PASADENA MENTAL HEALTH CENTER Serving the community for more than 40 years 2008 Field Placement Manual for PMHC and Five Acres 1495 N. Lake Avenue Pasadena, CA 91104 Telephone: (626) 798-0907 FAX: (626) 798-9043 Executive Director David Swanson Hollinger, MSW, MPH Clinic Director Marilyn J. Owen, LMFT Clinical Coordinator of Intern Training Eden Garcia-Balis, M.S., LMFT An affiliate of five acres Revised 1/29/08 HISTORY of AGENCY Pasadena Mental Health Center - PMHC - has provided low and no cost mental health and social services to adults, children and families since it was founded in 1965 by a group of mental health professionals and concerned community leaders who had a vision and acted upon it. They envisioned a group of volunteers making a difference in the community by providing mental health services in an innovative and non-threatening way. Paraprofessional volunteers received 52 weeks of nationally-recognized training in order to provide crisis intervention and counseling. PMHC’s mission is to provide affordable, accessible, and appropriate mental health services for individuals and families in the diverse Pasadena area and surrounding communities who have no insurance for their mental health needs. In 1999, PMHC expanded its tradition of training and began a clinical intern training program, thereby providing succeeding generations of therapists with practical experience in the counseling field. We have grown from four interns representing three local universities to 33 interns in 2007 from 11 different university programs. The majority of mental health services at PMHC are now provided by a highly trained staff of graduate and post-graduate interns / trainees in psychology and social work. In 2007 Pasadena Mental Health Center affiliated with Five Acres, a large multidisciplinary child and family services agency founded in 1888. PMHC remains a separate legal entity under the Five Acres' umbrella, maintaining its programs and its board of directors. Five Acres offers an array of services including residential care and education, mental health services in homes and schools, foster care and adoption, and domestic violence prevention. Five Acres has been accredited since 1957 and is one of the few agencies in Los Angeles County accredited by the internationally-recognized Council on Accreditation (COA). Services are funded primarily through contracts with the Department of Mental Health and the Department of Children and Family Services. Field placements for interns/trainees at all PMHC and Five Acres' programs are coordinated by PMHC. This provides a wide range of opportunities for clinicians-intraining. POPULATIONS SERVED Center-Based Services at PMHC (Pasadena) Pasadena Mental Health Center (PMHC) is located on north Lake Avenue. PMHC serves adults, children, couples and families representing a diverse range of cultural backgrounds. Our clients are primarily the working poor - those without any form of mental health insurance. Services are provided on a sliding fee basis and most clients enter treatment for mental health needs related to life cycle issues including birth and death; aging; marriage; divorce; parenting; intergenerational conflicts; and adult, child and family relations. More than half of our clients at PMHC are adults. Individual and group therapies are provided along with psycho-educational and support groups. Some groups may be conducted at other 2 locations. The center does not serve clients who experience more severe pathology and those who may require hospitalization and/or medication management First Offender Program The First Offender Program, part of the services provided at PMHC, provides delinquency prevention/diversion to Pasadena youth who have committed a minor first offense such as truancy, shop lifting, or possession of controlled substances. In partnership with the Pasadena Police Department's Youth Advisory Board, the program serves 72 youth per year, each of whom makes a 6 month commitment. Youth receive individual and/or group counseling while their families attend group parenting sessions. Pasadena Homeless Prevention Program PMHC is a partner of the Pasadena Homeless Prevention Program. We provide mental health screenings, referrals and support groups at a monthly drop-in center the "Supplemental Resource Center" - held at the Pasadena First United Methodist Church. All interns/trainees assigned to PMHC are expected to work a minimum of 4 hours at the Pasadena Homeless Prevention Program during their field placement. Five Acres Programs (Greater San Gabriel Valley) Five Acres began as an orphanage in 1888. Over its 118 year history, Five Acres has grown and expanded its services to meet the changing needs of children and families. Programs are family-centered and focused on the unique strengths of each client. As of 2007, over 80% of the services provided by Five Acres were through community-based programs with only 20% of services provided in out-of-home care settings such as residential, group homes and foster care. Five Acres serves over 4,000 individuals annually across its 15 programs with offices in Altadena, Pasadena, El Monte and Covina. The following programs represent those currently accepting student placements: School-Based Services (Greater San Gabriel Valley) School-based services prevent emotional and family trauma by delivering counseling services to children and families at their public school sites. Five Acres works within the Pasadena, Monrovia and El Monte School Districts to provide on-campus assessment and treatment for students referred by teachers, nurses and parents due to academic and behavior problems indicating a need for intensive individual group and family therapy. Funding is provided primarily by the Los Angeles County Department of Mental Health and Department of Children and Family Services. Community-Based