Fenway Health SUPERVISED TRAINING INTERNSHIPS/PLACEMENTS FOR GRADUATE STUDENTS IN SOCIAL WORK, COUNSELING, AND PSYCHOLOGY Overview For the past 20+ yrs the Behavioral Health Department has trained graduate and post-doctoral students in the field of mental health. Most students have completed at least one prior clinical practicum and are placed at Fenway Health (FH) (main location at 1340 Boylston St., Boston) for the academic year. [Occasionally we accept one student for a summer block placement in our Substance Abuse Treatment Program. We also at times accept a first year student for the academic year with our Medical Case Management team; however this placement involves just case management, not any other clinical opportunities.] We utilize an interdisciplinary approach with our staff, which is comprised of social workers, mental health counselors, psychologists, psychiatrists, victim advocates, substance abuse counselors, case managers and acupuncturists. Our therapeutic orientations include psychodynamic, CBT, DBT, and psychoeducational models. Clinical students are affiliated with one of the following programs: 1) Psychotherapy services (evaluations, individual, group, and couples therapies, long and short term treatment), 2) Violence Recovery Program (VRP) (advocacy and therapy for lesbian, gay, bisexual and transgender (LGBT) victims of anti-lgbt violence/harassment, sexual assault and domestic violence), 3) Behavioral Health Specialist in Primary Care Program (BHSP) (short term, skill-based interventions and interventions which address the behavioral health issues of our medical patients as they relate to health, compliance with medical recommendations, crisis intervention, screening patients for depression, etc) 4) Substance Abuse Treatment Program (SATP) (using acupuncture and group counseling for substance abusers) 5) Sidney Borum Jr. Health Center (SBHC) (The clinic, located at 75 Kneeland Street Boston, MA 02111, targets service provision for high risk youth ages 12-29, including homeless youth, LGBTQ, HIV+ youth, and young people of color, who otherwise experience difficulty in accessing medical and behavioral health services in more traditional healthcare settings.) Students conduct diagnostic evaluations and carry a clinical caseload and have other activities, depending on their program affiliation. FH serves a large population of lesbian, gay, bisexual and transgender clients and many HIV infected people. We also provide treatment for our medical patients who are diverse in terms of sexual orientation, gender identity, age race, ethnicity and socioeconomic status. Students may be able to co-lead the following groups with a staff member: CBT for Anxiety Group, CBT for Depression Group, LGBT Cancer Support Group, LGBT Mood Disorders Group, General Mood Disorders Group, HIV & Depression Group, and a Gay Men’s Mood Disorders group. The intern in the BHSP program may co-lead a Stress Management Group or a group focused on a particular medical condition. The intern in the Substance Abuse Treatment Program may co-lead a Sobriety Skills & Support Group and/or a Relapse Prevention Group. The intern in the VRP program may colead the Trauma Recovery Group, a Male Sexual Assault Group and/or the Mindfulness & Movement Group. 2 interns may be able to together co-lead the Exploring Sexual Orientation Group. Training schedule and expectations The training program begins the Monday after Labor Day and ends the Friday before Memorial Day. Students are expected to be on site 24 hours per week, including 2 evenings. Interns placed solely in the psychotherapy program will carry 7-9 individual cases, do a diagnostic evaluation/week and co-lead one or two groups. Interns affiliated with one of the other programs located at our main location, spend ½ time in that program and have a reduced caseload in the psychotherapy program. The intern at the SBHC will carry 9-12 clinical hours that include individual therapy and evaluations and possibly some group work. All interns receive 1 hr of individual supervision for their individual therapy/behavioral health specialist cases, plus 2 hours of supervision in a group for their diagnostic evaluations and certain groups. On Monday or Tuesday there is a didactic seminar usually from 8:45-9:45 am. On Mondays there is also an experiential/support group from 10-11 and group supervision, usually from 11-1. On Tuesdays there are regular department