The Institute for Palliative Medicine at San Diego Hospice

The Center for Grief Care and Education

The Center for Grief Care and Education (CGCE) offers one of the largest and most comprehensive training sites for pre-licensed (trainees and registered interns) and licensed Marriage and Family Therapists.  CGCE is among the national leaders in the education of grief and loss counseling, and houses the only two Fellows in Thanatology in San Diego County.  In addition to education and training marriage and family therapists, we have provided clinical experiences for MSW students, MSW associates, LCSWs, and PhD students.  Our clinical practicum and internship program has graduated over 225 psychotherapists since its inception in 1998.  We offer first, second, and third year clinical internships.

CGCE Counseling Internship Program partners with our local universities to ensure a curriculum and field experience for each therapist that is individualized, challenging, recovery-oriented and collaborative.  MFT Trainees and Registered Interns can expect:

  • Clinical supervision (weekly individual and group) by AAMFT Approved Supervisors
  • Participation in interdisciplinary plans of care (meetings, consults, direct delivery) with MDs, RNs, MSWs, Spiritual Counselors, and more.
  • Comprehensive clinical orientation and training to palliative mental health care in multiple milieus (acute inpatient, home, office, school, etc)
  • Observe, learn, and practice clinical interventions including play and expressive arts
  • Opportunities to build leadership and professional skills

CGCE Counselors are responsible for assessment, diagnosis, outreach support, referrals, counseling, psychotherapy, and crisis management.  Counselors serve a diverse population:  individuals, families, couples, and groups.

Each clinician is supervised and expected to practice using a systemic perspective.  Our supervisors support each clinician in the process of developing their theoretical orientation through case reviews, videotaped/live supervision, and through supportive self-of-therapist exploration.  Our integrative approach fulfills the educational expectations of COAMFTE approved universities.  Clinicians are expected to learn and implement a variety of interventions, including verbal and non-verbal (play, art) to support patients and families.  Treatment plans focus on a variety of clinical issues, especially those family concerns regarding life transitions. Clinical issues of depression, anxiety, partnership problems, and child-parent problems area also addressed.

CGCE provides compassionate and skilled grief care to our patients and families, before and after the patient’s death.  Our dedication is reflected in the education, training, and research we have conducted during the last ten years.  We have touched the lives of tens of thousands of individuals through client care, education, and community outreach.

The one-year Internships begin in May and August, with a 60+ hour training the month immediately preceding the start date (April and July). 

Click here for an internship application.

For more information, please contact Nicole Reich, LMFT, FT, Manager, Counseling Internship Program at +1 (619) 278-6118 or e-mail