Pre-doctoral Internship Pre-doctoral Internship ProgramProgram Minneapolis VA Medical Minneapolis VA Medical

CenterCenter

Wayne G. Siegel, Ph.D., Wayne G. Siegel, Ph.D., ABPPABPP

Director of Training/Psychology Director of Training/Psychology SupervisorSupervisor

Thad Strom, Ph.D.Thad Strom, Ph.D.Assistant Director of TrainingAssistant Director of Training

What to Expect Today?What to Expect Today?

Information Information Overload!Overload!

Actually, a good Actually, a good understanding of our understanding of our Internship and our dedication Internship and our dedication to excellent clinical trainingto excellent clinical training

ScheduleSchedule

8:15 - 9:45 Description of the Training Program8:15 - 9:45 Description of the Training Program 9:45 - 10:00 Break9:45 - 10:00 Break 10:00 - 10:50 Interview 110:00 - 10:50 Interview 1 11:00 - 11:50 Interview 211:00 - 11:50 Interview 2 12:00 - 1:00 Break/Lunch in the cafeteria12:00 - 1:00 Break/Lunch in the cafeteria 1:00 - 1:50 Interview 31:00 - 1:50 Interview 3 1:50 - 2:00 Break1:50 - 2:00 Break 2:00 - 2:40 Meet with current interns2:00 - 2:40 Meet with current interns 2:40 - 3:15 Tour and wrap up with TD2:40 - 3:15 Tour and wrap up with TD

 Minneapolis VAMCMinneapolis VAMC

Approximately 400,000 veterans residing in our Approximately 400,000 veterans residing in our primary service area, primary service area,

Tertiary referral center for the upper VA Tertiary referral center for the upper VA Midwest Healthcare NetworkMidwest Healthcare Network

Last fiscal year:Last fiscal year: More thanMore than 430,000 outpatient visits430,000 outpatient visits 8,200 inpatient stays8,200 inpatient stays 1,000 extended care stays at this facility 1,000 extended care stays at this facility

DemographicDemographicss

Predominately Caucasian, male populationPredominately Caucasian, male population Ethnic minorities - 7% of those treatedEthnic minorities - 7% of those treated 65+ is the largest single clientele category65+ is the largest single clientele category Women Veterans Comprehensive Health CenterWomen Veterans Comprehensive Health Center

1 of 8 VAs1 of 8 VAs Over 2,500 women are seen in this medical Over 2,500 women are seen in this medical

center annuallycenter annually VA lead polytrauma centerVA lead polytrauma center

Competitively Funded Research Competitively Funded Research ProgramsPrograms

Psychologists - more than $11,000,000 in merit-Psychologists - more than $11,000,000 in merit-reviewed, multi-year research grantsreviewed, multi-year research grants

One of the largest education and training One of the largest education and training programs in the VA system programs in the VA system

Affiliations with 50 colleges, universities, and Affiliations with 50 colleges, universities, and technical schools in allied health professionstechnical schools in allied health professions

The Presence of PsychologyThe Presence of Psychology

58 doctoral psychologists many of which hold 58 doctoral psychologists many of which hold clinical faculty positions at the University of MNclinical faculty positions at the University of MN

Psychologist are assigned to one or more of the Psychologist are assigned to one or more of the specialized treatment units an have a strong specialized treatment units an have a strong presence in almost every area of the medical presence in almost every area of the medical centercenter

Many psychologists are in key leadership roles in Many psychologists are in key leadership roles in the medical center and nationally. the medical center and nationally.

Staff hold a diversity of interests, expertise, Staff hold a diversity of interests, expertise, theories, and techniques theories, and techniques

Training Model & Philosophy   Training Model & Philosophy   

Accredited by the Commission on Accreditation of Accredited by the Commission on Accreditation of the APA the APA

Member of APPIC and abides by its guidelinesMember of APPIC and abides by its guidelines Scientist Practitioner Model Scientist Practitioner Model

Scientific data and scholarly work are Scientific data and scholarly work are incorporated into all training experiences incorporated into all training experiences

Significant opportunity to be involved in Significant opportunity to be involved in research through the internship yearresearch through the internship year

Training is DevelopmentalTraining is Developmental

Close supervision, mentorship, and intensive Close supervision, mentorship, and intensive instruction to relatively autonomous functioning instruction to relatively autonomous functioning over the course of the yearover the course of the year

Interns take an active role in developing their Interns take an active role in developing their training plan training plan

Graduating interns develop the competencies and Graduating interns develop the competencies and a sense of professional identity needed for entry-a sense of professional identity needed for entry-level positions or post docs level positions or post docs

Goal 1:Goal 1: Psychological Evaluation and Psychological Evaluation and Assessment  Assessment 

