 2 days per week with CATT/Triage. Daniel holds a Doctor of Psychology (Clinical) degree from Deakin University. Prior to joining The Alfred, Daniel spent several years working in a structured Dialectical Behaviour Therapy (DBT) at The Melbourne Clinic, a private psychiatric hospital. He has a special interest in working with patients with a Borderline Personality Disorder diagnosis. 9076 3925

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Community Psychiatry Program The Community Psychiatry Program at The Alfred provides ongoing treatment to clients with a psychiatric illness. The program consists of multidisciplinary Continuing Care Teams (CCT), an intensive outreach support team (MSTS), an outreach team for homeless clients (HOPS), a community based residential rehabilitation service (CCU) and a team for people with complex needs (New Horizons). In addition, the Primary Mental Health Team (PMHT) aims to develop the mental health skills of primary health care workers through supervision and training as well as providing assessment and short-term treatment to individuals with high prevalence disorders (anxiety and depression). There are eight clinical psychologists who work in the community program, three based at Junction Clinic in St. Kilda and five at Waiora Clinic, in South Yarra. A clinical neuropsychologist is also based at Waiora Clinic two days a week and provides services to adult psychiatry clients STAFF Junction Clinic P-3 Neil Thomas P-3 Currently vacant P-2 Bronwyn Wauchope 2-12 St. Kilda Road, St. Kilda 9076 9888

Waiora Clinic Level 2, 435 Malvern Road, South Yarra 9076 4700 P-3 Diana Harte P-3 Christine James P-2 Amy Joyce (currently on maternity leave until Sept 2012) P-2 Reem Ramadan ­ locum for Amy Joyce The Primary Mental Health Team (PMHT), based at Waiora Clinic P-4 Michael McGartland P-3 Jenny Makros MSTS 0.2 EFT from Junction Clinic CCU 0.2 EFT from Waiora Clinic HOPS No dedicated Psychology time ­ psychology requests usually met from within Junction CCT resources. New Horizons Current pilot of one session of psychology time from Junction CCT. Neuropsychology P-3 Jennifer McDowall (Mon & Fri) based at Waiora Clinic 9076-4700 Currently on maternity leave until August 2012. P-2 Chris O'Halloran to start as locum for Jen McDowall ­ August 2011

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Supervisors Diana Harte Member of the APS College of Clinical Psychologists Diana trained as a clinical psychologist in New Zealand. Since arriving in Australia some 14 years ago she has worked across a variety of clinical settings (public mental health (child and adolescent as well adult), youth drug and alcohol, perinatal, and physical illness (Cystic Fibrosis, HIV/AIDS and juvenile rheumatology)). She currently divides her professional life between working at the Waiora CMHS and private practice. Diana is well versed in CBT along with its many derivatives and is currently undertaking formal training in psychoanalytic psychotherapy. Christine James Member of the APS College of Clinical Psychologists

Recognised Supervisor

Senior Clinical Psychologist Christine has worked at Waiora CCT since 2010. Christine completed her Doctorate in Clinical Psychology at Monash University in 2002. Since then she has worked in Public Mental health(acute inpatients and community settings) and she has worked in the Forensic system(at Thomas Embling Hospital and Melbourne Assessment Prison). She did her doctoral thesis on the mental health needs of female prisoners and Christine has a special interest in women's mental health. Areas of particular interest are Borderline Personality Disorder and eating disorders. Christine has considerable experience in working with both of these conditions. Amy Joyce Member of the APS College of Clinical Psychologists Clinical Psychologist (Secondary Supervisor) Amy started working with The Alfred in late 2002 on the inpatient unit for one year. She returned to work at The Alfred in 2007 and is currently working at Waiora, Community Mental Health Services. Amy also provides clinical psychology services to the CCU, two sessions per week. Amy began her career in Organisational Psychology in 1996 and moved to the Clinical speciality where she started working in a rural setting. She has over nine years experience in public mental health services, across both acute and continuing care services. She has a special interest in Borderline Personality Disorder and Trauma. Amy has a Bachelor of Science from the Australian National University in Canberra and went on to complete her Masters in Clinical Psychology at RMIT. Michael McGartland Member of the APS College of Clinical Psychologists Principal Clinical Psychologist Michael has worked as a clinical and counselling psychologist for over 30 years in public psychiatric, university and private practice settings. This has involved him in many activities such as running the Ansett Fear of Flying course, establishing a university research centre, sitting on government and industry advisory committees, teaching a range of post graduate and undergraduate courses and conducting training for a variety of health organisations. In his clinical practice he tailors his therapeutic interventions to the needs of the individual and often draws

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upon existential, narrative and cognitive-behavioural therapy approaches. The exciting opportunities in the then new PMHT lured him away from the ivory tower of academia and back to the real world of clinical practice. At the moment he is very much enjoying being in a full-time clinical environment. Michael has supervised placements in the Heart Centre. Jenny Makros Member of the APS College of Clinical Psychologists Senior Clinical Psychologist, Jenny has worked as a clinical psychologist for over ten years in educational settings, private practice and public adult and CAMHS psychiatry mental health services. Jenny is currently working in the Alfred Primary Mental Health Team in which she provides primary, secondary and tertiary consultation to GPs and other primary health care providers. She is also involved in community education and development programs as well as in the delivery of individual and group therapy for high prevalence mental health disorders. In her work with clients, Jenny draws on a number of evidence­based therapeutic modalities including Cognitive Behavioural Therapy, Acceptance and Commitment Therapy, Mindfulness and Emotion-Focused Therapy. Neil Thomas MACPA, Member of the APS College of Clinical Psychologists Senior Clinical Psychologist Neil works with the Junction Community Mental Health Team, as well as running a specialist outpatient clinic for people with psychosis at the Monash Alfred Psychiatry Research Centre. Originally from the UK (DClinPsych, University of London), Neil worked at the Maudsley Hospital in London before moving to Melbourne where he has combined work in public mental health services (Thomas Embling Hospital, Southern Health, Alfred) with research and lecturing. Clinically he has worked across community mental health, acute inpatient, rehabilitation and forensic mental health settings. Neil's main clinical and research interests are in psychological models and therapies for people with psychotic disorders. He has extensive training in cognitive behavioural therapies, and a strong interest in acceptance/mindfulness-based therapies. When not at the Alfred, he is investigator and therapist on an ongoing randomised controlled trial of acceptance and commitment therapy for chronic psychosis. Bronwyn Wauchope Clinical Psychologist (Secondary Supervisor) Bronwyn commenced working with the Junction Continuing Care Team and Mobile Support and Treatment Team in mid 2009. She provides therapeutic interventions to clients experiencing a mixture of diagnoses, primarily psychosis and borderline personality disorder. She is also involved in providing secondary consultation and education sessions to case managers and community services. Bronwyn has over five years of experience working within community mental health services and several years in private practice. She has a Bachelor of psychology from Sydney University and holds a Doctor of Psychology (Clinical) degree from the Australian National University. Her thesis examined the introduction of psychiatric advance agreements in a community mental health setting. She is passionate about human rights, understanding systemic issues

