The Arc of Central Alabama is a Home and Community-Based Services (HCBS) agency that serves people with intellectual and developmental disabilities. The Arc of Central Alabama doctoral internship program operates within the Behavior Support Department of the agency. The program offers interns training experience providing psychological services to adults with intellectual and developmental disabilities in their residences (i.e., group homes) and in the community via two major rotations and one minor rotation.
BEHAVIOR SUPPORT (MAJOR ROTATION)
Interns have the opportunity to provide applied behavior analytic services to individuals who reside in group homes in Jefferson County and individuals who attend the day program at The Arc’s main campus. Interns will provide direct services in clusters of group homes in the western part of Birmingham and in Centerpoint, Alabama, approximately twenty minutes north of The Arc’s main campus. Approximately 50 individuals reside across the group homes interns serve, providing extensive experience with individuals with various skills and presenting problems. Individuals who require Behavior Support services often present with intense externalizing behavior such as aggression toward others, property destruction, pica, self-injury, or elopement. Interns and clinical supervisors collaborate to develop behavior support plans to address presenting concerns. Interns build rapport with and train direct support staff in residential homes and the day program to implement Behavior Support Plans with fidelity to reduce the likelihood of challenging behavior and teach individuals functionally equivalent, adaptive replacement behavior (e.g., functional communication, engagement in leisure activities). Opportunities are available for interns to conduct Functional Behavior Assessments, develop Behavior Support Plans, teach functional communication, train staff to implement behavior reduction and skill acquisition programs, participate in support team meetings, and engage in interdisciplinary collaboration with psychiatry, nursing, and case management.
PSYCHOLOGICAL SERVICES CLINIC (MAJOR ROTATION)
Interns provide adapted behavioral therapy to individuals served by The Arc who do not currently receive behavioral therapy in the community. Opportunities to conduct brief psychological evaluations, especially for aging individuals who exhibit signs of cognitive decline, are also available as a part of this rotation. Common presenting concerns for individuals who receive behavioral therapy include anxiety, depression, a history of trauma, and interpersonal difficulties with peers, staff, or their employers. Interns and clinical supervisors collaborate to select appropriate evidence-based treatments depending on individuals’ presenting concerns and adapt treatments to individuals’ cognitive and behavioral skills. Individuals who receive behavioral therapy are typically verbally fluent people diagnosed with mild to moderate intellectual disability. Many of these individuals have a co-occurring diagnosis of Autism Spectrum Disorder or an anxiety disorder. Interns are expected to initially engage in co-therapy with their supervisor and transition to independently managing one to two behavioral therapy cases by mid-year in this rotation.
BEHAVIORAL CONSULTATION (MINOR ROTATION)
Interns provide behavioral consultation services for individuals served by The Arc of Walker County, a partner organization to The Arc of Central Alabama. The county seat of Walker County and main location of service provision is Jasper, Alabama, approximately forty-five minutes northwest of The Arc of Central Alabama’s main campus. Behavioral consultation services are provided both on-site in Walker County and via telehealth. Similar to services provided to individuals in Jefferson County, individuals who require behavioral consultation often present with intense externalizing behavior such as aggression toward others, property destruction, pica, self-injury, or elopement. Interns and clinical supervisors collaborate to either develop behavior support plans for individuals in Walker County who require a plan or collaborate with Walker County staff to revise and modify existing Behavior Support Plans already in effect. Interns build rapport with and train direct support staff in residential homes to implement Behavior Support Plans with fidelity to reduce the likelihood of challenging behavior and teach individuals functionally equivalent, adaptive replacement behavior (e.g., functional communication, engagement in leisure activities). Opportunities are available for interns to conduct Functional Behavior Assessments, develop Behavior Support Plans, and provide ongoing behavioral consultation to staff in Walker County to supplement on-site, direct training.