Hamm Clinic Doctoral Psychology Internship Program
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Hamm Clinic Doctoral Psychology Internship Program 2017-2018 TRAINING MODEL and PHILOSOPHY: The Hamm Clinic Psychology Doctoral Internship training philosophy is based on the practitioner-scholar model which emphasizes that clinical practice is informed by the science of psychology. Interns learn to use scholarly inquiry to understand and apply relevant research findings to clinical practice. The board and all clinical staff at Hamm Clinic understand that training the next generation of mental health service providers a core mission of our organization. To support this mission, supervisors and other staff clinicians are regularly available for consultations. Additionally, Hamm Clinic provides monthly in-service trainings with professionals from the community and an annual conference featuring a national leader in mental health issues. We also strongly encourage consultation across mental health disciplines and recognize the value that these clinicians can bring to the psychologist’s work with his/her clients. The clinical staff at Hamm Clinic use and support an integrative theoretical approach to therapy. This includes but is not limited to psychodynamic therapy, interpersonal relationship therapy, emotionally-focused couple’s therapy, family therapy, cognitive behavioral therapy and multicultural therapy. Other therapeutic interventions that interns may encounter include mindfulness, distress tolerance and emotional regulation skills, assertiveness and interpersonal communication skills. An additional benefit of training at Hamm Clinic is the on-site availability of fully-credentialed psychiatry. Interns are encouraged to consult with our psychiatric staff about clients and treatment needs. Many of our clients’ mental health treatment includes psychiatric medication and a thorough psychiatric evaluation. This unique opportunity to work with psychiatrists on an ongoing basis helps the intern learn the skills necessary to collaborate with a client’s medication prescriber in community practice. HAMM CLINIC MEMORIAL PSYCHIATRIC CLINIC INFORMATION: Hamm Memorial Psychiatric Clinic is an outpatient, mental health clinic that provides services to adults and families in the greater Twin Cities area. It is a non-profit clinic founded in 1954 by the Hamm Foundation. Hamm Clinic provides services on an ability to pay basis, accepting client fees determined by a sliding scale, insurance, or medical assistance reimbursement. The clinic is a MN Department of Human Services Rule 29 approved facility. History In the 1950s, mental illness was identified as a serious national health problem. However, attempts to address this problem were mostly unsuccessful. Individuals without resources to pay for treatment were often neglected or segregated; the stigma associated with mental illness was pervasive. In the Twin Cities, those who could not afford private care got either no March 15, 2018 Page 1 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 care or received their treatment in a state hospital, away from family and community. Attempts were made to serve people in the community but these efforts often failed due to inadequate funding. Thus, the working poor and even many moderate to middle income people received little or no treatment. Led by Theodore Hamm's granddaughter, Margaret Hamm Kelley, herself a social worker, members of the Hamm family worked to help meet this need. Hamm Memorial Psychiatric Clinic was established in 1954 with the belief that comprehensive mental health care is a basic human right for every community member. The initial staff was small and included psychiatrists, psychologists and clinical social workers to ensure an empathetic and comprehensive approach to treatment. Today, the goal of quality, accessible direct patient care still drives the clinic's work along with the vision for its sustainability and growth. Hamm Clinic is committed to a thorough evaluation and appropriate team-based treatment for each client; a practice model as vital now as it was in 1954. The Hamm Foundation Fund of the Saint Paul Foundation continues to provide significant funding for Hamm Clinic. Mission Statement Hamm Clinic believes that comprehensive mental health care is a basic human need and should be accessible to everyone. Our mission is to provide: • Quality, culturally competent outpatient mental health assessment and treatment for adults and families in our community, particularly the underserved and those who are unable to afford the full cost of care • Expert training and education for mental health professionals • Leadership in our community for effective mental health care In addition, the Hamm Clinic mission includes training and community outreach to reduce stigma and encourage those needing mental health services to seek care. Training at Hamm Clinic Throughout its history, the Hamm Clinic has offered training and continuing education programs for mental health professionals and students. The training for students includes pre- degree internships, psychiatric residencies, and post degree fellowships. The clinic became an APPIC (Association of Psychology Post-doctoral and Internship Centers) psychology training site in 2002 and an APA training site in 2005. Hamm Clinic has trained over 200 mental health professionals. Clinical Services The primary service provided at Hamm Clinic is individual psychotherapy. Hamm Clinic also offers couple, family or group psychotherapy. The type and length of treatment is determined March 15, 2018 Page 2 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 by client need and commitment, allowing for the possibilities of brief, moderate, and longer- term psychotherapy. Initially, a client is seen for a diagnostic assessment. If therapy is the recommended treatment, the therapist and client will then determine parameters for the therapy and jointly establish goals for their work together. Each person’s history, clinical condition and current life situation