Internship Site Summary
Please fill out the following summary of your agency and attach any available program information (e.g., literature or brochures) regarding the services your site provides.
SITE INFORMATION
Name of Agency: __CHARLEE of Dade County______
Agency/program Website: __http://www.charleeprogram.org/ ______
Address: __155 South Miami Ave. Suite 700 Miami, Fl 33130______
Stipend: ____Yes __x_ No Amount per semester: $______
Site Practice Domain: ____ Forensics/Corrections ____ Eating Disorders
(Check all that apply) ____ Substance Abuse ____ Developmental dis.
____ Crisis Intervention __x__ Abuse/Trauma
____ Geriatrics ____ Chronic Mental Illness
____ Other: ______
Setting: ___ Hospital ___ School ___ Correctional Institution
_x__ Residential _x__ Group Home _x__ Outpatient
___ PHP _x__ Other: ____Foster Homes______
TRAINEE INFORMATION:
Number of trainees needed per semester: __1-2______
Number of days__variable___ and hours_____ per week available for students to work.
Days/hours Flexible _x___Yes ____No, explain: ______
Evening and weekend hours available: _x__Yes ____No
Special skills required: ____willing to drive and desire to work with children and teens.__
Attendance required at particular meetings: Treatment reviews, staffings, and medication clinics.
DESCRIPTION OF CLINICAL EXPERIENCE
Description of agency/program: _Full case management/child welfare/not for profit/private organization. Services for children in foster homes as well as to children in our residential programs- Gladstone Center is a 20 bed facility for sexually abused girls. 7 group homes, 1 crisis group home for boys, 1 group homes for teen girls and their babies. Therapeutic Services in residential program and therapeutic services for children in foster homes. Full case management and mental health case management. ______
Experiences that students will engage in, check all those that apply:
__x_ Assessments _x__ Individual Therapy _x__ Couples/family therapy _x__ Group Therapy _x__ Report Writing __x_ Consultation
_x__ Other: __multi-disciplinary staffings, medication management, monthly school staffings, and administrative meetings.______
Supervision Description: __Meet weekly in group supervision as well as individual supervision.______
_2+ # of supervision hours that agency will provide supervision per week.
CLIENT DESCRIPTION INFORAMATION
Population:
___ Adult _x__ Child _x__ Adolescents ___ Couples _x__ Families ___ Geriatrics
Race/Ethnicity:
_x__ Caucasian ___ Native American _x__ African American ___ Asian
_x__ Hispanic ___ Appalachian __x_ Other: ___Haitian______
Special Needs:
___ Physically Challenged _x_ Developmentally Disabled ___ Visual/hearing impaired
Presenting Problems (please rank the top three presenting problems):
__3_ Anxiety ___ Domestic Violence ___ Phobias
___ Chemical Dependency ___ Job-related ___ Psychosis
___ Chronic Pain ___ Learning/academic _1__ PTSD
_3__ Delinquency ___ OCD _2__ Depression
___ Relationship Issues ___ Parenting ___ Stress
___ Divorce ___ Personality Disorder ___ Other: ______
Other Information about your agency/site, which would be help for prospective trainees:
__Opportunity to understand foster care population-interact with case managers & other mental health professionals regarding treatment interventions-attend training, work with foster families as well as biological families, family therapy, therapeutic visits, attend dependency court hearings, attend medication clinics. ______
Please return form via email to Lisa Lewis Arango,