Access Institute for Psychological Services

(415) 861-5449

2018-2019 Training Year

Agency Description

Founded in 2002, Access Institute for Psychological Services is an integral part of San Francisco's mental health care system. * One of the only organizations in the City providing high quality, comprehensive, long-term outpatient psychological care to low-income, culturally diverse San Franciscans. * Psychotherapy tailored to the needs of clients without limits on number of sessions and provided at affordable sliding scale rates. * Medication evaluation and management services given as an adjunct to therapy. * Neuropsychological assessment and testing to make accurate diagnoses and effective treatment planning. * A vibrant psychoanalytically-oriented training program for clinical psychology, social work and family therapy interns attracts the most talented candidates. * Access Institute supervisors and faculty are prominent practicing mental health professionals from the Bay Area.

Agency Mission/Objective

Access Institute provides high-quality psychological care to people of all ages who fall through the socioeconomic cracks while training the next generation of mental health professionals through a model that values human complexity, supports socially-conscious practice, and promotes sustained human growth.

Theoretical Orientation

Behavioral, Biological, Cognitive behavioral, Eclectic, Humanistic/Existential, Integrative, Interpersonal, Narrative, Other (indicate in the box below), Psychodynamic/Psychoanalytic, Psychosocial Rehabilitation, Systems, Transpersonal


Access Institute serves a wide range of patients who do not have adequate private insurance and who would otherwise not be able to afford psychotherapy. The clients at Access are diverse culturally, socioeconomically, demographically and diagnostically.

Staff: Please list number of staff by degree/professional licenses

# of Psychologists: 6

# of Psychiatrists: 2

Training Position Information

# of Placements Duration Annual Hours
8 Full-time July 29, 2019 - July 31, 2020 2000
Half-time July 29, 2019 - July 31, 2020
Annual Stipend Hours of Individual Supervision Hours of Group Supervision
Half Time Internships $ 0 0
Full Time Internships $25,000.00 3 1

Training and Education

The specific goals of the postdoctoral training program at Access Institute is to teach early career clinicians how to flexibly integrate psychoanalytic approaches to be used with an underserved, urban population. We train our fellows to be culturally competent and theoretically sound. Our graduates have a dedication to working with marginalized populations and carry this commitment with them as part of their enduring professional identity. After completing their internship at Access Institute, postdoctoral fellows will be able to: • Use psychoanalytic concepts in case formulation • Accurately diagnose a broad range of patients • Understand the impact of sociocultural factors on one's identity • Use psychoanalytic techniques flexibly and responsively to treat diverse populations • Intervene appropriately in a crisis situation • Self confidently assess their own strengths and weaknesses • Use supervision and consultation maturely and appropriately • Understand and use ethical principles and legal mandates

X-Cultural Training

Multicultural training is at the core of Access' postdoctoral program. As part of the core curriculum, fellows take a series of classes on Sociocultural Processes that include courses which address the power differentials inherent in working in community mental health settings, such as the impact of class, race, gender, sexuality, and disability on the individual seeking treatment as well as on the therapeutic relationship. We also pay special attention to the systemic and ongoing trauma that the populations we serve experience and how to better address the consequences of this level of trauma in our patients' lives. In addition to an introductory course on thinking psychoanalytically about culture within a community mental health setting, other courses in the sequence include: Race and Class in the consulting room Genders and Sexualities Advanced Trauma Theory Social Justice within a Psychoanalytic Framework All our courses, case conferences, and supervisions attend to the intersections of identities in patients and therapists, as we help fellows to think about the complex interplay of these cultural factors on the presenting issues, therapeutic relationship, and treatment trajectory. Access is dedicated to changing the way that psychoanalytic therapy is approached and to how theory is taught and learned so that sociocultural considerations are embedded in the theory and technique at every level.

PostDoc Responsibilities

Postdoctoral fellows will provide 25 hours per week of clinical services and receive 11 hours per week of training, including, classes, case conference, and supervision. All fellows provide individual and couples psychotherapy at the Access Institute clinic, and will provide additional clinical services based on which track they are in. Their clinical responsibilities will be as follows: Assessment track: 12 assessment hours, 13 clinic hours Intake track: 5 intake hours, 20 clinic hours School-based track: 12 school-based hours, 13 clinic hours Elder track: 10 elder services hours, 15 clinic hours


Completion of doctoral degree including completed dissertation and pre-doctoral internship by start of training year.
  • Contact Person - Milena Edwards
  • Contact's Phone - 415-861-5449 ext 389
  • Dir. of Training - Milena Edwards

  • Last Updated - 12 November 2018

  • Number of Applicants Last Year -

  • Agency established - 2002
  • CAPIC Postdoc Since - 2004
  • APA Accredited Postdoc - No
  • Region - No. Cal
  • Internships Status - Full
  • Statuses approved by CAPIC
    • Half-Time 2 Years - No
    • Full-Time - Yes
  • Positions currently being offered
    • Half-Time 2 Years - No
    • Full-Time - Yes
  • Post-Doctoral Trainees will be
    • Intern in a formal placement
  • Are you currently seeking Postdoctoral Fellowship Applications - Yes
  • Do you list your postdoc program in the APPIC UPPD? - Yes
  • Do you follow the APPIC Postdoc Selection Guidelines? - No
  • Application Procedures - Written materials will be reviewed in order to screen for goodness of fit with the program. This includes depth and kind of clinical experience as well as evidence of a capacity for self-reflection. The interview with the Director of Training deepens our assessment of these variables. Applicants may be asked to present a clinical case at the interview. Applicants who show strong potential at our organization will be offered a second interview. Applicants may be asked to present a clinical case at the interview.
  • Application Deadline - Friday, January 4, 2019

Primary Location

  • 110 Gough Street
  • Suite 301
  • San francisco, CA 94102
  • Phone - (415) 861-5449
  • Fax - (415) 861-3252

Training/Clinical Services Offered

  • Assessment
  • Brief
  • Child
  • Consultation
  • Couples
  • Crisis
  • Group
  • Individual
  • Long Term
  • Milieu
  • Neuropsychology
  • Outpatient
  • Outreach
  • Psychological Testing