Department of Psychiatry

Internship in Clinical Psychology



OVERVIEW OF INTERNSHIP

Our Internship in Clinical Psychology is designed to provide an intensive American Psychological Association-accredited (Commission on Accreditation, 750 First Street N.E., Washington, D.C., 20002-4242, (202) 336-5979) clinical internship training experience. The Department of Psychiatry is the coordinating agency for the development and operation of the training program in Clinical Psychology. The faculty as a whole participates in the internship. The Psychology Internship Training Committee serves as the major forum for ongoing discussion of the training program.


TRAINING PHILOSOPHY

The University of Texas Health San Antonio Psychology Internship Training Program is an APA-accredited (accredited through 2023) by a scientist-practitioner training philosophy and the following aims: breadth of training, intensive supervision, practice and science of applied psychology, and ethical and sensitive practice to individual and cultural differences.

PROGRAM AIMS

I. BREADTH OF TRAINING. As applied psychology expands to encompass many new areas, the clinical psychologist needs to be trained in a broad variety of skills rather than any single specialty. A good program should be comprehensive in scope.

As a generalist program, we are able to provide our interns with a wide range of training activities including intake work, diagnosis, group, individual, and family psychotherapy. Interns provide care for diverse patient populations including adults, adolescents, and children with a wide range of presenting problems. A significant percentage of the patients served come from under-served urban areas. Approximately 50 to 60 percent of the training experiences involve services to minorities (primarily Hispanic), though there are also opportunities for work with Veteran and military populations at some sites. In addition to clinical care, we have provided interns with opportunities for involvement in applied clinical research and/or process improvement activities.

 

II. INTENSIVE SUPERVISION. A second major point is the importance of close and careful monitoring of each intern's experience, with useful feedback to the intern. The content and timing of evaluations is set to maximize a student's growth. This implies a close individual involvement in each student's progress by faculty and supervisors.

Interns’ work is intensively supervised on an individual basis, with each intern scheduled for a minimum of four hours per week of supervision. Major supervision is provided by the psychology faculty with assistance from psychiatric faculty and social work staff.

 

III. PRACTICE AND SCIENCE OF APPLIED PSYCHOLOGY. Quality clinical internship training should impart skills focusing on the process and science of psychological work.

The Clinical Psychology Internship was established in 1970 with the faculty at that time making a philosophical commitment to the "scientist-practitioner model," emphasizing the practitioner side of the Boulder model. More recently, we have added opportunities for training in evidence-based assessment and treatment approaches. The internship year is seen as a time to emphasize first-hand experiences with clinical involvement under intense individual supervision by faculty who demonstrate clear and visible scientific and professional interests.

Psychology Interns get year-long education designed to help strengthen their understanding and skill in assessment and psychotherapeutic process. Our students also learn the fundamentals of outcome evaluations and use of available scientific principles and data to guide their selection of clinical interventions and help them learn to evaluate and evolve their clinical practice.

 

IV. PRACTICE ETHICALLY AND WITH SENSITIVITY TO INDIVIDUAL AND CULTURAL DIFFERENCES. All psychologists should be able to practice ethically and with sensitivity to cultural and individual differences that impact their clinical and professional activities.

The Internship program has made systematic and long-term efforts to attract interns and staff from culturally diverse backgrounds, including diversity across age, disability, ethnicity, gender, gender identity, language, national origin, race, religion, culture, sexual orientation, and socio-economic background. These efforts have resulted in the admission of culturally diverse interns and supervisors. The internship sites have a training environment that is sensitive and shows respect for individual and cultural diversity.

The psychology training program respects diversity and evaluates interns on multicultural competencies. The internship has a series of seven diversity didactics during the year, and interns have numerous opportunities for supervised experiences in clinical services delivered to an ethnically and culturally diverse client population within San Antonio and the surrounding communities (over 60% of the population in this area is Hispanic). The internship provides routine discussion of diversity issues within the context of clinical supervision and formal didactic seminars.


APPLICATION PROCESS
INTERNSHIP TRAINING PROGRAM CONTACTS
YEAR-LONG EXPERIENCES
COGNITIVE BEHAVIORAL TRACK
PSYCHODYNAMIC TRACK
FORENSIC TRACK

APPLICATION PROCESS
The internship year begins on July 1 and ends June 30. Applicants are invited to apply to one or more of its tracks and are encouraged to rank one or more tracks. Some applicants will be invited to attend a half-day interview at the University of Texas Health at San Antonio, where they will meet as a group for orientation to the program, have an opportunity to meet with a current intern to ask questions, interview with a faculty member, and the Internship Director and Associate Director.