meetings from 10-1:30 These include weekly intake, crisis management and treatment planning meetings, monthly in-services, monthly department meetings and monthly all Fenway staff meetings. In addition, each program has meetings that the intern placed in that program should attend: Violence Recovery Program: every Wed. from 11-1 Substance Abuse: Every Thursday from 1-2 Behavioral Health Specialist Team: Wednesdays from 10-11 Sidney Borum HC: Wednesdays 10:00 for Behavioral Health. Some joint meetings with the Medical Dept last until 12:30. (For students not in field placement on Wednesdays, SBHC will make individual plans to ensure when applicable, that the intern’s cases are presented and reviewed as required.) Application Process We have a maximum of 5 training slots available. These slots are open to graduate school trainees of all disciplines (psychology, social work and counseling) and to post-degree/post-doctoral candidates. There is strong competition for the slots. We would like our interns to have had prior experience as individual therapists; therefore, we prefer students to be in at least their second year of training. We look for students who are able to be sensitive to the life circumstances of our client population, and who can function independently while handling the stress of a fast-paced, demanding environment. Interested students should submit a resume, cover letter and 2 letters of recommendation electronically to Rhonda Linde, Ph.D., Coordinator of Behavioral Health Training at rlinde@fenwayhealth.org If the student appears to be a suitable candidate they may be asked to come in for an interview with the Training Coordinator and another supervising clinician from the FH staff. References will be checked. We require applicants to submit completed applications by January 1 as we try to make a decision by the beginning of February. We try to create a cohesive group of interns who are at approximately the same level of training and experience. New Staff/Intern Trainings Fenway Forum Seminar Series 2012-2013 Date Topic 9/17/2012 Suicide Assessment and Emergency Procedures 9/24/2012 Understanding Domestic Violence 10/1/2012 Mental Status Exam & System Checklist 10/9/2012 Writing Treatment Plans & Progress Notes 10/15/2012 Hate Crimes and Sexual Assault 10/16/2012 Serious Illness & Psychopharmacology 10/23/2012 Coming Out Presenter Jennifer McLain, MD Jessica Newman, LMHC Jennifer McLain, MD Ben Kudler, LICSW Jessica Newman, LMHC Kevin Kapila, MD Steven Klann, LICSW 10/30/2012 Trauma: Understanding Trauma & Assessment for PTSD 11/05/2012 HIV Medical Issues Jerry Feuer, PA-C 11/12/2012 HIV Case Management Caroline Warren 11/20/2012 Counseling Issues for Persons Recently Diagnosed 11/26/2012 LGBT Issues Guy Croteau, LICSW Doug Hein Melissa Savage LICSW/Thomas Lewis 11/27/2012 Substance Abuse and the LGBT Community Frank Busconi, LICSW/Melissa Savage, LICSW 12/03/2012 Working with LGBTQ Immigrants, refugees, and asylees CarmenLeah Ascencio, LCSW 12/04/2012 In the Mind of an Addict and How 12 Step Programs Work George McAvoy, LICSW 12/10/2012 Hate Crimes and Sexual Assault Jessica Newman, LMHC 12/11/2012 Including the Boy in Psychotherapy 01/07/2013 DBT Toolbox: The basics of Andrew Fieleke, LMHC Janet Lantry, LICSW Mindfulness and Distress Tolerance 01/14/2013 Trauma – Treatment Options Guy Croteau, LICSW 01/22/2013 Crystal Meth Will Halpin, LICSW 01/28/2013 Emotion Regulation and Interpersonal Effectiveness Skills Janet Lantry, LICSW 02/04/2013 Eating Disorders Jennifer McLain, MD 02/05/2013 LGBT Family Formation 02/19/2013 BDSM 03/04/2013 Working with LGBTQ Couples 03/19/2013 LGBT Elders 03/25/2013 Mental Health and Wellness – Beyond pathology 04/02/2013 LGBT Youth 04/08/2013 Boundaries and Events in the Therapist’s Life 04/09/2013 Working with Trans and Gender Non-conforming Clients Ruben Hopwood 4/22/2013 Working with Latino Clients Silvia Llosa, LMHC Elizabeth Coolidge, LMHC Thomas Lewis Sixto Munoz, LICSW Don Farr, LICSW Jennifer McLain, MD Joanna Wisch Joyce Collier, LICSW and Rhonda Linde, PhD. 4/29/2013 Sexual Compulsivity Richard Cook, MD 5/7/2013 Spiritual Assessments and Implications in Treatment Ruben Hopwood FENWAY HEALTH BEHAVIORAL HEALTH STAFF DEVELOPMENT 2011-12 All trainings will take place in room 9A For any questions or concerns about these programs, contact Rhonda Linde, Ph.D. at 617-927-6206 Email: rlinde@fenwayhealth.org DATE Sept. 27, 2011 