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around psychiatric treatment, and working with individuals suffering from trauma and personality disorders. Waiora & Junction CMHS Waiora & Junction CMHS are community psychiatric outpatient clinics that provide intensive treatment and rehabilitation services to adults (18 ­ 65 years) with a severe mental illness who live in The Alfred's catchment area (Inner South). The service is provided as a multidisciplinary team which comprises psychiatrists, psychiatric registrars, clinical psychologists, clinical neuropsychologist, psychiatric nurses, occupational therapists and social workers. A dietician also works with our patients. Psychologists only perform psychological work and are not employed as case managers. Key Responsibilities Formal Psychological Assessment Cognitive Assessment. Cognitive assessments are conducted to ascertain cognitive strengths and weaknesses and level of intellectual function useful in treatment and recovery planning. Assessment usually takes several hours and may be spread out over a number of appointments. Neuropsychological Assessment. A clinical neuropsychologist works in the community psychiatry program as well as the Acute Program. Neuropsychological assessments utilise highly specialised cognitive tests in contributing to diagnostic issues. Neuropsychological assessments also have an important role in the monitoring of treatment efficacy, evolving management issues such as legal competency (ie. whether a client has the cognitive capacity to independently manage financial affairs or make rational decisions regarding medical treatment), vocational, recreational and accommodation issues. Information on a person's level of cognitive function is also utilised in the development of rehabilitation and behavioural intervention strategies in order to enhance every day living quality. Neuropsychologists provide counselling and education for clients, carers, partners and family members, recognising that an understanding of the cognitive changes that have occurred and how these will affect the person's everyday level of function can reduce emotional distress and frustration. Diagnostic and Personality Assessments. Formal personality and diagnostic assessments provide useful information that is used in clinical decision making and formulation of treatment plans. Diagnostic and personality assessments are conducted using such instruments as the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), Rorschach Inkblot Test, Thematic Apperception Test (TAT) and structured or unstructured interview schedules. Treatment Psychologists select the appropriate treatment based on the needs and capacities of the client, the research evidence for the efficacy of treatment, and the clinician's specific therapy training and knowledge. Treatment includes cognitive behaviour therapy (CBT), dialectical behaviour therapy (DBT), behaviour modification, and

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supportive as well as insight oriented psychotherapy. Treatment may be delivered in the form of individual interventions, group format programs or teamimplemented treatment plans. Psychological interventions can be applied to a broad range of disorders and presenting complaints including: · · · · · · · Psychosis, including first onset and persistent positive symptoms in Schizophrenia Major Depression, Bipolar Disorder and Anxiety Disorders Borderline and other severe personality disorders Comorbid disorders such as depression & anxiety Adjustment issues including grief and adjustment to the experience and diagnosis of mental illness Experience of trauma including the trauma of hospital admission Behavioural problems associated with mental illness

Secondary Consultation Clinical psychologists and neuropsychologists also provide secondary consultation to other clinical staff. Secondary consultation involves providing information and resources, assistance with developing management plans, reviewing treatment to date, and reviewing risk assessment and management. This provides the time for reflection on practice and enhancing staff's ability to cope with the demands of clinical work. The usual outcome is a thoughtful treatment plan. The Primary Mental Health Team (PMHT): The PMHT is based at Waiora clinic in South Yarra. It is focused on improving the skills of general practitioners, health and community workers in identifying and managing patients with high prevalence mental health disorders and those at risk of developing a first episode psychosis. This is done via primary and secondary consultations, conducting education and training sessions and being involved in health promotion and community development activities. The team is enthusiastic and supportive. Students are involved in all aspects of the work, especially short term psychotherapy and education and training activities. NEUROPSYCHOLOGY As well as providing services to Adult, Child and Adolescent Psychiatry, Neuropsychology provides dedicated services to Neurology, Neurosurgery, Trauma, Victorian HIV/AIDS Service and all other medical and surgical wards of the Alfred. In your clinical neuropsychology placement with Dr Rubina Alpitsis, Dr Jacqueline Anderson or Dr Jennifer McDowall, you will be exposed to a wide variety of neuropsychological syndromes arising from stroke, trauma, HIV and other CNS infections, cerebral tumour, degenerative neurological disorders, psychiatric illness, developmental disorders, and general medical illness. Typically neuropsychological assessments are requested to address diagnostic issues but also management issues such as decision-making capacity, accommodation requirements, treatment response, etc. It is a challenging

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placement that offers the opportunity to greatly expand your knowledge, experience and skills in clinical neuropsychology. Supervisors Rubina Alpitsis, Member of APS & the College of Clinical Neuropsychologist, Recognised

Supervisor

P-4 Clinical Neuropsychologist Dr Rubina Alpitsis is a senior neuropsychologist at The Alfred in the Neurology, HIV and general medical and surgical units. She is involved in neuropsychological assessment, diagnostic issues, rehabilitation recommendations, opinions regarding capacity to make informed decisions and is consulted in relation to ongoing team dynamics, in-service to staff, teaching and training of students, and research activities. She is the former state Chairperson of the College of Clinical Neuropsychologists and has worked as a neuropsychologist for over 13 years predominantly in acute settings but also in rehabilitation. She is involved in the clinical training of provisional neuropsychologists from the university of Melbourne and Monash University. She is the Chair of the ASSBI conference committee to be held in Melbourne, 2008 with a focus on Aged Care. Her PhD examined the early detection of dementia and she has a special interest in dementia syndromes and cognitive capacity to make informed decisions. She is also investigating cognition and dementia in a range of populations such as patients with HIV and Hepatitis C. She is currently supervising research students. Jacqueline Anderson Member of APS & the College of Clinical Neuropsychologist,