inform the treatment effort. The clinic also offers psychological assessment and medication management. Hamm Clinic staff values the client- therapist relationship as an integral and essential part of the therapy process. Client Population Hamm Clinic serves a broad client population, from those experiencing situational crisis or adjustment difficulty, to those with serious emotional disturbance. People come to the Hamm Clinic by many routes. Many learn of the clinic from insurance network websites, friends or former clients. College counselors, clergy, physicians, insurance providers, and social or community agencies make referrals as well. The entire spectrum of personal problems is represented by those who come to the clinic and trainees gain experience with a wide variety of acute and chronic mental health conditions. Additionally, over half of our clients have seen a psychiatrist at some point in their mental health care (i.e., 60% of our clients are on medication management). Staff Hamm Clinic has a multidisciplinary staff comprised of psychiatrists, clinical and counseling psychologists, clinical social workers, couple’s therapists, and nursing. Trainees have a rich learning experience by working closely with these disciplines. The clinical staff and support staff are a culturally and racially diverse community of people. The clinic has Spanish-speaking psychotherapists and support staff. Structure Hamm Clinic administration includes an Executive Director, Director of Clinical Services, Medical Director, Controller, and Office Operations Manager. Additional planning and leadership are provided by the Training Coordinator, Director of Psychology Training, Research Coordinator, and Management Services Coordinator. The clinic has an active community Board of Directors. Commitment to Diversity: Hamm Clinic has been providing services to clients of color for at least thirty years. Our commitment to diversity is evident in our effort to provide mental health treatment to non- native English speaking clients. We have provided therapy services to non-native English speaking clients for 15 years. Recent statistics show Hamm Clinic provided clinical services to a population that was 58% women; 42% men. Forty-seven percent of our clients use commercial insurance, 46% use state or federal funded programs to pay for treatment (i.e., Medicare, Medicaid/Medical Assistance) and 7% have no insurance and utilize the sliding fee scale. Additionally, we continue to work to March 15, 2018 Page 3 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 expand our mental health services to individuals from diverse ethnic and cultural backgrounds. Currently, our client population includes 17% people of color which is similar to the racial and ethnic demographic of our service area. Our client population is diverse in socio-economic status, approximately 50% of the clients have an income of less than $30,000 per year. We presently provide psychological services, including therapy and assessment and psychiatric consultations, in English and Spanish. An ongoing goal of the clinic’s outreach activities is to reach diverse communities and bring awareness of the clinic’s services. Hamm Clinic is actively examining approaches to increase client diversity. Hamm Clinic initiated cultural responsiveness efforts in 1987. Since that time we have had a dedicated staff person and /or committee focusing on issues of diversity (with the exception of period of a couple/few years when almost all activities that were not directly clinical were put on pause). Presently, HMPC Cultural Responsiveness Committee efforts include: reflecting on the ethnicity of the client in each team case consultation, and providing ongoing staff trainings that focus on diversity (at minimum 3 of 11 annual staff in-service trainings). In accordance with APA Ethical Standard 7, Item 7.04, Hamm Clinic does not require interns to disclose many forms of personal information in the context of training. At the same time, we also recognize as clinicians that our own personal reactions when providing therapy can affect client care. As such, interns are encouraged to explore their own personal reactions in providing therapy. This is done during supervision, consultation group, and when applicable, in personal therapy. ACCREDITATION STATUS: The Doctoral Psychology Internship is currently accredited, as designated by the American Psychological Association*. Our most recent site visit was November, 2015. We have received seven years of reaccreditation with the next site visit to be scheduled in 2022. The clinic is also a MN Department of Human Services Rule 29 approved facility and an APPIC member psychology training site. Interested students participate in the APPIC match. *Questions related to the program’s accredited status should be directed to: Commission on Accreditation Office of Program Consultation and Accreditation American Psychological Association 750 1st Street, NE, Washington, DC 20002 Phone: (202) 336-5979 E-mail: apaaccred@apa.org Web: www.apa.org/ed/accreditation March 15, 2018 Page 4 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 TRAINING AIMS: 1. At the completion of the HMPC internship, psychology interns will be able to provide competent, culturally-responsive short-term and long-term psychotherapy to a diverse adult population. Focus is paid to examining therapeutic process, the fundamental importance of the therapeutic relationship, and value of utilizing transference/counter- transference to inform and enhance treatment. 2. At the completion of the HMPC internship, psychology interns will be able to provide competent cross-disciplinary, integrative clinical services to a diverse adult population. As a consultation team-member, trainees learn to navigate and facilitate productive collaboration with psychiatry (within a community mental health setting), for the benefit of the client. In addition, psychology interns will learn how to provide peer- consultation, and to elicit and integrate feedback from a consultation group to supplement, enhance, and diversify their treatment approach. 