Description of Training Program – Psychology Internship

North Carolina State University’s Doctoral Psychology Internship Overview of Training

Training at North Carolina State’s (NC State) Counseling Center begins with the idea that learning is developmental, and that trainees have different needs that change with time and experience.  Interns will be supported in both their personal and professional growth.  Interns will be encouraged to continually seek awareness of self and use this information to define strengths and areas for development.  Interns’ examination of personal values will help them to discover the impact of their beliefs on professional functioning.  Increased personal awareness should also assist trainees in understanding their role in interpersonal dynamics and their role in personal and professional interactions.

Diversity is a core value here at NC State’s Counseling Center.  Interns are encouraged to explore their beliefs, attitudes and skills in order to assess and increase their multicultural competence.  Furthermore,  the emphasis placed upon personal understanding as part of professional development may require that interns be asked to consider issues that are somewhat personal in nature.  Every effort is made to provide a safe and nurturing environment which respects disclosure and protects interns’ confidentiality. The internship training program functions in a manner consistent with the American Psychological Association’s 2002 Ethical Standard 7.04 (Student Disclosure of Personal Information) as contained in the Revised Ethical Principles of Psychologists and Code of Conduct (APA, 2002).

In support of the desire to foster diversity, the Counseling Center is committed to developing diversity training for staff.  The Center also hosts the Multicultural Committee, which examines varying aspects of diversity related to the Center’s practice.  An attempt is also made to recruit diverse staff and trainees, and consistently work to ensure that the Center is welcoming to students and staff from all backgrounds.  Multicultural training is also provided to interns through training seminars and is woven into all aspects of training.

The Counseling Center recognizes that factors such as multiculturalism, race or ethnicity, gender, socioeconomic status, sexual orientation, religion, and range of ability affect college students’ lives and sometimes present unique challenges.  The Counseling Center values each student’s individuality and commits to welcoming all people with respect and sensitivity.  Counseling Center staff also attends to their own professional development by participating in training and programs designed to enhance their understanding of the needs diverse people.

As part of the Division of Academic and Student Affairs’ mission to promote the success of the whole student, the University Counseling Center believes that a healthy emotional life is the foundation for personal, academic, and professional success.  Honoring individual and cultural identities, strengths and differences, core personal values, and the complexities of collegiate life, our multidisciplinary mental health team uses compassionate, professional interactions to support emotional balance while encouraging students to reach their potential.

Our mission is realized through the delivery of comprehensive services, such as:

  •         Brief individual, group, and couple’s counseling
  •         Psychiatric evaluation and treatment
  •         24-hour crisis response
  •         Campus and community referrals
  •         Faculty, staff, and student consultation
  •         Outreach/Prevention Service
  •         Mental health educational programming and training

Training at NC State’s Counseling Center will cover all of the services listed above, and will be comprehensive in breadth and depth.

Direct Service Experiences

Individual therapy
We consider personal counseling of individuals the primary direct service practice. Interns will have the opportunity to work with students with varying presenting issues. While our center works primarily within a short-term model, all staff, and especially interns are encouraged to work with a few longer-term clients.  Interns may have the opportunity to do some couples counseling work either individually or in a co-therapy situation.

Group therapy
Groups are an integral part of counseling service in our center. We have a variety of groups offered at any given time, with a combination of closed therapy groups, drop-in groups, and psychoeducational groups. We are a busy center and find groups an excellent opportunity to provide support while students are waiting for an Intake, in between sessions, as individual work is finished,  or in some case instead of individual therapy. Typically Interns will co-lead a group with a permanent staff member and will have an opportunity to do a different group each semester. Interns typically meet with their group co-leader on a weekly basis while planning and running the group.

Triage
Our center uses a triage model to assist in determining student’s level of risk and urgency for which they need to be seen. Triage is used as a screening and referral tool. While we have Triage Clinicians who do the bulk of Triage, we include this experience as part of the Internship as it is a valuable skill that may be expected of them in future positions. Training for Triage and opportunities to observe Triage clinicians occur early in internship. Our Triage system offers back-up for consultation and support in crisis situations.

On-Call
All counselors at our center do some after-hours on-call. Interns will be trained to participate in the on-call system, with back-up available if consultation is needed.

Career Counseling
Our center provides career exploration counseling and assessment for students. Interns will use the Meyers Briggs Type Indicator and the Strong Interest Inventory with students when suitable.  We provide training in the career exploration process as well as in use of these instruments.

Assessment
A clinician’s primary assessment tool is the clinical interview.  In addition, other assessment opportunities include: ADHD screening, Eating Disorder assessment, Substance Abuse screening, and some personality assessments. Interns are given opportunities to be trained on assessment tools that they may use and are closely supervised in the assessment process and interpretation of results.

Outreach
Our center does a significant amount of outreach programming for the campus community. This includes screening days, tabling events, Residence Life training and programs, classroom and campus organization presentations, as well as in-house programs.  These programs cover a large variety of topics, from time and stress management, to healthy sleep and healthy relationships.  Our center also offers QPR (Question Persuade Refer) training to students and staff.  Outreach is considered an essential skill for clinicians in a university setting.  As such we require Intern participation in outreach programming.  Outreach programs and projects will offer additional exposure to a range of interventions with diverse populations.  If there are special populations an intern would like to work with Outreach is another way to gain this experience.

