Clinical Training Activities
Individual Clinical Supervision
Doctoral Interns work with two individual supervisors who are licensed psychologists for a total of 2.5-3 hours per week. The supervision of the intern’s individual therapy caseload is divided between the two individual supervisors who focus on the intern’s developing competencies in case conceptualization (including diagnosis), treatment planning, and intervention. The two individual supervisors also oversee the intern's clinical assessment, diagnosis, and initial treatment planning; crisis assessment and intervention; daytime and after-hours clinical consults with departments, professionals, and other third parties; and case management and advocacy. Issues related to interns’ multicultural competence and professional development are covered by both individual supervisors
Individual Supervision of Group Psychotherapy
When co-leading a therapy group, interns receive individual supervision of group therapy for 30 minutes per week. The experience of group therapy may begin with process observation of an interpersonal process group early in the academic year, followed by a co-facilitating a therapy group with a senior staff co-therapist in subsequent academic quarters. Interns meet with their senior staff co-therapist following the provision of the therapy group to debrief the session, discuss group process and conceptualization, and plan for future interventions. Alternatively, interns may co-conduct a structured or semi-structured psychoeducation group with a senior staff member when appropriate, and they will be individually supervised by that co-therapist.
Group Supervision of Group Psychotherapy
In addition to the individual supervision of group psychotherapy by the group co-therapist, interns also receive group supervision of group psychotherapy by licensed senior staff members, one who is credentialed as Certified Group Psychotherapists by the American Group Psychotherapy Association (AGPA). The supervision is 1.5-2 hours per week during the academic year (likely September to June). This avenue of learning is built on both the consultative model and the peer supervision model. The group supervisors facilitate the interns' learning about group therapy by providing feedback, recommendations, and modeling in a supportive environment. The group supervision format contributes to interns’ experiential and observational learning through didactic instruction, supplemental readings of the literature on group therapy, viewing of group therapy video recordings, and discussion of group-related topics. 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.
Supervision of Outreach
Interns meet with the Outreach Supervisor through the course of the academic year in a group format. The Outreach Supervisor oversees interns' various psychoeducational and preventive outreach programs. In addition, the Outreach Supervisor may advise interns on consultative responsibilities involved in liaison relationships with various campus departments and partners. The Outreach Supervisor may introduce interns to liaison partners on campus to foster the development of the consultative relationship and may collaborate with interns on outreach programs.
Each intern participates in at least three academic quarters of outreach rotations. Interns begin by participating in CAPS' outreach activities during new student orientation activities, staffing tabling events, and providing informal support to students.
For Let's Talk, interns provide three-quarters of informal drop-in consultation for students at a designated Let's Talk location on campus. The intern receives supervision and mentoring for the Let's Talk services from the CAPS' senior staff member who has an ongoing partnership with that campus office. When time is available, interns may opt to have an experience in the Stress Management Clinic, a weekly Stress Management Clinic workshop (including meditation and mindfulness, biofeedback, cognitive strategies of stress reduction, and relaxation exercises) by co-leading the workshop with the Coordinator of the Stress Management Clinic.
Throughout the year, interns may present additional outreach, 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. Interns also participate in the planning and delivery of at least one large-scale outreach event (e.g., Body Acceptance Week) under the leadership of senior staff members for those events. For one month, each intern collaborates with the marketing department and the Assistant Director for Outreach and Education on campaigns through social media.
The Interns' Emerging Expertise Presentation offers an opportunity for interns to work on crafting a didactic presentation that is a crystallization of the intern's clinical, professional, and research interests—thereby forming a foundation for the intern's future contributions and professional identity. This presentation is given to the CAPS staff in the spirit that honors the interns' emerging wisdom, special interests, and expertise. Interns are encouraged to use this opportunity to demonstrate their ability to integrate science with clinical practice into a didactic presentation that benefits mental health clinicians.
