Oregon State Hospital Psychology Internship Program Intern Brochure 2016-2017 Mission The mission of the Oregon State Hospital Psychology Internship Program (OSH-PIP) is To provide comprehensive and individualized clinical training In evidence-based assessment and treatment That emphasizes the unique strengths and needs of people in recovery from serious mental illness and That prepares professional psychologists to work effectively with forensically-involved patients and other stakeholders. Accreditation Status The Oregon State Hospital Psychology Internship Program (OSH-PIP) is not currently accredited by the American Psychological Association. Questions related to the program’s accreditation status should be directed to the Commission on Accreditation: Office of Program Consultation and Accreditation American Psychological Association 750 1st Street, NE, Washington, DC 20002 Phone: (202) 336-5979 Email: apaaccred@apa.org APPIC Membership Status OSH-PIP achieved Association of Psychology Postdoctoral and Internship Centers (APPIC) membership status on 10/22/2015. This internship site agrees to abide by the APPIC policy that no person at this training facility will solicit, accept, or use any ranking-related information from any intern applicant. Oregon State Hospital Overview Oregon State Hospital is the state's primary state-run psychiatric facility for adults. The state hospital delivers high-quality inpatient psychiatric and medical care to patients through forensic psychiatric services for patients who are judged Guilty Except for Insanity or incompetent to proceed, as well as through psychiatric recovery services for civilly committed patients. OSH-PIP Program Structure and Rotations OSH-PIP offers a one-year, full-time internship beginning and ending in late August of each year. The training program is located on the Salem campus of Oregon State Hospital (OSH). The start date for the internship is August 15. OSH-PIP will provide a range of clinical and didactic experiences that represent the necessary depth and breadth required for the future professional practice of psychology. Interns will rotate through two major and two minor rotations throughout the training year. Across rotations, interns will complete an average of 10-20 hours per week of face-to-face direct service delivery. Page | 2 OSH-PIP’s training is based in the Practitioner-Scholar model. OSH-PIP trains clinical psychologists who are effective consumers of research and who utilize scholarly inquiry to inform their practice. Major Rotations Each intern will complete two, six month Major Rotations. Students are expected to spend three days each week in their Major Rotation placement. There are two foci for major rotations: Admissions and Transitions. During the Admissions Major Rotation, interns have the opportunity to work with patient populations who have been admitted to Oregon State Hospital during an acute phase of psychiatric distress. Interns can choose to work in either the Archways or Pathways program during the Admissions rotation. During the Transitions Major Rotation, interns have the opportunity to work with patient populations who are in the process of transitioning back into community settings. All interns will complete their Transitions Rotation in the Bridges program. More information about the Archways, Pathways, and Bridges programs is included below. Major Rotation I: Admissions (6 months) Within this rotation, interns have the choice of training in either the Archways or Pathways units. Archways Archways units serve patients (male and female) who have been committed to the hospital by a circuit court judge pursuant to Oregon Revised Statute 161.370 as incompetent to proceed to court (also referred to as unable to aid and assist in a defense). Services provided to Archways patients are focused on identifying patients’ barriers to competency and aiding in their restoration to competency. Once deemed competent to proceed (by a certified forensic evaluator from OSH’s Forensic Evaluation Service), Archways patients return to the county custody from their committing county in order to proceed with their legal case. Many of these patients present upon admission with acute symptoms of mental illness and many present with cognitive impairments that interfere with understanding of court proceedings and decision-making ability. Personality disorders, substance use disorders, and response style issues (e.g. overreporting, underreporting) are also common. Interns placed in the Archways program will be provided with a strong focus on clinical interviewing and psychological assessment (e.g. testing for psychopathology, personality, cognition, response style). Additionally, interns will participate as a member of an interdisciplinary treatment team, develop and implement behavioral management plans, and carry out group and individual interventions with a focus on treating barriers to competency. Opportunities may become available to attend court hearings and observe competency evaluations. Archways Primary Supervisor: Kim McCollum, PsyD, kimberly.r.mccollum@state.or.us Pathways Pathways units serve patients who have been adjudicated Guilty Except for Insanity (GEI) and committed to Oregon State Hospital due to the ongoing risk they pose to themselves or others. The Page | 3 Pathways population includes individuals who have recently been found GEI, as well as