TITLE Introduction to Solution Focused Therapy – Part 1 PRESENTER Susan Tohn, LICSW TIME 11:30-12:30 1 CE credit October 25, 2011 Introduction to Solution Focused Therapy – Part 2 Susan Tohn, LICSW 11:30-12:30 1 CE credit November 22, 2011 Introduction to Solution Focused Therapy – Part 3 Susan Tohn, LICSW 11:30-12:30 1 CE credit January 24, 2012 Introduction to Cognitive Behavior Therapy- Part 1 David Pantalone, PhD 11:30-12:30 1 CE credit February 28, 2012 Introduction to Cognitive Behavior Therapy – Part 2 David Pantalone, PhD 11:30-12:30 1 CE credit March 27, 2012 Introduction to Cognitive Behavior Therapy – Part 3 David Pantalone, PhD 11:30-12:30 1 CE credit April 24, 2012 Introduction to Cognitive Behavior Therapy – Part 4 David Pantalone, PhD 11:30-12:30 1 CE credit LEARNING OBJECTIVES Participants will describe the three meta-model Solution Focused assumptions that allow clinicians to use any techniques they deem appropriate. Participants will describe the 13 Solution Focused assumptions and how they are applied in the model. Participants will identify 3 of their own assumptions that drive their clinical work. Participants will describe how the Solution Focused assumptions are different from Psychodynamic assumptions. Participants will describe one particular case and differentiate between a Solution Focused and Psychodynamic approach. Participants will differentiate between Solution Focused and Psychodynamic assumptions and how they create different questions and paths in a clinical session. Participants will explain the three parts of the “Cooperating with Clients” paradigm. Participants will give an example of someone who is a customer, browser and visitor for a goal. Participants will explain the difference between active and passive questions and which applies to “customer”, “browser” and “visitor.” Participants will summarize the historical context in mental health from which behavioral and cognitive techniques came about. Participants will be able to identify some similarities and differences in the approaches of CBT therapists and providers from other theoretical traditions. Participants will begin to develop skills at conceptualizing client problem behaviors from a CBT perspective. Participants will be able to describe the general steps involved in assessment from a cognitive behavioral perspective. Participants will be able to identify problem behaviors and one method for understanding problem behaviors in the context of the patient’s life, i.e., a behavioral or chain analysis. Participants will be able to develop further skills at conceptualizing client problem behaviors from a CBT perspective. Participants will be able to articulate the important types of information needed to conduct a CBT assessment. Participants will be able to identify problem behaviors and one method for understanding problem behaviors in the context of the patient’s life; i.e., a behavioral or chain analysis. Participants will be able to develop further skills at conceptualizing client problem behaviors from a CBT perspective. Participants will be able to practice the skill of behavioral chain analysis and suggest potential intervention targets and/or strategies. Participants will be able to summarize the basic components of cognitive behavior therapy for depression. Participants will be able to suggest potential intervention targets and/or strategies for treating depression from a CBT perspective. May 22, 2012 Introduction to Cognitive Behavior Therapy – Part 5 David Pantalone, PhD 10:00-11:00 1 CE credit June 26, 2012 Introduction to Cognitive Behavior Therapy – Part 6 David Pantalone, PhD 10:00-11:00 1 CE credit Participants will be able to suggest potential intervention targets and/or strategies for treating depression from a CBT perspective. Participants will be able to summarize the basic components of cognitive behavior therapy for treating alcohol/substance abuse dependence. Participants will be able to suggest potential intervention targets and/or strategies for decreasing problematic alcohol/substance use. Participants will be able to name and describe the various aspects of dialectical behavior therapy (DBT). Participants will be able to summarize the basic components of the biosocial model of the development of borderline personality disorder. Participants will be able to name and describe the DBT skills modules and the behavioral skills deficits that they aim to address.