There is training for all interns each August to prepare interns in outreach presentations. For those who have a special interest in outreach there is opportunity to work on the Outreach Committee.

Consultation
Staff regularly consults with student, faculty, staff, parents, off-campus mental health providers and others. Most consultation requests come through phone calls, on-call, and walk-ins. Other times consultation will be around a particular student or issue of concern. Interns will participate in consultation as circumstances arise and back-up will be available as needed. Consultation will offer further opportunities to work with diverse populations and student issues.

Psychiatric Consultation
Our students have access to time-limited psychiatric services, including evaluation and medication management. Our staff can refer students to our in-house psychiatrists, and consult with psychiatrists about students. Additionally, there may be some opportunities to sit in with students during the psychiatric evaluation when a student is referred.

Academic Services
Our center is involved in some academic processes on campus, including withdrawal and course drop requests. While Deans make decisions about granting exceptions to academic policy, center staff is expected to provide assistance in assessing psychological issues that may impact a student’s performance in classes. We have staff that takes the lead in this area, but all staff may be required to participate in this process at times, particularly if a student a staff member is seeing needs to request a lower course load or to withdrawal from the semester entirely. Academic policies and procedures are covered in training in August.

Training Activities

Orientation
In order to prepare to see clients and function as a Counseling Center staff member, interns will be introduced to Center modes of service delivery via an orientation process.  This orientation will be completed within a two-week period.  Orientation will consist of sessions in which interns will learn more about policy and procedure regarding Center functions, and will be given time and space to process any questions they might have.   Interns will also be introduced to the Center’s electronic record system (Titanium), will engage in orientation to available benefits, will have an “Onboarding” session in which important personal information is entered into the university system (i.e. banking information for direct pay deposit) and will have a chance to meet with the Administrative Team here at the Center.

Finally, orientation is also a very important piece of training in that interns will be exposed to many different staff here in the Center; thus, beginning the process of integration into the team through learning about staff interests and areas of expertise.

Individual supervision

Primary Individual Supervision (2 hours per week): Intensive primary supervision focuses on dispositional decision-making, case management, and short-term, intermediate and long term individual clinical work.  Professional development is also a focus and as well as their identity as Psychologists. Interns work with their primary supervisors for the entire training year. This provides depth in the development of the intern’s therapy and conceptualization skills and allows for a more thorough personalized evaluation of the intern’s development over time.

Secondary Individual Supervision (1 hour per week):  Secondary supervision is offered during the yearlong internship experience. This type of supervision focuses on a circumscribed area of the intern’s work and can be tailored to a particular intern’s interest areas (e.g., specific clinical areas, specific theoretical approach, modes of therapy such as couples, etc.), areas needing particular focus (e.g., remedial clinical work), or areas relevant to the intern’s development at a particular point in his/her training (e.g., job search process).  The focus for secondary supervision is determined collaboratively with available supervisors, interns, and the Training Coordinator.  Interns will be assigned a secondary supervisor for the Fall, and then will choose a different secondary supervisor for the Spring and Summer.

Supervision of Group Psychotherapy (.5 hours per week): Interns co-lead a therapy group with a senior staff member during the fall, spring and sometimes summer semesters.  This supervision can be tailored to the intern’s level of development and experience (e.g., focusing on the screening process, group level interventions, etc.).

Supervision of Triage/Intake Services

Trainees will be supervised regarding their triage/intake work, during individual supervision. Trainees will be expected to provide coverage for triage services, and will learn how to engage students in timely and effective assessment of their risk and needs. Triage here at NC State’s Counseling Center is the manner in which students enter the system, and is generally a short session focused on assessing current symptoms and directing students to services they need (whether that’s here in the Counseling Center or off campus). Trainees will also learn more about how to conduct an intake interview.

The intake Session is utilized as the student’s first session with their therapist here at the Counseling Center. Intakes are scheduled off of triage, and are longer and more involved than a triage session. Training regarding an intake interview will occur through live observation and through viewing audio/video tape. This session will allow the trainee to gather more information regarding the client’s history and general well-being. Risk will also be assessed.

Group Supervision

Group Supervision (1 hour per week):  Group Supervision is led by the Training Coordinator and the Clinical Director.  Group supervision is used to discuss clinical issues including: challenging cases, disposition issues, professional concerns, multicultural or ethical issues salient to a particular clinical situation and various treatment approaches. Interns are encouraged to participate in discussions, and to informally present cases throughout the year, using video and/or audio recordings of client sessions to augment the presentation of client presenting issues.

Supervision of Supervision (1 hour per week):  This group supervision experience is led by the Training Coordinator and “guest co-leaders” which will vary from year to year.  In order to best prepare Doctoral Psychology Interns for their professional role, the internship program requires that Interns supervise a trainee.  Interns will supervise master’s practicum trainees from the counseling department housed here at NC State.  Interns will participate in advanced didactic training during the Fall, but will not meet with their supervisees until the Spring semester of the internship.  During the Spring, interns will meet with their supervisees 1 hour weekly, and will participate in group supervision focusing on supervision techniques and supervision issues.  Interns will also use this time to focus on development of and ability to articulate a theory of supervision.

