Substance Abuse Services / Substance Abuse Treatment Unit

APPIC #118315

Overview

The Substance Abuse Treatment Unit (SATU), a satellite clinic of the Connecticut Mental Health Center (CMHC), is a cooperative endeavor between the Department of Mental Health and Addiction Services and Yale University School of Medicine’s Department of Psychiatry. Placement at the SATU Clinic affords interns the opportunity to learn cutting edge treatments for substance use disorders, to have access to world renowned faculty in the Division of Addictions Research, and to develop leadership skills in addictions administration.

Placement Options

This track is structured with a primary placement at the Substance Abuse Treatment Unit (SATU), for a full year, comprised of 30 hours per week.

This can be combined with the following CMHC secondary placements: Hispanic Behavioral Health Services / The Hispanic Clinic; Adult Outpatient Services / 34 Park Street; Child & Adolescent Services / West Haven Mental Health Clinic; or The Consultation Center.

Number of Interns

Primary Placement Slots: 2

The Setting

Since 1968, the Substance Abuse Treatment Unit (SATU) has been at the forefront of the Nation’s efforts to assess and treat substance use disorders. Locally, SATU is a leader in providing education, consultation, and mentorship to community agencies and city and state government. The clinic serves a racially, ethnically, and economically diverse population of adult clients from the Greater New Haven area and surrounding communities. Additionally, specialty services are offered for health care providers from across the state identified by the Department of Public Health, as needing assessment and long term treatment for a substance use problems.

The clinic staff is a diverse and compassionate multidisciplinary team that provides the following services: diagnostic evaluation, crisis management, pharmacotherapy, case management, psychotherapy for individual, group, and families, consultation, and referral to appropriate levels of care. Group offerings at SATU include Cognitive Behavioral Therapy, Mindfulness for Relapse Prevention, Health and Recovery, Harm Reduction, Motivational Enhancement, 12 Step Group, Auricular Acupuncture, Smoking Cessation, Bilingual Therapy Group, and a Gender Specific Trauma Groups.

The Internship

Interns placed at SATU function as members of a large outpatient team, and participate in all aspects of providing community-based care. Primary responsibilities include the provision of clinical assessment services, individual and group psychotherapy, and case management and referral services.

Interns evaluate clients walking into SATU right off the street for clinical services. While working in this fast paced environment, interns will gain proficiency in rapid assessment, management of acute psychiatric and psychosocial issues, and consultation and referral.

Following the triage evaluation, clients with a wide range of psychopathology are assigned to interns for treatment. A clinical caseload at SATU includes both individual and group clients and ranges from 15-20 cases. SATU faculty provides support and guidance around caseload management and offer specialized opportunities for training in the following approaches (e.g., Cognitive Behavioral Therapy, and Motivational Interviewing).

Evidence-Based Practices

The following evidence-based practices (EBPs) are used in this placement setting. Fellows generally have exposure to most of these EBPs though do not necessarily receive training or supervised experience in all of them. The EBPs include: Cognitive Behavioral Therapy (CBT); Motivational Interviewing (MI); Relapse Prevention; Mindfulness for Relapse Prevention (MDRP); 12 Step Facilitation; Psychodynamic Therapy for Addiction; Cognitive Behavioral Analysis System of Psychotherapy (CBASP); and Auricular Acupuncture.

Scholarly Activity

Scholarly opportunities at SATU include exposure to a talented and world renowned Division of Addictions Research faculty. Interns can learn about the following ongoing research: Behavioral Pharmacology and Medications Development, Psychotherapy Treatment Development and Efficacy, Patient Treatment Matching and Process Research, Stress, Self-Control and Addictive Behaviors, Diagnostic, Epidemiology and Policy Studies, International Research, and Primary Care Interventions and HIV Risk Reduction.

More specifically, interns have the opportunity to participate in conducting manually driven psychotherapy, attending research seminars and meetings, and writing scholarly projects through the Psychotherapy Development Research Center. The Center is the only National Institute on Drug Abuse clinical research center focused exclusively on psychotherapy development. The Center aims to catalyze innovative and efficacious psychotherapies that have promise for real world implementation within the drug abuse treatment field and to encourage other investigators and national organizations to similarly engage in this effort.

Faculty

Donna LaPaglia, Psy.D., Primary Advisor
Lisa Fucito, Ph.D., Supervisor
Matthew Steinfeld, Ph.D., Supervisor
Brian Kiluk, Ph.D., Supervisor

Supervision

Interns obtain both individual and group supervision for their clinical work. Interns meet regularly with a primary advisor, several clinical supervisors, an assessment supervisor (as needed), and may pursue a research mentor from a faculty group of over 20 full-time psychologists within the Division of Substance Abuse. Formal evaluations are completed that serve as opportunities to review progress on training goals and address progress toward core competency areas.

Seminar and Specialized Training

In addition to the Core Seminar, interns at this placement participate in the following Division of Substance Abuse seminars: Psychotherapy for Substance Use Disorders, Special Populations in Addictions Treatment, Psychotherapy Research and Addiction Psychiatry. In addition, specialized psychotherapy training and supervision is offered by expert faculty in evidenced based interventions. Interns also receive certification in auricular acupuncture, an adjunctive intervention offered in the clinic for relief of withdrawal symptoms; help with craving, and with anxiety symptoms. Interns also participate in a year long psychotherapy case seminar to support the development of enhanced conceptualization and psychotherapy skills.

For Further Information

Contact Dr. Donna LaPaglia at donna.lapaglia@yale.edu.