Diagnostic interviewing Diagnostic interviewing Administration and scoring of psychometrically-Administration and scoring of psychometrically-

validated instruments assessing personality (e.g., validated instruments assessing personality (e.g., MMPI-2) and cognitive functioning (e.g., WAIS-III)MMPI-2) and cognitive functioning (e.g., WAIS-III)

Goal 2:Goal 2: Psychological Interventions  Psychological Interventions 

Exposed to a range of therapeutic orientations, Exposed to a range of therapeutic orientations, techniques, and approaches including empirically techniques, and approaches including empirically supported interventionssupported interventions

Goal 3:Goal 3: Providing Consultation & Providing Consultation & Supervision Supervision 

Provide colleagues and trainees with feedback Provide colleagues and trainees with feedback and guidanceand guidance

Translate psychological principles and findings to Translate psychological principles and findings to professionals from different disciplinesprofessionals from different disciplines

Goal 4:Goal 4: Professional EthicsProfessional Ethics

Interns will have a mature understanding of Interns will have a mature understanding of professional ethics as well as issues of ethnic, professional ethics as well as issues of ethnic, cultural, gender, and sexual diversitycultural, gender, and sexual diversity

Goal 5:Goal 5: Maturing professional Maturing professional

identitiesidentities Have a sense of themselves as “Psychologists ”  Have a sense of themselves as “Psychologists ”   Awareness of their continuing developmental Awareness of their continuing developmental

professional goals and areas needing further professional goals and areas needing further developmentdevelopment

Goal 6: Goal 6: Interface Between Science and Interface Between Science and

PracticePractice Being educated consumers of empirical researchBeing educated consumers of empirical research Competence in one or more empirically-Competence in one or more empirically-

supported methods  supported methods   Critical thinkingCritical thinking Evaluate the findings of researchEvaluate the findings of research Opportunities to be involved in researchOpportunities to be involved in research

Mental Health Services in the VAMCMental Health Services in the VAMC

Training Tracks Training Tracks

2 tracks with 2 separate Match numbers2 tracks with 2 separate Match numbers Think of them as separate internshipsThink of them as separate internships

6 General Clinical/Counseling positions 6 General Clinical/Counseling positions 2 Neuropsychology positions2 Neuropsychology positions

Emphasis on neuropsych training meeting APA Division Emphasis on neuropsych training meeting APA Division 40 and Houston Guidelines (at least 50%)40 and Houston Guidelines (at least 50%)

Training is still broad and general in clinical psychologyTraining is still broad and general in clinical psychology

The Neuropsychology TrackThe Neuropsychology Track

Neuropsychology and neuropsychological Neuropsychology and neuropsychological assessment assessment

Meets the Houston Conference and APA Division 40 Meets the Houston Conference and APA Division 40 specialty training guidelines specialty training guidelines

Approximately 50% of his or her time to Approximately 50% of his or her time to neuropsychology neuropsychology

2 rotations 17 week-long rotation in neuropsychology 2 rotations 17 week-long rotation in neuropsychology and rehabilitation psychology as well as providing and rehabilitation psychology as well as providing assessment and intervention services in our GRECC.assessment and intervention services in our GRECC.

3rd rotation areas outside of neuropsychology, 3rd rotation areas outside of neuropsychology, usually dealing with severe mental illness usually dealing with severe mental illness

Weekly neuropsychology case conference, neurology Weekly neuropsychology case conference, neurology rounds, and PM&R team roundsrounds, and PM&R team rounds

Supervisors: Drs. Nelson, Clason, Lundgren, Cohen, Supervisors: Drs. Nelson, Clason, Lundgren, Cohen, Sim, and Bares. Sim, and Bares.

Add/Delete TracksAdd/Delete Tracks

You can still change the tracks you are applying You can still change the tracks you are applying toto

Just notify the Training Directors before you leave Just notify the Training Directors before you leave

todaytoday

Rotations Rotations 

Assigned by interest and training needsAssigned by interest and training needs Orientation week Orientation week

Learn about different rotationsLearn about different rotations Work with TD to choose and sequence Work with TD to choose and sequence

rotations so that intern training goals and rotations so that intern training goals and program competency standards are met  program competency standards are met  

Track activities are guaranteed, rotations are notTrack activities are guaranteed, rotations are not Schedules can be adjusted as needed later in the Schedules can be adjusted as needed later in the

year year   

Addictive DisordersAddictive Disorders

Supervisors: Drs. Silversmith, Siegel, and DeloyskiSupervisors: Drs. Silversmith, Siegel, and Deloyski Flexible and individual treatment by matching Flexible and individual treatment by matching

patient needs with interventions   patient needs with interventions    Assessment and intervention services to patients Assessment and intervention services to patients

with primary SUDs and those dually diagnosed with primary SUDs and those dually diagnosed Individual and group therapies (process-oriented Individual and group therapies (process-oriented

and structured skill-building), behavior and case and structured skill-building), behavior and case management, and patient education   management, and patient education   

