Clinical Training Activities
Individual Clinical Supervision
Interns are assigned three individual supervisors; they meet with each of these supervisors one hour per week. The intern works with the Primary Supervisor for the duration of the internship year, with each Secondary Supervisor for six months, and with the Case Management Supervisor for three quarters. The supervision of the intern’s individual therapy caseload is divided equally by the Primary and Secondary Supervisors who focus on the intern’s developing skills in case conceptualization (including diagnosis), treatment planning, and intervention. Case Management Supervision focuses on intake assessment, crisis assessment and intervention, clinical consults, and case management skills. Issues related to interns’ professional development are covered by all three individual supervisors.
Individual Supervision for Group Psychotherapy
Interns also receive individual supervision of their group therapy once a week for 30 minutes. All interns are involved in co-facilitating at least one therapy group during the academic year (nine months). Interns meet with their senior staff co-therapist following the provision of the therapy group to de-brief the session, discuss group process and conceptualization, and plan for future interventions.
Individual Liaison Consultation
Each intern also works with a Liaison Supervisor for the duration of the internship year, with meetings occurring on an as-needed basis. Following the apprenticeship model, the Liaison Supervisor advises the intern on consultative responsibilities/assignments. The Liaison Supervisor introduces the intern to assigned liaison units and their staffs to foster the development of the consultative relationship and may collaborate with the intern on outreach programs.
Supervision of Outreach and Educational Programs
Interns participate in outreach and psychoeducational workshops (including designing, promoting, conducting, and evaluating) in all four quarters, and work on their Media Interventions in one quarter. Interns learn to provide semi-structured to structured workshops which are conducted during two quarters. The Assistant Director for Outreach and Education provides training discussion of issues related to workshop/outreach program development. In accordance with the developmental/mentoring model, interns co-facilitate the outreach or workshop series.
Each intern participates in at least three quarters of outreach rotation. In one quarter, the intern provides 2 series of 4-week weekly Stress Management Clinic workshops. In consultation with the supervisor, the Coordinator of the Stress Management Clinic, the intern selects 2 series from several available options, including meditation and mindfulness, biofeedback, cognitive strategies of stress reduction, and relaxation exercises.
In the other two quarters, the intern presents at least 2 additional outreach programs which can be innovative programs, requests from campus partners or liaisons, or frequently-offered existing programs. Some outreach programs are provided by the senior staff with whom the intern collaborates on the project. When the outreach program is requested by a group or department on campus, the intern’s Outreach and Education (O&E) Supervisor is often his/her Liaison Supervisor. Interns meet with the O&E Supervisor before and after the workshop session to plan, debrief, and for input and feedback from the supervisor.
The Media Intervention allows the intern to work on a project individually with the Assistant Director for Outreach and Education. Examples of past Media Intervention projects include designing an informational brochure, designing webpages for CAPS, or other efforts to disseminate mental health information to the community.
During the academic year (mid-September to mid-June), interns are supervised in a group format by a licensed psychologist for one hour per week. This avenue of learning is built on both the consultative model and the peer supervision model. Based on the interns' case presentations that include videoclips, the group supervisor facilitates the interns' learning by providing comments, challenges, recommendations, and modeling in a supportive environment. Interns are also expected to contribute to each other's learning through supportive and challenging discussions, reflecting the model of professional development in which clinicians continue to grow through lifelong learning and consultation.
For a period of time the winter quarter, the group supervision may be conducted by a Staff Psychiatrist with extensive experience in supervising psychologists-in-training. This provides an opportunity for interns to develop valuable insights from the related mental-health discipline and enhance their proficiency in working within a multi-disciplinary clinical context.
This weekly seminar is designed to span a broad range of interns’ learning needs during the internship year. Utilizing a format of case presentations, session recordings, discussion of readings, brief didactic presentations, and utilization of agency data, the seminar exposes interns to in-depth and intensive training in core competencies and related areas over the course of the year: (a) Individual and Group Psychotherapy and Crisis Intervention, (b) Clinical Assessment, (c) Multicultural and Diversity Issues in Psychotherapy, (d) Legal and Ethical Issues in Psychotherapy, (e) Psychiatric Consult, (f) Professional Development, and (g) Clinical Supervision and Training.
The fall quarter’s Intern Seminar begins with the Brief Psychotherapy Module in weekly one-hour meetings led by a licensed psychologist at the Chicago CAPS office. The module is aimed to broaden and deepen interns’ theoretical knowledge and enhance their skills in brief psychotherapeutic interventions and conceptualization. Discussion topics include the motivation for change in therapy, intern beliefs about the effectiveness of short-term treatment, differences in the value systems of brief and longer term treatment, developing a focus for treatment, and principles of crisis intervention, transference and countertransference issues, and termination issues. The format includes discussion of various readings, case presentations, use of training videos, and guest presenters.
Another module in the fall Intern Seminar is the Psychiatric Consult competency area. A CAPS psychiatrist presents psychiatric topics such as the Mental Status Examination, DSM diagnostic system, collaboration between psychologists and psychiatrists, bipolar disorders, sleep disorders and treatment, and psychopharmacology. This one-hour seminar is offered at the Chicago CAPS office.
The Intern Seminar in the spring quarter continues in Evanston with coverage of the remaining core areas. The Multicultural and Diversity Issues Module in the winter quarter is a series of presenters and panels who address a variety of topics related to multicultural competency in clinical work. Issues of multicultural competency are also addressed outside of this series in other presentations later in the year.
Addressing various aspects of clinical competency, the Intern Seminar continues in a 90-minute weekly meeting format in the spring and summer quarters. For the competencies related to psychotherapy, topics of presentations have included the assessment and/or treatment of substance and alcohol, eating disorders, trauma, personality disorders, anxiety disorders, working with emotions, and empirically validated biopsychological approaches for stress and anxiety reduction, including mindfulness techniques, cognitive-behavioral techniques, and biofeedback. In a seminar on group psychotherapy led by a staff psychologist expert in group therapy, interns further examine group psychotherapy issues (e.g., stages of group development, curative factors, selection and screening, transference/countertransference, conflict and crisis management, termination) by reading significant articles, and case presentations of various “critical incidents” from each of the interns’ therapy groups, and discussing aspects of professional development that may integrate interns’ interest in providing group psychotherapy. In the Clinical Supervision and Training Module, discussions follow readings and didactic presentations about the various models of supervision and "best practice" in clinical supervision.
The Intern Seminar continues through July. A seminar in the spring quarter is devoted to the Legal/Ethical Module aimed to provide interns with a basis for legal and ethical practice in professional psychology. The attention to interns’ Professional Development is integrated into the seminar throughout the year, with topics such as post-internship job application, developing a presentation (“job talk”) for the intern’s job interview, preparing a professional curriculum vita, or establishing a private practice.