Counseling and Psychological Services
Intake Supervision: Interns are each paired with one of their individual psychotherapy supervisors, preferably on the same treatment team, for supervision of intake evaluations. Intake supervision begins as 1.5 hours weekly, and shifts to 1 hour weekly as the intern becomes more proficient with intake and report-writing skills (typically four to six weeks). The intake supervisor discusses intake assessments with the intern, observes at least one early intake if possible, and reviews and co-signs the written intake reports throughout the year. As each intern shifts to 1 weekly hour with the intake supervisor, the intern will utilize all three individual psychotherapy supervisors for discussion of intake assessment material.
Brief Screening Supervision: Interns receive supervision of brief screening assessments from one of their individual psychotherapy supervisors. The screening supervisor discusses screenings with the intern, and reviews and co-signs the written screening write-ups. Such supervision shifts to an as-needed basis as the intern becomes more skilled at brief screenings.
Individual Psychotherapy Supervision: Interns are provided with 3 hours per week of individual psychotherapy supervision, at least two of which are with staff psychologists. The selection of supervisors is based upon an assessment of intern interests as well as intern preferences, and is conducted during orientation in consultation with both interns and supervisors. Interns engage with an intake/psychotherapy supervisor, a brief screening/psychotherapy supervisor, and a third individual psychotherapy supervisor, each for one hour weekly throughout the year (1.5 hours with the intake supervisor for the first 4-6 weeks).
Group Psychotherapy Supervision: Interns are provided with at least 1 hour per week of group psychotherapy supervision once groups are successfully underway. Group supervision is provided by a permanent staff clinician in either an individual or group format.
Emergency and Consult Service / Night Call Supervision: Interns provide emergency and consult, and night call services in conjunction with a permanent staff clinician. Supervision is provided by that permanent staff person during those shifts.
Outreach Supervision: Supervision of outreach programming is provided by the permanent staff co-leader of the presentation, by the Coordinator of Outreach Services, and/or a staff person with pertinent expertise.
Assessment Supervision: Interns choosing the LNEC rotation are provided with 1 hour per week of LNEC assessment supervision, provided by an LNEC staff psychologist. Interns who do not choose the LNEC rotation are required to complete two full batteries during the course of the year, and are provided with supervision by LNEC staff psychologists as needed.
Supervision of Supervision: Interns are provided with 1.5 hours of supervision for supervision provision in a group format. Additionally, interns choosing the summer supervision rotation are provided either 1 hour per week of individual supervision or 1.5 to 2 hours per week of group supervision (depending on the number of interns choosing the rotation).
Psychodynamic Seminar (1.5 hours weekly): This seminar focuses on contemporary psychodynamic conceptual foundations and applied clinical functions directed toward effective psychotherapy treatment with college-age students. The seminar utilizes a developmental training perspective, in which the progressive topics include understanding of self, assessment, conceptualization and intervention in that particular order. Theoretical material associated with those topics will emphasize psychological concepts specific to the adolescent developmental stage, contemporary attachment theory, object relations theory and self-psychology. Issues of similarity and difference, as well as ethical challenges are also discussed.
Brief Psychotherapy Workshop (1st four weeks, 2 hours daily): This intensive workshop addresses the application of relational models of brief psychotherapy, with particular attention to rapid yet comprehensive developmental assessment techniques. Topics then progressively include brief dynamic formulation, establishment of foci, transference/ countertransference in brief psychotherapy, and termination. Concepts and techniques are explored through lecture, discussion, role-plays, use of audio/visual materials and exploration of current staff and intern cases.
Group Psychotherapy Seminar (1st ten weeks, 1 hour weekly): This seminar focuses on both theoretical understanding and practical grounding in group psychotherapy technique. Topics include the launching of groups (group composition and member selection, the group therapy contract, early sessions), stages of group development, leadership and co-therapy issues, understanding of group dynamics, and working with process as well as thematic material. Discussion, lectures, viewing of videotapes, and presentations of case material are included.
Special Topics Seminar (fall semester, 1 hour weekly): This seminar provides interns with an opportunity for focused learning regarding a variety of specific topics. Each week a permanent staff person or invited speaker presents according to his or her area of specialization. Topics include but are not limited to assessment and treatment of suicidality, consultation models, eating disorders, substance abuse, trauma, personality disorders, multicultural issues, and ethics. Each intern also presents one psychotherapy case during the spring semester, related to a particular area of clinical interest or emerging expertise.
Supervision Seminar (last five weeks of fall semester, 1 hour weekly)This seminar provides an introduction to the theory and practice of clinical supervision and address concepts including models of supervision, parallel process, supervisory relationships, diversity issues, ethics, and facilitation of therapeutic skills in supervisees. It is intended to prepare interns for providing a beginning level of expertise in clinical supervision.
Cultural training at CAPS is integrated into all aspects of the internship experience, including seminars, supervision and clinical staff meetings such as on-call/disposition and team meetings. Below are specific components of cultural training at CAPS.
Cultural Autobiography: The cornerstone Psychodynamic Seminar begins with a four-week “understanding of self” process in which each intern creates a Cultural Autobiography. A specific format for the autobiography is provided and trainees will create that autobiography independently or through individual consultation with facilitators. Discussion of autobiographical material and its relationship to issues of individual and cultural difference, as well as countertransference and therapist transference will occur during those meetings. Trainees may explore any or all aspects of their narrative at their discretion, and are encouraged to discuss that material on a voluntary basis with supervisors as it relates to their clinical practice.
Cultural Formulations: Interns are expected to consistently integrate cultural factors into case conceptualization and treatment provision. That process is formalized through three cultural formulation presentations. A cultural formulation takes into account the intersections of cultural and diversity factors, family background, individual developmental history and psychodynamics, and diagnostic considerations in order to maximize an understanding of the person, their presenting issues, and recommendations for treatment.
Cultural Project (10-15 hours): The cultural project enables interns to focus on a diversity topic of specific interest to them. Interns work with a staff mentor to conceptualize a project that integrates either clinical or outreach experience with empirical and theoretical work related to that topic. Interns provide a brief written summary of their project at the end of the internship year, as well as present findings within the Special Topics in Multiculturalism seminar (see description below).
Special Topics in Multiculturalism Seminar (weekly for 8 weeks, 1.5 hours): All interns and permanent staff participate in this 8-week summer seminar, which aims to increase our understanding, sensitivity, and effectiveness in addressing the needs of patients from diverse backgrounds. Readings and/or audio/visual materials are selected by interns and staff prior to the beginning of the seminar that serve as a basis for discussion.
Diversity & Difference Log: Once per month interns complete this cumulative summary. The purpose of this log is to promote interns' awareness of issues of individual and cultural difference. It is hoped that this will facilitate reflection and increase cultural knowledge and clinical skills to enhance therapeutic effectiveness with a wide spectrum of clients. Areas of difference to consider include but are not limited to race, ethnicity, nationality, gender, age, geographical affiliation, disability status, sexual orientation, religion, partner/marital status, socio-economic status, familial structure and particular values. Interns periodically review their monthly survey with the Director of Training and are encouraged to gain clinical experience with those different from themselves in a variety of ways, as well as maintain a diverse caseload in the context of this training site.