3. At the completion of the HMPC internship, psychology interns will have acquired experience in utilizing neurocognitive, personality, and academic skills screening tests and procedures in the psychological assessment process. Psychology interns are trained according to a “therapeutic assessment” approach, whereby testing is utilized to enhance mental health treatment. The function and importance of feedback is understood from the lens of how it can benefit the client, and facilitate the effectiveness of the treating professional or treatment team. March 15, 2018 Page 5 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 CORE COMPETENCIES OF HMPC PSYCHOLOGY INTERNSHIP TRAINING: 1. Research: Objective 1.A: Conducts scholarly inquiry and critically evaluate research Objective 1.B: Demonstrates integration of science into practice Objective 1.C: Demonstrates knowledge, skills, and competence to produce new knowledge Objective 1.D: Disseminates knowledge and/or scholarly activities 2. Ethical and Legal Standards: Objective 2.A: Demonstrates advanced knowledge and application of the APA Ethical Principles and Code of Conduct and other relevant ethical, legal, and professional standards and guidelines Objective 2.B: Independently utilizes an ethical decision-making model in professional work Objective 2.C: Independently integrates ethical and legal standards with all competencies 3. Individual and Cultural Diversity: Objective 3.A: Independently monitors and applies knowledge of self as a cultural being in assessment, treatment, and consultation Objective 3.B: Independently monitors and applies knowledge of others as a cultural being in assessment, treatment, and consultation Objective 3.C: Independently monitors and applies knowledge of diversity in others as cultural beings in assessment, treatment, and consultation Objective 3.D: Applies knowledge, skills, and attitudes regarding dimensions of diversity to professional work 4. Professional Values, Attitudes, and Behaviors: Objective 4.A: Monitors and independently resolves situations that challenge professional values and integrity Objective 4.B: Conducts self in a professional manner across settings and situations Objective 4.C: Independently accepts personal responsibility across settings and contexts Objective 4.D: Independently acts to safeguard the welfare of others Objective 4.E: Displays consolidation of professional identity as a psychologist; demonstrates knowledge about issues central to the field; integrates science and practice Objective 4.F: Demonstrates reflectivity both during and after professional activity; acts upon reflection; uses self as a therapeutic tool Objective 4.G: Accurately self-assesses competence in all competency domains; integrates self-assessment in practice; recognizes limits of knowledge/skills and acts to address them; has extended plan to enhance knowledge/skills Objective 4.H: Self-monitors issues related to self-care and promptly intervenes when disruptions occur Objective 4.I: Independently seeks supervision when needed March 15, 2018 Page 6 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 5. Communication and Interpersonal Skills: Objective 5.A: Develops and maintains effective relationships with a wide range of clients, colleagues, organizations, and communities Objective 5.B: Manages difficult communication; possesses advanced interpersonal skills Objective 5.C: Verbal, nonverbal, and written communications are informative, articulate, succinct, sophisticated, and well-integrated; demonstrate thorough grasp of professional language and concepts 6. Theories and Methods of Psychological Assessment: Objective 6.A: Independently selects and implements multiple methods and means of evaluation in ways that are responsive to and respectful of diverse individuals, couples, families, and groups and context Objective 6.B: Independently understands the strengths and limitations of diagnostic approaches and interpretation of results from multiple measures for diagnosis and treatment planning Objective 6.C: Utilizes case formulation and diagnosis for intervention planning in the context of stages 7. Psychotherapy and Psychological Intervention: Objective 7.A: Independently plans interventions; case conceptualizations and intervention plans are specific to case and context Objective 7.B: Displays clinical skills with a wide variety of clients and uses good judgment even in unexpected or difficult situations Objective 7.C: Implements interventions with fidelity to empirical models and flexibility to adapt where appropriate Objective 7.D: Independently evaluates treatment progress and modifies planning as indicated, even in the absence of established outcome measures 8. Providing Supervision: Objective 8.A: Understands the ethical, legal, and contextual issues of the supervisor role Objective 8.B: Demonstrates knowledge of supervision models and practices; demonstrates knowledge of and effectively addresses limits of competency to supervise Objective 8.C: Engages in professional reflection about one’s clinical relationships with supervisees, as well as supervisees’ relationships with their clients Objective 8.D: Provides effective supervised supervision to peer(s) 9. Consultation and Inter-Professional/Interdisciplinary Skills: Objective 9.A: Determine situations that require different role functions and shifts roles accordingly, to meet referral needs Objective 9.B: Demonstrates knowledge of and ability to select appropriate and contextually sensitive means of assessment/data gathering that answers consultation referral questions Objective 9.C: Applies knowledge to provide effective assessment feedback and to articulate appropriate recommendations Objective 9.D: Applies literature to provide effective consultative services (assessment and intervention) in most routine and some complex cases March 15, 2018 Page 7 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 CLINICAL PRACTICE EXPERIENCE: Overview: Psychology Interns’ clinical practice experience occurs within a