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Most of the direct service activities required of interns mirror the typical direct service schedules of the full-time professional staff at CAPS. In addition, interns participate in weekly supervision, educational, and support meetings. The activities which constitute the internship experience at CAPS are described below. Interns typically spend 23 to 24 hours per week in direct service activities during the course of the internship year.
A. Direct Service
Initial Evaluation: The purpose of an initial evaluation is to: (a) provide a brief risk assessment, (b) gathering key presenting information and (c) disposition the client for the services that best meets the client’s needs. Key areas of information gathered are: (a) presenting problem(s), (b) identifying information, (c) brief review of psychosocial history (noting any medical history, psychiatric history, and substance use history shared on data forms), and (d) brief mental status exam assessment.
Furthermore, the interns are expected to utilize the DSM-5-TR for obtaining a diagnosis and determine a collaborative treatment plan with their client. During the year, interns have four initial evaluations slots per week.
Individual/Couples Counseling: The provision of counseling is a core activity of CAPS. Most clients seek individual counseling though there are some opportunities to work with clients who are presenting for couples/relationship counseling. Although CAPS does not have a firm session limit, we espouse a short-term service delivery model. Consequently, most clients are seen biweekly between 4-8 sessions. CAPS has consistently seen a high volume of clients each fiscal year. Interns can expect to carry a steady caseload of clients, seeing approximately 17-20 counseling appointments per week.
Crisis Care Counseling: Training in crisis/urgent counseling begins during orientation. Interns receive training on risk assessment and crisis intervention prior to seeing clients. During the year, interns will serve as on the CAPS Crisis Team as back up to the nationally respected telehealth agency, ProtoCall Services. The crisis team is responsible for serving those students who want to be seen in person or who either walk in or are walked in by a faculty, staff, student, or parent. Interns can increase their involvement in their crisis intervention skills by doing a concentration in this area. This will allow interns to also engage in postvention services and community response services when needed. Interns work closely with their primary supervisor and the CAPS care manager for these services.
Interns are always encouraged to seek consultation during a crisis appointment if/when needed. It is the expectation that interns discuss each crisis cases during supervision with their primary supervisor even when consultation has already occurred.
Group Counseling: Each intern is required to be involved in the CAPS group program. This can be through either co-leading a process group, psychoeducation, or support groups during the internship year. It is expected that the intern selects one group opportunity that matches their training needs during the internship year. Interns are trained to provide group screenings when they are required for therapy groups.
The presenting needs of CAPS’ clients determine the number and types of group offerings. Types of groups that are offered include interpersonal process groups, support groups, and psychoeducational groups.
Outreach and Consultation: Interns provide consultation with faculty, staff, and family members of students as needed. Outreach consists of topical presentations and general overview of CAPS services to various campus groups. Interns are required to conduct at least 3 topical outreach engagements during the internship year and 7 or more general outreach services. A total of 10 outreach engagements.
Assessment: During orientation, the intern receives training on initial evaluations, risk assessments, and clinical diagnosis. In addition, interns receive training on the Counseling Center Assessment of Psychological Symptoms (CCAPS) as well as other general screening instruments used during the course of therapy (e.g., BDI, BAI).
Interns are expected to initially utilize their primary when discussing assessment needs/concerns, results of screeners (e.g., CCAPS), and discussing feedback of assessments (e.g., a risk assessment, CCAPS). Primary supervisors will also guide interns on writing these results/findings into their progress notes. As the year progresses, the interns are expected to become more independent with assessments and consult as needed.
Provision of Supervision: Interns will provide individual supervision to advanced counseling psychology practicum students within the Counseling Psychology Department during the spring semester. CAPS believes having training in the provision of supervision is central to the identity as a psychologist.
Interns are expected to provide one hour of one-to-one supervision to one or more trainees on a weekly basis. Interns are given one hour of supervision preparation time to review notes, digital recordings of sessions, and/or live supervision of the supervisee. Supervision of Supervision is provided for 1.5 hours during spring semester.
Concentration Area: Interns pursue a concentration during the academic year (August through May) in one of the following areas: crisis care, eating disorders, or working with diversity. After an intern chooses their concentration area and has reviewed their goals for the year with their secondary supervisor, they begin to engage in opportunities that exist within each concentration (e.g., clinical cases, outreach, consultation). Throughout the fall, interns receive supervision from a secondary supervisor in their area of concentration. This starts weekly and then moves to bi-weekly. Starting in February, supervision would be on an as needed basis.
Primary Supervision: A licensed psychologist provides the primary supervision of an intern during the internship year. For two hours each week, the intern meets with their supervisor to focus on case conceptualization, risk assessment, dispositional decision-making, case management, diagnosis, CCAPS assessment, and treatment planning. Professional development and ethical decision-making is also a focus of primary supervision.
Secondary Supervision: Each intern is supervised by a licensed clinician in their Concentration Area. Supervision will focus on clinical services provided, outreach provided, and/or programming being developed within the concentration area. Interns receive supervision from a secondary supervisor in their area of concentration. This starts weekly and then moves to bi-weekly. Starting in February, supervision would be on an as needed basis.
Supervision of Group Work: Interns receive group supervision with their group co-leader who is a licensed CAPS clinician. Group Supervision is an opportunity for interns to discuss group dynamics and seek consultation with their co-facilitator. A half-hour of supervision is provided each week the group is held. This typically occurs either 30 minutes before or after group.