Recognised Supervisor

Senior Neuropsychologist Dr Jacqueline Anderson is the Senior Neuropsychologist in the Neurosurgery Department. Patient population includes both inpatient and outpatient neurosurgical patients. The service is largely diagnostic, with an emphasis on a range of pathologies/diagnostic questions, including head injury, hydrocephalus, stroke, competency, tumour, dementia, alcohol as well as psychiatric conditions. Students supervised by Dr Anderson will typically see outpatients, although some opportunity for inpatient work also occurs. Dr Anderson is on maternity leave until May 2012. Dr Jennifer McDowall is a Senior Neuropsychologist who works full time across medical and psychiatric units. She works three days a week on the medical wards. There she covers the trauma unit, where she works mainly with outpatients who have mild to moderate closed head injuries. She also covers PGMU (Professorial General Medical Unit) which services patients with complex care needs, and mainly involves decision making capacity assessments for elderly inpatients. Two days per week she works for Alfred Psychiatry in the acute and community programs. Assessments in the psychiatric population are often aimed at clarification of neuropsychiatric diagnoses, or ascertaining level of cognitive function in order to guide patient management & rehabilitation. Dr McDowall is on maternity leave until August 2012.

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ACUTE HEALTH - CONSULTANT LIASION (CL) PSYCHIATRY at THE ALFRED The focus of the work within the CL placements is the assessment and treatment of people with physical illnesses who are presenting with psychological problems and adjustment issues. Presenting problems are most commonly, anxiety and depression, difficulties in making lifestyle changes, problems with adherence to treatment, specific treatment issues such as needle/blood phobia and posttraumatic responses to treatment. Oncology: The provisional psychologist provides psychological assessment and treatment to in-patients and outpatients with a diagnosis of cancer. The provisional psychologist works two half days on Ward 7 East (the main oncology ward) as well as two half days working with outpatients. Referrals are most commonly received for patients with haematological malignancies ­ leukaemia & lymphoma, breast cancer & brain tumours. The provisional psychologist is also involved in the psychological assessments of patients prior to a Bone Marrow (Stem Cell) Transplant. Diabetes: On placement to the Department of Endocrinology, the provisional psychologist provides psychological assessment and treatment to in-patients and outpatients with a diagnosis of diabetes. The majority of the work is with outpatients: individual assessment and therapy with some family and couple work. Diabetes will not be offered as a placement in 2012. Cystic Fibrosis Service: The Cystic Fibrosis Service is a Victorian DHS Centre of Excellence in Cystic Fibrosis Care. It is a busy treatment and academic unit with a well developed and supported psychosocial team (consisting of psychology, social work, occupational therapy and psychiatry). Cystic Fibrosis (CF) is the most common life threatening, recessive genetic condition affecting Australians. There is no cure for CF, it is a chronic and life limiting condition. At the age of 18 years patients transfer to The Alfred from the Royal Children's Hospital. A large number of people with CF die young: many in their 20s and 30s. However, with the continuous introduction of many new treatments, the life expectancy of a person with CF is increasing to ages as high as 40 or 50. Lung transplantation is often necessary as CF worsens, which also presents a range of challenges. The provisional psychologist would provide psychological assessments and treatment to both in-patients and out-patients over two days. Referrals are received by the team in either our weekly team meetings or when working in the outpatient clinic and are varied in nature. Victorian HIV Service i) Sex, Health & Wellbeing Service: This SHW Service is a psychology service which works with Men who have Sex with Men (MSM) with sexual risk behaviour potentiating future HIV infection, where psychological factors are contributing and the individual is seeking to change. The service aims to help clients reduce their sexual risk behaviour by assisting them to a) understand their actions, the associated thoughts, feelings and motivations and b) address associated psychological difficulties contributing (eg low self-esteem or difficulty negotiating the terms of a sexual encounter), thereby gaining greater mastery over their

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sexual life. Provisional psychologists should be aware that entering this placement involves dealing directly with issues of sexual behaviour and sexuality. In general the provisional psychologist will provide: · Assessment & formulation of sexual risk behaviour and general mental health including, - clinical interview - psychometric testing - providing formulation & negotiating psychological intervention with client

* Psychological Therapy for, - sexual compulsivity, sexual sensation-seeking or other forms of sexual risk behaviour or correlates such as co-morbid substanceuse, depression (eg dysthymia), anxiety (eg social phobia), self or interpersonal difficulties (eg difficulties regulating emotion or building intimate relationships) * Contribute to the Education and Training Activities of SHW for other professionals in the field. HIV Psychology Team: On placement with the HIV Psychology Team, the provisional psychologist provides psychological assessment and treatment to outpatients and potentially to inpatients of Fairfield House, which is a purpose built 15 bed sub-acute in-patient unit for people living with HIV/AIDS requiring continuing, palliative and respite care. Provisional psychologists will see patients with a wide-range of mental health problems from psychotic disorders (eg bipolar disorder) to neurotic disorders (eg adjustment disorder to HIV Dx), along with those with significant personality vulnerability, hence many clients are conjointly seen by the HIV Mental Health (Psychiatry) Service. Provisional psychologists should be aware that issues of sexuality and sexual behaviour are also commonly discussed in assessment or treatment. In general the provisional psychologist will provide the following services: · Assessment and treatment of, - co-morbid psychiatric illnesses and conditions such as depression (eg dysthymia, major depression), anxiety (eg generalized, panic, OCD, social phobia) and personality pathology - illness related coping or adjustment. - illness or treatment related symptoms e.g. pain, nausea, fatigue. - adherence to treatment Secondary consultations to issues/management of patients. other staff regarding psychological

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Contribute to the Education and Training Activities of HIV Psychology Service for other professionals in the field.

