Graduate Psychology Education Programs - I. PROJECT ABSTRACT Project Title: Promoting Access and Training in Healthcare Settings (PATHS) in Rural Appalachia Applicant Organization: Department of Psychology; East Tennessee State University (ETSU) Address: PO Box 70649; Johnson City, TN 37614 Project Director: Rachel Miller-Slough, Ph.D.; Co-Director: Aubrey Dueweke, Ph.D. Email: slough@etsu.edu; Telephone: 423-439-8307 Fax: 423-439-5695 Funds Requested: $1,308,149 Funding Preference: Medically Underserved Community, Qualification 1, High Rate This is a new project, led by the Department of Psychology at ETSU, that has the overarching goal of increasing the number of well-trained, culturally competent health service psychologists who are prepared to address the needs of our medically underserved rural Appalachian communities by expanding and evaluating the integrated behavioral health-focused training and workforce development curriculum in the clinical psychology program at East Tennessee State University (ETSU). Additionally, given our region's continued struggles with the after-effects of the opioid epidemic and disproportionately high rates of substance use disorder, we aim to enhance our trainee's competence to offer trauma-informed, culturally responsive, interdisciplinary substance use disorder prevention and treatment services. As such, this proposal contains the following objectives: 1. Recruit, train, and prepare trainees for the community-based primary care settings they will serve in 2. Provide trainees with didactic and experiential training curricula, including trauma-informed care, substance use disorder (SUD) / opioid use disorder (OUD) prevention and treatment services, and interdisciplinary training 3. Develop additional academic and community partnerships 4. Provide ongoing faculty development and training opportunities, specifically around improving clinical supervision skills and competencies around substance use disorder prevention and treatment services Trainees will work and learn in a variety of experiential clinical training sites, including integrated primary care clinics across the ETSU Health enterprise and beyond, interdisciplinary substance use treatment clinics, the county jail, the local VA, and various community-based recovery efforts. Through development of major and minor rotations in substance use-specific sites, all trainees will gain skills in substance use prevention and intervention services. We will also leverage existing department infrastructure (e.g., "brown bags", case conferences) to offer expanded didactics on culturally responsive care, trauma-informed care, tele-behavioral health, and child and adolescent mental health. Finally, given the importance of the supervisory relationship to student learning, we will offer structured CE opportunities for our faculty to engage in professional development around clinical supervision and addiction treatment (e.g., motivational interviewing). We will use ongoing quality improvement and strategies from dissemination and implementation science to measure program outcomes. This project takes place in East Tennessee and meets criteria for funding priority and funding preference (Qualification 1: High Rate), further justified in Attachment 8.