Diagnostic interviewing, objective and projective Diagnostic interviewing, objective and projective testing, and neuropsychological screening   testing, and neuropsychological screening   

Provide consultation in the context of a multi-Provide consultation in the context of a multi-disciplinary teamdisciplinary team

Admissions/Crisis/Consultation Team Admissions/Crisis/Consultation Team (ACC)(ACC)

Supervisor:  Drs. Arbisi and KodlSupervisor:  Drs. Arbisi and Kodl Main intake and evaluation center Main intake and evaluation center Work closely with the Medical Center ER Work closely with the Medical Center ER Diagnostic interviewing, psychological and Diagnostic interviewing, psychological and

neuropsychological screenings and assessments, neuropsychological screenings and assessments, brief therapy, crisis managementbrief therapy, crisis management

The Mood Disorders and General The Mood Disorders and General Psychiatry TeamPsychiatry Team

Supervisors: Drs. Perry, Walden and Koets    Supervisors: Drs. Perry, Walden and Koets     Specializes in mood disorders and general psych Specializes in mood disorders and general psych

patients  patients   Diverse theoretical perspectives   Diverse theoretical perspectives    Emphasizes diagnostic interviewing, psychological Emphasizes diagnostic interviewing, psychological

assessment, and psychological intervention   assessment, and psychological intervention    Intake evaluations, outpatient personality Intake evaluations, outpatient personality

assessment, and neuropsychological screening assessment, and neuropsychological screening evaluations, individual and group psychotherapy   evaluations, individual and group psychotherapy   

Neuropsychology (rotation)Neuropsychology (rotation)

Supervisor: Drs. Nelson, Clason, Lundgren, Supervisor: Drs. Nelson, Clason, Lundgren, Cohen, Sim, and Bares. Cohen, Sim, and Bares.

Ok for specialization as well as those wanting just Ok for specialization as well as those wanting just experience experience

Eclectic test battery Eclectic test battery Competence in consultation skills - TBI Team, Competence in consultation skills - TBI Team,

Neuropsychology Case Conferences, and MS Neuropsychology Case Conferences, and MS Team   Team   

Variety of patients – dementia, strokes, TBI, Variety of patients – dementia, strokes, TBI, tumors, seizures, and MS, etc. tumors, seizures, and MS, etc.

Psychiatric Partial Hospitalization Psychiatric Partial Hospitalization (PPH) (PPH) 

Supervisor: Dr. Barrs, Peterson, Isenhart, Schumacher, Supervisor: Dr. Barrs, Peterson, Isenhart, Schumacher, and Brodenand Broden

Not a tx team - cost-effective and clinically viable Not a tx team - cost-effective and clinically viable alternative to full hospitalization   alternative to full hospitalization   

Intensive treatment while avoiding some of the Intensive treatment while avoiding some of the malignant regressive temptations often associated with malignant regressive temptations often associated with inpatient care   inpatient care   

Organized within a therapeutic community or milieu Organized within a therapeutic community or milieu setting, the broad range of treatments include: setting, the broad range of treatments include:

Case management, educational therapy, group Case management, educational therapy, group therapy, occupational therapy, recreational therapy, therapy, occupational therapy, recreational therapy, and medication management and medication management

Competence in diagnostic testing, including the MMPI-Competence in diagnostic testing, including the MMPI-2, Rorschach and other projective techniques, process-2, Rorschach and other projective techniques, process-oriented group therapy and consultation    oriented group therapy and consultation    

Post-Traumatic Stress Post-Traumatic Stress Recovery (PTSR) ProgramRecovery (PTSR) Program

Supervisors: Drs. Erbes, Polusny, Kattar, Strom, Supervisors: Drs. Erbes, Polusny, Kattar, Strom, Kodl, Bemis, and Wagner-MickleKodl, Bemis, and Wagner-Mickle

Training in the assessment and treatment of Training in the assessment and treatment of patients with acute and chronic trauma-related patients with acute and chronic trauma-related disorders   disorders   

Assessment – diagnostic interviewing, objective, Assessment – diagnostic interviewing, objective, projective, and neuropsychological instruments projective, and neuropsychological instruments

Individual, family, and group psychotherapyIndividual, family, and group psychotherapy EST – CPT, PE, MI and Seeking SafetyEST – CPT, PE, MI and Seeking Safety Consultation to the multidisciplinary teamConsultation to the multidisciplinary team Psychoeducational activities Psychoeducational activities Ongoing researchOngoing research Female veterans, OIF/OEF service membersFemale veterans, OIF/OEF service members Variety of traumas.Variety of traumas.