those who have had their conditional release revoked due to their level of dangerousness in the community. Most individuals are admitted to one of the two acute stabilization units, where the focus is on assessment, treatment care plan development, psychiatric and behavioral stabilization, and treatment engagement in preparation to move forward within the hospital setting. Individuals who demonstrate stable behavior, who refrain from verbal and physical aggression, and who engage in treatment may transfer to one of three units focused on preparing individuals to request and use privileges and eventually move forward to one of the transition units. Some individuals who have shown psychiatric and behavioral stability in the community or in a jail setting may be admitted directly to one of these units. Interns placed in Pathways will participate in a variety of direct care services on this rotation, including assessment at admission for various diagnostic and treatment questions, leading/co-leading group treatment focused on the development of skills to help regulate emotional and cognitive functioning, and individual treatment to help strengthen coping skills and help the patient deal with his or her circumstances. In addition, the intern will attend daily nursing report meetings as well as regular Interdisciplinary Treatment Team meetings. Opportunities will be available for didactic and practical experience in specific areas such as violence risk assessment and functional assessments of behavior. Opportunities will also be available to attend court hearings and other meetings regarding patient privileges as well as readiness for conditional release planning. Pathways Primary Supervisor: Jennifer Snyder, PhD, jennifer.snyder@state.or.us Major Rotation II: Transitions (6 months) During this rotation all interns will complete training within the Bridges program. Bridges Bridges is the transition program for forensic patients who are nearing the point where they no longer need a hospital level of care. Patients in this program have been have been found GEI and have been committed to the hospital due to the ongoing risk they pose to themselves or others. In addition to three secure residential living units, Bridges includes four cottages on the hospital campus that provide a treatment setting much like a group home, where patients cook their own meals and share other household responsibilities. The goal of Bridges is to help patients achieve their highest level of health, safety and independence as they prepare for discharge or conditional release to a community-based setting. Often at this point in treatment, mental illness is stable and the focus is on personality and substance use problems and relapse prevention planning. Interns placed in Bridges will provide individual and group therapy to patients in the program, and conduct assessments necessary for the residents to leave the hospital, with a focus on mitigation of risk. Additionally, they will attend daily nursing report meetings and will participate in ongoing interdisciplinary treatment team meetings with a focus on discharge planning. Page | 4 Transitions Primary Supervisor: Brian Hartman, PsyD, brian.d.hartman@state.or.us Minor Rotations Each intern is required to complete two of the following six month Minor Rotations. Students are expected to spend one day each week in their Minor Rotation placement. Dialectical Behavior Therapy (DBT) (6 months) The focus in the DBT program is on assessment and provision of treatment for individuals diagnosed with Borderline Personality Disorder. People with other diagnoses may also participate in the program if they experience difficulty with emotion regulation, interpersonal effectiveness, non-suicidal selfinjurious behavior, or suicidal ideation and attempts. The interdisciplinary treatment team consists of psychologists, physicians, social workers, other masters-level clinicians, and RNs, many of whom have been intensively trained by Behavioral Tech clinicians (founded by Dr. Linehan), or by Portland DBT (Directed by Linda Dimeff). Direct-service aide-level staff receive four hours of formal didactic training monthly, and interns can lead some parts of this training. In addition, interns will participate in coleading skills groups, individual therapy, and treatment team meetings focused on individual clinical and programmatic issues. DBT Primary Supervisors: Franz Kubak, PhD, Franz.A.Kubak@state.or.us Andrew Weitzman, PsyD, ANDREW.P.WEITZMAN@dhsoha.state.or.us Geropsychology – Springs Program (6 months) Springs provides care and treatment to older adults with severe and persistent mental illness, traumatic brain injuries, and disease processes known to affect the central nervous system. Patients in the Springs program demonstrate a wide range of neurocognitive disorders along with chronic medical problems that require substantial nursing care needs and/or medical monitoring. Due to the complexity of this patient population, there is a heavy emphasis on understanding the relationship between physical and mental health. A minor rotation in the Springs program will include opportunities for individual and group therapy, neuropsychological assessment, and interdisciplinary consultation. Interns will participate in the development of treatment plans that addresses each individual’s very specific biopsychosocial needs through an