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Hospital Admission Risk Program (HARP) Provisional psychologists provide psychological assessment and treatment to outpatients who have chronic and/or complex health conditions, particularly chronic obstructive pulmonary disorder (COPD), diabetes and heart disease, and who are at risk of unnecessary presentations/admissions to Alfred Health. The primary objective of HARP, which is a service run across The Alfred, Caulfield and Sandringham Hospitals, community health centres and other agencies in the region, is to reduce preventable emergency department presentations or hospital admissions. This is done by providing more comprehensive, multidisciplinary outpatient or community treatment of those conditions and, wherever practical, helping patients to better manage their health conditions. This work is delivered primarily via outreach services in patient's homes or community agencies. In general the provisional psychologist on placement will provide the following services: · Assessment and treatment of, - psychological conditions impacting negatively upon the health conditions or management of health conditions of patients, such as depression (eg dysthymia) or anxiety (eg panic, social phobia) - illness related grief or loss affecting adjustment. to or management of the illness Assessment of suitability for self-management promoting psychological interventions to promote, - adherence to specific treatment regimes or plans such as exercise regime for COPD sufferer - health-promoting lifestyle change such as improving self-care, diet or stress management Secondary consultations to issues/management of patients. other staff regarding psychological

·

·

All provisional psychologists working within the CL Service will work within a multidisciplinary team incorporating psychiatry, infectious disease medicine, nursing, social work, occupational therapy, palliative care and nutrition staff. In general the provisional psychologist provides individual assessment and one-toone interventions however some family and carer work is involved. In several of the CL placements provisional psychologists will also have an opportunity to be involved in group work including stress management and support group sessions.

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CL Supervisors: Lynda Katona Member of APS and of the College of Clinical Psychologists, Recognised

Supervisor

Manager Psychology Services, The Alfred Lynda completed her undergraduate training at the University of Melbourne and her Masters in Clinical Psychology at La Trobe University. Since completing her training, she has worked in Psychiatric Services in Geelong- in the outpatient program including a small outpatient clinic in Colac and in the "Day Hospital". She moved from Geelong to Malvern Clinic (now Waiora Clinic) in late 1988, where she worked primarily in the Rehabilitation Program as well as undertaking some outpatient work with a small number of therapy clients. Lynda moved on to a Senior Clinical Psychologist position at The Albert Park Clinic (now Junction Clinic) in 1992. In the first few years at Albert Park she provided consultation to the Acute Psychiatry Unit at Royal Park Hospital as well as working on the Continuing Care Team. Lynda managed the Junction Clinic for many years before moving to the Waiora Continuing Care Team in 2000 to focus on her role as the Senior Psychologist for The Alfred. In mid 2002 she relocated to The Alfred and starting working in Consultation Liaison Psychiatry providing services to the Oncology Service. Lynda's initial training was in Cognitive Behavioural Therapy (CBT). However she has also completed a training course in psycho-dynamic psychotherapy as well as many years supervision in psycho-dynamic therapy. Earlier in her career, she was involved in a number of Family Therapy training and interest groups. More recently Lynda has become interested in the use of Mindfulness and Acceptance and Commitment Therapy (ACT). Lynda has supervised post-graduate psychology students for many years within the Continuing Care teams of Community Mental Health Clinics & more recently within the Consultation Liaison (CL) Psychiatry Service, attached to the Diabetes service, the Heart Centre and the Oncology Service. Dr Maxine Braithwaite Member of APS, Recognised Supervisor Senior Clinical Psychologist Dr Maxine Braithwaite is a senior psychologist and works in the Cystic Fibrosis Service three days a week in the department of Allergy, Immunology and Respiratory Medicine and also works in Palliative Care at Eastern Health. Maxine completed her doctorate at Melbourne University, specializing in clinical health psychology. Maxine works with patients and families in the areas of chronic disease management, adjustment to illness, depression and adherence. In addition to her clinical roles, Maxine is the principal investigator on a number of grants. She has grants from the Cystic Fibrosis Trust of Australia and the Alfred Hospital to explore a model of palliative care for non-malignant disease. In 2007 she was awarded the Ian Maddock Guest Lecture at the National Palliative Care Conference and also received a Solvay Travelling Scholarship for her work in chronic disease management. She is also currently involved in an ARC linkage grant in the area of adherence and the psychological factors that may impact upon

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adherence. In addition, in 2009 she will be conducting research using Motivational Interviewing to assess its impact on adherence to medication. Maxine has presented at a number of national and international conferences and has published in a number of international journals. Dr Braithwaite is on extended leave until June 2012 Dr Michelle Earle Member of APS and of the College of Clinical Psychologists, Recognised

Supervisor

Dr. Michelle Earle is a senior psychologist and works in the Victorian HIV Service 3 days per week. Michelle completed her Doctorate in Clinical Psychology at the University of Wollongong. Michelle undertook a Clinical Psychology Internship at Monash Medical Centre in the late 1990s, working across various adult psychiatry in and out-patient programs including the mother-baby psychiatry unit. She then worked at The Alfred, on the Crisis Assessment and Treatment Service (CATS) for nearly 3 years, before moving on to work with victims of crime in a community health service at a Senior Psychologist for nearly 5 years. Michelle has worked in academia, teaching postgraduate counselling and managing Clinical Psychology student placements, and returned to The Alfred to work in the Victorian HIV Service where she remains, in 2004. Michelle is currently overseeing two research projects within the Victorian HIV Service, namely describing the psychological features of men seeking help for their sexual risk behavior, and trialing a medium-term group intervention geared at helping men reduced this behaviour, funded by and Alfred Research Grant. Michelle's practice is most informed by developmental, attachment and psychodynamic theory and research. She completed the Drummond Street Relationship Centre `Psychodynamic Couple Therapy' training in 2003, and continues to undertake professional development and supervision in line with this.