community mental health outpatient setting. Interns provide individual and psychological assessment services for a diverse adult population; and have the option of providing group and couples therapy. They collaborate with multi-disciplinary teams, to provide thoughtful and well-coordinated services. Pre-doctoral psychology interns are expected to have face-to-face clinical contact with a minimum of 12 patients per week, and a total of at least 450 hours of face-to-face clinical contact hours over the course of the internship year. This can include group therapy, and couple’s therapy. In addition, interns are expected to complete a minimum of six full assessment batteries during their internship experience. These batteries are expected to include the administration of at least three separate assessment procedures, in addition to the clinical interview. Collectively, interns are expected to spend 50% of their time at the clinic providing direct service. Learning Elements: 1. Diagnostic Assessment: Diagnostic assessment is an important part of service delivery at Hamm Clinic. A thorough assessment is necessary for the clinician to be able to provide informed treatment. Training in diagnostic assessment takes a variety of forms, and occurs in a graded, cumulative, and sequential manner. Psychology interns are introduced, early on, to the idea of diagnostic assessment as an ongoing process in psychotherapy. As interns progress in their training, they are introduced to more sophisticated aspects of diagnostic assessment. Weekly seminars contribute to the focus on psychological assessment viewing personality structure from a variety of perspectives. Specifically, assessment as viewed through multiple professional and theoretical lenses, and interns are encouraged to consider various ways of gathering and organizing information gleaned from therapy interactions. During the mid and later phases of the training, supervision parallels the trainee’s development focusing on more complex and nuanced issues in psychological assessment. 2. Psychotherapy: Psychotherapy is fundamental to the psychology interns’ clinical training at HMPC. Psychology interns receive a concentrated orientation throughout their first weeks at the clinic. Interns are assigned a low number of new client intakes (2-5) during their first week at the clinic. In order to address training in a sequential, graded, and cumulative manner, interns (in collaboration with their supervisor) are encouraged to increase their caseload in an intentional, managed fashion, keeping in mind the need to conceptualize, diagnose, formulate a treatment plan, and provide timely completion of paper work for each client. As the training experience continues, trainees have the opportunity to provide March 15, 2018 Page 8 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 short-term and long-term therapy, and can request certain types of clients to balance their learning such as couples, certain presenting issues, etc. Within the constraints and limitations, an attempt will be made to provide interns with a variety of clinical issues and concerns. 3. Psychological Testing: At Hamm Clinic, the function of psychological testing is to improve patient care. Psychology interns get experience with assessment that is conducted to help clarify diagnosis, increase understanding of personality and defensive structure, and identify a patient’s cognitive strengths or limitations. The majority of referrals are from Hamm Clinic psychiatrists, clinicians, and trainees. Initially, the psychological assessment supervisor works closely with the intern to develop a plan for psychometric evaluation. The plan typically incorporates a thorough clinical interview that includes meeting with both the patient and the referring provider. While the most frequently used assessment instrument at this time is the MMPI-2, a variety of personality and cognitive assessment tests and interview schedules are available. All doctoral psychology interns will be expected to complete written MMPI-2 reports and provide verbal feedback to the patient and referring provider. The assessment supervisor instructs interns on how to write psychological reports that provide a constructive response to the referral question(s). Each doctoral psychology intern is expected to have had academic coursework in psychological testing and assessment prior to entering the internship. Training at Hamm Clinic builds upon this with an emphasis on the administration, accurate scoring, interpretation, report writing, verbal feedback, and professional consultative aspects of psychological assessment. The training in psychological assessment is consistent with the clinic’s fundamental commitment that all clinic activities (assessment, therapy, medication evaluation, research, etc.) should support the provision of quality psychotherapy. In that light, trainees are expected to interpret the results of psychological assessments within a thoughtful framework of how the results may affect the process and dynamics of psychotherapy. The most common psychological assessment instruments administered at the clinic are the MMPI–2 and WAIS–IV. However, most often cognitive evaluations include additional neurocognitive measures selected based on the specific referral question. Personality measures such as the Rorschach or MCMI-III are also used to supplement specific batteries. Tests available at the clinic include: Wechsler Adult Intelligence Scale – fourth edition (WAIS – IV) Wechsler Abbreviated Scale of Intelligence (WASI) Wide Range Achievement Test 4 (WRAT 4) Trail Making Test March 15, 2018 Page 9 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 Wisconsin Card Sorting Test Wide Range Assessment of Memory and Learning 2 (WRAML 2) Porteus Maze Test California Verbal Learning Test 2 (CVLT – 2) Rey-Osterrieth Complex Figure Test The Brief Neuropsychological Cognitive Examination The Neuropsychological Impairment Scale (NIS) Brown ADD Scales Minnesota Multiphasic Personality Inventory – 2 (MMPI – 2) Millon Clinical Multiaxial Inventory – III (MCMI – III) Rorschach Projective Inkblot Test Thematic Apperception Test (TAT) Incomplete Sentence Test 4. Multi-disciplinary Consultation: Interns participate in a weekly, one-hour multidisciplinary Clinical Consultation Team of approximately 7 staff, which includes professionals and trainees in psychiatry, psychology, and social work. This is intended to enrich interns’ clinical experience. In this consultation team experience interns are exposed to a range of mental health issues that are managed in an outpatient psychotherapy setting. They participate as a team member, support team members, and gain experience with seeking professional consultation in their role as a therapist. Clinical staff model case presentation skills. Interns are expected to present their clinical work, and become familiar with seeking feedback from others to help navigate challenging clinical issues that arise, ethical concerns, transference/counter-transference, and individual and cultural diversity. In addition, interns are exposed to the work of a diverse range of professional and theoretical points of view. The psychology interns gain experience in the role of a consultant to the members of the team. Interns contribute their current and advanced academic training in clinical or counseling psychology for constructive clinical purposes. This consultative role is an important aspect of the internship; the intern is expected to take an increasingly active role as a consultant as the internship progresses. Interns contribute consultation, based on their academic knowledge of the science of psychology, psychological assessment, and unique clinical skills and interests, as is relevant to the cases discussed. SUPERVISION: Individual Supervision (2+ hours/week): Interns meet twice a week for one-hour (each meeting) with their primary supervisor. The primary supervisor is the point person for the intern, and available to consult with the intern outside of scheduled supervision. The intern’s individual supervisor is responsible for supervising the majority of the intern’s clinical activities. Hamm Clinic has an ‘open-door policy,’ in which trainees are encouraged to seek out ongoing supervision and consultation with their individual supervisor as issues and concerns arise – to March 15, 2018 Page 10 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 aid in continuity of their training experience. In an attempt to support this, the individual supervisor makes efforts to coordinate schedules with the intern, such that the intern’s schedule overlaps as much as possible with the times that the individual supervisor is onsite. Individual supervision at Hamm is comprehensive. Focus is paid to examining a range of issues on an ongoing basis. Psychological Assessment Supervision (1-2 hours/week): Interns meet as a group with the Psychological Assessment Supervisor for 1-2 hours per week to discuss and review their psychological assessment work and to receive didactic training. Additional supervision hours are determined by the psychological assessment supervisor based on the intern’s level of competency in psychological assessment. Multi-disciplinary Team Psychology Supervision (1+ hours/week): Interns participated in weekly multi-disciplinary team, and receive targeted supervision by a doctoral psychologist who is a member of the intern’s team (and different from the intern’s primary supervisor). In addition to the hour per week that is spent together in team, the intern and team supervisor meet together individually to develop learning goals and objectives for the intern’s participation in the weekly team meeting. As a part of this process, the intern is presented with specific training goals and objectives to accomplish during their time on the team. The team supervisor and interns then meet periodically to discuss and monitor the intern’s development as a consultant, as guided by the collective goals and objectives. EDUCATIONAL ACTIVITIES: Training Seminar (3-hours/week): Interns attend a weekly, 3-hour seminar to provide didactic training to all Hamm Clinic trainees (i.e. psychology, psychiatry, and social work). Seminars are open to the public, and mental health trainees and professionals from the community are often in attendance. They are taught by Hamm Clinic staff as well as external mental health experts. The seminars are both didactic and experiential, intended to help trainees to integrate theory and practice. Seminar topics are scheduled in an order that addresses more concrete, immediate issues such as assessment, mental status, crisis intervention in the early part of the training year, and more conceptual issues such as transference, countertransference, resistance and termination later in training. Sample topics have included: Personality Disorders; Assessment and Diagnosis; Working with Latino/Latina Clients; Introduction to Dialectical Behavior Therapy; Cognitive Behavioral Therapy to Treat Panic Disorder; and Psychodynamic Psychotherapy. Dissertation/Research (2-hours/week): Interns may use 2 hours per week to work on their dissertations or research of their choice. PCOMS (1-hour/week): Psychology interns receive initial and ongoing training in Partners for Change Outcomes Management System (PCOMS), which is a program that utilizes client March 15, 2018 Page 11 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 feedback to inform and improve the treatment process. PCOMS training will provide a framework for therapeutic work that is informed by ongoing, cumulative research on treatment outcome, which identifies the therapeutic alliance as a central variable in client success in therapy. Interns gain experience tracking clients’ session-by-session response to treatment, as a gauge to understand treatment effectiveness. They also monitor clients’ ratings of their therapy experience and therapeutic alliance, to encourage open discourse about the client’s experiences of treatment. Group Didactic (2-hour/month): Interns attend group supervision twice a month to address professional growth and clinical