Services (Greater San Gabriel Valley) Community-Based Services at Five Acres provide counseling to children, youth and families in schools, homes and other community settings with the goal of bridging the gap between families and the services that they need. The Community-based programs operate from a social work model of service delivery with an emphasis on services being delivered from a strengths perspective. The program promotes understanding families within the context of their environment. Interns are 3 afforded the opportunity to provide individual and family counseling for issues stemming from ADHD, depression/mood disorders, oppositional defiance, anxiety disorders, adjustment disorders, PTSD, school problems and domestic violence. Funding is provided by the Los Angeles County Department of Mental Health and Department of Children and Family Services. Aftercare (Greater San Gabriel Valley) Aftercare provides individual and family therapy to facilitate successful reunification for children returning to their biological, foster or adoptive families. Services take place primarily in the client's home. Funding is provided by the Los Angeles County Department of Mental Health. Grace Center (location confidential) Grace Center is an advocacy center for survivors of domestic violence and their children. Services include emergency referrals, crisis intervention, counseling, support groups for women and children, outreach and advocacy. Services may take place in the client's home or community. Funding is provided primarily through private donations. Residential Treatment Center (Altadena) Intensive treatment services are provided to children ages 6-13 and their families. The majority of children are diagnosed with disruptive behavior disorders, mood disorders and a significant number of clients are children who have been victims of abuse, neglect or trauma. Treatment services include individual, group and family therapy; psychiatric support; art, movement and music therapies; recreation therapy; and milieu treatment. FIELD PLACEMENT INFORMATION As an affiliate of Five Acres, PMHC serves as the intern coordination site for both agencies. Placements may occur within a PMHC program, a Five Acres program or a combination of the two. Each intern/trainee will be assigned to a primary site which will carry the overall responsibility for field instruction and collaborate as necessary with field instructors from any secondary sites. Ph.D. and Psy.D. students are placed at PMHC only. Interns/trainees may be rotated or assigned concurrently to provide expanded learning opportunities. Interns/trainees must be committed to our program for 9-12 months depending on their school contract. There is significant flexibility in terms of scheduling clients: PMHC is open 9 a.m. - 9 p.m. Monday through Friday and Saturdays from 9 a.m. to 5 p.m. Five Acres placement sites have schedule flexibility; evening hours and travel may be required. 4 Students must be available FRIDAYS FROM 11 AM TO 1 PM for weekly training seminars beginning October 17, 2008 Other Relevant Information All field placements start in either July or September. July start date: July 10, 2008 September start date: September 12, 2008 Orientation July 10, 11, 2008 10 - 4 both days Sept. 12, 19, 26, 2008 October 3, 10, 2008 9 .am. - 1 p.m. all days Positions are only open to 2nd year MSW interns and MFT trainees or doctorallevel students. SUPERVISION and TRAINING Each intern receives at least one hour of individual supervision per week or two hours of group supervision with a licensed professional according to the guidelines of the placing university and student's particular discipline. In addition to focusing on clinical aspects of the case, supervision covers treatment plans, case management, documentation and selfawareness. Interns completing their hours at more than one training site will receive supervision from clinical supervisors at each site. Mandatory orientation training occurs during the first weeks of the placement (see above schedule). Topics covered include client populations, conducting intake assessments, diagnosis, suicide assessment and intervention, abuse reporting, crisis intervention and safety. In the afternoon on orientation days, students attend their placement site. Ongoing training occurs via bi-monthly seminars held on Friday from 11 a.m. - 1 p.m. at the Main Campus of Five Acres. These professional continuing education seminars are open to clinical staff at both PMHC and Five Acres in addition to being mandatory for interns and trainees. These trainings address topics such as treating special populations, utilizing specific treatment techniques, updating clinical understanding about a specific mental disorder, cultural diversity issues, legal/ethical concerns, etc. Expert guest professionals as well as clinical staff from PMHC and/or Five Acres teach these seminars. 5 2008 Potential Student Placements Center-Based Services at PMHC Program Description: The Pasadena Mental Health Center on north Lake Avenue in Pasadena provides mental health treatment for adults, children, couples and families on a sliding fee scale. Our clients are primarily the working poor without insurance. Most clients present with issues such as anxiety, depression and communication / interpersonal relationship problems. We do not serve clients who experience more severe psychopathology or who may require medication management. Internship Opportunities: Interns/trainees see clients for short and long-term individual, couples and family therapy, facilitate psycho-educational or support groups for children, adolescents or adults. They provide at least one hour per week to conduct telephone or walk-in intake assessments and referral coordination. Interns/trainees commit to a minimum of 10 hours per week and can expect to see a minimum of 