General Population Rotation
Supervisor: Dr. del Rio
Unit Assigned:Camp, Unit 1 N & Unit 3; Medical Units; or Unit 2
Rotation Requirements:
$2 days per week for the internship year plus 1 day per week for six months
$Interns will participate in a general population rotation pretest
$Interns will complete the Psychology Services Cross Developmental training course with a minimum of 85% as a rotation post test
$Unit specific activities as listed after objectives
Objective - Assessment
Competency 1: Interns will be able to demonstrate competence utilizing a variety of approaches to diagnosis and assess a diverse client population. Specific areas of assessment to be covered include clinical interviewing, clinical/behavioral observation, and psychological testing, including objective personality tests, projective personality tests, intelligence tests, and neuropsychological measures.
Interns will demonstrate competencies by accurately administering a minium of 8 psychological batteries, including measurements from each of the above areas. Interns will also complete 5 short assessments (forensic, cognitive, personality, etc.). A diversity among clients (age, race, presenting problem, educational status, medical concerns, mental health history, criminal history) is highly encouraged. The resulting products will demonstrate the ability to build rapport, conduct an interview, assess behavior, accurately administer and interpret assessment tools, recognize individual and cultural factors, and correctly use the diagnostic system. Assessments from other rotations can help meet this requirement.
Competency 2: Interns will be able to interpret data generated through assessment, develop appropriate formulations of this information, and prepare comprehensive written reports documenting assessment results.
Interns will demonstrate competency by accurately interpreting testing data and preparing written reports for assessment cases. Resulting products will demonstrate the ability to communicate relevant clinical information clearly and concisely with appropriate treatment recommendations and will be submitted in a timely manner.
Objective - Intervention
Competency 1: Interns will demonstrate competence with the planning and implementation of a variety of intervention strategies including crisis intervention, brief counseling, ongoing individual psychotherapy, group psychotherapy and psychoeducational groups.
Interns will demonstrate competency by participating in crisis intervention and brief counseling as assigned, and cases will be reviewed for accuracy of diagnosis and interventions provided. Each intern is expected to maintain an individual therapy case load of 2 or more clients for a minimum of 10 sessions each. Treatment plans and case notes will be reviewed and these products will demonstrate the ability for case conceptualization, accuracy of diagnosis, treatment planning, interventions, management of the treatment relationship, and progress.
Each intern will conduct a minimum of 3 groups for this rotation. Please limit yourself to conducting 2 concurrently. Interns will be required to create/modify lesson plans and will submit these for review. Lesson plans, treatment plans, and group sessions will demonstrate the intern's ability to be responsive to client-specific factors, to manage the treatment relationship, and a knowledge of group treatment.
Interns will also participate in the initial screening of inmates within 14 days of their arrival at the institution and in the monthly reviews of all inmates housed in the Special Housing Unit and Psychiatric Seclusion. Written reports will be submitted to supervisors and will demonstrate case conceptualization and management, crisis management, response to client-specific factors, and the ability to communicate important clinical information clearly and concisely.
Competency 2: Interns will be able to select, plan, and adapt appropriate treatment modalities to the unique needs of a diverse client population.
Interns will demonstrate competency in treatment plan writing by submitting treatment plans for work with both long- and short-term individual clients that accurately reflect treatment concerns and individual differences. Interns will also demonstrate appropriate treatment recommendations for the 13 required psychological assessments. Resulting products will demonstrate the ability to relate science to practice, case conceptualization, treatment planning, and response to client-specific factors.
Competency 3: Interns will demonstrate competence in the formulation of written treatment plans and in the maintenance of ongoing records of intervention.
Interns will demonstrate competency in written treatment plans and client records by a review of PDS records. All notes will be written professionally and entered into PDS within 14 days of the contact. All products will demonstrate the ability to communicate relevant clinical information clearly and concisely and will reflect appropriate consultation with other disciplines.
Objective - Consultation and Communication
Competency 1: Interns will create and maintain communication channels with other departments within the institution to pass on clinically useful and relevant information. Examples of other departments include Education, Medical, Unit Teams, Recreation, Religious Services, Corrections, and Personnel.