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2.2 PROCESS OF APPLICATION Acute Psychiatry · Placements in the Acute Program of the Alfred Psychiatry Service are based in the in patient psychiatric units and may include some time on the Crisis Assessment and Treatment Team (CATT). · All inquiries from placement coordinators or students are to be made to the Senior Psychologist, Acute Program. Informal inquiries are welcome at any time. · Two types of placement are available: · Brief (up to ten days) observational acute psychopathology placement for first year Clinical Masters or Doctorate students. · Longer second year placement of approximately 50 to 60 days. · Brief acute psychopathology placements will only be negotiated with the University placement coordinators in September / October. The University placement coordinator will then allocate students. Students wishing to apply for a longer placement are required to submit a written application in September (applications received at other times of the year will not be retained or considered, however telephone or email inquiries are welcome at any time). The written application should include a brief covering letter stating the student's interest in acute psychiatry, what experiences (other placements, relevant work experiences) they have had and what experiences they are hoping for from the placement. It should also include information about potential starting dates, available days and length of placement. A CV is to be attached to the covering letter and should include referees. The Senior Psychologist will review all the applications and formulate a short list of students who will be contacted for an interview during October / November. Once the decision is made the student will be notified, usually in early December All those who have made formal applications are informed of the outcome by the Senior Psychologist either in writing (email) or by phone.

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Applications to go to: Daniel Rylatt, Senior Psychologist, Acute Program, The Alfred, ph. 9076-4700, [email protected] Community Psychiatry · Placements in the Community Program of the Alfred Psychiatry Service are based in the Community Care Teams at Waiora Community Mental Health Clinic, Junction Community Mental Health Clinic or the Primary Mental Health Team (located at Waiora Clinic). · All inquiries from placement coordinators or students are to be made to the Senior Psychologist, Community Program at either of the two clinics or to the Senior Psychologist on the Primary Mental Health Team. Informal inquiries are welcome at any time.

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·

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At the time of inquiry students are informed that placements are generally only offered to students undertaking their final placement for Clinical Masters or Doctorate programs and prior experience in the provision of psychological therapies is an advantage. For the primary Mental Health Team preference is given to students who have had some experience interacting with people with psychosis and/or have other substantial life experience. The minimum commitment is for two days per week. Students then need to submit a written application, via email, in September (applications received at other times of the year will not be retained or considered, however telephone or email inquiries are welcome at any time). The written application should include a brief covering letter stating the student's interest in community psychiatry, what experiences (other placements, relevant work experiences) they have had and what experiences they are hoping for from the placement. It should also include information about potential starting dates, available days and length of placement. They should a clear indication of which component of the Community program (Junction CCT, Waiora CCT, PMHT) is being applied for and an indication of preference for one or the other clinic if this is relevant to the student. A CV is to be attached to the covering letter and should include referees. The Senior Clinical Psychologists from both CCT clinics will meet to review all the applications and formulate a short list of students who will be contacted for an interview during October / November. The same process will be employed by the clinical psychologists in the Primary Mental Health Team Once the decision is made the student will be notified, usually in early December All those who have made formal applications are informed of the outcome by the Senior Psychologist either in writing (email) or by phone.

Applications to go to: · For Junction and Waiora Clinics:Diana Harte, Senior Clinical Psychologist, [email protected] · For the Primary Mental Health Team: Michael McGartland, Principal Clinical Psychologist Alfred Psychiatry Community Programs, phone 9076 4775, [email protected] · The closing date for applications for placement with Community Psychiatry programs is the first Friday in October. CYMHS · All enquiries from placement coordinators or students are directed to the Principal Clinical Psychologist ( P-4) . Enquiries can be made throughout the year however formal requests should be made in Sept/Oct. · All those making enquires are informed that preference will be given to those students seeking longer placements (>60 days). They are also informed of the number of placements available if decided at the time of enquiry and the general timelines for decision making. · If still interested they are asked to submit a written request, which includes a brief letter stating what it is that interests them in a placement at CAMHS, what length of placement they are seeking and what days they will be available if known, plus a brief letter including clinical placements/experiences to date.

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Applicants are asked to request that their placement coordinator contact if they have not already done so. · The P4 reviews all the applications and draws up a short list of students · This short list is discussed with the other psychologists in order to determine the final short list · Those on the final short list (usually about 4) are offered an appointment to come in and discuss a possible placement. · Interviews are held in early ­ mid November · The final decision is made - placement offer discussed with placement coordinator(s) and then made to student(s) · All those who have made written requests are informed by P4 of the outcome either in writing or by phone. Placement coordinators also informed Applications to go to: Marilyn Boots, Principal Clinical Psychologist, ph. 8552 0512, [email protected] ·

CONSULTATION-LIAISON Oncology & Diabetes · All enquiries from placement coordinators or students to be made to the P-4 (Lynda Katona). (formal applications in Sept/Oct of the year prior to the placement) Preference will be given to those students seeking longer placements (>60 days) with a strong preference for 3rd year placements (internships). Given the nature of the client work and the need to be able to work fairly independently, applicants should have completed at least one external placement. They should also be able/willing to commit to, two placement days per week. Prospective applicants will be informed of the application process and timeline for decision making. Those students wishing to apply for the placement/s are required to submit a written application. The written application should include a brief covering letter stating their interest in the placement in Oncology or Diabetes, what experiences (other placements, relevant work experiences) they have had and what experiences they are hoping for from the placement. It should also include information about potential starting dates, available days and length of placement. A CV is to be attached to the covering letter and should include referees. Applicants are asked to request that their placement coordinator contact if they have not already done so. The P-4 will review all the applications and draw up a short list of students for interview. Those on the short list are offered an interview time. As part of the interview process, referees will be contacted to aid decision making Interviews are generally held in November- early December Once the decision is made ­ the placement offer is discussed with the placement coordinator and then made to the student All those who have made formal applications are informed of the outcome by the P-4 either in writing (email) or by phone. Placement co-ordinators are also informed.