5-6 clients or more depending on the contract with the intern's graduate school. Interns/trainees provide individual, couples, and/or family therapy and may be involved in running groups. Students are expected to work a minimum of 4 hours at the Pasadena Homeless Prevention Program during their field placement at PMHC. Daytime and evening hours are available Monday through Saturday. Available Positions: The PMHC accepts up to 30 student placements per year with priority given to English-Spanish bilingual individuals. Bilingual stipends of $4,000 are available. First Offender Program Program Description: The First Offender Program, located at PMHC, provides delinquency prevention/diversion to Pasadena youth who have committed a minor first offense such as truancy, shop lifting, or possession of controlled substances. In partnership with the Pasadena Police Department's Youth Advisory Board, the program serves 72 youth per year, each of whom makes a 6 month commitment. Internship Opportunities: Interns provide individual and/or group counseling for youth and conduct group parenting sessions with their families. Additional cases from the Center's population round out the intern's caseload. Available Positions: The First Offender program accepts up to 8 students annually. School-Based Services (Five Acres) Program Description: The School-Based Services program of Five Acres provides counseling to children and families at public school sites in Pasadena, Monrovia and El Monte. Internship Opportunities: Interns are afforded the opportunity to provide assessment, individual and group counseling for children. Placements may be at one or two school sites in Pasadena, Monrovia and/or El Monte; parenting groups may also be provided. The 6 majority of services are delivered within the school site; travel is required. Interns are provided with valuable experience in documentation according to Department of Mental Health protocol. Available Positions: The School-Based program accepts up to 6 student placements per year with priority given to English-Spanish bilingual individuals. Bilingual stipends of $4,000 are available for MSW students only. Community-Based Services (Five Acres) Program Description: The Community-Based Services program of Five Acres provides counseling to children and families in their homes and other community settings with the goal of bridging the gap between families and the services they need. The CommunityBased program operates from a social work model of service delivery by promoting an understanding of families within the context of their environment. Internship Opportunities: Interns/trainees are afforded the opportunity to conduct assessments and provide individual and family counseling in the client's home or other community settings; travel is required. Interns/trainees begin by initially shadowing an experienced clinician on an open case. Interns are provided with valuable experience in documentation according to Department of Mental Health protocol. Available Positions: The Community-Based program accepts up to 6 student placements per year with priority given to English-Spanish bilingual individuals. Bilingual stipends of $4,000 are available for MSW students only. Aftercare (Five Acres) Program Description: Aftercare provides individual and family therapy to facilitate successful reunification for children returning to their biological, foster or adoptive families. Internship Opportunities: Interns/trainees are afforded the opportunity to conduct assessments and provide individual and family counseling in the client's home or other community settings; travel is required. Interns/trainees begin by initially shadowing an experienced clinician on an open case. Interns are provided with valuable experience in documentation according to Department of Mental Health protocol. Available Positions: The Aftercare program accepts up to 2 student placements per year with priority given to English-Spanish bilingual individuals. Bilingual stipends of $4,000 are available for MSW students only. Grace Center (Five Acres) Program Description: Grace Center provides domestic violence prevention and survivor support services. Services include crisis intervention, legal advocacy, case management, support groups, parenting support, and violence education programs for adults, children and families. 7 Internship Opportunities: Interns/trainees are afforded the opportunity to conduct assessments and provide individual and family counseling to individuals who are struggling with issues related to Domestic Violence. Therapy can occur in the community and/or in the client’s home. Interns/trainees will also participate in weekly Empowerment groups. Involves working with professionals from a wide range of mental health services. Travel may be required. Location is confidential. Available Positions: Grace Center accepts 1 student placement per year. Priority given to English-Spanish bilingual individuals. Bilingual stipends of $4,000 are available for MSW students only. Residential Treatment Center (Five Acres) Program Description: The Residential Treatment Center provides intensive therapeutic services to children ages 6-13 who experience severe behavioral and emotional problems which prevent them from being able to live safely in the community. Many youth have histories of abuse, neglect and separation from family members. The RTC provides individual and group therapies; family therapy; psychiatric services; art, movement and music therapies; recreation therapy, nursing services; parent support groups. Internship Opportunities: Interns/trainees are involved in child/family intake evaluations, individual, family, and group psychotherapy. Available Positions: The Residential Treatment program accepts up to 1 student annually. Bilingual stipends of $4,000 are available for MSW students only. 8