Summer Group Supervision of Multicultural & Social Justice Issues in Counseling
Interns have weekly group supervision during 6 weeks of the summer quarter. Building upon the Multicultural and Social Justice Issues Seminar, this group supervision experience provides opportunities for interns to consolidate and deepen their learning. Using a case conference format(and incorporating video recordings when possible), interns take turns sharing their clinical work and centering issues of power, privilege, oppression, and identity in the context of the therapeutic relationship, case conceptualization, diagnosis, treatment planning, intervention, and/or advocacy
Group Supervision of Supervision
Interns have an opportunity to have experiential learning in peer supervision with fellow psychologists-in-training. The experience begins with an overview of the practice of clinical supervision and the various models of supervision, then the exploration of the commonalities and differences among training supervision, peer supervision, peer support, and consultation.
The goal of peer supervision is to build a sound, lifelong mechanism for consultation that is foundational to effective, reflective, sustainable, and ethical clinical practice. Skills in peer supervision include expression of peer support and compassion, giving and receiving feedback, self-examination, problem-solving, healthy negotiation of one’s own and others’ power and needs, and mindfulness of group dynamics, countertransference, and parallel process as applied to the peer supervision group.
Interns rotate in the group leadership role. The peer supervision leader’s tasks involve rapport building and safety, moderating and facilitating structure and focus for the meeting, summarizing themes discussed by the peers, facilitate discussion and feedback among the peers, assisting with theory application, centering multicultural and social justice considerations, ethics, problem-solving and process observation tasks (help the group members become aware of group dynamics including group development stages, how the group deals with conflict, parallel process, and encourage the expression of reactions, feelings, and behaviors). Interns’ peer supervision is facilitated by a licensed psychologist (“Supervisor of Peer Supervision Group”)
This weekly 2-hour seminar is designed to span abroad range of interns’ learning needs during the internship year. Utilizing a combination of case presentations, session recordings, discussion of readings, didactic presentations, and 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) Psychotherapy and Crisis Intervention, (b) Clinical Assessment, (c) Multicultural and Diversity Issues in Psychotherapy, (d) Legal and Ethical Issues in Psychotherapy, (e) Psychiatric Consultation, (f)Outreach and Preventive Interventions, (g)Professional Development, and (h) Clinical Supervision and Training. To address growth in these core competencies, the Intern Seminar incorporates a number of modules throughout the year.
The Brief psychotherapy Module broadens and deepens interns’ theoretical knowledge and enhances their skills in brief psychotherapeutic interventions and conceptualization. Discussion topics may include brief psychotherapeutic interventions and conceptualization, 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, principles of crisis intervention, transference, and countertransference issues, and termination issues. The format includes a discussion of various readings, case presentations, use of training videos, and/or guest presenters.
Another module in the fall Intern Seminar is the Psychiatric Consultation Module competency area. A CAPS psychiatrist presents several psychiatric topics such as the Mental Status Examination, DSM diagnostic system, collaboration between psychologists and psychiatrists, assessment and treatment of sleep disorders, and bipolar disorders.
The Multicultural and Social Justice Issues Module is a combination of didactic, experiential, and discussion-based formats aimed at deepening the interns' awareness of self and others as multicultural beings navigating—and professionally positioned to effect change in—an inequitable society and world. In the context of interns’ clinical work and professional development, cultural humility, social identity, power, oppression, privilege, accountability, and advocacy are issues of focus. To enhance interns’ learning, a priority of this module is establishing an atmosphere of safety and nonjudgment. Outside of this seminar module, interns’ multicultural proficiency is emphasized in training experiences throughout the year.
Another module in the intern Seminar is the Psychiatric Consultation Module competency area.CAPS psychiatrists present on several topics such as advanced mental Status Examination, DSM diagnostic system, collaboration between psychologists and psychiatrists, assessment and treatment of sleep disorders, and bipolar disorders.
In the Psychotherapy, Crisis Intervention, and Clinical Assessment Module, topics of presentations may include the assessment and/or treatment of substance and alcohol, eating disorders, trauma, personality disorders, anxiety disorders, and empirically validated biopsychological approaches for stress and anxiety reduction. 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, and the application of these models to peer supervision. The attention to interns’ career and professional development is represented in the Professional Development Module integrated into the seminar throughout the year, with topics such as self-care, professionalism, post-internship job application, developing a practice case presentation (“job talk”) for the intern’s job interviews, preparing a curriculum vita, or establishing a private practice. The Intern Seminar concludes in late July.