integrative, interdisciplinary approach with a goal of helping them return to a less restrictive environment. Geropsychology Primary Supervisor: Sara Phillips, PsyD, SARA.N.PHILLIPS@dhsoha.state.or.us Risk Assessment Oregon State Hospital serves clients adjudicated as GEI for criminal offenses. Following adjudication, patients are placed under the jurisdiction of either the Oregon Health Authority or Psychiatric Security Page | 5 Review Board, the primary mission of both being protection of the public. As such, assessment of risk for violence, formulation of violence risk factors, and risk management strategies is an important role filled by psychologists. Assessment of risk is provided throughout various programs, but several psychologists with advanced interest and training in risk assessment conduct specialty assessments across the hospital due to the nature of the offense, complexity of case, or other unique factors. Interns on this rotation will learn more about risk, risk assessment, and associated issues such as psychopathy; and will be exposed to more severe and complex cases under supervision of one of the risk psychologists. Additionally, there may be opportunities to provide testimony in hearings and to shadow members of the Oregon State Hospital Risk Review. Risk Assessment Primary Supervisors: Stephen James, PhD, STEPHEN.M.JAMES@dhsoha.state.or.us Franz Kubak, PhD, Franz.A.Kubak@state.or.us Didactic Instruction OSH-PIP interns will participate in a minimum of two (2) hours of weekly didactic instruction provided by members of the OS-PIP Training Committee, additional Oregon State Hospital clinicians, and guest content experts. Program Evaluation Seminar OSH-PIP interns will receive two hours of training each week in applied program evaluation. Specifically, the instructor will utilize current literature to provide instruction in program evaluation and applied research and will support interns in designing and carrying out program evaluations specific to their clinical work at Oregon State Hospital. Other Training Opportunities Interns have the opportunity to attend weekly Psychiatry Grand Rounds and other trainings provided by Oregon State Hospital. Additionally, interns are encouraged to participate on a hospital committee related to diversity during their training year. Program Goals and Objectives OSH-PIP provides comprehensive training in evidence-based assessment and treatment over the course of the training year. It is expected that by the conclusion of the internship year, interns will have accomplished the following goals and objectives: Goal 1: Interns will achieve competence appropriate to their professional developmental level in the area of Evidence-Based Practice in Assessment. Objectives related to this goal include the achievement of competence in the following: To develop and demonstrate accurate diagnostic skills To select and administer appropriate psychological tests Page | 6 To demonstrate the ability to accurately and efficiently score and interpret psychological test measures To demonstrate the ability to utilize assessment writing skills to efficiently produce accurate, high quality, and useful reports To provide feedback and communicate findings in a clear, accurate, and conceptually appropriate manner Goal 2: Interns will achieve competence appropriate to their professional developmental level in the area of Evidence-Based Practice in Intervention Objectives related to this goal include the achievement of competence in the following: To demonstrate case conceptualization and treatment planning skills To demonstrate competency in individual therapy To demonstrate competency in group therapy provision To demonstrate competency in crisis intervention skills Goal 3: Interns will achieve competence appropriate to their professional developmental level in the area of Ethical and Legal Standards Objectives related to this goal include the achievement of competence in the following: To demonstrate knowledge of ethics and values as they relate to the profession of psychology To demonstrate knowledge of legal issues as they relate to the profession of psychology Goal 4: Interns will achieve competence appropriate to their professional developmental level in the area of Individual and Cultural Diversity Objectives related to this goal include the achievement of competence in the following: To be able to develop an adequate level of rapport with most patients and, when applicable, their families To demonstrate sensitivity to diversity To develop an awareness of one's own cultural and ethnic background Goal 5: Interns will achieve competence appropriate to their professional developmental level in the area of Research. Objectives related to this goal include the achievement of competence in the following: To competently discuss relevant research with colleagues To utilize relevant research in evidence-based practice To effectively design and implement program evaluations Page | 7 Goal 6: Interns will achieve competence appropriate to their professional developmental level in the area of Supervision Objectives related to this goal include the achievement of competence in the following: To demonstrate knowledge of effective supervision The application of best practices in providing clinical supervision to doctoral-level practicum students Goal 7: Interns will achieve competence appropriate to their professional developmental