Case Conference(1 hour per week):  All staff participates in small-group case conference meetings.  This is an opportunity for staff, including advanced trainees, to present and discuss cases that are more complex or for which the staff member would like feedback.  This group supervision experience also provides the opportunity for interns to hear more about how staff members conceptualize cases through different theoretical lenses.  Interns also receive other perspectives regarding their work with their clients.

Training Seminars 

Training Seminar (2 hours per week):  This weekly seminar is topic-focused in that topics are covered in areas such as ethics, utilizing specific treatment strategies, crisis and risk management, psychopharmacology, etc. The seminar will be organized by the Training Coordinator, but will utilize center staff in their areas of expertise on a rotating basis.  Training seminars will be evidence based in nature, and will be heavily focused on assisting interns with blending research and practice.

Assessment Seminar (1 hour bi-weekly):  This seminar is led by a Center psychologist who specializes in psychological assessment.  Doctoral Psychology Interns are expected to utilize a variety of assessment tools at the Center. The group training/supervision of assessment meets twice-monthly.  Interns will have a chance to consult together (and with a staff psychologist) regarding standard or more complex assessments (those that involve a difficult diagnostic picture or risk).  Doctoral Psychology Interns will be expected to write 5 full-battery psychological assessments by the end of the academic year.  It is suggested that Doctoral Psychology Interns complete 2-3 batteries per semester, but all reports must be completed by the beginning of July.  Training related to the clinical interview will also be a large piece of training that will take place during the internship year, and will include training related to suicide/risk assessment.

Multicultural Seminar (1 hour bi-weekly): This seminar is led by the Multicultural Coordinator.  This seminar has a focus on developing multicultural competence through reflections on belief systems, research and findings on working with students from a variety of cultures, treatment considerations, and how cultural differences can impact student development.  Issues include ethnicity, gender, sexual orientation, socio-economic class, and religion. There is also an opportunity to work on programming for underserved students.

Group Therapy Seminar (1 hour bi-weekly):  During this time, the Coordinator of Group Therapy Services will assist interns with discussions regarding their group therapy experiences.  This supervision will not serve as primary supervision for the interns’ group experiences (this will be provided by the leader(s) of the group), but will serve as a processing and didactic space for interns to increase knowledge about group theory and process/learn more about group therapy interventions.

Professional/Administrative Activities

Coordinator of Training Meeting (1 hour bi-weekly):  This meeting is led by the Training Coordinator.  The purpose of this meeting is to provide mentorship related to interns’ professional identities as future psychologists.  Interns will be invited to discuss career opportunities in psychology, job searching, managing interpersonal conflict, early career issues, dissertation defense, private practice as a future psychologist, licensing, professional organizations, risk management , self-care, legal and ethical issues, etc.  This seminar will be open to other staff members as intern-identified needs arise.

Staff Meetings (1 hour weekly): This is an opportunity for the entire clinical staff to come together to discuss center issues, policies and current happenings.  Several times a semester, this time will be used for CE activities to assist in enhancing the staff’s professional development or to work on the center’s planning, mission/goals or cohesion.

Committee Work: Trainees are invited to participate in at least one committee.  Committees range from Outreach Committee, Groups Committee, Multicultural Task Force, Clinical Services Committee, CE Committee, Assessment Committee, Training Committee and the Social Committee.  Some committees meet weekly, while others meet bi-weekly or as needed.

Additional Training

CE Programs

The center provides a number of CE programs throughout the year on a variety of topics. Guests from other departments or from outside the university frequently serve as presenters for these programs.  Most of these CE programs are approved by APA for CE credit.  The CE committee works in conjunction with the Multicultural Coordinator to include topics relevant to multicultural training and competence.  Additionally, some other professional development programs are offered by the center. This may include “lunch and learn” discussions, or webinars.

Professional Training & Conferences

There is a budget set aside for trainees to attend off-campus trainings or conferences. The amount available may vary depending on budget allowances each year. There are a number of trainings that are convenient based on our location (close to Chapel Hill and Durham) and the number of colleges and universities in the area.

Campus Trainings 

There are some opportunities to take part in trainings available to staff on campus. For example, most of our staff has participated in Project Safe training that is offered by the GLBT Center on campus.  If interns see trainings advertised for the campus community that are of interest, we encourage them to discuss participation in these with their supervisor or Training Coordinator.

Research/Dissertation

Research and assessment skills as important aspects of professional development.  Relatedly, Doctoral Psychology Interns arrive in different places in the dissertation process.  Interns may also have varying levels of interest in research and assessment.  We provide support and encouragement in completion of the dissertation for those who have not done so prior to arrival by offering some time to work on this project (2 hours per week).  For those who have completed their dissertation but have an interest in being further involved in research and/or program assessment, there are opportunities to work with the Assessment Committee or to work on individual projects with approval of the Training Coordinator.