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Pre-Doctoral Internship in Clinical Psychology

Internship Training Program

The yearlong internship is divided into two six-month major rotations and a yearlong assessment rotation. One of the major rotations is on the Civil Inpatient Unit and the other is on the Forensic Inpatient Unit. The psychological assessment rotation will include clients on both units and clients in the ACT team programs.

Required Rotations:

1. Lower Kennebec - Acute Civil Inpatient Psychiatric Unit
   The Lower Kennebec acute civil unit is a 24-bed admissions unit for people who are referred under civil commitment criteria. This unit has a 6-bed Special Care Unit for clients who are behaviorally dysregulated and/or who require an increased level of care. Lower Kennebec serves a variety of clients with severe and persistent mental illness and co-occurring disorders. Clients may have a history of periods of relative stability in the community followed by destabilization and the need for behavioral treatment and medication adjustments. Other clients may be hospitalized for the first time. In addition to schizophrenia, anxiety, and mood disorders, clients may present with disorders seen less often.
   
   Interns on this rotation will be assigned to work with selected clients as part of a multi-disciplinary team. They will conduct clinical interviews, develop case conceptualizations, and identify diagnostic issues. Interns will develop treatment plans, provide individual therapy and group therapy, attend client treatment team meetings, and consult with the team about client evaluation and progress. They will be expected to develop and document behavioral treatment goals and outcome measures. Interns will follow their assigned clients until the client is discharged from the hospital or until the client moves to the transitional unit for an extended stay. Interns will recommend community treatment and work with the social worker to give referral information to community service providers. Interns will attend morning and community meetings and rounds, respond to on-unit stat calls, and participate in debriefings for staff and clients.

2. Lower Saco-Acute Forensic Inpatient Psychiatric Unit
   Lower Saco is a 22-bed acute care unit that serves forensic clients who are remanded to Riverview through legal proceedings. Clients on this unit are referred for evaluation or assessment of competence to stand trial, restoration to competency, or related competency issues and those who have been found Not Criminally Responsible (NCR). In addition, Riverview accepts clients who become destabilized during their jail sentences and need psychiatric or psychological interventions. Lower Saco has a 6 bed Special Care Unit that serves clients who are behaviorally dysregulated and/or who require an increased level of care.
   
   Interns on this rotation will be assigned to work with selected clients as part of the multidisciplinary team. They will conduct clinical interviews, develop case conceptualizations and identify diagnostic issues. Interns will develop treatment plans, provide individual therapy, attend client comprehensive service planning meetings and consult with the team regarding client evaluation and progress. They will be expected to develop and document behavioral treatment goals and outcome measures. Interns will follow their assigned client through the discharge process (if applicable), recommend further treatment as indicated and in collaboration with the assigned unit social worker provide referral information to the next provider as appropriate. Interns will co-facilitate the competency restoration group on the unit and participate in risk assessment evaluations. As a member of the unit team they will attend morning rounds, community meetings and respond to on unit stat calls and participate in debriefings for staff and clients.

3. Psychological Assessments
   Each intern will complete a minimum of 10 psychological assessments during the internship year. The assessment coordinator will assign referrals to the intern and assign a senior staff person to supervise. In consultation with the supervisor, the intern will clarify referral questions, conduct psychological interviews, select assessment instruments, administer assessments and write an integrated report. Interns will also provide verbal feedback to the treatment team and to the client as indicated. Assessment will be assigned to give the intern a broad range of experience with various referral questions.

 

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