issues. Group supervision provides psychology interns to with discipline specific training, specific to their development as a Health Service Psychologist. Topics covered include: providing supervision, navigating ethical conflicts, professional development, and cultural responsiveness. Journal Club (1-hour/month): Interns attend a monthly 1-hour journal club. The purpose is to engage psychology intern’s in the collaborative process of examining and evaluating evidence- based literature/research. Journal articles and readings pertaining to client care are distributed and discussed. Past readings have included readings related to treatment and research of various clinical diagnoses, ethics, clinical and professional boundaries, multi-cultural therapy, and supervision. Articles often compliment the topics covered in the weekly didactic seminars. CORC (1-hour/month): Psychology interns attend the monthly Clinical Outcomes Research Committee (CORC) meetings. Interns participate in discussions about ongoing treatment outcome research projects. They become familiar with how outcome research is conducted at Hamm Clinic, and are expected to reflect on how to clinic-based conduct research in an ethical manner. They are encouraged to contribute their unique perspective, drawing upon any knowledge acquired from their previous learning or experiences. HMPC Staff In-service trainings (1.5-hours/month): Once per month (the 4th Wednesday of the month), the Clinic sponsors monthly in-services for the staff and trainees on issues related to psychotherapy. The speaker for the in-service is usually a professional from outside the clinic and presents on his/her area of interest and expertise. Case Presentations (biannual): During the year, interns give two clinical case presentations to the clinical staff and other clinic trainees. These presentations include: a thorough case conceptualization based in a psychological theory; description and rationale, informed by research and culturally relevant best practices, for the specified clinical intervention; and evaluation of the treatment outcome. Research Presentation (annual): Psychology interns will present dissertation research or other related scholarly activities to HMPC staff. They also have the option to present at a case conference, or presentation at the regional, or national level. March 15, 2018 Page 12 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 Observation of Initial Psychiatric Evaluation (annual): Psychology interns will observe an initial psychiatric evaluation by a Hamm Clinic psychiatrist and patient. The purpose is to enhance the intern’s understanding of the role of psychiatry. Conferences (annual): Hamm Clinic sponsors an annual day-long conference during the year featuring a nationally recognized speaker. Topics presented are relevant to the work as a therapist, and frequently address cultural responsiveness. MAAPIC (biannual): Through the Minneapolis AAPIC collaborative, HMPC interns participate in two, day-long training events, alongside psychology interns training/practicing within the extended Minneapolis/Saint Paul surrounding area. Common topics of the seminars include ethics, supervision, and cultural responsiveness. Trainings are provided by experts in these areas. The purpose is to provide concentrated trainings in these areas, to supplement onsite learning. Self-Reflection: As a supplement to individual supervision and team case consultation, and in accordance with Hamm Clinic’s philosophy and practice of psychotherapy, interns are given time in their schedules to reflect on their therapy sessions and clients. Hamm Clinic believes that the trainee’s own processing of his/her work is a crucial skill to be supported in the training process. Interns are encouraged to process their own feelings and thoughts about clients, to take time to read literature about various psychotherapy topics, and to consult with colleagues about their clinical work. Interns are given dedicated time throughout the month to formally meet with other trainees for support and professional development. OPTIONAL TRAINING and SUPERVISION (based on trainee interest and availability): Cultural Responsiveness Committee: Cultural Responsiveness Committee: Interns are invited to participate in Hamm Clinic’s version of a diversity and inclusion effort which is called the Cultural Responsiveness Committee (CRC). This committee used to be called the Cultural Competency Committee but was changed to Cultural Responsiveness Committee in an effort to stay current with the multicultural movement that one is never fully “competent” in multicultural issues, as it is a constant, life-long journey. Hamm Clinic’s vision for cultural inclusion is to “value and respect every person’s culture and life story” by being a “healing space that is culturally responsive, inclusive, reflective and constantly evolving.” The CRC committee is charged to “provide leadership and support as Hamm Clinic embraces culture in all facets of our work”. This committee meets once a month for an hour in addition to events and trainings sponsored by the committee which occur throughout the year. Interns ideas are taken seriously by Hamm Clinic and have resulted in numerous changes made at our clinic. There is also great focus in the beginning months of the committee on addressing power dynamics and creating an environment where interns feel safe to share opinions, learn and grow on all matters of diversity and inclusion. March 15, 2018 Page 13 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 Couple’s Therapy Supervision: Interns work with our couple’s therapists to provide couple’s therapy. Interns meet with a supervisor to review couple’s therapy cases. The number of hours and frequency of meetings is determined by the supervisor; this takes into consideration the intern’s level of competency in providing couples therapy, and the number of couple/family cases the intern is serving. This supervision would be in addition to baseline supervision of four- hours per week, provided for the practice areas of