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Applications to go to: Lynda Katona, Manager Psychology Services, The Alfred, ph. 9076-2099, [email protected] Cystic Fibrosis · Placements in the Cystic Fibrosis service are conducted at the Alfred Hospital and involve working with patients who have CF in an inpatient and outpatient clinic capacity. All enquiries from placement coordinators or students to be made to the P3 (Maxine Braithwaite). Preference will be given to those students seeking longer placements (>60 rd days) with a strong preference for 3 year placements (internships). Given the nature of the client work and the need to be able to work fairly independently, applicants should have completed at least one external placement. They should also be able/willing to commit to, two placement days per week. Applicants are asked to send a CV and application via email by September 30. The written application should include a brief covering letter stating the applicant's interest in health and/or clinical psychology, what experiences (other placements, relevant work experiences) they have had and what experiences they are hoping for from the placement. It should also include information about potential starting dates, available days and length of placement. A CV is to be attached to the covering letter and should include referees. Applications are screened for suitability & short listed. Short listed applicants will be offered an informal interview where they will also meet the Head of the CF service. The successful applicant will be offered the position an in-principal contract for commencement date, days of attendance, range of work experience. Senior Clinical Psychologist will liaise with Placement Co-ordinator. Unsuccessful applicants will be notified by phone and email of the decision. Applications to go to: Dr Maxine Braithwaite, Senior Clinical Psychologist, ph. 9076 3805, (email) [email protected]

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Victorian HIV Service · Applications are invited in September to November for likely selection in November-December (for the following year) · Preference is given to applicants who have already had at least 1 adult placement, who are seeking a longer placement (eg 60-100 days), who can attend 2 days per week, & who have any other relevant experience

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· · · ·

· ·

Applicants are asked to send a CV, application describing their interest & relevant skills/experience. Applications are screened for suitability & shortlisted. Shortlisted applicants are offered an informal interview The preferred applicant is offered the position & an in-principal contract for commencement date, days of attendance, range of work experience etc is made, & Senior Clinical Psychologist liaises with Placement Co-ordinator. Unsuccessful applicants are notified by phone or email of decision & reminded of the next intake opportunities for following year. Applications to go to: Michelle Earle, Senior Clinical Psychologist, ph. 9076 2653, [email protected]

NEUROPSYCHOLOGY Placements for Clinical Neuropsychology students are to be discussed with Dr Rubina Alpitsis- Principal Neuropsychologist. Placements are organised via the placement co-ordinators of the universities rather than student interview. [email protected] However a brief meeting with the student will be organised prior to the commencement of the placement to confirm the placement arrangements.

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Prior to commencing a placement all provisional psychologists are required to undergo a police check. It is the responsibility of the provisional psychologist to organize the police check and provide a copy to The Alfred supervisor. On commencement of the placement, the provisional psychologist is also required to sign a statement regarding their agreement to notify the placement supervisor if they are placed under investigation or charged with a criminal offence ­ see appendix 5.5. A copy of registration must be sighted by the placement supervisor prior to commencement of the placement. All provisional psychologists on placement at The Alfred are required to attend a hospital based orientation session which is held on Monday mornings ­ this is to ensure that occupational and safety requirements are met. 2.3 GENERAL EXPECTATIONS OF PLACEMENTS There should be a face-to-face meeting between the student, University placement coordinator and the Alfred supervisor within the first 6 weeks of the placement commencing to confirm placement goals. Another contact between the three parties is to occur either at the mid point or at the end of the placement as determined by the placement supervisor or if requested by any party. Other contact between the University and Alfred should be on an as-needs basis. 2.4 SUPERVISION A minimum of one hour per day of individual supervision for Neuropsychology trainees and a minimum of one hour per week of individual supervision for Clinical and Health Psychology trainees will be provided by the placement supervisor 2.5 MANAGING DIFFICULTIES IN THE SUPERVISOR-STUDENT RELATIONSHIP The Psychology Department recognises that difficulties may arise in the relationships between Provisional Psychologists and their Supervisors, and seeks to support the identification and resolution of difficulties through a process of natural justice. The following Principles and Processes are intended to guide this process and are informed by those in the document `Managing Poor Behaviour in the Workplace' (Public Sector Standards Commissioner & State Government of Victoria). In this document difficulties are identified as specific behaviours of concern, and resolution as change in those behaviours. All staff and Provisional Psychologists should be aware of this document prior to commencement of a student placement.

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Principles: · · the party raising the difficulty should do so directly with the other party the difficulty being raised should be examples of specific behaviour/s of concern the party about whom the dispute is being raised should have an opportunity to respond in full if further meetings are to be held about the issues, both parties should be informed of the purpose in advance and have the opportunity to bring a support person of their choosing

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Processes: in the first instance, difficulties being raised should be documented and discussed between the parties if the issues cannot be resolved to the satisfaction of both parties, the difficulties should be alerted to the relevant University Placement Coordinator and Line Manager of the Supervisor, who may seek to advise about or participate in, the next steps of the dispute resolution process if the issues cannot be resolved to the satisfaction of all these parties, the University Course Co-ordinator and the Manager, Department of Psychology, should be alerted, to advise or participate in the final stage of the dispute resolution process the process should be confidential the process should be timely 2.6 PROFESSIONAL DEVELOPMENT Provisional psychologists will be encouraged to attend Psychology Department presentations and meetings. Provisional psychologists also have the opportunity to attend Psychiatry Grand Rounds as well as a variety of other professional development activities.

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Expectations 3.1 GENERAL EXPECTATIONS During your placement you are expected to: · Respect the confidentiality of patients and staff alike at all times · Be punctual and manage your time effectively · Ensure appropriate dress and behaviour · Follow documented procedures eg on issues of safety, when ill · Attend Psychology Department meetings · Be prepared for supervision eg log book, organisation of case material for discussion 3.2 GOALS AND OBJECTIVES Goals and objectives will be set at the beginning of your placement in conjunction with your placement supervisor and university placement coordinator. 3.3 CASELOAD EXPECTATIONS It is very difficult to predict the exact number of clients that is appropriate for the different levels of provisional psychologists as well as for the placement. As such caseload requirements will be discussed on commencement of your placement and in line with your goals and objectives. As a rough guide a provisional clinical psychologist would be expected to have direct client contact with, on average three to four clients per placement day. Please make your supervisor aware if you consider your caseload is too light or too high. 3.4 LOGBOOK In preparing your logbook please ensure that any identifying information is removed from your text. This includes the patient's date of birth and UR number. Please remember it should reflect a day's activities ­ approximately 8 hours ­ including direct client contact as well as other activities e.g. meetings, report/letter writing, relevant reading. Please note: professional development activities e.g. workshops, conferences should only be included after discussion and agreement from your placement supervisor.