GeropsychologyGeropsychology Supervisors: Drs. Bares and RodmanSupervisors: Drs. Bares and Rodman Settings: the Extended Care Center (a transitional nursing Settings: the Extended Care Center (a transitional nursing

home care unit), the Geropsychiatry Outpatient Clinic, and the home care unit), the Geropsychiatry Outpatient Clinic, and the GRECC Memory Loss Clinic. GRECC Memory Loss Clinic.

Skills emphasized on this rotation are: Skills emphasized on this rotation are: a) developing an understanding of normal functioning in a) developing an understanding of normal functioning in

aging, age-related changes in cognitive and physical aging, age-related changes in cognitive and physical functioning and common developmental issues/tasks functioning and common developmental issues/tasks associated with aging; associated with aging;

Personality, intellectual, neuropsychological, and Personality, intellectual, neuropsychological, and behavioral assessment techniques with older adultsbehavioral assessment techniques with older adults

Interventions with adults: (e.g., time-limited dynamic and Interventions with adults: (e.g., time-limited dynamic and cognitive-behavioral therapy) as well as approaches cognitive-behavioral therapy) as well as approaches tailored more specifically to the needs of older adults (e.g., tailored more specifically to the needs of older adults (e.g., life review, reminiscence therapy, chronic pain life review, reminiscence therapy, chronic pain management, treatment of sleep disorders); d) time-management, treatment of sleep disorders); d) time-limited, psychoeducationally-oriented group therapy (e.g., limited, psychoeducationally-oriented group therapy (e.g., CBT for affective disorders, grief, caregiving); CBT for affective disorders, grief, caregiving);

Functioning as members of inter-disciplinary teams and Functioning as members of inter-disciplinary teams and consultants to a variety of services within the hospital.consultants to a variety of services within the hospital.

Women’s ClinicWomen’s Clinic Supervisor: Dr. Van Egeren - cognitive-behavioralSupervisor: Dr. Van Egeren - cognitive-behavioral Multidisciplinary team approach - primary care Multidisciplinary team approach - primary care Knowledge/ sensitivity to gender-specific issuesKnowledge/ sensitivity to gender-specific issues Male or female internMale or female intern

Health Psychology FocusHealth Psychology Focus (Health Psych Rotation) (Health Psych Rotation) Assessment and intervention skills relevant to health Assessment and intervention skills relevant to health

issues (e.g., chronic pain, sleep disorders, premenstrual issues (e.g., chronic pain, sleep disorders, premenstrual dysphoria, weight loss, infertility). dysphoria, weight loss, infertility).

Mental Health FocusMental Health Focus Psychological evaluation and psychotherapy for Psychological evaluation and psychotherapy for

common psychiatric disorders, such as major common psychiatric disorders, such as major depression, and for psychological issues that occur depression, and for psychological issues that occur more frequently in women than men, such as sexual more frequently in women than men, such as sexual trauma and domestic violence   trauma and domestic violence   

Consultative skills are emphasizedConsultative skills are emphasized

Primary Care Psychology/ Health Primary Care Psychology/ Health PsychologyPsychology

Supervisors: Drs. Billig, Meyers, Olson, and SkrochSupervisors: Drs. Billig, Meyers, Olson, and Skroch Integration of mental health with primary careIntegration of mental health with primary care

Co-located working collaboratively with PC staff Co-located working collaboratively with PC staff Rapid access and tx for acute psychiatric disordersRapid access and tx for acute psychiatric disorders Innovative models of co-managing care for patients Innovative models of co-managing care for patients

with chronic medical and mental health conditions. with chronic medical and mental health conditions.   

Interns will have the opportunity to learn innovative Interns will have the opportunity to learn innovative models and skills for managing mental health models and skills for managing mental health conditions within an integrated primary care clinic conditions within an integrated primary care clinic setting. setting.

Training in the assessment, treatment and Training in the assessment, treatment and consultation of medical patients.  consultation of medical patients.  

Orientation - Integrative, emphasizing contemporary Orientation - Integrative, emphasizing contemporary behavioral approaches.  behavioral approaches.  