level in the area of Professional Values and Attitudes Objectives related to this goal include the achievement of competence in the following: To engage in activities that promote professional self-awareness and reflection To actively seek out and participate in learning opportunities To demonstrate professional conduct and interpersonal behavior Goal 8: Interns will achieve competence appropriate to their professional developmental level in the area of Interprofessional and Interdisciplinary Consultation Objectives related to this goal include the achievement of competence in the following: To provide consultative guidance to other professionals regarding psychological issues To function effectively in multidisciplinary and interdisciplinary contexts To provide education and formal training to other professionals regarding mental health issues Goal 9: Interns will achieve competence appropriate to their professional developmental level in the area of Communication and Interpersonal Skills Objectives related to this goal include the achievement of competence in the following: To provide clear, effective written communication in a variety of contexts To display respectful and professional interpersonal skills Goal 10: Interns will achieve competence appropriate to their professional developmental level in the area of Reflective Practice Objectives related to this goal include the achievement of competence in the following: To demonstrate an ability to examine and evaluate the quality and effectiveness of one's own clinical work To utilize appropriate self-care Page | 8 Supervision Interns receive a minimum of three hours of individual supervision each week from a licensed psychologist, one hour each with the OSH-PIP Training Director, their major rotation supervisor, and their minor rotation supervisor. Weekly group supervision and a monthly process group will be required and conducted with all interns. All interns will receive a total minimum of four hours per week of supervision. Stipend, Benefits, and Resources The annual intern stipend will be $24,516. Interns will be employees of Oregon State Hospital and employee health benefits vacation, professional, and sick leave will be provided to all interns. The HR document included as Appendix A includes additional information about intern benefits. OSH-PIP interns have access to numerous resources. Assessment and other training materials are provided on site, and additional materials that may be needed may be purchased with Training Committee approval. Individual laptops will be assigned to interns for use during the training year, and each intern has access to administrative and IT support. Additionally, interns may utilize resources in the Oregon State Library to support program evaluation, research, and literature review activities. Finally, interns may become members of the hospital gym for a reduced rate ($5/month) during the training year. Application Process and Selection Criteria OSH-PIP offers three full-time positions. Students interested in applying for the internship program should submit an online application through the APPIC website (www.appic.org). A complete application consists of the following materials: 1. A completed On‐line AAPI (APPIC’s standard application) 2. Cover letter (part of on‐line AAPI) stating why you are interested in training with OSH-PIP 3. A current Curriculum Vitae (as part of the on‐line AAPI) 4. Three letters of recommendation, two of which must be from persons who have directly supervised your clinical work (as part of the on‐line AAPI). Please submit no more than three letters 5. Official transcripts of all graduate coursework 6. Supplemental materials: One full integrated assessment report (please redact appropriately) All application materials must be received by November 15 in order to be considered. If applicants are invited to interview, they will be notified by email on or before the December 15 deadline. Interviews will be scheduled on several dates in January. Please refer to the website for the specific days. Interviews can occur via phone, if necessary. OSH-PIP will base its selection process on the entire application package noted above; however, applicants who have met the following qualifications prior to beginning internship will be considered preferred: Page | 9 1) 2) 3) 4) A minimum of 500 intervention hours A minimum of 50 assessment hours Dissertation proposal defended Some experience or special interest in working in a psychiatric hospital setting and/or with forensic populations In addition to the preferences noted above, OSH-PIP takes into consideration the potential commitment or interest of any prospective intern to remain in Oregon following internship. Developing a strong behavioral health workforce is an important consideration for the state, and an interest in remaining in Oregon to join the workforce will be considered a benefit in a potential intern. In addition to education and training requirements and preferences specified above, OSH-PIP requires that matched interns meet additional site-level criteria. These criteria are explained in the OSH-PIP HR document included as Appendix A. If a matched intern does not meet the site-level criteria outlined in Appendix A, the match agreement will be terminated and the intern will not be allowed to complete his or her internship within OSH-PIP. Questions regarding the