Interns will demonstrate competence by attending the weekly unit and/or treatment teams and providing appropriate input. Interaction and consultation with educational, medical, and unit staff will be provided as requested and will include sharing important clinical
information. Consultation activities will be discussed during supervision sessions and responses assessed for timeliness and clinical relevance.
Competency 2: Interns will demonstrate the ability to develop and provide training both to psychology and non-psychology staff. Training activities could include Institution Familiarization Training, Annual Refresher Training, Psychology Services= Case Presentations, and Training/Supervision to institutional staff and students.
Interns will demonstrate competency by providing a minimum of 3 case presentations and participating in two other training activities within the institution for non-psychology staff. Lesson plans and participant evaluations for these training sessions will be reviewed and will demonstrate the intern's ability to relate science to practice, conduct specialized readings, provide expertise, and communicate clearly with other departments.
Competency 3: Interns will demonstrate proficiency in written and oral communication to psychology and non-psychology staff. Written communication skills will be assessed by examining such documents as memos, reports, case notes, and treatment plans prepared by interns. Oral communication skills will be evaluated by observing intern interactions with staff and through such intern activities as conducting groups, seminars, presentations, and staff training activities.
All intern notes entered into PDS will be reviewed by a supervisor. Other written materials subject to review include memos, special projects, lesson plans, incident reports, and research projects. Oral communication through case presentations, research presentations, unit team participation, and training activities will be observed and evaluated. All products will demonstrate the ability to communicate relevant clinical information clearly and concisely and will reflect appropriate consultation with other disciplines.
Rotation Experiences and Activities may include the following. This will vary according to intern interest/schedules.
Medical Units:Crisis duty hours: Tuesday am
Team: variable
Vital function: Intakes
Assessments: obtained from unit & RDAP
Groups: Healthy Lifestyles (Wellness Track); Stress Management (Values Track); Grief and Loss; MDS monitoring & MH transfers (ongoing)
MA student supervision
Unit 2: Crisis duty hours: Tuesday pm
Team: variable
Vital function: Suicide Prevention
Assessments: from unit & RDAP
Groups: Conflict Resolution (Values Track); Anger Management; Values 1 (Values Track); Values 2 (Values Track); MDS monitoring & MH transfers (ongoing)
MA student supervision
Camp, 1 North and Unit 3:
Crisis duty hours: Wednesday pm
Team: variable
Vital function: Non MH MDS, Psyc meds, movement from MH units
Assessments: from unit and RDAP
Groups: Boundaries (Abuse Track); Domestic Violence (Abuse Track); Relaxation (Wellness Track); Drug Free Emotional Health (Addictions Track); Stress Management (Values Track); Conflict Resolution (Values Track); MDS monitoring & MH transfers (ongoing)
MA Student Supervision
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Intern
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Supervisor
Mental Health Rotation
Supervisor: Dr. Dromgoole
The Federal Medical Center, Carswell, is the only federal facility for female offenders with a mental health mission. Psychologists have the primary responsibility for developing and implementing treatment programs for inmates with mental health concerns. They also provide evaluation and consultation services and are members of the Interdisciplinary Treatment Team. Providing psychological services on the mental health units involves the same skills as in community psychiatric hospitals and entails collaboration with psychiatry, medicine, and allied health professionals. Additional collaboration with work supervisors, correctional officers, and unit staff is often necessary. Interns are expected to participate in all areas as they demonstrate competence in assessment, intervention, and consultative skills. Additional information about expected competencies is detailed under the General Population Rotation.
Expected Competencies:
Assessment
$Interns will demonstrate competence in assessing and diagnosing mental health patients by demonstrating the ability to build rapport, conduct an interview, assess behavior, recognize individual and cultural factors, and correctly use the diagnostic system.
$Interns will demonstrate competence in generating, interpreting, and communicating clinical information about mental health patients by accurately administering and interpreting assessment tools and communicating orally and in writing clear and concise clinically relevant information.
Intervention
$Interns will demonstrate competence with the planning and implementation of a variety of intervention strategies including crisis intervention, brief counseling, ongoing individual psychotherapy, and psychoeducational groups with a mental health population. Lesson plans, treatment plans, clinical notes, and communication and consultation with relevant staff will reflect a responsiveness to client-specific factors, management of the treatment relationship, ability to relate of science to practice, case conceptualization skills, and the ability to communicate important clinical information clearly and concisely.
