Baylor University Counseling Center
Doctoral Internship in Psychology
Training and Clinical Service Activities
Clinical Activities
A. Individual/Couples Counseling
Interns see up to 16 individual clients per week. The Baylor Counseling Center functions
primarily within a short-term counseling model, with a yearly session limit of 12.
Interns will have the option of seeing 2 clients over a longer period for the training
experience of doing some in-depth clinical work. This will be determined in a discussion with
their primary supervisor. Clients who are assessed to be in need of intensive or long-term
therapy beyond the scope of the Baylor Counseling Center are referred to the community.
Interns and staff conduct couples counseling as needed and interns may request to do cotherapy with a staff member. Couples needing intensive or long-term relationship
counseling are generally referred to the community.
B. Group Counseling
The Counseling Center offers a variety of groups throughout the year. Examples include
Mindfulness, Boundaries, Substance Abuse, Men’s, Sexual Assault Survivors, Creative Arts
Process, Social Confidence, Adult Children of Alcoholic Families, Interpersonal Process,
etc… Interns are required to co-lead at least one group with a staff member and then may
develop and lead groups in their own areas of interest.
C. Walk-In Clinic & Initial Assessment Sessions
Students who are coming to the Baylor Counseling Center for the first time are asked to
attend an initial consultation session as a way of entering the system – called an Initial
Assessment. Initial Assessments are accessed through our Walk-In Clinic. Students come
in during designated Walk-In hours and are seen based on basis of urgency and order of
arrival. Students are asked to complete an information form (demographic data, history of
previous treatment, current medication, family information, symptom checklist, etc.). They
are also asked to sign an acknowledgement and consent to treatment form. The therapist
on initial assessment duty then conducts a 30 minute assessment interview. Interns will
each cover 2-4 hours weekly of the walk-in clinic time.
During this initial session the therapist is expected to assess the nature of the presenting
problem(s), determine the need for immediate attention or intervention, and refer the student
to the appropriate resource within or outside the counseling center. If the student is in need
of immediate attention, the therapist conducting the initial assessment will provide it during
that session. Thus, therapists may also see crises during this time as well, as it serves as
our entry point for all types of concern.
D. After Hours, On-Call/Crisis Intervention
The Baylor Counseling Center provides formal after-hours emergency services. Staff,
interns, and practicum students all provide this coverage on a rotating basis for a week at a
time. Interns and practicum students will be the first contact by phone with senior staff
serving as support, supervisors, and back up for the next line of phone contact. After-hours
on-call coverage is done by phone, both for the primary on-call counselor and for the backup supervisory counselor. Therapists assess the concern and provide appropriate
interventions.
E. Practicum Supervision
The Baylor Counseling Center provides practicum experience for doctoral graduate students
in clinical psychology from the Baylor University Psy.D. Program in the Department of
Psychology and Neuroscience.
Based on readiness and availability, Interns may be assigned as the primary supervisor for
a practicum student in the fall and then may also be assigned a different practicum student
at the start of the spring semester. As part of their supervisory duties, interns are
responsible for both the client care and the professional development of the practicum
student. This will include reviewing videotapes and/or observing therapy sessions. Interns
as supervisors are also responsible for reviewing all practicum trainee case notes. All
practicum student case notes, which have been reviewed by their intern supervisor, are
countersigned by the Training Director.
Practicum supervision by each intern is supervised in the 1) Supervision of Supervision
Seminar and 2) through the Supervisory Triad Model:
1. The Training Director will facilitate the Supervision of Supervision meeting with both
Interns together. This will include readings, didactics, video-tape review and
discussion about supervision and the growth of the practicum student. Practicum
Supervision meetings are videotaped for review during the Supervision of
Supervision.
2. The supervisory process will be part of a Triad with the Training Director, the intern,
and the practicum student. The Training Director will be present for every
supervisory meeting as the intern and practicum student get started, and at least 1
hour weekly, but may then provide opportunity for the intern to provide videotaped
supervision independently.
Supervision Activities
A. Individual Supervision
Effective supervision is believed to be the most essential element of a good training
program. Each intern receives 2 hours per week of regularly scheduled supervision from a
licensed psychologist. Additional unscheduled supervision and consultation with the
supervisor and other staff members are available and encouraged. Although individual
supervision may focus primarily on an intern’s counseling cases, ethics and other
professional issues are considered to be valuable topics for discussion.
