Orientation Program (three weeks at the start of the year): Orientation to the NAAPTC Doctoral Internship Program, RAMS Outpatient Clinic, Clinical Rotations, & the San Francisco Community Mental Health System.
Clinical Work at the RAMS Outpatient Clinics: Individual, group, and family psychotherapy with adult and child clients; clinical case management; new client intakes; initial/ongoing clinical assessment and treatment plan development; comprehensive psychological assessment/testing; clinical charting and billing; multidisciplinary team work. In an average week this includes: 9 therapy hours; 1 hour of clinical intakes; 2 hours of psychological testing; about 2 hours of non-direct casework and charting/paperwork as needed.
Clinical Rotation Training: To develop a better understanding of the different levels of treatment in the community mental health system, each intern is assigned to two external clinical rotations, which are selected from the following options: Vocational Rehabilitation Support Services, Residential Treatment, and School-Based Counseling and Professional Development Support Services. Each intern spends 8 hours per week at a rotation site delivering clinical services, participating in multidisciplinary teamwork, and receiving on-site training and supervision.
Clinical Supervision: 2 hours weekly of individual supervision on outpatient therapy cases (1 hour with director of training/primary supervisor and 1 hour with a staff psychologist who serves as delegated supervisor); 1 hour of group supervision on psychotherapy cases with an external delegated supervisor; 1 hour of group supervision/assessment seminar and 1 hour of individual supervision on assessment cases with assessment supervisor; 1 hour of Cultural Competency Project supervision with the director of training (in the summer, after interns complete their Cultural Competency Projects, this is replaced by 1 hour of Professional Issues Seminar with director of training); 1 hours of rotation group supervision, supplemented by hands-on modeling and treatment team consultation (formats differ at different rotations); choice of one or both elective hour-long supervision groups: Group Consultation/Seminar on Working with Children and Families and Clinical Understanding and Sociocultural Considerations in Working with Community Mental Health Clients.
Teamwork Meetings Monthly hour-long training group meeting with the director of training (includes practicum trainees); monthly 1.5-hour-long Inter-program Clinical Grand Rounds; weekly multidisciplinary team meetings at rotation sites; twice a month documentation training and consultation.
Didactic Seminars: Weekly 1.5-hour-long Intern & Trainee Seminar (includes practicum trainees); weekly 1.5-hour-long In-Service Clinical Training (includes practicum trainees, postdoctoral fellows, and clinical staff); weekly 1-hour-long Assessment Seminar; in-service trainings at rotation sites (formats vary); All RAMS Training Series (format varies; including half-day or full-day events).
Clinical Case Conferences: Monthly 1.5-hour-long Adult Clinical Case Conference and monthly 1.5-hour-long Child Clinical Case Conference at the Outpatient Clinic (includes practicum trainees, postdoctoral fellows, and clinical staff from multiple programs); case conferences at rotation sites (formats vary); weekly 1.5-hour-long Intern and Trainee Clinical Case Conference (four months in the second part of the year).
Scholarly Projects and Professional Presentation of Work: To facilitate development of interns’ professional identity as psychologists, the program requires three different types of scholarly products that integrate empirical clinical material with the body of professional literature.
- one individual Cultural Competency Project, including a written treatise and an in-service oral presentation to staff and trainees from multiple RAMS programs
- three formal clinical case presentations, including a comprehensive write-up, an hour of process notes, and an oral presentation/group discussion (one child or adult case is presented to an audience of peers at the Intern and Trainee Case Conference; one adult and one child case are presented to an outside expert discussant and a large audience of clinicians at the RAMS Adult and Child Clinical Case Conferences, respectively)
- four psychological assessment reports on a comprehensive battery of tests, each to include: integrative case write-up, recommendations to the client and feedback to referral source. Two assessment cases are to be presented in the Assessment Seminar
Peer Supervision: Interns are expected to co-facilitate the Intern and Trainee Clinical Case Conference and to independently facilitate one case conference session each (under the guidance from the director of training)
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