Rehabilitation Psychology  Rehabilitation Psychology  

Supervisors: Drs. Engdahl, Clason, Helbock, Supervisors: Drs. Engdahl, Clason, Helbock, Lundgren, Grace, BaresLundgren, Grace, Bares

Training in rehabilitation assessment Training in rehabilitation assessment and interventions to help patients reach their and interventions to help patients reach their maximum potential   maximum potential   

Depending on training goalsDepending on training goals, , Conduct psychological, neuropsychological, Conduct psychological, neuropsychological,

chronic pain, and/or vocational assessments  chronic pain, and/or vocational assessments   Provide adjustment counseling, family Provide adjustment counseling, family

counseling, and behavioral interventions in a counseling, and behavioral interventions in a rehabilitation setting  rehabilitation setting  

Serve as member of multidisciplinary teamsServe as member of multidisciplinary teams Inpatient - interventions tend to be briefInpatient - interventions tend to be brief

  Rehab Psych – TBI ProgramRehab Psych – TBI Program

Training in rehabilitation and NeuropsychologyTraining in rehabilitation and Neuropsychology Recognized as a center of excellence Recognized as a center of excellence 1 of 4 such programs in the country 1 of 4 such programs in the country Provides a full range of intensive inpatient Provides a full range of intensive inpatient

treatment to brain injured veterans and active treatment to brain injured veterans and active duty patients, many in their late teens and early duty patients, many in their late teens and early 20's   20's   

Psychotherapeutic and behavioral interventionsPsychotherapeutic and behavioral interventions Neuropsychological evaluationsNeuropsychological evaluations Bed roundsBed rounds Neurological and psychiatric examinationsNeurological and psychiatric examinations

SPMI (Serious and Persistent Mental SPMI (Serious and Persistent Mental Illness) TeamIllness) Team

Supervisors: Dr. Hegeman, Hoffman-Konn, Barrs, Supervisors: Dr. Hegeman, Hoffman-Konn, Barrs, and Nienow and Nienow

Assessment and treatment of patients with Assessment and treatment of patients with psychotic disorders including bipolar disorderspsychotic disorders including bipolar disorders

Patients vary in their level of functioning and Patients vary in their level of functioning and persistence of psychopathologypersistence of psychopathology

Competence in the conceptualization and Competence in the conceptualization and assessment of psychosis and other psychiatric assessment of psychosis and other psychiatric symptoms as well as in the assessment of symptoms as well as in the assessment of cognitive and social functioning in outpatients cognitive and social functioning in outpatients and inpatientsand inpatients

Individual therapy, group therapy, and couples or Individual therapy, group therapy, and couples or family interventionsfamily interventions

New Programs – CBSST, Family Program, recovery New Programs – CBSST, Family Program, recovery OrientedOriented

Adjunctive Training ExperiencesAdjunctive Training Experiences Interns select 3-4 Adjunctive Training Experiences:Interns select 3-4 Adjunctive Training Experiences:

Family Therapy Training Clinic (FTTC)Family Therapy Training Clinic (FTTC) Dialect Behavior Therapy (DBT) Dialect Behavior Therapy (DBT) Anxiety Intervention Clinic (AIC)Anxiety Intervention Clinic (AIC) Time-Limited Dynamic Psychotherapy (TLDP)Time-Limited Dynamic Psychotherapy (TLDP) Motivational Interviewing (MI)Motivational Interviewing (MI) CBSSTCBSST Cognitive Processing Therapy (CPT)Cognitive Processing Therapy (CPT) Prolonged Exposure (PE)Prolonged Exposure (PE) Psychodynamic PsychotherapyPsychodynamic Psychotherapy Contemporary Behavior TherapyContemporary Behavior Therapy Assessment ClinicAssessment Clinic AdministrationAdministration ResearchResearch

Family Therapy Training ClinicFamily Therapy Training Clinic

Supervisor:  Drs. Leskela and ErbesSupervisor:  Drs. Leskela and Erbes Training in the assessment and treatment of Training in the assessment and treatment of

couples and family-related concerns couples and family-related concerns Staff, postdoctoral fellows, and interns participate Staff, postdoctoral fellows, and interns participate Didactic presentations Didactic presentations Clinical experience using structural, strategic, Clinical experience using structural, strategic,

solution-focused, and narrative techniques solution-focused, and narrative techniques Group supervision   Group supervision   

Anxiety Intervention ClinicAnxiety Intervention Clinic

Supervisor: Dr. OlsonSupervisor: Dr. Olson Utilizes empirically-supported approaches to treat Utilizes empirically-supported approaches to treat

Anxiety disordersAnxiety disorders Critical thinking and professional development Critical thinking and professional development

are emphasized   are emphasized    Interdisciplinary training setting Interdisciplinary training setting Peer consultation/supervision model Peer consultation/supervision model

Cognitive Processing Therapy ClinicCognitive Processing Therapy Clinic

Supervisor: Drs. Kattar and BemisSupervisor: Drs. Kattar and Bemis Utilizes empirically-supported time-limited Utilizes empirically-supported time-limited

approach to treat trauma-related disorders such approach to treat trauma-related disorders such as PTSDas PTSD

Readings and discussions of didactic material, Readings and discussions of didactic material, review of video and audio tapes of interactions review of video and audio tapes of interactions with patients, and role-playing with patients, and role-playing             

