Department of Psychiatry

Internship Training in Clinical Psychology



Clinical psychology training at The University of Texas Health Science Center San Antonio (UTHSCSA) is characterized by three key points: breadth of training, intensive supervision, and the practice and science of applied psychology.
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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 embodying principles, outlined above. 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 and formulates recommendations for program development. These recommendations are forwarded to the Chairman for final approval.

APPLICATION PROCESS
GENERALIST PROGRAM
INTERNSHIP TRAINING PROGRAM CONTACTS
YEAR-LONG EXPERIENCES
BEHAVIORAL MEDICINE 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 Science Center San Antonio, where they will meet as a group for orientation to the program, have an opportunity to meet with a current resident to ask questions, and interview with a faculty member and the internship director and assistant director.

Application Deadline: 11 December 2015
Interview Notification: 18 December 2015
Tentative Interview Days: 13, 15, 20, 22 January 2016

GENERAL APPLICANT REQUIREMENTS
  • Enrollment in an APA- or CPA-accredited program
  • Dissertation proposal completed by the start of Internship
  • Experience with both adult and child patients is preferred but not required
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

BEHAVIORAL MEDICINE TRACK COORDINATOR
Don McGeary, PhD., ABPP Associate Professor
Email: mcgeary@uthscsa.edu

PSYCHODYNAMIC TRACK COORDINATOR
Wayne Ehrisman, PhD., Clinical Professor

FORENSIC TRACK COORDINATOR
Janet Mueller, PhD., Clinical Assistant Professor

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

Overview of Internship

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. 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 resident should receive first- or second-hand experience with a wide variety of psychopathology and of therapeutic approaches. There will be opportunities for work with both adult and child/adolescent cases.
  2. Group Psychotherapy
    Each intern will be assigned as a co-therapist in an out-patient psychotherapy group. Additional group experience will be available through site rotations.
  3. University Hospital Consult and Liaison Service
    Each intern will rotate eight times through the University Hospital Consultation and Liaison Service (C&L). C&L Interns will function as part of an interdisciplinary team including Psychiatry, Clinical Psychology, and Advanced Practice Psychiatric Nursing. During each rotation, the intern will spend four hours providing mental health assessment and consultation services for medical inpatients at University Hospital. Students receive training in brief, integrative assessment using a biopsychosocial conceptualization model and brief interventions for a variety of mental health concerns. They also get exposure to documentation and charting in a hospital inpatient setting.
Overview of Internship

GENERALIST PROGRAM
The generalist training 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 residents 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, Consultation and Liaison through the University Hospital, 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 have attempted to accomplish this balance by establishing 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 to one or more of our three tracks (behavioral medicine, psychodynamic, or forensic).

Overview of Internship

The Behavioral Medicine Track
The behavioral medicine track provides training in empirically supported psychological assessments and interventions across treatment settings, presenting problems, and patient populations. Interns on this track will rotate year-long across two major sites. For 2016-2017, there will be 4 full time positions available through this track.

Institutions/Programs that are affiliated with the behavioral medicine track include:
  • UTHSCSA, Department of Psychiatry, Division of Behavioral Medicine
    Interns are trained in providing integrated behavioral health services and have an opportunity to work in the Pain Management Clinic. Additionally, interns receive training in behavioral treatments for Tourette Disorder, and the STRONG STAR rotation trains students in evidence-based assessments and treatments for trauma-related disorders.
  • Robert Brady Green Hospital
    The Robert Brady Green (RBG) Campus of the UT Health Science Center 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. The UTHSCSA intern will work under the supervision of Dr. José Moreno, PhD and Dr. Don McGeary, PhD, ABPP using 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).
  • University Plaza – Transitional Care Center
    The Transitional Care Center, which is housed at the University Plaza, provides psychological services to individuals with serious mental illness that are transitioning back into the community following inpatient care. Residents work within a multidisciplinary treatment team and have the opportunity to perform psychological testing, case management, individual and group therapy as well as potentially participate in research efforts. Residents at this site are trained in Illness Management and Recovery, an evidence based treatment for serious mental illness.
  • UTHSCSA, Department of Psychiatry, Division of Child and Adolescent Psychiatry
    PROXIMA PROGRAM: Interns participate in a collaborative-care integration of child and adolescent mental health services in primary care. UTHSCSA's Division of Child and Adolescent Psychiatry directs the implementation of a federally-funded program to improve timely access to behavioral health services for youth through their integration in the primary-care ‘medical home’ to which families are already attached. Interns are trained in the Behavioral Care Manager model and gain experience conducting initial assessments and consultation to pediatricians. Interns have the opportunity to implement psychological treatments, consult with other team members on individualized behaviorally-focused treatment planning, conduct school consultations, and perform psychoeducational screenings.
  • UTHSCSA Student Counseling Service
    The Student Counseling Service provides psychological and psychiatric consultation to students in the graduate and professional schools of the Health Science Center, which enrolls more than 2,600 students. 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 Service 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

Psychodynamic Track
The UTHSCSA 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 2016-2017, there will be four 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 SASH continue to be on the teaching faculty at UTHSCSA and have been actively involved in doctoral internship training for many years. The psychology intern will devote time on the Adolescent Unit. 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 Reasons 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 2016-2017, there are two full-time positions available through this track.

Overview of Internship