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Predoctoral Internship Program - Placements and Activities

Intern Duties and Responsibilities

An intern's time is divided among three main roles.  These include:

  1. Core placement in a community outpatient or specialty treatment program (primary placement)
  2. Conducting psychological evaluations
  3. Receiving supervision and training

Over the course of the internship, interns function in an increasingly independent manner.  By the end of the internship, interns will function as regular staff with an active caseload, evaluations, and regular consultation responsibilities.  Of course, for interns the primary emphasis is on training. 

Primary Placements (80% time)

Outpatient

Child and Family Mental Health Program (C & F)

This program operates at the Irving, Gresham and Division Branches and serves a low-income population in transition from rural to urban in East Multnomah County.  In addition, outpatient services are delivered on-site at specific designated, elementary schools which have been identified as serving high risk, low income students.

The C & F program admits more than 3000 families per year.  Clients served in this program present with a variety of behavioral and emotional concerns.  These concerns include but are not limited to the following:  attachment difficulties, dysfunctional family communications, oppositional behaviors, school failure, depression, suicidal behavior, runaways, physical/sexual abuse or neglect, substance abuse, and placement in foster care.  Interns typically provide family therapy, play therapy, parent-infant psychotherapy, group therapy, parent consultation, consultation to other professionals, and/or case management services.  Clients are often seen in short-term formats including group treatment, but some may need to be seen individually for the duration of the internship year.

Interns' client loads and activities vary depending on the percentage of time they are assigned to this program (full-time clinic staff average about 24 direct contact hours of service weekly) which may include: individual, group and family therapy, case management, and 8-10 intakes. This may require working 1-2 evenings per week; interns, however, are not expected to be “on call.”


Ongoing Activities for All Interns

Psychological Evaluations (approximately 10% time)

Morrison contracts with the State's Department of Human Services to conduct psychological assessments, and also provides evaluations of its own ongoing clients.  The written products reflect our philosophical emphasis on an empirical approach to assessment, using procedures and instruments which meet acceptable standards of reliability and validity.  Priority is given to the following assessment populations/issues:

  • The diagnosis of present or incipient mental illness in child and adolescent populations.
  • The appropriateness of a child's placement with the natural or foster family or within a residential setting.
  • Diagnostic assessment of parents to rule in/out mental illness.
  • Dispositional recommendations for children who have been abused.
  • Dispositional recommendations for delinquent adolescents convicted of crimes who are diagnosed as having serious mental disturbance.

Interns are expected to complete at least ten comprehensive batteries during the internship year.  Intensive staff supervision and support are provided along with a year long training seminar on evaluations. 

Supervision and Training (10% and primary placement time)

Interns receive exposure to a variety of theoretical orientations (structural family therapy, social learning, psychodynamic, interpersonal, cognitive problem-solving, case management, and community-prevention).  The emphasis of the training is on delivering quality, accountable service in the complex system of a community mental health organization.  Interns can expect two and a half to three hours of direct, one-to-one supervision and two and a half to three hours of group supervision per week.  Videotape and direct observation facilities are employed in supervision.

Supervision evaluation is a continuous and mutual process.  Interns and supervisors review a monthly tracking guide to ensure that interns are performing at the agreed upon designated level.  At the end of each quarter, interns use an intern evaluation form to rate themselves on program competencies.  Supervisors also evaluate interns on a similar evaluation form. The intern and the supervisor then share and discuss the intern’s evaluation results. The intern and the supervisor also review the intern’s individualized learning plan on a quarterly basis.  The intern and the supervisor work together to help the intern to continue or to improve upon the intern’s overall performance and to meet his/her individual goals. Informal feedback discussions take place on an ongoing and frequent basis in weekly supervision.

Between three and five hours per week are reserved for seminars.  Interns meet monthly with the Training Director and all Psychology Staff to deal with program, pragmatic, personal adjustment and professional development issues.  A monthly Journal Club involves each staff member and trainee in selecting and presenting a scientific article for critical discussion.  In addition, weekly seminars are organized around specific topics: 

  • Professional Issues
  • Psychological Evaluation
  • Multicultural Competency   
  • Play Therapy   
  • Family Therapy
  • Process-Oriented Interventions
  • Supervision  

Applied seminars rely heavily on video presentation and discussion of on-going intern and staff cases.  Other training opportunities include monthly all-staff training presentations and some limited support for participation in community workshops off-site.

 




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