Interdisciplinary training setting Interdisciplinary training setting Peer consultation/supervision model Peer consultation/supervision model Opportunity to serve as individual therapist and Opportunity to serve as individual therapist and

co-leader for groupco-leader for group Ongoing clinical outcome assessmentOngoing clinical outcome assessment

Time-Limited Dynamic Psychotherapy Time-Limited Dynamic Psychotherapy (TLDP) (TLDP)   

Supervisor:  Dr. Wagner-MickleSupervisor:  Dr. Wagner-Mickle Empirically-based treatment model:Empirically-based treatment model:

Strupp and Binder (Strupp and Binder (Psychotherapy in a New Psychotherapy in a New Key: A Guide to Time Limited Dynamic Key: A Guide to Time Limited Dynamic PsychotherapyPsychotherapy

Training in a group/peer supervision/consultation Training in a group/peer supervision/consultation

formatformat

Motivational Interviewing (MI)Motivational Interviewing (MI)

Supervision: Dr. Isenhart Supervision: Dr. Isenhart Empirically supported directive, client-centered Empirically supported directive, client-centered

therapeutic style for eliciting behavioral change therapeutic style for eliciting behavioral change Help clients explore and resolve ambivalence Help clients explore and resolve ambivalence

about making changes about making changes Applicable to SUDs and other psychological Applicable to SUDs and other psychological

disorders  disorders   Will learn basic MI goals and principles  Will learn basic MI goals and principles   Readings and discussions of didactic material, Readings and discussions of didactic material,

review of video and audio tapes of interactions review of video and audio tapes of interactions with patients, and role-playing with patients, and role-playing             

Acceptance & Commitment Acceptance & Commitment Therapy:Therapy: ACTACT

A functional contextual therapy that views A functional contextual therapy that views psychological problems dominantly as problems of psychological problems dominantly as problems of psychological inflexibility.  psychological inflexibility. 

Uses acceptance and mindfulness processes, and Uses acceptance and mindfulness processes, and commitment and behavior change processes, to commitment and behavior change processes, to produce greater psychological flexibility. produce greater psychological flexibility. 

Six months for the later part of the yearSix months for the later part of the year

Dialectical Behavioral Therapy (DBT)Dialectical Behavioral Therapy (DBT)

Supervisors:  Dr. Meyers, and Deadra Dahl, CNSSupervisors:  Dr. Meyers, and Deadra Dahl, CNS Empirically-supported, manualized treatment Empirically-supported, manualized treatment

approach developed by Linehan, 1993)approach developed by Linehan, 1993) Used to treat male and female patients who share Used to treat male and female patients who share

key features with those diagnosed with Borderline key features with those diagnosed with Borderline Personality Disorder, particularly emotion Personality Disorder, particularly emotion dysregulationdysregulation

Didactic, group supervision, consultation groupDidactic, group supervision, consultation group Individual and/or group interventionsIndividual and/or group interventions

Psychoanalytic TherapyPsychoanalytic Therapy

Supervisors: Dr. PetersonSupervisors: Dr. Peterson Built on the contributions of Sigmund Freud and Built on the contributions of Sigmund Freud and

will focus on the technique of psychoanalytic will focus on the technique of psychoanalytic psychotherapy psychotherapy

Opportunity to observe a course of Opportunity to observe a course of psychoanalytic psychotherapy conducted by Dr. psychoanalytic psychotherapy conducted by Dr. PetersonPeterson

Assessment Training ClinicAssessment Training Clinic

Supervisors: Drs. Arbisi and Peterson Supervisors: Drs. Arbisi and Peterson  Ensures that all interns get good training in Ensures that all interns get good training in

psychodiagnosispsychodiagnosis Diagnostic interviewingDiagnostic interviewing Intellectual assessmentIntellectual assessment Objective instrumentsObjective instruments Projective instrumentsProjective instruments

Meets weekly for entire yearMeets weekly for entire year Cases are assigned on a rotating basisCases are assigned on a rotating basis Interns provide consultation and peer supervisionInterns provide consultation and peer supervision Interns can expect to become familiar with the Interns can expect to become familiar with the

relevant assessment related literaturerelevant assessment related literature

Research/Scholarly ExperiencesResearch/Scholarly Experiences

Research: Consistent with our Scientist Research: Consistent with our Scientist Practitioner Model, interns may participate in a Practitioner Model, interns may participate in a research or other scholarly project for six or 12 research or other scholarly project for six or 12 months of the training year months of the training year

Averaging four hours of release time per Averaging four hours of release time per week. week.

Working on one’s dissertation, working on Working on one’s dissertation, working on papers in progress for publication, or papers in progress for publication, or collaborating with staff who have ongoing collaborating with staff who have ongoing research.research.