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General Placement Information This section should be read in conjunction with The Alfred Human Resource Policies and staff handbook which are available on The Alfred website. 4.1 CONTACT DETAILS On commencement of their placement (or prior to), provisional psychologists are required to complete the Student Placement Application Form ­ see appendix ­ the placement supervisor keeps the original and a copy of this is given to Lynda Katona, Manger Psychology Services, The Alfred. The placement site should also have the student's contact phone numbers. 4.2 Orientation All provisional psychologists are required to attend the hospital orientation held monthly on Monday mornings 8.30 a.m. in AMREP or Nursing Education. The Orientation timetable is located on the intranet under HR, recruitment. Supervisors must notify HR of provisional psychologist attendance. Supervisors are also responsible for organizing a local orientation program The Psychology Orientation Checklist (see appendix 5.4) should form the basis of the orientation program. 4.3 HOURS OF WORK Start and finish times should be discussed with your supervisor. Generally office hours are 8.30am to 5pm with a half-hour lunch break. 4.4 STANDARD OF DRESS Provisional psychologists should be dressed appropriately while on clinical placement and be open to guidance about suitable dress for particular clinical placements and client groups. Within The Alfred identification badges should be worn at all times above waist height. 4.5 PARKING All provisional psychologists are encouraged to use public transport when practical. Parking will not be provided for provisional psychologists on placement. A bike shed is available at The Alfred. In order to use the shed, a deposit must be paid to the Cashier ­ security will issue a key to the shed on the production of the deposit receipt. 4.6 DRIVING ALFRED HEALTH VEHICLES Alfred Health vehicles are available to provisional psychologists on placement whose work commitments require them to travel during normal business hours. To drive an Alfred Health vehicle you are required to: a) hold a full Drivers Licence b) gain permission from your Department Manager and/or the person for the cars in the area of your placement

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c) register your details with The Alfred Supply Department. This involves completing the "Drivers Licence Details" form, which is obtainable from the Supply Department, and provide a photocopy of your Drivers Licence. 4.7 SICK LEAVE/ ABSENCE PROCEDURES If you are unable to attend your placement due to illness or any other reason please notify your placement supervisor and appropriate placement department as soon as possible. Should you become ill at work, inform your supervisor who will assist you in arranging appropriate action. However, the prime responsibility remains with the provisional psychologist to ensure that alternative arrangements are made during any absence. 4.8 INFECTION CONTROL AND IMMUNISATION The Alfred Infection Control Manual is available on the intranet. In general, blood and body substance precautions are to be adhered to at all times. Typically, as a psychologist, you will not be at risk of infection as you do not have physical contact with patients and are not involved in the disposal of sharps. But please note there are special procedures for contact with VRE patients details of which can be found on The Alfred intranet; in particular, note that you will not be able to take testing material, paper, etc, into the patient's room. In assessing immunosuppressed patients (eg. HIV positive patients, transplant patients), please ensure that you do not have an airborne contagious illness such as the Flu. If you are uncertain about the procedures please discuss with your supervisor prior to patient contact. The Alfred recommends the following vaccinations: · Hepatitis B 3 doses of vaccine are required as follows: a) Initial dose b) Second dose 1 month later c) Third dose 6 months after the initial dose Antibody testing is recommended 4-6weeks after the third dose. · Influenza All staff are recommended to have a yearly Influenza vaccination. · Measles/Mumps/Rubella Individuals born between 1966 and 1983 who have not had Measles or documented evidence of 2MMR vaccines require a booster. · Tetanus Current recommendations consider individuals vaccinated for tetanus (with exceptions of potential exposure) as long as they have had one adult booster with a routine booster dose a 50 years of age. · Tuberculosis A Mantoux test of not least than 3 months old is recommended prior to commencement of a placement. · Varicella aka Chickenpox Vaccination is recommended for those who are not immune. If you are unsure of your past history of chickenpox a blood test can establish immunity.

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It is the responsibility of Provisional Psychologists to have their immunisation status assessed prior to the commencement of placements through either their General Practice or through their respective University Student Health Clinic. The Staff Health Clinic at The Alfred is only available to Provisional Psychologists in context of risk or exposure experienced in the context of the placement. 4.9 COMPUTER ACCESS Provisional psychologists will be provided with a logon for email, Microsoft office and Cerner (Powerchart). Supervisors will organise the logons and inform the provisional psychologist of username and initial password. Provisional psychologists should create their own folder in the shared student folder. Confidential information should not be left in files accessed via the desktop. At the end of the placement, students should either delete all files in the folder or transfer them to their supervisor. Their folder should be deleted at the end of the placement. Confidentiality must be respected when sending emails e.g. do not email the names of patients. Patient information should not be emailed to private email addresses. Confidential patient information should not be stored on computer disks, USB's etc Provisional psychologists are encouraged to familiarise themselves with the Health Information Privacy Guidelines available on the Alfred intranet. 4.10 CONFIDENTIALITY Patient/client histories or notes related to individual patients are not permitted to be removed from the hospital or any of its clinics. Provisional psychologists should ensure that no identifying information such as clients' names, dates of birth, UR number is on any reports or logbooks they may present as part of their studies and/or registration requirements. They should also ensure that the confidential patient information is not saved onto their own computer disks or USB's. Please make sure that you are familiar with the new privacy laws in relation to the circumstances under which patients are allowed to view hospital records.