individual therapy and psychological assessment. Group Therapy Supervision: Interns co-facilitate a group with a staff clinician. The tasks of therapy groups range from exploring interpersonal relationships to providing psycho-education. Groups meet weekly. Interns meet regularly for at least one half-hour per week with their group co-facilitator. The co-facilitator serves as the intern’s group therapy supervisor. Psychoanalytic Case Formulation: Interns are encouraged to engage in a monthly reading group that studies Nancy McWilliams’ book, “Psychoanalytic Case Formulation.” The group runs throughout the course of the training year. It is intended to enrich and broaden interns’ capacity to conceptualize their work with clients, and to assist with treatment planning. March 15, 2018 Page 14 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 Training Experiences Supervision: Required Hours/Week: Individual Supervision 2+ Psychological Assessment Supervision 1-2 Multi-disciplinary Team Supervision 1+ Weekly Educational Activities: Required Hours/Week: Training Seminar 3 Dissertation/Research 2 PCOMS 1 Monthly Educational Activities: Required Hours/Month: Group Didactic 2 Journal Club 1 CORC 1 In-services 1.5 Additional Training Events: Required Hours Case Presentations 5 Research Presentation 3 Observation of Psychiatric Evaluation 1 HMPC Annual Conference 8 MAAPIC trainings 16 Total: Total Required Training Hours/Week: 11-13+ March 15, 2018 Page 15 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 EVALUATION: • Psychology interns complete a self-assessment of skills at the beginning and end of their internship. The self-assessment of skills is based on the training program’s competencies and objectives. This tool is utilized to help develop the intern’s specific goals for their supervision and training. • Psychology interns complete a learning contract at the beginning of their internship. The learning contract is updated and revised periodically as determined by the individual supervisor and intern. It is focused on the intern’s training needs, and progress towards the program’s competencies and objectives. • Psychology interns attend and participate in training seminars, in-service trainings, group didactics, journal club, CORC, and PCOMS. • Interns must complete two formal case presentations, a research presentation, and an observation of an initial psychiatric evaluation. • Interns must complete a range of tasks within their multi-disciplinary team, which involve seeking and providing consultation. This is signed off on by their team supervisor. • Interns receive ongoing feedback from their individual supervisor. Formal evaluation is conducted by the intern’s individual and psychological assessment supervisor at 4-months, 8-months, and 12-months. The evaluation is based on the intern’s attainment of objectives within each of the nine competency areas (i.e. research, ethical and legal standards, individual and cultural diversity, professional attitudes, values, and behaviors, communication and interpersonal skills, theories and methods of psychological assessment, psychotherapy and psychological intervention, providing supervision, and consultation). To complete internship, interns must meet threshold criteria in each of the competency areas, which determine the intern’s preparedness for independent practice. This evaluation is informed by the following: o Written evaluation by the multi-disciplinary team supervisor, and written feedback from a staff member and teammate on intern’s performance in team. o Written evaluation by the chair of the research committee about participation in CORC and PCOMS o Verbal feedback from the group didactic instructors, which is discussed during monthly Psychology Training Committee meetings March 15, 2018 Page 16 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 o Written feedback by staff in attendance of case presentations, and research presentation o Verbal feedback from HMPC training staff, which is discussed during monthly Supervisors’ Meeting • Alongside the psychology intern’s 4-, 8-, and 12-month evaluation, intern’s complete written evaluation of their primary supervisor. This information is reviewed by the individual supervisor and the Psychology Training Committee. March 15, 2018 Page 17 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 STIPEND and BENEFITS: Hamm Clinic provides 2 full-time doctoral psychology internship positions. The current stipend is $22,500 for the training year. Interns receive up to $130 per month for parking throughout the training year, in accordance with current clinic policies. Interns are allowed to use two hours per week to work on their dissertations or research of their choice. Interns can arrange to take 2 weeks of personal time off (PTO) in addition to time off for each clinic-scheduled holiday. No health insurance is provided. In recent years, interns have attained affordable health care coverage through the Minnesota Department of Human Services MinnesotaCare program. ELIGIBILITY and SELECTION PROCESS: Applicants must meet the following prerequisites to be considered for our program: 1. Passed their comprehensive examinations 2. Have dissertation proposals approved by graduate program 3. Approval for internship status by graduate program training director 4. Completed at least one therapy practicum 5. Completed at least one assessment practicum 6. A minimum of 100 hours conducting adult psychotherapy 7. A minimum of 350 direct service practicum hours at application time 8. A minimum of 600 direct service practicum hours at internship start date SUCCESSFUL COMPLETION: • Complete 2,000 hours during the internship year • Complete a minimum of 450-hours of face-to-face clinical contact with clients • Complete a minimum of six formal psychological assessment batteries. • Attainment of threshold criteria in each of the competency areas, which determine the intern’s preparedness for independent practice. Psychology interns need a passing level of competence in each of the nine competency areas (i.e. research, ethical