Behavioral Psychology

Clinical training includes ongoing rotations at Western State Hospital, a Joint Commission accredited inpatient facility in Staunton, VA, and at the Behavioral Medicine Center at  University of Virginia Health.  Fellows receive training in delivering a range of evidence-based practices in both individual and group formats in psychiatric and academic medical settings. There is significant opportunity to seek out training experiences of interest and to customize the fellowship experience.  On each rotation, fellows work with and receive supervision from faculty members who specialize in that service area.

The fellowship program is a one-year, full-time training experience (with a possible renewal for a second year).  The fellowship start date is somewhat negotiable, but typically occurs between July and September.  The fellowship is administered by the Medical Psychology Fellowship Program in the UVa Department of Psychiatry and Neurobehavioral Sciences. Each fellow is appointed to the Housestaff of the University of Virginia Medical Center and awarded a certificate by UVA Health upon successful completion of the training program.

Severe Mental Illness

Three days each week are devoted to Western State Hospital, with a focus on empirically-supported service provision for individuals with severe mental illness.  Common diagnoses include Schizophrenia, Schizoaffective Disorder, Bipolar Disorder, Major Depressive Disorder, Borderline Personality Disorder, and co-morbid substance use disorders.  At Western State hospital, we use a comprehensive recovery and psychosocial rehabilitation approach to service delivery. Fellows will work the first half of their fellowship on acute care admissions unit 2 days a week as a major rotation with a minor rotation (totaling approximately 1 day per week) working with forensic patients, providing competency to stand trial restoration services in both group and individual restoration sessions.  The second half of their fellowship will include a primary focus on transitioning to a long-term care unit. While on long-term care, the forensic minor rotation will transition to focusing on risk assessment and risk management of patients found Not Guilty by Reason of Insanity.

Fellows will also have the opportunity to provide hospital-wide behavioral consultation.  Fellows work as part of an interdisciplinary unit team of psychologists, psychiatrists, social workers, nursing staff, and other professionals to develop integrated treatment plans and provide direct care via individual psychotherapy and psychosocial rehabilitation groups.  Fellows complete core training experiences in severe mental illness and psychosocial rehabilitation.  In addition, fellows will choose from among many training options, including training for staff, individual psychotherapy, and supervision of practicum students.  Fellows learn to integrate assessment data and psychiatric history into complex case conceptualizations and gain experience with working with persons from various socioeconomic statuses and ethnic and cultural backgrounds. They lead behavioral and cognitive groups and have significant freedom to design groups of interest to them. Didactic opportunities are available and encouraged.

In addition, fellows will be provided 1-2 hours of formal supervision with major and minor supervisors every week, as well as approximately 1 hour of monthly group supervision with other psychology fellows as available. Monthly group supervision may include opportunities for case presentation, case consultation, didactics, and professional development.

Behavioral Medicine

Two days each week. The Behavioral Medicine Center is an outpatient clinic at UVA Health in Charlottesville, VA. At this clinic, fellows provide psychological interventions with adults experiencing various psychiatric and medical comorbidities. The opportunity to work with pediatrics and specialty medical populations may also be available, based on supervisor availability and fellow experience. Specialty medical populations include organ transplant, cystic fibrosis, oncology, bariatric surgery, and behavioral medicine consultation/liaison with medical inpatients at UVA Medical center. Fellows typically maintain a caseload of 10 direct patient hours per week in the Behavioral Medicine Center.

In addition to these clinical activities, fellows will be provided with 1 hour of weekly individual supervision and one hour of weekly group supervision and/or didactics, which include presentations from other UVA psychologists and physicians.  See the Behavioral Medicine page for information on the clinic.

Educational & Professional Development at WSH (10%)*

1. Meetings with the Program Director, fellowship supervisors, and postdoctoral fellows across sub-specialty areas during the academic year to discuss administrative issues and professional development.
2. Western State Hospital Grand Rounds
3. A variety of forensic education programs provided through UVa Institute of Law, Psychiatry, and Public Policy, if desired (space permitting)
4. Involvement in hospital-wide committees that focus on the application of psychological knowledge throughout the hospital (e.g., Behavioral Management Committee, behavioral training of direct care staff).

Research Focus (10%; negotiated on a case by case basis)*

Fellows may have the opportunity to participate in ongoing research projects at WSH, including:

1. Assessing the interaction skills of direct care staff
2. Case studies

* See the UVA Clinical Health Psychology fellowship description for more information on education, professional development, and research opportunities.