The primary supervisor is the therapist designated by the Training Director to be responsible
for an intern’s training experience for a given time period. The primary supervisor is
responsible for ensuring that all of the intern’s cases are being supervised and that the
intern is getting a comprehensive experience in terms of types of cases and activities. The
primary supervisor, or his/her designee, will monitor all written and verbal communications
regarding cases and will countersign progress notes, correspondence and reports. The
primary supervisor will also monitor the intern’s adherence to legal and ethical guidelines, as
well as to Baylor University, Student Affairs, and Counseling Center policies and
procedures. Additionally, the primary supervisor is responsible for evaluating the intern’s
performance at the Counseling Center and providing feedback to the intern. The Director of
Training initially assigns each intern to a supervisor during Intern Orientation.
The primary supervisor or Director of Training may designate a case supervisor to supervise
an intern on a particular case. Examples of the use of a case supervisor include supervision
by a licensed marriage and family therapist when doing couples counseling, supervision of a
substance abuse case by a licensed chemical dependency counselor, supervision of a
trauma survivor case by our Sexual Assault Prevention Coordinator, etc. The case
supervisor is responsible for monitoring the intern's management of the individual case; in
this capacity the case supervisor monitors the counseling content and process, as well as
written or verbal communications regarding the case.
Supervisors may vary in style and approach to supervision, but there are some requirements
that apply to all interns/supervisors. Interns should keep progress notes and records up to
date and bring information about clients to be discussed to supervision. The primary or
case supervisor must countersign all progress notes and other written communications
regarding clients. Interns should also maintain an intern activity log (Appendix J) and be
prepared to review all cases in their current caseload with their supervisor.
Interns are expected to obtain releases for recording/observation from clients and to record
their sessions or be observed as directed by their supervisor (webcams are provided).
Interns should provide their supervisor with a video record of at least one session per week;
this session should be given to the supervisor two or more days prior to the supervision
session during which it will be discussed. Additional sessions may be viewed at the request
of the supervisor or intern. Recordings are considered to be transitory information and are
deleted/destroyed after review or use in supervision, and on a regular basis.
It is the responsibility of the intern to keep his/her supervisor apprised of any potentially
dangerous or troublesome cases. In the event that a supervisor is unavailable for one or
more days (e.g., is attending a conference, on vacation, sick, etc.), the intern should
inform/consult with another professional staff member.
B. Supervision of Group Counseling
During the training year, interns will co-lead a group with a staff member. This co-leader
serves as the supervisor for the intern’s group therapy activities, meeting for approximately
one half hour immediately preceding and/or following each group session. This supervision
provides interns the opportunity to discuss dynamics, content and interventions specific to
the group they are co-leading, as well as discuss group therapy dynamics and interventions
in general. Once an intern has co-led a group with a staff member, he/she may be able to
co-lead a group with another intern or independently lead a group, under supervision.
C. Supervision of Supervision
This weekly meeting combines a supervision training seminar with group supervision of
practicum students. The seminar meets for 2.0 hours each week and focuses on
developing supervisory skills. Topics for the didactic portion of the seminar include
supervision models, supervisory roles and process, ethics, cross-cultural supervision, etc.
Supervision of Supervision provides interns a setting in which to share and discuss their
experiences as supervisors, and will be facilitated by the Training Director.
D. Intern Case Conference
Interns will meet together with a clinical staff member for 1.0 hours each week to watch
video and discuss in detail one or more clients/cases. The Case Conference will be
facilitated by the Training Director. Case conference will involve writing a conceptualization,
researching a relevant journal article, and sharing video footage for discussion. Interns will
each have a 6 week opportunity each semester to share video of the same client, weekly,
with a small group of clinical staff, exploring the clinical work with an emphasis on
multicultural counseling and attention to issues of diversity.
1. Case Conceptualizations and Journal Article:
Interns will complete a written conceptualization in advance of their first case conference
and use it to present a client and ask for guidance in working with the client from the
intern’s own frame of reference and theoretical approach. Interns will also select a
scholarly journal article related to their case and distribute it along with the written case
summary.
2. Consultation and Video Review:
Interns will provide a conceptualization of a client and then share videotape clips,
discussing the interface of the person of the therapist, with theoretical approaches and
practical hands-on interventions while learning about process from observing sessions
and discussing with staff. A focus on multicultural competency in counseling will be a
significant part of the discussion.
