Clinical Training Activities
Training is designed to expose practicum students to several different supervisors to enrich their learning experience. Externs receive two hours per week of individual clinical supervision. They meet one hour a week with a licensed psychologist who serves as the Primary Supervisor by overseeing the clinical work, general training experiences and professional growth of the extern. A Secondary Supervisor (a predoctoral intern or postdoctoral fellow) provides an additional hour per week of individual supervision. Externs meet for small group supervision, typically by a postdoctoral fellow, for 1.5 hours per week to provide case presentations, give peer feedback, and discuss general clinical issues. Externs also receive supervision from the Case Management Supervisor for 0.5-1.5 hours per week for their initial clinical interviews (intakes), diagnosis, early treatment planning, referral and case management, and report writing. There may be additional opportunity for externs to perform brief telephone assessment (triage) and in-person daytime crisis intervention under the supervision of the Case Management Supervisor in the spring quarter. When an extern’s supervision is provided by unlicensed supervisors (i.e., Secondary Supervision), the supervisors are supervised by a licensed psychologist, and their supervisory sessions are routinely recorded.
Supervisors collaborate with the rest of the staff and the Training Committee to guide and evaluate the distinct progress of all trainees. Each supervisor seeks to promote a challenging yet supportive environment in which to examine the dynamics of the client, the therapist, and the interpersonal interaction between them. In addition, the parallel processes in the supervisory relationship may be examined. The supervisor helps the practicum extern consider alternative therapeutic models and strategies, become more sensitive to the implications of cultural differences, hone the sense of professional responsibility and values, and incorporate the various components of the training experience. By the end of the training year, the extern should have developed a working base of general therapeutic skills and emerging professional identity, upon which future learning and specialization can be built.
Externs develop skills in providing outreach programs by co-conducting workshops with an intern, postdoctoral fellow, or senior staff member. Externs may seek to participate in outreach programs to residence halls, academic departments, and student organizations. Externs can choose from among a variety of workshops offered by CAPS each quarter, or design a novel program based on the needs of the students and community. Supervision for outreach is provided, typically by the workshop leader or senior staff, when collaborating on designing, promoting, preparing, and reviewing of feedback from the workshop participants.
This seminar is designed to provide a solid foundation of knowledge and skill in diagnostic, treatment, and ethical issues relevant to the theory and practice of brief psychotherapy. The seminar meets one hour per week and uses assigned readings, didactic lectures, demonstration, and case presentations. Externs learn about selection criteria, setting treatment goals, developing treatment plans, and implementing techniques which can promote the therapeutic process.
Each extern participates in one of three weekly, one-hour staffing meetings attended by all CAPS service providers (psychologists, social workers, psychiatrists, postdoctoral fellows, interns, and practicum externs). Intake cases are presented by each participant and the staffing team discusses treatment options (modality; psychological and psychiatric) and interventions. Through team discussion, disposition of cases are made for assignment to treatment, case management, and/or referral to community resources.
At the beginning of September an extended training orientation will include introduction to CAPS and the NU community. Externs will receive instruction and coaching on how to deliver effective presentations and outreach services. They may also be invited to staff development programs and case conferences scheduled during the course of the year.