WAIMĀNALO HEALTH CENTER
The Waimanalo Health center (WHC) is a private, community-based non-profit corporation that
provides health services to a Medically Underserved Area (MUA) in Health Professions Shortage Area
(HPSA). Waimānalo is in Ko‘olaupoko, O‘ahu. WHC was Federally Qualified Health Center in 1994.
Forty-four percent of the patients at the Waimānalo Health Center are Native Hawaiian. Interns at
Waimānalo Health Center will work three days per week for 6 months, with a focus on primary care
psychology, concise accurate assessment, integrative treatment planning including
psychopharmacology, evidence-based intervention, and cultural competency. Services are provided to
patients throughout the lifespan including child and family, individual, couples, and older adults. At the
Waimānalo Health Center, interns will participate in four primary services under the supervision of a
licensed clinical psychologist: time-limited individual therapy for mental health concerns, cognitive
behaviorally oriented group therapy for health and chronic disease related concerns, child and family
services to include parent management training and individual therapy with children and adolescents
with anxiety and depression, and brief intervention as part of the primary care integrated behavioral
health model. Interns will spend a portion of their time shadowing other health care providers and
providing motivational support, brief intervention, and assistance with treatment planning within the
context of a typical visit with a physician. Current programs include: group chronic pain management,
group chronic disease management, and group diabetes support.
NĀ PU‘UWAI NATIVE HAWAIIAN HEALTH CARE SYSTEM CLINIC
Nā Pu‘uwai is a community-based Native Hawaiian health care organization on the island of Moloka‘i.
The Behavioral Health Program at Nā Pu‘uwai offers a wide range of effective, culturally sensitive
services designed to improve the health and well being of residents of this island. Interns will spend
three days per week at Nā Pu‘uwai for six months and participate in: clinical assessment and screening,
individual and group treatments for chronic diseases and mental illness, consultation with community
providers, and behavioral medicine and behavioral psychopharmacology. Services are provided to
patients throughout the lifespan including child and family, individual, couples, and older adults.
Working within the isolated geography on the island of Moloka‘i proposed some unique challenges to
service delivery and training. Moloka‘i is an island with a population of approximately 7,000 people
that is accessible by small airplane or boat. There are pronounced barriers to accessing health care
that result from its remoteness, particularly with respect to specialty care. Approximately 50% of
specialty medical care (such as OB/GYN, dermatology) is unavailable at any time on Moloka‘i, and of
the remaining 50%, a majority are only available one day per month. Interns live 3 days per week on
the island and thus learn a great deal about community-based care in a tight knit community. Working
in this environment presents a unique ethical learning experience relating to issues of dual
relationships and having a limited referral network. Current programs include: group smoking
cessation, group adult day care support, and group weight loss maintenance.
HAWAI‘I ISLAND FAMILY HEALTH CENTER (HIFHC)
Hawai‘i Island Family Health Center is an outpatient clinic of the Hilo Medical Center, the only hospital
in the Hilo area of Hawai‘i Island, whose mission is improving our community’s health through
exceptional and compassionate care. The HIFHC is a primary care clinic that is supported by the faculty
and Family Medicine Residency program of the John A. Burns School of Medicine. The clinic operates
under an integrated patient-centered medical home model where behavioral health providers work
collaboratively with family practice physicians, pharmacists, and nurse practitioners. This site was
selected to be a future intern placement because of the substantial health needs of this ethnically
diverse and underserved community, the emphasis of the clinic on health provider training and the
strong support for the integrated behavioral health model and the essential role of psychologists by
clinic leadership. The Rural/Health Track intern will spend 1 day per week in Hilo.
BIG ISLAND SUBSTANCE ABUSE COUNCIL (BISAC)
BISAC is one of our newest clinic training sites, however, BISAC has been providing substance use
treatment services across the state of Hawaii since 1964. Their main site is located in Kea'au on the
Hawai'i island, however, they provide various substance use services across the state. The Hawai'i
Island Health and Wellness Center is part of BISAC, established in 2014, to provide general behavioral
health services to the community as well. BISAC provides a continuum of substance use services that
are culturally minded and include intensive outpatient, therapeutic living, adolescent school based
services, adult mental health, and vocational programs.
Hawai'i county, where the main BISAC clinics are located, has the highest concentration of Native
Hawaiians at 34% of the population. In addition, in the last U.S. census, 29.5% of respondents
indicated that they were of mixed race/ethnicity. In addition to racial and ethnic diversity, the
population has substantial numbers of young and old with 20% of the population under 18 years old
and another 20% over age 65. Over 18% of the county inhabitants live below the federal poverty level
with a median household income of $51,250 (Census Bureau, Quick Facts). Behavioral health
problems, including substance use, occur in high rates within the Native Hawaiian population. A
community health needs assessment conducted in 2012 for Hawaii island by the Health Communities
Institute listed mental health and mental disorders as the #2 most worrisome health concern and
substance use disorders ranked #9. In Hawaii county, in 2006-2010, the overall percent of hospital
admissions associated with a substance related disorder (11.4%) was higher than the state average of
8.9% (Hawaii Primary Care Needs Assessment Data Book, 2012).
I OLA LĀHUI BEHAVIORAL HEALTH SERVICES
I Ola Lāhui Behavioral Health Services offers integrative behavioral health services to Native Hawaiians
and other medically underserved groups. Clinic sites are located in Honolulu, Aiea, and Kahuku.
Individual, couples, and family services are available to address health behavior change, chronic
disease management, as well as traditional mental health concerns using culturally-minded evidence
based treatment strategies designed to minimize stigma and improve fit with these populations. I Ola
Lāhui works within a patient centered health care home model in conjunction with primary care
providers and other health professionals to provide the best coordinated care possible.
Some sites require air travel with a stay of either 1 or 2 nights per week. I Ola Lahui will cover travel
related expenses to include air, housing, and ground travel. Housing includes utilities and a full kitchen,
excluding internet access.
Internship in Clinical Psychology
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