We offer clinical training in providing systems-based and cognitive and behaviorally-focused evidenced-based treatment approaches to ethnically diverse low-income children, adolescents and their families in home, school, community and residential settings. Interns work as part of an interdisciplinary team including psychiatrists, social workers, counselors, nurses, and teachers. All interns spend 80% of their time throughout the duration of the training year (4 days per week) at the primary site of Terry Children's Center providing care within the residential treatment and a crisis stabilization units. Interns will receive training in a number of EBTs at Terry Center including TFCBT, ARC, DBT, and PCIT, and training will focus on providing trauma informed and culturally sensitive care. For half the training year interns spend 20% of their time (1 day per week) with the Consultation and Assessment Unit of the DE Division of Prevention and Behavioral Health providing psychological assessments, which may include competency and other forensic assessments and neuropsychological assessment, to children and adolescents. During the other half of the year interns spend 20% (1 day per week) at the Ferris School providing individual and group therapy within a Level 5 locked and secured Juvenile Justice Residential Setting. Interns will receive training in the Seven Challenges model of intervention for adolescent substance abuse.
Terry Children's Center Residential treatment provides a secure, structured, and supervised setting for youth who temporarily cannot live at home due to the severity of their behavioral health problems which are very often related to significant and complex early childhood trauma. Treatment includes milieu, individual, group and family therapy. Terry Center endeavors to provide a significant portion of intervention hours in the youth's home and community so interns can expect to provide therapuetic services outside of the Terry Center campus. The crisis stabilization unit is intended to service as a hospital diversionary program for youth who may require a short-term secure setting due to psychiatric challenges including threat of harm to self or others or other unsafe behaviors or severe mood dysregulation. At times the crisis unit also serves as a longer term treatment setting for youth with complex behavioral health needs for whom other resources have not yet been successfully identified. Additional year-long experiences include weekly didactics, case presentation and multi-discplinary team meetings. Through these MDT meetings and frequent interaction with multiple systems (child protective, educational, medical, legal) that impact the lives of those served by Terry Center, interns gain experience in the role of an consultant. Interns will also have the opportunity to assist in supervising psychology practicum students.
Terry Center is anticipating changes to our current programs that are likely to occur just before or sometime during the 2023-2024 internship year and therefore are likely to impact the clinical training and experiences of the incoming class. Guided by the State of Delaware's response to larger system needs and priorities, Terry Center expects to both increase its bed capacity on the crisis stabilization unit and to phase out its current residential program for young children while opening a shorter term residential and diagnostic unit for youth ages 12-17 whose treatment and other needs are unclear or for whom it has been difficult to identify appropriate services. It is anticipated that interns will both carry a caseload of primary clients on this unit similar to the current residential unit and that interns will provide psychological assessment for youth not on their caseloads on this unit, which will represent an increase in the number of assessment hours interns typically currently accrue at Terry Center. The following ranking of training experiences was made with regard to the anticipated experiences within the program changes.