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4.11 SECURITY Provisional psychologists are reminded that to ensure the confidentiality of clients, files should be securely kept. If leaving an office unattended for a period of time during the day, files should either be returned to medical records or the office locked. Files are not to be removed from the clinic or hospital under any circumstances. Files should not be kept in offices overnight. Personal valuables should be kept in a safe location such as a locked filing cabinet or locker. 4.12 SAFETY Provisional psychologists should always be mindful of safety in the workplace. Safety issues include: · Careful setting up of interview rooms to ensure exit routes and access to duress alarms · Ensuring colleagues are aware of your whereabouts. For example use of diary. Provisional psychologists should familiarize themselves with the hospital policy and home visiting and with the local (site specific) guidelines. Should an accident or injury occur to you or a patient in your care please contact your placement supervisor immediately. If your supervisor is not available please contact/advise the senior staff member on your team. In most instances, an incident report (Riskman) should be completed. Incidents are recorded in Riskman under your supervisor's logon. Provisional psychologists should ensure that their placement supervisors are always kept fully informed of any incident. 4.13 EMERGENCIES Provisional Psychologists should familiarise themselves with hospital and clinic emergency procedures. The standard emergency codes which tagged with your identification badge are: Fire Evacuation Bomb Threat Holdup/Assault Internal Emergency Medical Emergency External Emergency Personal Threat respond respond respond respond respond respond respond respond RED ORANGE PURPLE BLACK YELLOW BLUE BROWN GREY

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4.14 MEDICAL RECORDS Provisional Psychologists are expected to make an entry in the client's medical record following each contact. As medical records are now computerised, entries will either be made directly into the file - direct entry- or be written on progress notes and then sent for scanning. You should discuss with your supervisor what is required in your placement setting. Entries should include: · clients' should be advised that notes will be made into a multi-disciplinary file and the limits of confidentiality discussed. · brief comment on the nature of the contact (eg. phone call or appointment) and who the contact was with (eg. client, carer, client's case manager etc.) · comment on the client's current presentation and mental state · any risk issues must be clearly identified, with what action is taken. · comment on the content of the session and any important clinical impressions · plan for future treatment, including any recommendations and the date of the client's next appointment · signed and authored Discussions should occur with your placement supervisor about the content and style of patient notes. Notes must be co-signed ­ either electronically or by hand by the supervisor. Neuropsychology reports should follow the standard format of: presenting complaint, relevant medical history, relevant educational/occupational history, relevant development history, relevant family history, neuropsychological results, clinical opinion and recommendations. All patient letters and reports should be co-signed by the provisional psychologist's supervisor. 4.15 PSYCHOLOGY STAFF CONTACT LIST The Psychology Staff contact list can be located in the Psychology folder on the H Drive 4.16 MEETINGS The Psychology Department holds regular business and case presentation meetings please check the yearly timetable for dates and location of meetings. All provisional psychologists are strongly encouraged to attend these meetings. The current year timetable can be located in the psychology folder on the H drive.

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The Alfred Psychology Department Provisional Psychologists' Manual

4.17 THE IAN POTTER LIBRARY Provisional psychologists on extended placements (50 ­ 100 days) are able to apply for borrowing privileges from the library. Hours: 8.00am ­ 5.30pm Monday ­ Thursday 8.30am ­ 5.00pm Friday Location: Ground Floor, AMREP, South Wing, The Alfred Facilities: study, reference, reading, internet photocopying, video viewing, borrowing

access,

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The Alfred Psychology Department Provisional Psychologists' Manual

APPENDIX 5.1

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The Alfred Psychology Department Provisional Psychologists' Manual

The Alfred Psychology Department Masters/Doctoral Student Placement Application

Name: Address: Phone Numbers: Email address: Course & Institution: Year of Course: Placement Requested (eg acute inpatient, CMHS, CAMHS): Home: Mobile:

Placement Type (eg first, second, internship) & No. of days:

Placement Dates:

Alfred Placement Supervisor:

University Placement Co-ordinator:

Contact Details (Address, phone & email):

Emergency Contact:

Please attach a covering letter and a CV NB: A current police check must be provided prior to commencement of placement.

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The Alfred Psychology Department Provisional Psychologists' Manual

STATEMENT

I agree to notify Alfred Health immediately if, at any time during my clinical placement with Alfred Health, I am placed under investigation for, charged with or found guilty of a criminal offence (other than a minor traffic offence). If Alfred Health becomes aware that I have failed to notify it, I acknowledge that Alfred Health will inform my educational institution and may require me to immediately leave the clinical or professional setting or Alfred Health's premises and to enforce that request permanently or for any period of time in such manner as Alfred Health may decide.

Provisional Psychologist Name: Signature: Date:

Witness Name: Signature: Date:

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The Alfred Psychology Department Provisional Psychologists' Manual

APPENDIX 5.4 Student Orientation List Prior to Student Commencing Placement: Book orientation (Monday mornings) through HR 9076-2047 Part 1 & 2 recommended. Complete ITS form for Email, Microsoft Office& CERNER access. Identify location ­ office/desk for student. Ensure completion of Student Placement Application ­ copies to supervisor & to Manager Ensure current registration ­ check Vic Board Website Ensure current Police Check Ensure completion of Police Check Statement - copy to supervisor Ensure Working with Children Check (if relevant) General: Tour of work location include lunch room, toilets, locker (how to keep personal items safe) Photo-id to be arranged- Alfred security lower grnd flr every day 9-10 a.m. & 4.00 ­5.00pm Provision of keys, pagers Provide information on hospital paging & telephone system Mail inwards & outwards Ordering of medical records Photocopying, faxing Stationary supplies Add name to Psychology staff list and Staff List at location Psychology Department Structure Psychology Staff list/contact details Psychology Meeting dates Psychology PD dates ITS Notify of logon details Inform about Psychology folder on H drive, Psychapps on x drive ­ psychol assessments Discuss Scheduling & Powerchart Discuss Alfred Intranet - Staff Listing; Clinicians resources eg Up to date, Mims Discuss what title the student will use & how to introduce to clients eg: Provisional Psychologist, on advanced training Booking interpreters Discuss note writing Psychology Stickers' Review collection of contact data Booking interview rooms Discuss safety issues re: clients, home visits etc Emergency Codes reviewed (covered in orientation)

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The Alfred Psychology Department Provisional Psychologists' Manual

Provide information on Riskman Advise to familiarise with: Provisional Psychologists Manual ­ review general placement info with student ­ section 4 eg. hours of work, sick leave procedures The Health Information Privacy Guidelines on the Alfred intranet.

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