3. Case Conference Rating Form:
Senior staff will complete the Case Conference Rating Form at the end of each 6-week
case conference that will shared with the presenting intern. Minimum overall scores on
the rating form will be a 3 in the fall semester, and a 4 in the spring semester.
Outreach Responsibilities
Outreach Programming and Consultation
Baylor Counseling Center staff is frequently asked to consult with faculty/staff, friends, or
family members about a specific student or situation, to provide staff development programs
for other departments, present seminars or workshops for student groups, and provide other
outreach services on campus. Senior staff members invite interns to co-present workshops
during the fall semester to assist the intern in gaining experience in making presentations.
Interns also participate in general outreach activities.
Interns will be expected to contribute to the mission of the BUCC by assisting with outreach
efforts throughout the academic year. This may include tabling at campus events, promoting
BUCC services, providing training for students or faculty/staff on mental health topics and
engaging in afterhours outreach events. There are two specific Outreach Projects required
for the doctoral interns that are outlined in later sections of this manual. The scheduling of
these projects is flexible. On average outreach duties will constitute 2.5% of the Interns work
schedule, which is equivalent to one hour per week of service.
The Outreach Coordinator will provide supervision and support but the intern is expected to
show initiative and responsibility for the project. At the year’s end, the Outreach Coordinator
will complete the Outreach Project Rating Form, which requires a minimum rating of a 4.
Seminars
A. Diversity Training Seminar
The Diversity Seminar will meet, at a minimum, for an average of 2 hours every other week,
and combine didactic with experiential and discussion activities on topics related to diversity
and developing multicultural competencies. Some weeks, this seminar may be replaced by
special opportunities such as a visiting presenter, outside workshops on diversity, or
attending a conference. Interns will develop and present at least 3-6 diversity seminars on
topics of their choice during the late spring and summer, as a capstone training experience
for this seminar. Some of these may be a part of training the incoming practicum students.
B. Didactic Training Seminar
The Didactic Training Seminar is an educational seminar that provides interns with training
and information about a variety of professional issues and topics of therapeutic relevance.
This is, at minimum, a 2 hour weekly seminar presented by Baylor Counseling Center staff,
other Baylor University faculty and staff, and professionals from the surrounding community.
Seminars may be presented in the following areas: ethical/legal/professional issues, the
process approach for integrating modalities, multiculturalism and diversity, substance abuse,
group therapy, sexual assault and Title IX, etc… and special topics. Some weeks, this
seminar may be replaced by a special opportunity such as an outside presenter or attending
a conference or workshop. Interns are required to develop and present 2-4 seminars on
topics of their choice during the late spring and summer, as a capstone training experience
for this seminar. Some of these may be a part of training the incoming practicum students.
C. Capstone Professional Development Presentations
The Professional Development Seminar is an educational/experiential opportunity that
provides interns with training, information, and experiences to wrap up their training year as
and integrate their learning. These will occur throughout the months of June and July, and
might include topics about career opportunities, job search, work/life balance, etc… It will
also include providing professional presentations themselves in the areas of diversity,
clinical topics, case presentation, and theory of change. Training incoming practicum
students will also be a part of these experiential learning opportunities.
Administrative Activities
A. Treatment Team Staff Meeting
The Treatment Team Staff meeting is held once a week for 1 hour, typically Friday mornings
at 8:00. The purpose of this meeting is fourfold: 1) general announcements, 2) to discuss
issues which impact the Counseling Center and/or its staff and services, 3) discuss oncall/crisis calls and any students of concern, and 4) clinical consultation with multidisciplinary
treatment team. Occasionally, guests are invited to provide information to the staff. All
clinical staff members, including practicum trainees and interns, attend this meeting. Intern
input is valued and staff meetings provide an opportunity to interact as colleagues.
B. Administration/Records Maintenance
Time is set aside for interns to write case notes, return phone calls, talk to other staff about
policies/procedures, etc.
C. Professional Development/Research/Unscheduled Supervision
Interns are given, on average, two hours per week to engage in activities that will enhance
their development as professionals. Due to the cyclical nature of counseling center work, it
is expected that these hours are given to client care during the busy times of each semester,
and recouped during the slower times. This time may be spent in unscheduled supervision
or consultation, reading journal articles, working on intern projects, attending workshops or
staff development seminars, working on dissertation, etc. Interns typically engage in
professional development activities and research on campus. Requests for off-campus
professional development time must be approved by the Director of Training.