application or interview process may be directed to the OSH-PIP program consultant, Dr. Lindsey Banning (lbanning@wiche.edu). Intern Expectations The OSH-PIP training program is a year-long, full-time doctoral internship experience. Interns are expected to complete 2080 hours of training during the year. Interns are also expected to achieve the goals and objectives of the internship program, as stated above, and to abide by the APA Code of Ethics, the requirements of the OSH-PIP training program, and the policies and procedures of Oregon State Hospital. OSH-PIP has a comprehensive Due Process procedure which outlines the processes for addressing concerns about intern performance, as well as interns' concerns about training. These procedures are provided in hard copy to all interns during orientation and are available for download at www.oshpip.org under the menu item “Policies and Procedures”. Internship Contact Information For more information about OSH-PIP, feel free to contact the OSH-PIP program consultant: Lindsey Banning, PhD., Western Interstate Commission for Higher Education (WICHE) at lbanning@wiche.edu Or go to www.oshpip.org Page | 10 Appendix A What to Expect as an OSH Intern After an internship offer is made, the following steps are taken before the internship begins: 1. A Background Check is conducted to screen out histories that can affect applicant’s ability to care for patients. HR determines if a particular record should prevent someone from interning at OSH. Several factors are employed in that determination. For example, nature of crime, date of the offence, potential impact of the offence, etc. Here is the link explaining the rules about background checks. 2. Once the Background Check has been submitted to HR, the prospective intern will receive information about completing a urine drug screen. Prospective interns will be sent to a Drug Screen facility near the applicant, who with complete the process for the intern. 3. HR will also send information about obtaining and sending fingerprints to OSH. 4. When all approvals (Background Check, Drug Screen, fingerprinting) are received back to HR, HR sends an email to the hiring manager and the Education and Development Department (EDD) stating that the prospective intern is cleared to attend New Employee Orientation. 5. Applicant begins internship on the first day of a seven day New Employee Orientation session. 6. As part of orientation, a TB test is done and First Aide Training is also conducted. Once Internship begins, here are the Benefits: The following information describes typical benefits available for full-time interns. Eligibility: Coverage begins for new interns and their dependents on the first day of the month following date of start of the internship. Eligible Dependents: The intern’s spouse or domestic partner, birth or adopted children or children placed for adoption, domestic partner’s children, step children who live with the intern, and any child for whom the intern is a legal guardian or for whom coverage is required by a Qualified Medical Support Order. Adult children are eligible for coverage if they are under age 26. Core Benefits Comprehensive medical (with vision) and dental plans and $5,000 in intern’s basic life insurance OSH typically contributes 95% of premium for coverage of interns and dependents Page | 11 Optional Insurance Benefits Group-based premiums for Term life (intern, spouse or domestic partner, and dependents) Long-term and short-term disability Accidental Death and Dismemberment Long-term care (self and eligible family members) Flexible Spending Accounts Intern-funded flexible spending accounts for tax savings on eligible health care or dependent care expenses Retirement Benefits After six months of internship, the intern gains membership in the Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP) o Six percent employer paid contribution into a defined contribution program o Employer contribution into a defined benefit program The option to enroll in the Oregon Savings Growth Plan, a deferred compensation program offering a wide variety of investment options is available immediately. Paid Leaves & Other Benefits Sick leave earned at the rate of 8 hours per month with no maximum accumulation Vacation leave earned at a minimum rate of 8 hours per month with usage available after six months. 24 hours personal leave earned each fiscal year with usage available after six months. Ten paid holidays a calendar year. Innovative Employee Assistance Program that offers work-life counseling, along with homeowner, legal and family resources. The Following are Paid Legal Holidays: New Year's Day on January 1 Martin Luther King Jr's Birthday on the third Monday in January President's Day on the third Monday in February Memorial Day on the last Monday in May Independence Day on July 4 Labor Day on the first Monday in September Veterans Day on November 11 Thanksgiving Day (fourth Thursday in November) Day following Thanksgiving Day (fourth Friday in November) Christmas Day on December 25 Every day appointed by the Governor as a holiday Page | 12 Every day appointed by the President of the United States as a day of mourning, rejoicing, or other special observance only when the Governor also appoints that day as a holiday At the discretion of the Governor, a day of paid leave in conjunction with Thanksgiving, Christmas, or New Year’s Day. Page | 13