Application Deadline: 8 December 2017
Interview Notification: 15 December 2017
Tentative Interview Days: 5, 8, 12, 19 January 2018 *

*Importantly, these days will be designated by tract. We recognize the challenges associated with making travel arrangements and will let interviewees know as quickly as possible about the track specific dates.

POINTS OF CONTACT
DIRECTOR
Cindy McGeary, PhD., ABPP, Assistant Professor
Phone: (210) 567-5430
Email: mcgearyc@uthscsa.edu

ASSOCIATE DIRECTOR
Tabatha Blount, PhD., Assistant Professor
Email: blountt@uthscsa.edu

COGNITIVE BEHAVIORAL TRACK COORDINATOR
John Moring, PhD., Assistant Professor
Email: moringj@uthscsa.edu

PSYCHODYNAMIC TRACK COORDINATOR
Wayne Ehrisman, PhD, Clinical Professor

FORENSIC TRACK COORDINATOR
Billy James, PhD., Clinical Professor

Department of Psychiatry
The University of Texas Health at San Antonio
7703 Floyd Curl Drive
San Antonio, Texas 78229-3900

Overview of Internship (top)

GENERALIST PROGRAM
Our program provides generalist training involving a full array of patients (children, adolescents, adults) seen in diverse treatment settings (inpatient, outpatient and community organizations) receiving a full spectrum of psychological evaluations (interview and test based) and interventions (individual, family, and group). Our interns receive intensive supervision and are exposed to multiple theoretical orientations, including behavioral, cognitive-behavioral, and psychodynamic.

During the year-long internship, interns participate in two major rotations as well as several year-long clinical activities, including on-going individual therapy cases through our Advance Clinic and co-leading group therapy. Additionally, interns attend weekly seminars and didactic trainings designed to enhance their understanding of the scientist-practitioner model, evidence-based practice, integrative assessment, and ethics/diversity. Finally, interns have the opportunity to design and implement a program improvement project during the training year.

Tracks

Our program strives to provide training that has depth as well as breadth. We accomplish this balance through the use of a track system, which was first implemented during the 2014-2015 training year. The track system provides applicants with stronger assurance of the training experiences they will receive when they arrive. Interested participants can apply and rank one or more of our three tracks (Cognitive Behavioral, Psychodynamic, or Forensic).

Overview of Internship (top)

The Cognitive-Behavioral Track
The Cognitive Behavioral track provides training in empirically supported psychological assessments and interventions across treatment settings, presenting problems, and patient populations. For 2018-2019, there will be 4 full time positions available through this track.

Institutions/Programs that are affiliated with the Cognitive Behavioral track include:
  • UTHSCSA, Department of Psychiatry, STRONG STAR
    Interns learn evidence-based treatments for PTSD. Interns see Veterans and Active Duty military members diagnosed with combat PTSD. Interns receive training in evidence-based assessments and treatments for trauma-related disorders. STRONG STAR

  • Robert Brady Green Hospital
    The Robert Brady Green (RBG) Campus of UT Health at San Antonio is a 269,000 square foot facility near downtown San Antonio housing a number of primary care and specialty services. Interns rotating through RBG will be housed in the Department of Family Medicine and the Department of Internal Medicine where they will function as part of the Family Medicine Diabetes Management Clinic. The goal of the diabetes management clinic is to help stabilize RBG patients who present to Family or Internal Medicine with uncontrolled or poorly controlled diabetes. Interns use an array of cognitive and behavioral therapy strategies to stabilize health behaviors and psychiatric comorbidities contributing to poorly controlled diabetes (based on A1C values). The Intern is also supported by clinic staff, social workers, Promotoras (community-based health education specialists) and LPCs under the direction of Dr. Raman Poursani, MD (Director of the Family Health Center) and Dr. Barbara Turner, MD (ReACH Director).

  • Department of Family and Community Medicine:
    Interns will be trained in implementing the Primary Care Behavioral Health (PCBH) consultation model within the Department of Family and Community Medicine. More specifically, interns will have the opportunity to screen, assess, identify, and treat behavioral health concerns within the context of the healthcare team. Interns will also learn how to consult with primary care providers, supporting them around chronic disease management and health behavior change. Interns will also participate in the education and training of family medicine residents.

  • The Transitional Care Clinic (TCC), which is housed at the University Plaza, provides psychological, psychiatric, and social work services to individuals with a broad range of mental health problems. Interns work within a multidisciplinary treatment team and have the opportunity to perform individual and group therapy. Psychological services are provided with an integrative theoretical model, with emphases in: brief solution-focused therapy, motivational interviewing, cognitive behavioral therapy, dialectical behavior therapy and relationship-based therapy.