Supervision of Supervision: Interns meet as a group for 1.5 hour each week for supervision of supervision of their counseling psychology practicum students. The interns are supervised by a licensed psychologist.
Intern Case Conference: The Intern Case Conference focuses on the development of conceptualization and intervention skills. Interns present digital recordings of counseling sessions and discuss their cases in collaborative manner. Typically, interns rotate each week by taking the lead in presenting a client. In addition, interns will also prepare for a job talk presentation on one of their clinical cases. These presentations are typically provided to the CAPS staff between the following time frame — fall break and winter break. A licensed CAPS staff member serves as the supervisor for the intern case conference during the Fall and Spring Semester. Interns join the CAPS’ staff case conference in the Summer.
The exposure of supervision by various staff members is intended to complement the intern’s primary supervision experience as well as to expose interns to a variety of theoretical orientations. Intern Case Conference is also an opportunity for interns to utilize and discuss empirically supported treatments, develop skills in providing professional feedback, and consulting with peers about one’s clinical work.
Intern Administrative Meeting with CAPS TD: Interns receive one hour per week as a group with the Training Director during the fall semester. Interns openly discuss all aspects of the internship such as daily administrative questions, case management concerns, staff/intern relationships, supervision (given/received), and professional development issues. The Training Director may also bring in professionals to discussion professional topic areas or provide information on a campus unit (e.g., CARE). The Training Director serves as an advocate for intern growth and development. Typically, these meetings end at the end of fall semester unless otherwise needed as part of the intern cohort’s training goals.
Supervision of Outreach/Consultation: Interns will typically utilize their primary and secondary supervisors to discuss the outreach programming. Interns are expected to reflect on their outreach presentations and share their experience with their supervisors and the Outreach Coordinator.
Interns also discuss consultation services provided to family, faculty, staff, and various campus departments with their primary supervisors. Interns are encouraged to consult with the outreach coordinator in collaboration with their primary supervisors regarding their outreach goals. Working as a team, with the outreach coordinator and the supervisors, helps interns successfully learn skills in outreach programming during the internship year.
Supervision of Assessment: Interns will utilize their primary supervision to discuss risk assessments, CCAPS, and other screeners used with their clients. Provision of feedback to clients is also reviewed during this supervisory meeting. Interns may also utilize the Care Manager and Secondary Supervisor as assessment relates to their concentration area.
Intern Seminars/Didactics: Intern will receive didactic seminar trainings during orientation and as needed during the internship year. A majority of the didactic trainings are formally provided by the NICPP at the monthly consortium seminars.
C. Meetings/Additional Training
Diversity Retreats: Interns will meet during orientation, winter break and the summer semester to experience diversity retreats. During the diversity retreats, interns will have the opportunity to hear the diversity life stories of the facilitators. These stories are used as a model of self-disclosure. Interns are then invited to share their own stories of personal diversity. Interns will also experience a variety of experiential activities to enhance knowledge, awareness and skills in the area of individual and cultural diversity.
Staff Meeting: Interns will attend CAPS Staff meetings twice per month. During these meetings, interns will be exposed to informational meetings where departmental policies, CAPS clinical demands, and professional development issues are discussed.
Committee on Inclusive Excellence: Interns who choose a concentration area in diversity will attend the CAPS Committee on Inclusive Excellence monthly meeting. This meeting typically covers various topics related to diversity issues and inclusivity.
Diversity, Equity & Inclusion Meetings: Interns will attend CAPS DEI meetings. This two-hour meeting is typically held once a month. Trainings are organized by the Committee on Inclusive Excellence (CIE). The focus of these meetings are on a variety of topics related to diversity, inclusivity, and current national/regional/local issues.
Staff Case Conference: Interns will attend the CAPS case conference during the summer session. These meetings provide an open forum for interns and professional staff members to discuss current counseling cases and professional development issues.
D. Administrative Time
Paperwork: Interns are allotted six hours for documentation of their clinical work. The following are examples of ways paperwork can be utilized.
- Note Completion: Interns typically spend 30-40 minutes completing IEs and 10-15 minutes on Progress Notes after a few months at CAPS.
- Supervision Preparation: Interns are allotted one hour per week to prepare for the provision of supervision in the spring semester. This time is part of their paperwork time and should be noted as such within their schedule. During this hour, interns are expected to review case documentation and prep for their upcoming supervision session with their supervisor and/or for supervision of supervision. Interns are also encouraged to research relevant empirically supported treatments to assist their supervisee’s clinical cases.
- Readings and Research: Interns are given one hour per week to read articles and materials provided for the Intern Seminars. Interns are also encouraged to use their time to read literature related to their professional development as well as research empirically supported treatments related to their clinical caseload. Interns are given two hours per week during the summer months in order to adequately research literature related to their summer project.
- Case Management: Interns are given time each week for managing their clinical caseload. During this time, interns are encouraged to consult family, faculty, staff, and CAPS providers when necessary. This is noted within their paperwork hour.
Summer Administrative Project: The interns will be involved in a summer project that corresponds to a CAPS agency need. During the summer, all CAPS professional staff members are involved in summer committees. Interns are encouraged to be involved in one of the committees that is of interest to them. Interns typically spend 20+ hours during the Summer Semester in this area. The CAPs staff member chairing the committees will oversee the intern’s summer project as will their primary supervisor. Each intern will present their final project to the CAPS staff during the second or third week of July typically during a staff meeting.