Consultation and Communication
$Interns will attend morning report and/or weekly unit team and provide information and expertise as needed about the mental health patients.
Integration of Theory and Practice
$Interns will demonstrate the ability to integrate theory and practice by engaging in specialized reading related to working with the mentally ill and by identifying additional resources directly related to empirically validated treatment of the mentally ill.
Rotation Experiences and Activities:
$2 days per week for 5-6 months
$Attend morning report and/or unit/treatment team for in- and out-patient units as scheduling allows
$Conduct a minimum of 3 Mental Health Track groups
$Participate in crisis counseling, brief therapy, and individual therapy
$Participate in mental health need assessments and evaluations as assigned
$Participate in administrative activities, including: review programming participation, update database, notify other facilities of special needs/concerns of transferring inmates from MH units, update medications prescribed in PDS, and monitor Sentry assignments
Rotation Resources:
Loeber, R., et al. Antisocial Behavior and Mental Health Problems.
Ludgate, J. Maximizing Psychotherapeutic Gains and Preventing Relapse in Emotionally Distressed Clients.
Piper, W., et al. Time Limited Day Treatment for Personality Disorders.
Additional resources:
ACA. Working With Special Needs Offenders. Book 3: Mental Disorders.
APA. Psychiatric Services in Jails and Prisons.
Cohen-Posey, K. Brief Therapy Client Handouts.
Copeland, M. The Depression Workbook.
Copeland, M. The Worry Control Workbook.
Frankel, L. Women, Anger, & Depression.
Jongsma, A., & Berghuis, D. The Severe and Persistent Mental Illness Treatment Planner.
Jongsma, A., & Peterson, L. The Complete Adult Psychotherapy Treatment Planner, 2ndEd.
Jongsma, A., & Slaggert, K. The Mental Retardation and Developmental Disability Treatment Planner.
Linehan, M. Cognitive-Behavioral Treatment of the Borderline Personality Disorder.
Linehan, M. Skills Training Manual for Treating Borderline Personality Disorder.
McKay, M., et al. Thoughts and Feelings. Taking Control of Your Moods and Your Life.
Negley, S. Crossing the Bridge: A Journey in Self Esteem, Relationships, and Life Balance.
Pressman, M., & Orr, W. Understanding Sleep: The Evaluation and Treatment of Sleep Disorders.
Schultheis, G. Brief Therapy Homework Planner.
Simmons, M., & Daw, P. Stress, Anxiety, Depression: A Practical Workbook.
Sowers, W. Mental Health in Corrections: An Overview for Correctional Staff.
Sperry, L. Handbook of Diagnosis and Treatment of the DSM-IV Personality Disorders.
Winick, B. The Right to Refuse Mental Health Treatment.
Videos:
Security and Treatment
Self Image and Eating Disorders: A Mirror of the Heart
Sexual Assault and Prevention
Suicide Prevention in Custody
Supervising Adult Inmates with Mental Health Disorders
Understanding Bipolar Disorder and Addictions
Understanding Borderline Personality Disorder - and program booklet
Treating Borderline Personality Disorder - and program booklet
720 Deadly Seconds
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Intern
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Supervisor
Forensic Evaluation Rotation
Supervisors: Dr. Powers & Dr. Anthony
The Federal Medical Center, Carswell, is the primary forensic evaluation site for female offenders in the federal judicial system. Defendants are referred by the courts for determination of competency to stand trial, criminal responsibility, and dangerousness. Psychologists are responsible for conducting these evaluations, forming opinions, and serving as expert witnesses in Federal court. Interns may participate in all portions of this service, and levels of participation will increase over the course of the rotation. Initially, interns will observe the supervisor and gradually move toward performing the clinical activities listed below autonomously. Additional information about expected competencies is detailed under the General Population Rotation information.
Expected Competencies:
Assessment
- Interns will demonstrate competence in assessing and diagnosing court referred patients by demonstrating the ability to build rapport, conduct an interview, assess behavior, recognize individual and cultural factors, and correctly use the diagnostic system.