Behavioral Medicine Center, University of Virginia Department of Psychiatry and Neurobehavioral Sciences (Charlottesville, VA).  See the description provided for the Behavioral Medicine Center.

Western State Hospital (Staunton, VA)

Western State Hospital (WSH) is a 246 bed public psychiatric treatment facility located in the Shenandoah Valley of Virginia approximately 40 miles west of Charlottesville. The hospital is fully accredited by the Joint Commission. WSH serves 34 counties and 12 cities, and admits individuals who are 18 to 64 years of age.  All patients admitted to WSH must have been assessed by a mental health professional in the community and judged to require inpatient psychiatric treatment.  Each area of the hospital is described in the following text.

Acute Care

The Acute Care (admissions) area is comprised of five units, each with approximately 28 individuals with severe mental disorders. The majority of these individuals meet involuntary commitment criteria (viz., inability to care for self, dangerous to self or others due to mental illness) at the time of admission. The primary goal of care in this area is to provide intensive diagnostic evaluation and treatment directed toward stabilizing florid psychiatric symptoms (generally, acute psychosis and/or suicidality) and returning patients to their community as quickly as possible. There are three coed wards that are mostly forensic and two all-male forensic units (viz., patients who have pending legal charges, are not competent to stand trial, or who have been adjudicated NGRI). The fellow conducts diagnostic interviewing and assessment, brief individual and group therapy, and behavioral treatment planning. The fellow’s primary base of operations is one of the co-ed acute care units, where he or she serves as a member of the treatment team. Approximately one day per week will be spent on a minor rotation, providing restoration services to patients deemed incompetent to stand trial via group and individual sessions.

Extended Rehabilitation
The six Extended Rehabilitation units serve patients who have persistent impairments and who are not ready to be discharged from an acute care unit. These patients exhibit refractory psychiatric symptoms and challenging behaviors that impair their ability to function in a community setting. There are several Psychosocial Rehabilitation Day programs that provide an array of therapeutic groups and activities to individuals from these units. The psychologists conduct a variety of structured group therapies, in addition to more traditional group therapy in these programs. Psychologists on these units are also involved in developing and refining unit contingency management procedures and individualized treatment plans. They also conduct serial assessments to assess progress. The fellow’s primary involvement on the extended rehabilitation units is to serve as a consultant on complex cases, provide psychosocial group treatment, and, if desired, provide individual treatment. In addition, a minor focus will be on management of patients who have been found Not Guilty by Reason of Insanity including risk assessment and risk management. The amount of time dedicated to forensic issues while on extended care will be on an as-needed basis.

WSH also offers seminars that are available to psychology fellows. These include the weekly grand rounds for WSH professional staff and the monthly in-services specifically for the psychology department faculty. Dr. Jason Stout is the Director of Psychology at Western State Hospital. Fellows are also required to attend the Monthly Psychology Fellows Meeting held at UVA.

Western State Hospital

• Erin Gallagher, PsyD, Supervisor
• Lee Ann Bass, PhD, Supervisor
• Anna Lacey-Eusse, PhD, Supervisor
• Jason Stout, PsyD, Director of Psychology

Behavioral Medicine Center (UVA Health System)

• Heather Bruschwein, PsyD, ABPP (Director of Training)
• Virginia Andersen, PhD, ABPP
• Casey Cavanagh, PhD, ABPP
• Lauren Ehrlich, PhD
• Brian Ludwin, PhD
• Jaclyn Shepard, PsyD, ABPP
• Joanna Yost, PhD, ABPP

Admission Criteria

• Completion of a doctoral degree in Clinical Psychology from an APA-approved program
• Completion of an APA-approved predoctoral internship in Clinical Psychology.

Materials Required

• A completed application (available for download from the website)
• A copy of your most recent curriculum vitae
• Three letters of recommendation from those familiar with your work

Applications due by March 1, 2025, for the 2025-2026 fellowship year.

Direct Inquiry and Materials

Anna Lacey-Eusse, Ph.D.
Clinical Psychologist
1 Elm/Extended Care Unit
Western State Hospital
103 Valley Center Dr, Staunton, VA 24401
(540) 332-8861
anna.lacey@dbhds.virginia.gov