Cherokee Health Systems (CHS) is a comprehensive health services organization in East Tennessee. The primary goal of our internship is to provide an intensive and diverse clinical training experience within a community health setting. Because CHS provides progressive and broad-based health services, interns will have exposure to a unique range of clinical training opportunities, including integrated primary behavioral care, psychosocial rehabilitation, as well as traditional outpatient mental health care. Interns rotate through a variety of clinical settings throughout the year. The objectives of the clinical training experience are to expose interns to (1) assessment, treatment, and consultation within a range of treatment modalities (e.g. integrated primary care, traditional mental health, day treatment), (2) opportunities to work with multiple disciplines (e.g. family physicians, internists, nurse practitioners, psychiatrists, social workers, nurses, case managers), (3) a variety of theoretical orientations (e.g. cognitive-behavioral, systems, psychodynamic), and (4) diverse developmental (children, adolescents, adults, elderly) and ethnic (rural Appalachian, African-American, Hispanic, urban) populations. To meet these objectives, we aim to develop professional competency in a range of clinical settings. To allow for a diversified training experience, interns participate in two clinical placements at a time. Each intern cycles through a traditional community mental health placement, integrated primary care placement, and a psychosocial rehabilitation placement. We also recognize the individual training interests and needs of each intern. The internship structure is designed for flexibility to allow for each intern to incorporate elective clinical experiences to increase the breadth, depth, and diversity of their training. We will work with each intern to develop his or her own unique clinical interests within the core framework of our internship.