and legal standards, individual and cultural diversity, professional attitudes, values, and behaviors, communication and interpersonal skills, theories and methods of psychological assessment, psychotherapy and psychological intervention, providing supervision, and consultation). • Routine attendance and participation in required educational activities • Successful completion of two case presentations • Successful completion of a research presentation March 15, 2018 Page 18 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 TRAINING STAFF: Robert Mantell, RN, Ph.D., L.P. University of Minnesota, Twin Cities Campus, Department of Educational Psychology Internship at Brockton/West Roxbury VAMC in Brockton, Mass. Area of specialization: Individual psychotherapy with adults and geriatric clients Nancy Hammond, Ph.D., L.P. University of Minnesota, Twin Cities Campus, in Clinical Psychology Internship at Minneapolis VAMC Area of specialization: Psychological assessment Anesh Patel, Psy.D., L.P. University of St. Thomas Internship at University of Minnesota University Counseling and Consulting Services Areas of specialization: Multi-cultural and group psychotherapy Barbara Benner, Ph.D., L.P. University of North Dakota, in Clinical Psychology Area of specialization: Individual therapy with adults and older adolescents; Axis II issues: Cross- cultural issues Nicole Wolf, Ph.D., L.P. University of Tennessee, Knoxville, Clinical Psychology Internship at Allendale Association Post-doctoral Fellowship at Institute of Living Area of specialization: Individual and family psychotherapy; Psychodynamic psychotherapy Yvonne Nobles, Psy.D., L.P. University of St. Thomas Internship at Human Services Incorporated (HSI) in Washington County (Canvas Health) Areas of specialization: Multicultural Counseling Michael Wilke, MA, LP University of St. Thomas Internship at The City, Inc., Minneapolis Areas of specialization: Couples, Family, Cross-cultural therapy March 15, 2018 Page 19 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 ADDITIONAL TRAINING STAFF: Toni Magnuson, MD Medical Director University of Minnesota Su Sethna, MSW, LICSW Director of Clinical Services Training Coordinator University of Minnesota, Twin Cities Campus Rachel Richardson, MSW, LICSW University of St. Thomas/College of St. Catherine Inquiries regarding Hamm Clinic’s Psychology Doctoral Internship Program should be addressed to: Nicole Wolf, Ph.D., L.P. Director of Psychology Training Hamm Memorial Psychiatric Clinic 408 St. Peter Street, Suite 429 St. Paul, Minnesota, 55102-1119 E-mail: nwolf@hammclinic.org More information about the clinic, application processes, deadlines, etc., is available here. Hamm Clinic is committed to fully utilizing our human resources through a policy of equal employment opportunity. We will not knowingly discriminate on the basis of any legally protected category, including race, age, color, religion, creed, sex, marital status, national origin, handicap / disability, veteran status, sexual orientation or public assistance. March 15, 2018 Page 20 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 WHERE ARE OUR INTERNS? Year Graduate Program Program Degree Post Intern Experience Gender 2016.01 Brigham Young University Counseling Ph.D. Faculty position at University M of Arkansas 2016.02 Roosevelt University Clinical Psy.D. F 2015.01 University of Wisconsin, Counseling Ph.D. Post doc, Hennepin County F Milwaukee Medical Center, Mpls. 2015.02 University of Minnesota, Counseling Ph.D. Employment in human F Twin Cities Campus resources, Twin Cities area 2014.01 University of Minnesota, Counseling Ph.D. Post doc, VAMC, Waco, F Twin Cities Campus Texas 2014.02 Hawaii School of Clinical Psy.D. Community Clinic, Wisconsin F Professional Psychology 2013.01 University of Indianapolis Clinical Psy.D. Post doc at Meridian M School of Psychological Psychological Associates, IN Sciences 2013.02 Minnesota School of Clinical Psy.D. Post doc at the Program in F Professional Psychology Human Sexuality, University of Minnesota, Minneapolis, MN 2012.01 Rosemead School of Clinical Psy.D. Post doc at the Menninger M Psychology Clinic in Houston, Texas 2012.02 Illinois School of Clinical Psy.D. Post doc at Yankton State F Professional Psychology Hospital, in Yankton South Dakota 2011.02 Nova Southeastern Clinical Psy.D. Post doc and employment in F University CMHC, Philadelphia, PA 2011.01 John F. Kennedy University Clinical Psy.D. Post doc, Toronto, Canada M 2010.02 Pacific University Clinical Psy.D. Post doc State University F College Counseling Program, California 2010.01 University of St. Thomas Counseling Psy.D. Post doc Emily Program, St. F Paul, MN 2009.03 Chicago School of Clinical Psy.D. Private practice, Chicago, Ill M Professional Psychology 2009.02 Minnesota School of Clinical Psy.D. Post doc, Hamm Clinic F Professional Psychology March 15, 2018 Page 21 of 22
Hamm Clinic Doctoral Psychology Internship Program 2017-2018 2009.01 Chicago School of Clinical Psy.D. Private practice, Mpls, MN F Professional Psychology 2008.04 Loyola College In Maryland Clinical Psy.D. Private practice, MN F 2008.03 Minnesota School of Clinical Psy.D. Private practice, MN F Professional Psychology 2008.02 Minnesota School of Clinical Psy.D. Post doc, Private Hospital, F Professional Psychology California 2008.01 University of St. Thomas Counseling Psy.D. Post doc, Hamm Clinic F 2007.01 Chicago School of Clinical Psy.D. Post doc, CMHC, MN F Professional Psychology 2007.02 Minnesota School of Clinical Psy.D. Private practice, MN F Professional Psychology 2006.02 University of St. Thomas Counseling Psy.D. Post doc, Hamm Clinic M 2006.01 Minnesota School of Clinical Psy.D. Post doc, Autism Center, MN M Professional Psychology 2005.03 Chicago School of Clinical Psy.D. Post doc, CMHC, MN F Professional Psychology 2005.02 California School of Clinical Psy.D. CMHC, MN M Professional Psychology 2005.01 University of St. Thomas Counseling Psy.D. Private practice, MN F March 15, 2018 Page 22 of 22
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