The program subscribes to a "general practitioner" training model with emphasis on public service to the severely mentally-ill. Focus is upon theory and practice of psychological assessment and treatment, particularly as applied to a severely disturbed, forensic and civilly-committed inpatient population. Seventy-five percent of the 1200 patients at DSH-Napa receive treatment under forensic commitments, the majority of which are Incompetent To Stand Trial, and Not Guilty By Reason Of Insanity. The remaining 25% are civilly-committed. This is not a formal forensic internship per se, and there are no opportunities to conduct evaluations for the courts. Orientation to forensic psychology includes an intern forensic seminar series and hospital-wide forensic trainings. Opportunities to conduct violence risk, competency and malingering assessments as well as to write periodic progress reports to the courts. Orientation to neuropsychological assessment and screening in intern assessment seminar. Opportunity to conduct 4 full neuropsychological assessment batteries if skills in cognitive/emotional assessment at expected level. Internship year divided into two, 6-month rotations. Interns spend 20 hours per week on an inpatient unit performing duties of inpatient psychologist (e.g. individual psychotherapy, group treatment, treatment planning and evaluation, consultation, crisis intervention, development and implementation of behavior plans). Interns also treat a minimum of three patients in long-term individual psychotherapy. Treatment orientation of training staff is largely psychodynamic and cognitive behavioral. DSH-Napa is unusual for a forensic training site in that we provide training in psychodynamic/psychoanalytic approaches to case formulation and treatment of severely mentally ill patients. In addition, DSH-Napa has a vibrant DBT program that provides interns with opportunities to work on 3 comprehensive DBT treatment units.  Interns may also co-facilitate DBT skills groups that are offered throughout the hospital.  Interns complete 8-10 full psychological assessment batteries during training year. Interns attend three, 90-minute seminars per week. Finally, interns receive a minimum of 4 hours of individual, face-to-face supervision per week, including 1 hour for assessment, 1 hour for work at the rotation site (inpatient unit), and 2 hours of individual psychotherapy supervision. Interns also participate in a 5th supervisory hour, which is group supervision.