Session #B2a
Friday, October 11, 2013, 1:30-2:10p.m.
Online Program Behavioral Health
Internship
C.R. Macchi, PhD
Clinical Assistant Professor
Internship Coordinator
Doctor of Behavioral Health Program
Arizona State University
Collaborative Family Healthcare Association 15th Annual Conference
October 10-12, 2013
Broomfield, Colorado U.S.A.
Faculty Disclosure
I have not had any relevant financial relationships
during the past 12 months.
Objectives
• Explore the key elements of a doctoral level
clinical internship program
• Examine the tools and technologies that are
used to support effective online delivery
• Focus on the ways online tools are used to
support pedagogical objectives
Learning Assessment
Audience Question & Answer
course requirements and standards
Components
Consultation
Objectives
• Clinical support
• Professional and skill
development
• Peer network
Policies
• Live, synchronous attendance
required
• 5 case presentations
Resources
•
•
•
•
•
Clinical Consultant
MyDBH dashboard
LearningStudio
Vidyo meeting room
Case presentation
guidelines and rubric
• Professional development
• 400 hours on site
• 25% direct patient contact
• Program descriptions
• Internship packet
• Reporting & evaluation
forms
Outcomes
management &
resourcing
• Outcome-informed care
• Patient resource support
• 65% (total patients) administer
measures
• 25% (total patients) resource
referrals
• MyOutcomes
• Workplace Outcomes
Suite
• Pro-Change
Special project
• Needs assessment
• Research-informed practice
• Population-based
intervention
• Develop and lead population
health screening program or
health management group
• MyDBH dashboard
resources
• Site Liaison
• Clinical Consultant
Internship site
placement
The Nicholas A. Cummings
Doctor of Behavioral Health Program
internship sites
69 active internship sites in 24 states and 4 countries
The Nicholas A. Cummings
Doctor of Behavioral Health Program
establish site/student intern fit
• Students identify a potential site by either
– Approaching one of the internship sites that has
an existing agreement with ASU (see map)
– Contacting a colleague in their professional
network to seek a site referral
• An interview with site representatives focuses
on exploring the fit between
– The needs of the site and the patient population
– The student’s professional experience, skills, and
career goals
The Nicholas A. Cummings
Doctor of Behavioral Health Program
program management tool
MyDBH
The Nicholas A. Cummings
Doctor of Behavioral Health Program
online monitoring & reporting
• The MyDBH dashboard provides student
interns with real-time access to information,
resources, and performance feedback
– Summary of internship hours
– Automatic alerts for upcoming and overdue tasks
– Downloadable and online forms available for
online submissions
– Feedback on submission review/approval process
The Nicholas A. Cummings
Doctor of Behavioral Health Program
course management tool
Learning Studio
The Nicholas A. Cummings
Doctor of Behavioral Health Program
consultation videoconference
Vidyo
• Clinical consultation groups consist of student
interns and a consultant (maximum 6:1 ratio)
– Consultant-led didactics on related clinical topics
– Student case presentations
– Group consultation and resourcing
• HD quality videoconferencing
• HIPAA-compliant technology
The Nicholas A. Cummings
Doctor of Behavioral Health Program
case presentations
• Skill development focused on unique skills needed
in primary care settings
– Brief
– Focused
• Address reason for BH referral
• Summarize the salient clinical issues
• Offer treatment recommendations
• Clinical consultation in a group setting enables
student interns to
– Refine presentation skills
– Enhance collegial collaboration skills
The Nicholas A. Cummings
Doctor of Behavioral Health Program
outcome-informed treatment
Required Measures
•Session Rating Scale (SRS) – measures therapeutic alliance
•Outcome Rating Scale (ORS) – measures patient outcomes
•Workplace Outcomes Suite (WOS) – measures patient workplace
productivity
•Alternative measures approval process
– Procedure designed for student interns to make a compelling
case for using a different measure
• Description of issues precluding the use of a required measure at the
site/with the patient population
• Identification of an alternative measure
• Description of the psychometric properties
• Clinical objectives of choosing the measure
The Nicholas A. Cummings
Doctor of Behavioral Health Program
outcomes data management tool
The Nicholas A. Cummings
Doctor of Behavioral Health Program
adjunctive treatment resources
• Pro-Change is used to extend the reach and
impact of student intern/patient strategies
and interventions
• Improves patient self-efficacy
• Supports patient self-management
• Follow ups to referrals provide opportunities
to
– Build on patient strengths
– Refine treatment approaches
The Nicholas A. Cummings
Doctor of Behavioral Health Program
online patient resources
The Nicholas A. Cummings
Doctor of Behavioral Health Program
internship project
• Group treatment intervention of specific
conditions
– Chronic medical condition (e.g., diabetes,
asthma)
– Psychiatric condition (e.g., depression, anxiety)
– Addictive behavior (e.g., smoking cessation)
• Patient health management
– Conduct screenings and develop outreach to
patients who are not currently receiving the
treatment needed to effectively manage a chronic
condition
The Nicholas A. Cummings
Doctor of Behavioral Health Program
performance evaluations
• Student intern receive periodic process and
summative evaluations
• Performance evaluations are performed by
different people reflecting varying perspectives
– Internship site
• Site liaison
• Medical provider
– Clinical Consultant
– Student intern
• Self-assessment
• Internship site assessment
The Nicholas A. Cummings
Doctor of Behavioral Health Program
student intern portfolio
• Skill-building and performance metrics
provide data for student to develop
connections between
– Treatment strategies
– Patient outcomes
• Professional marketing tool
Integrated BH Skills
The Nicholas A. Cummings
Doctor of Behavioral Health Program
Clinical Outcomes
Session Evaluation
Please complete and return the
evaluation form to the classroom monitor
before leaving this session.
Thank you!