- Interns will demonstrate competence in generating, interpreting, and communicating clinical information about court referred patients by accurately administering and interpreting assessment tools and communicating clinically relevant information in a formal written report. Reports must answer the court's question and be completed in a timely manner.
Consultation and Communication
- Interns will attend Thursday morning Forensic staffing with treatment and unit team and provide information and expertise as needed about the court referred patients.
- Interns will establish and maintain professional communication channels with Federal courts, attorneys, law enforcement personnel, family, defendants, and treatment providers.
Integration of Theory and Practice
- Interns will demonstrate the ability to integrate theory and practice by engaging in specialized reading related to working with forensic cases and by locating and summarizing recent Federal or State case law relating to forensic and/or mentally ill defendants.
Rotation Experiences and Activities:
- 2 days per week, for 5-6 months
- Participate in a minimum of 12 forensic evaluations. Participation will include some or all of the following:
- Psychological/neuropsychological testing,
- Assessing competency and criminal responsibility issues,
- Communicating with defense and Assistant US Attorneys
- Clinical interviews with patients, family members, and law enforcement
- Obtaining and reviewing medical, mental health, and law enforcement documents
- Providing written and verbal reports to the Federal courts
- Providing expert testimony to the Federal courts
- Attend Forensic staffing on Thursday mornings
- Participate in conducting competency training in both individual and group settings
Forensic Resources:
Melton, G., et al., Psychological Evaluations for the Court 3rd Ed.
Rogers, R., Conducting Insanity Evaluations, 2nd Ed.
Frederick, R., DeMier, R, Towers, K., Examinations of Competency to Stand Trial
Grisso, T., Evaluating Competencies
Ben-Porath, Y., et al., Forensic Applications of the MMPI-2.
Pope, K. The MMPI, MMPI-2, and MMPI-A in Court. A Practical Guide for Expert Witnesses and Attorneys.
Graham, J., MMPI-2: Assessing Personality and Psychopathology, 2nd Ed.
Greene, R. The MMPI-2 / MMPI Interpretive Manual.
Morey, L., Essentials of PAI Assessment
Murrey G., and Starzinski, D., The Forensic Evaluation of Traumatic Brain Injury.
Rogers, R., Clinical Assessment of Malingering and Deception.
Meloy, R., Violent Risk and Threat Assessment.
Meloy R., Violent Attachments
Brodsky, S., Testifying in Court-Best Practices in Forensic Mental Health Assessment Series
Heilbrun, K., Grisso. T., Goldstein, A., Foundations of Forensic Mental Health AssessmentPacker, I., Evaluation of Criminal Responsibility
Heilbrun, K., Evaluation for Risk of Violence in Adults
Zapf., P., Roesch, R., Evaluation of Competence to Stand Trial
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Intern
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Supervisor
Substance Abuse Rotation
Supervisor: Dr. Hoffman
The majority of federal inmates have been convicted of drug-related crimes and most have some history of drug abuse. Inmates are strongly encouraged to become involved in a variety of recovery experiences for which psychologists maintain program responsibility. The drug treatment staff evaluate inmates with a history of substance abuse and implement programming responsive to their needs, including drug education classes, the Addictions track, AA and NA groups, and structured group counseling and psychotherapy. In addition, the Federal Medical Center, Carswell has the only Dual-Diagnosis Residential Drug Treatment Program for females in the Bureau of Prisons and treatment is available to inmates who also have severe medical and psychiatric problems. Collaboration with other mental health staff, medical staff, and unit staff is essential. Interns are expected to participate in several areas of drug programming. Additional information about expected competencies is listed under the General Population Rotation.
Expected Competencies:
Assessment
$Interns will demonstrate competence in assessing and diagnosing identified substance abuse and dual-diagnosis patients by demonstrating the ability to build rapport, conduct an interview, assess behavior, recognize individual and cultural factors, and correctly use the diagnostic system.
$Interns will demonstrate competence in generating, interpreting, and communicating clinical information about substance abuse and dual-diagnosed by accurately administering and interpreting assessment tools and communicating concise, clear, and clinically relevant information orally and in writing.