Administrative ExperiencesAdministrative Experiences

Interns may elect to obtain administrative experience with Interns may elect to obtain administrative experience with psychologists who are actively involved in clinical psychologists who are actively involved in clinical administration. administration.

This experience will involve some didactic, readings, This experience will involve some didactic, readings, shadowing staff and completion of a project or two.shadowing staff and completion of a project or two.

SeminarsSeminars

Seminars: weekly Psychology Training Seminar Seminars: weekly Psychology Training Seminar Didactic focus (interns help choose)Didactic focus (interns help choose)

Assessment and therapy case presentationsAssessment and therapy case presentations Include an integration of relevant literatureInclude an integration of relevant literature

Adjunctive experiences often have didactic Adjunctive experiences often have didactic componentscomponents

We are trying to foster development of We are trying to foster development of competency, critical thinking abilities, knowledge, competency, critical thinking abilities, knowledge, and professional identityand professional identity

One of the presentations occurs in One of the presentations occurs in Mental Health Mental Health Grand RoundsGrand Rounds (formal and multidisciplinary in  (formal and multidisciplinary in nature) nature) 

Optional DidacticsOptional Didactics

Neuropsychology Case ConferenceNeuropsychology Case Conference Year-long conference involves didactics and Year-long conference involves didactics and

case presentations case presentations Opportunity to improve their competence in Opportunity to improve their competence in

interpretation of neuropsychological tests, interpretation of neuropsychological tests, consultation and peer supervisionconsultation and peer supervision

Other educational seminars and case conferences Other educational seminars and case conferences throughout the hospital and communitythroughout the hospital and community

Main Rotations 22.5 hours per week

Standard interns

Rotation 1 Rotation 2 Rotation 3

Neuropsych Rotation 1Neuropsych Rehab or PolyT

GRECC Memory Clinic/ Caregivers Group

NeuropsychRehab or PolyT Neuropsych

Rotation 3GRECC Memory Clinic/ Caregivers Group

Adjunctive Experiences

DBT, Family Therapy, TLDP, MI, CPT, Admin., ACT, Extended Psychodynamic Therapy Clinic, Research, AIC (17.5 hrs per week)

Adjunctive Exp.

-------------------------------4 hours per week ---------------------

Adjunctive Exp.

-------------------------------4 hours per week ---------------------

Adjunctive Exp.

-------------------------------4 hours per week ---------------------

Assmt. Clinic ------------------------------1.5 Hrs. per week----------------------

Reading/misc.

--------------------------------2 Hrs per week----------------------

Seminars --------------------------------2 Hrs per week----------------------

This chart is intended to serve as a planning guide and should not be rigidly interpreted. Time estimates are based on a 40 hour work week. Interns should expect to work 40 to 50 hours per week in order to complete training activities. Some weeks may exce

Rotations

Adjunctive experiences

Assessment Clinic

Seminars/Didactics

Readings

Time CommitmentTime Commitment

A one-year, full-time training commitment - A one-year, full-time training commitment - averaging 45 to 50 hours a week on site averaging 45 to 50 hours a week on site Expected that some work will occur off site as Expected that some work will occur off site as

wellwell

Balance of work and learningBalance of work and learning

SupervisionSupervision

2 to 4 hours of individual supervision per week2 to 4 hours of individual supervision per week 2 to 4 hours of group supervision per week 2 to 4 hours of group supervision per week Style and modes of supervision vary   Style and modes of supervision vary   

Videotapes, audiotapes, observation, role-Videotapes, audiotapes, observation, role-plays, process notes, and co-therapy are plays, process notes, and co-therapy are among the tools used to aid in supervision   among the tools used to aid in supervision   

Expect to be assigned readings and literature Expect to be assigned readings and literature searches as part of supervision searches as part of supervision

Typically very consultative in natureTypically very consultative in nature

MentorsMentors

Each intern will choose a mentorEach intern will choose a mentor A non-evaluative but not absolutely confidential A non-evaluative but not absolutely confidential

relationship relationship

RoleRole:: Help the intern negotiate the internship Help the intern negotiate the internship

programprogram Integrate feedback from various supervisorsIntegrate feedback from various supervisors Plan for post-internship goalsPlan for post-internship goals

The Application ProcessThe Application Process  

We seek applicants who haveWe seek applicants who have::

1.1. A sound clinical and scientific knowledge baseA sound clinical and scientific knowledge base

2.2. Strong basic skills in standard assessment, Strong basic skills in standard assessment, intervention, and research techniquesintervention, and research techniques

3.3. Personal characteristics necessary to function Personal characteristics necessary to function well in our internship settingwell in our internship setting Open to supervision, thirst for learning, strong Open to supervision, thirst for learning, strong

initiativeinitiative    

Selection criteria are based on a "goodness–of–Selection criteria are based on a "goodness–of–fit" with our scientist-practitioner modelfit" with our scientist-practitioner model