Other Required Training Experiences
A. Diversity Project/Activity
Interns must successfully complete a diversity project after consulting with Coordinator of
Multicultural Services. A Diversity Project Rating Form will be completed, as feedback.
The interns will discuss their developmental stage of diversity awareness and cross-cultural
competency with the Multicultural Services Coordinator, and together they will develop a
year-long training plan that includes both a diversity project and core experiential
components and activities. The plan will be developed with intentionality around a
comprehensive growth-producing experience for the intern. The Coordinator of Multicultural
Services will provide the intern with formal and informal, as needed, year-long consultation
and supervision. Examples of Diversity Projects include:
1.
2.
3.
4.
5.
6.
7.
Co-lead/lead a support group for students
Assist Multicultural Student Affairs programming efforts
Support the More Than We Can Bear program
Develop a diversity project on disabilities, partnership with OALA
Develop your own idea / area of interest on campus around diversity
As appropriate, invest in support groups of Latinas Unidas, My Sister Myself, etc…
Assist Coordinator with Focus Group research finding ways to improve our diversity
services and multicultural programming.
B. “Adopt a Residence Hall” Outreach Project
Interns will be assigned a residence Hall where they will build relationships with the
Residence Hall Directors and establish an understanding of the needs relevant to the
residence hall. Interns will provide a minimum of four programs to their residence hall during
the academic year. These programs can be for Community Leaders, or all residents, as the
needs of the hall dictate. This project will be supervised by the Coordinator of Outreach, so
that guidance and resources can be provided.
C. Core Experiential Components
Interns are expected to complete the required activities listed under each core area (1-6). In
addition to the required activities, some optional activities may be listed if an intern wants
further experience and training.
1. I/P Violence Prevention– Dr. Cheryl Wooten, Sexual Assault Prevention Coordinator
a) Support and attend, It’s On Us – Sexual Assault Prevention Campaign for
freshman
b) Lead small groups with this campaign, and/or other related outreach events, as
appropriate and when needed.
c) Receive Bystander Intervention training and lead small group interventions as
appropriate and as needed.
d) Attend related trainings in the department, as offered, on: Title IX, Introduction
to Working with Trauma, Working with Sexual Assault, Crisis Response with
Sexual Assault, etc…
e) Work with 2 or more individuals who experienced trauma, based on readiness,
consulting with Dr. Wooten for guidance, as appropriate / needed.
f) Optional:
1. Research and present intervention model to staff
2. Provide counseling for trauma survivor
3. Support Coordinator of Sexual Assault Prevention research
4. Co-facilitate Trauma Recovery Support Group or Therapy Group
2. Diversity – Dr. Monique Marsh-Bell, Coordinator of Multicultural Services
a) Participate/support at least two diversity programs sponsored by a Baylor office,
department or multicultural/diversity team
b) Work with at least four clients from the following categories during each semester
(at least three categories must be represented):
a. ethnicity other than your own
b. gay/lesbian/bisexual/transgender
c. non-traditional student (35 years or older)
d. first generation student
e. student with a disability (other than psychological)
f. international student
g. religious beliefs significantly different from your own
c) Lead 3-6 diversity seminars in multicultural area of interest
d) Lead seminars for incoming practicum students on diversity topics, in July.
3. Clinical Services & Group Therapy – Dr. Lauri Rogers, Clinical Coordinator
a) Build up to 16 individual clients per week
b) Co-lead at least one group during the year
c) Support suicide prevention services on campus
d) Optional: Lead 2nd group in the spring, in area of interest
4. Supervision of a Practicum Student – Randal W. Boldt, Training Director
a) Supervise 2 practicum students at the CC, one at a time and changing midyear
b) Work with Training Director in Supervisory Triad Model
c) Participate fully in weekly Supervision of Supervision meeting
d) Complete process-reflection paper about supervision experience each semester
e) Participate in weekly Practicum Case Conference meeting
5. Educational Programming/Outreach – Dr. Emma Wood, Outreach Coordinator
a) Support Existing Outreach Events:
Interns will be expected to contribute to the mission of the Baylor University
Counseling Center by assisting with outreach efforts throughout the academic year.