  • UTHSCSA Student Counseling Center
    The Student Counseling Center provides psychological and psychiatric consultation to students in the graduate and professional schools within the university, which enrolls more than 2,600 students each year. Consultation is also provided to spouses. Clients present academic, vocational, and personal concerns. In this setting interns have the opportunity to work with college students and career-oriented young adults. Interventions and diagnostic activities in the Counseling Center include intake evaluations, psychological testing (including intellectual, personality, and vocational assessment), brief counseling and therapy, study skills consultation, relaxation training, couples and marital consultation, group counseling, and consultation with faculty and staff.
Overview of Internship (top)

Psychodynamic Track
Psychology Internship has a rich history of providing psychodynamic training. Interns on this track receive extensive training in psychodynamic theory, case conceptualizations, assessments, and interventions. Interns complete two six-month rotations. For 2018-2019, there will be 4 full-time positions available through this track.

  • Clarity Child Guidance Center
    The Clarity Child Guidance Center is a not-for-profit treatment center that provides outpatient services, acute care, on-campus 24-hour treatment, and on-campus day treatment for children and adolescents with mental health concerns. Interns participate in psychological testing and individual, group, and family therapy.

  • Laurel Ridge Treatment Center
    Laurel Ridge is a 252-bed, campus-style psychiatry hospital that offers behavioral healthcare services, including acute programs and residential treatment for children and adolescents. Interns have the opportunity to conduct psychiatric evaluations, develop treatment plans, strengthen case conceptualization skills, participate in multi-disciplinary treatment teams, and conduct inpatient individual and group therapy.

  • San Antonio State Hospital
    San Antonio State Hospital (SASH) is a 302-bed, public residential psychiatric hospital that has been in operation since 1892, and serves an area of 56 counties in South and South Central Texas with a population of over 3,000,000. There are nine doctoral level psychologists practicing as members of multidisciplinary treatment teams. Many of the current Psychology Department staff at University of Texas Health at San Antonio continue to be on the teaching faculty at UTHSCSA and have been actively involved in doctoral internship training for many years. The training program includes the participation and gradually increased responsibility of the intern under careful, direct clinical supervision. The trainee will join doctoral psychologists in individual clinical interviews and group therapy sessions and later conduct interviews and sessions without direct observation. The trainee will also administer assessment batteries with direct observation by the supervisor and will later conduct testing without direct observation. The trainee will provide feedback to the treatment teams and will complete group and individual therapy notes and testing reports.


Forensic Track
Interns on the forensic track will complete 2 six-month rotations at Kerrville State Hospital. Staff and interns work with patients who are not competent to stand trial or who have been judged to be Not Guilty by Reason of Insanity (NGRI). Patients are generally transferred to the Kerrville State Hospital from a secure treatment facility after a determination that they are not manifestly dangerous and require a long length of stay. Interns participate in forensic evaluations and collaborate with a multidisciplinary staff to provide patients with mental health treatments designed to help patients either attain competency or be safely returned to the community. For 2018-2019, there are 2 full-time positions available through this track.

YEAR-LONG EXPERIENCES
Each intern is involved in a wide range of clinical areas. The training year consists of clinical service rotations with some experiences spanning all rotations. Most interns will rotate clinical sites every six months, though there is also the possibility for rotating through two sites concurrently for two days a week all year. The specifics of your rotation will be determined by your assigned rotation sites and the Internship Training Director (TD). Clinical Activities for the UT Health Science Center Psychology Internship include rotation-specific and year-long experiences.
  1. Outpatient Individual Psychotherapy
    Each intern will be assigned two individual psychotherapy cases through the Department of Psychiatry ADVANCE Clinic. Patients will be selected in order to provide the intern with the experience of discovery, formulation, and the attempt to alter symptom constellations. Theoretical orientation for outpatient psychotherapy cases vary by supervisor, though most are expected to be long-term treatment cases. Through the combination of individual supervision and participation in seminars and case conferences, each intern should receive first- or second-hand experience with a wide variety of psychopathology and of therapeutic approaches.

  2. Group Psychotherapy
    Each intern will be assigned as a co-therapist in an outpatient psychotherapy group. Additional group experience will be available through site rotations.
Overview of Internship (top)

Questions related to the program's accredited status should be directed to the Commission on Accreditation:

Office of Program Consultation & Accreditation
American Psychological Association
750 1st Street, NE
Washington, DC 20002

Phone: (202) 336-5979 / E-mail: apaaccred@apa.org
http://www.apa.org/ed/accreditation

Americans With Disabilities (ADA)
Students should be able to perform the essential functions listed with or without reasonable accommodation under the ADA and the ADAAAA guidelines (http://www.eeoc.gov/laws/index.cfm ). The Health Science Center Americans with Disabilities Coordinator should be contacted for any questions (http://www.uthscsa.edu/eeo).



Overview of Internship (top)