Training TermTraining Term

Full-time for one year beginning on about the 3Full-time for one year beginning on about the 3rdrd week of Augustweek of August One year at full-time equals 2080 hoursOne year at full-time equals 2080 hours

LeaveLeave::   10 federal holidays 10 federal holidays Sick leave and annual leave (4 hours of each per Sick leave and annual leave (4 hours of each per

two-week pay period (a total of 13 days of each)two-week pay period (a total of 13 days of each) 5 days of authorized leave for conferences, or to 5 days of authorized leave for conferences, or to

complete activities required by your university complete activities required by your university 

Stipend and BenefitsStipend and Benefits

$23.873 per year$23.873 per year Interns are not covered by Civil Service Interns are not covered by Civil Service

retirement retirement The United States Government covers interns for The United States Government covers interns for

malpractice under the malpractice under the Federal Tort Claims ActFederal Tort Claims Act    

Match Policies Match Policies 

We participate in the APPIC Matching ProgramWe participate in the APPIC Matching Program

2 match numbers2 match numbers General Clinical and Counseling: 3832 General Clinical and Counseling: 3832  Neuropsychology: 3835Neuropsychology: 3835

    

Our Strength is Our WeaknessOur Strength is Our Weakness

Opportunity and Choice!Opportunity and Choice! Many training options Many training options Can be overwhelming!Can be overwhelming!

Cannot pick them allCannot pick them all Need to try and prioritizeNeed to try and prioritize Many ways to get training goals metMany ways to get training goals met

Several rotations/options can meet goalsSeveral rotations/options can meet goals

Other StrengthsOther Strengths

Highly skilled supervisory staff dedicated to trainingHighly skilled supervisory staff dedicated to training

No pressure to produce billable hoursNo pressure to produce billable hours Focus in on TRAININGFocus in on TRAINING Want about 15 clinical contact hours per week by mid year Want about 15 clinical contact hours per week by mid year Balance learning with productivityBalance learning with productivity Goal: prepare you for postdoc or jobGoal: prepare you for postdoc or job

Assessment and testing is the clinician’s decisionAssessment and testing is the clinician’s decision Very few sites that don’t limit testing especially personality Very few sites that don’t limit testing especially personality

assessmentassessment

Affiliated Medical Center – academically productiveAffiliated Medical Center – academically productive

Access to female patientsAccess to female patients

Other Strengths - continuedOther Strengths - continued

Highly desirable metropolitan areaHighly desirable metropolitan area Affordable, educated, cultureAffordable, educated, culture

Experience with a computerized record systemExperience with a computerized record system

What most people think of MN!What most people think of MN!

St. Paul SkylineSt. Paul Skyline

Lake Harriet WinterLake Harriet Winter

Minn. Creek WinterMinn. Creek Winter

Cross Country SkiingCross Country Skiing

Lake Harriet Band ShellLake Harriet Band Shell

Lake HarrietLake Harriet

Lake CalhounLake Calhoun

Lake HarrietLake Harriet

Lake HarrietLake Harriet

Ducks at sunsetDucks at sunset

Elf TreeElf Tree

East Harriet ParkEast Harriet Park

Mall of AmericaMall of America

Mall of AmericaMall of America

Lake MilacsLake Milacs

Twin Cities MarathonTwin Cities Marathon

Milk Carton RaceMilk Carton Race

Art FairArt Fair

State FairState Fair

Renaissance FestivalRenaissance Festival

The Weisman MuseumThe Weisman Museum

Orchestra HallOrchestra Hall

ScienceScience

MuseumMuseum

Walker Sculpture GardenWalker Sculpture Garden

ScheduleSchedule

8:15 - 9:45 Description of the Training Program8:15 - 9:45 Description of the Training Program 9:45 - 10:00 Break9:45 - 10:00 Break 10:00 - 10:50 Interview 110:00 - 10:50 Interview 1 11:00 - 11:50 Interview 211:00 - 11:50 Interview 2 12:00 - 1:00 Break/Lunch in the cafeteria12:00 - 1:00 Break/Lunch in the cafeteria 1:00 - 1:50 Interview 31:00 - 1:50 Interview 3 1:50 - 2:00 Break1:50 - 2:00 Break 2:00 - 2:40 Meet with current interns2:00 - 2:40 Meet with current interns 2:40 - 3:15 Tour and wrap up with TD2:40 - 3:15 Tour and wrap up with TD

Interviewers will meet you in this roomInterviewers will meet you in this room 22ndnd interview will include a clinical vignette interview will include a clinical vignette Please take valuables with youPlease take valuables with you