This may include tabling at campus events, promoting Baylor University Counseling
Center services, providing training for students or faculty/staff on mental health
topics and engaging in afterhours outreach events. On average outreach duties will
constitute 2.5% of the Interns work schedule which is equivalent to one hour per
week of service. See Appendix I for Outreach Project Expectations.
b) Mental Health Outreach Project:
Interns will be expected to develop a formal outreach program to be delivered on
campus to address one of the following college students mental health needs: 1)
Stigma Reduction, 2) Diversity and Mental Health, 3) Stress management, and 4)
Depression and Suicide.
Programs should take into consideration current trends and data on relevant topics
and should demonstrate creativity and engaging presentation techniques. Interns will
be expected to present their outreach program to clinical staff and practicum
students prior to rolling it out on campus. Interns will work with the Coordinator of
Outreach to market and execute the outreach program.
The bulk of this work will be done during the summer months when clinical needs
are diminished and there is more administrative time available. Programs should
take into consideration current trends and data on relevant topics and should
demonstrate creativity and engaging presentation techniques. Interns will be
expected to present their outreach program to clinical staff and practicum students
prior to rolling it out on campus. Interns will work with the Coordinator of Outreach to
market and execute the outreach program.
6. Alcohol and Other Substance Abuse – Dr. Don Arterburn, Addictive Behavior
Specialist
a) Attend Counseling Center training sessions on alcohol/drug assessment and
diagnosis
b) Participate in an MIP Alcohol Education Class (one 3-hour session) and Drug
Offender Class (one 3-hour session), discussing with Dr. Arterburn which class
would be the most appropriate.
c) Attend/assist Dr. Arterburn with an on-campus workshop/presentation on
substance abuse/treatment for students
d) Dr. Arterburn will act as case-consultant for 2+ cases over the year with
abuse/addiction presentations
e) Optional: Research the 12-step model and attend a 12-step meeting on campus
D. Other Optional Experiential Opportunities
1. Intern Project/Activity
Interns may select a project or activity to complete during the internship year that will
broaden their professional development training/experience. Interns should discuss
their ideas with the Director of Training prior to beginning a project or activity. Below
is a list of possible activities/projects; it is not exhaustive, so interns are encouraged
to be creative and develop their own ideas. Final project must be approved by
primary supervisor and the Training Director.
Required Activities: None
Optional Activities – Based on discussion with Training Director and Intern
readiness:
1. Serve on a university committee throughout the year
2. Participate in intern or practicum student selection
3. Train the CC staff on a particular theory or technique,
4. Independent study/activity on area of interest
2. Mindfulness Interventions – Dr. Yoshiko Hall
Required Activities: None
Optional Activities – Based on discussion with Dr. Hall and intern readiness:
1. Complete assigned reading on Mindfulness
2. Participate in Mindfulness Training seminar with other intern
3. Meet weekly to practice and prepare for group facilitation
4. Attend & support/co-lead Mindfulness group
5. Plan and lead Mindfulness group experience on your own
6. Teach Mindfulness skills with individual clients, consulting with Dr. Hall
3. Administrative Mentoring – Dr. Jim Marsh, Counseling Center Director
Optional - Meet with Director to learn about components of CC administration
4. Dissertation work – It may be possible, after consultation with the Training Director,
to allocate some time for dissertation work.
E. Capstone Professional Presentation Activities during 2nd six months
Participate fully in activities designed to bring together your year of training,
integrating research and practice, ethics, and clinical work to level of being able
to teach, lead, or present on topic important to the field in a professional manner,
while also further preparing for the job application process.
1.
2.
3.
4.
Diversity Case Presentation
Topical/Clinical Presentation
Theory of Change Presentation
Training and Orientation of Practicum Extern Presentations
Continuing Education/Staff Development/Professional Meetings
The Counseling Center tries to provide yearly educational/workshop/conference programing
for staff. Past conferences have included attending the Multicultural Conference at Texas
A&M, and our own hosting of Dr. Hannah Levenson. We also sometimes partner with other
departments to bring in speakers (e.g. Dr. Nancy Boyd-Franklin). The Student Life Division
provides staff development lunch programs which are available to all Student Life staff
during the fall and spring.
The Counseling Center also provides some funding for interns to attend the annual Texas
Counseling Center Intern Conference in the spring and may provide funding for additional
conferences or workshops as the budget allows (e.g. TUCCCC). Requests to use any
accumulated leave or to attend conferences must be approved in advance by the Director
of Training.