Pre-Doctoral Internship

Transcription

1 Pre-Doctoral Internship Internship and Training Development Ventura County Behavioral Health 1911 Williams Drive, Suite 200 Oxnard, California Website:

2 Ventura County Behavioral Health Department Pre-Doctoral Internship Program Ventura County Behavioral Health Mission As an integrated component of the County Health Care system, to promote resiliency, recovery, and hope for our clients and their families by providing accessible, culturally competent, age-appropriate, cost-effective, outcome driven, client and family-focused services. Ventura County Behavioral Health Vision Through collaboration between the Behavioral Health Department, clients, family members, community-based and other public/private partners, we envision a future when all persons with mental health and substance abuse challenges are able to access effective treatment and supports so that mental illness and addictive disorders may be prevented, detected early and recovery achieved. Ventura County Behavioral Health Values Respect for diversity, the individual and each other Excellence- achieved by personal and organizational accountability Leadership through innovation and collaboration Integrity evidenced by unquestionable ethics, open and timely communication Commitment to proven, high quality care.

3 Welcome The Behavioral Health Department plays an important role as an integrated component of the Ventura County Health Care System. The Department provides a system of coordinated services to meet the mental health and substance abuse treatment needs of the Ventura County. Program services are delivered from regionally based Behavioral Health Centers for children, adolescents and their families, transitional age youth between the ages of 18 to 25, adults and seniors. Specialized services are also provided in partnership with city and county agencies, courts, local law enforcement, schools and community based coalitions. Our commitment is to serve you and our community with the best science, service and outcome while applying concepts of resiliency, recovery, collaboration, and hope. Introduction The Ventura County Department of Behavioral Health offers a pre-doctoral internship in an agency mental health setting with a very wide variety of available training experiences. It is our goal that this program will help the intern prepare for a career of independent functioning as a respected professional. By the end of the internship, our expectation is that interns will be functioning with clinical skill competence, responsibility, judgment, and ethical sensitivity adequate for entry into the post-degree, pre-licensure practice of clinical psychology. The Setting Ventura County occupies a diverse geographical, ecological, and cultural space along the coastline north of Los Angeles. Early Spanish settlers described this area, originally inhabited by Chumash Native Americans, as the land of everlasting summers and provided the name San Buenaventura, meaning good fortune. The county covers an area of 1,873 square miles, including 3 miles of coastline between Los Angeles and Santa Barbara Counties. The county s geography includes desert areas, natural mountain areas, and beaches, and has a Mediterranean climate. It is often cool and misty along the beaches year-round; inland it is usually hot and dry. The main cities within the county include Ventura, Oxnard, Thousand Oaks, Simi Valley, Santa Paula, and Filmore. These communities include relatively quiet beach towns like Ventura, busy commercial centers like Oxnard, and suburban neighborhoods bordering Los Angeles County such as Thousand Oaks and Simi Valley. The area is popular for hiking, rock-climbing, and water sports. Channel Islands National Park, a marine sanctuary, includes five picturesque islands a few miles off the Ventura County coast. Los Angeles is only an hour away from most areas in the county; Santa Barbara is just north of Ventura.

4 Department Overview The Ventura County Behavioral Health (VCBH) Department is comprised of three major divisions within VCBH: the Alcohol and Drug Division, the Adult Division, and the Youth and Family Division. The Adult Division provides outpatient mental health services to adults at five clinics located throughout Ventura County. Each clinic is composed of multidisciplinary staff that provides a wide array of services designed to treat severe symptoms of mental illness and assist individuals and their families in living successfully in the community. Each clinic provides psychiatric assessment, medication services, psychological testing, individual and group therapy, crisis intervention, rehabilitation services, and case management services. In addition, the outpatient programs assist individuals in obtaining employment and accessing other services such as medical care, treatment for addictions, socialization, and available safe and secure housing. Finally, specialized programs are offered through the Older Adult Program, the nationally recognized Integrated Dual Diagnosis Program (IDDT) which is a program for individuals with co-occurring substance and mental health disorder, and new specialty treatment tracks to provide focused treatment for the most common disorders within the clinics (Depression and Schizophrenia). The Youth & Family Division provides mental health services to children, adolescents and their families, transitional age youth (17 to 25), and adults receiving services via their Welfare to Work program. A full range of services are offered, including psychiatric assessment and treatment, case management, outpatient psychotherapy, psychological testing, field based services, and acute care of crises. Many of these services are integrated with other agencies, resulting in a number of specialized programs, such as the Child Welfare Subsystem, serving children within the dependency care system; the Special Education Program, offering schoolbased and residential case management services in collaboration with the public school system; the Transitional Age Youth program; the Early Intervention program, offering mental health services for children 0 to 5 in collaboration with the Ventura County Neighborhoods for Learning (NfL s); and the Juvenile Justice Mental Health program which, in collaboration with Ventura County Probation Agency, provides mental health services to youth with severe emotional disturbances in county detention and commitment facilities. The Alcohol and Drug Division offers a full range of services from prevention, to diversion programs through the court system, and addiction treatment programs. Services include outpatient centers that provide assessment, treatment, and crises intervention for those needing substance abuse treatment and other specialty programs such as New Start for Moms, a comprehensive day treatment program and outpatient counseling to pregnant and/or parenting women that are using alcohol and/or other drugs,

5 Drinker Driver Program, a psycho-educational diversion program, and ADP Prevention, which utilizes environmental/public policy prevention initiatives to prevent underage and binge drinking, impaired driving and other drug abuse. Ventura County Behavioral Health maintains a history of supporting and promoting psychology as a discipline. The Health Care Agency, to which VCBH belongs, has an organized Department of Psychology which meets regularly to represent the concerns of Psychology across the agency. Psychologists employed or contracted with VCBH must apply for and receive clinical privileges with the Department of Psychology and therefore must meet the Department of Psychology s membership requirements to be eligible for hire. Program Philosophy Our program s philosophy of training follows the practitioner-scholar model. The primary emphasis is on clinical training; however, the program is supported by didactic content in seminars, tutorials, and supervision affording practical training in areas of clinical functioning of psychologists, including assessment, intervention, consultation, supervision, and research. This model encourages ethical practice, careful and systematic clinical formulation and decisionmaking, use of evidence-based practices, and ongoing familiarity with professional literature to inform practice. Our program emphasizes a solid foundation of basic training. The intern s clinical interests will be served as closely as possible through offering a broad array of clinical experiences available across our large system. The structure of the internship program (including rotation assignments, didactic schedule and supervision) is determined through the Internship Committee (IC) which is comprised of the Psychology Internship Program Supervisor (IPS), a select group of licensed psychologists in the internship program, and the department s Internship and Training Manager. Ventura County Behavioral Health follows a community mental health philosophy, including provision of mobile and wellness center based services in non-clinic locations. We function in accordance with the State of California s "Rehabilitation Model" for delivery of Medicaid and Medi-Cal services, prioritizing members of the community who are in acute need, the severely and persistently mentally ill, and "at risk" individuals and families. The Department emphasizes commitment to the "recovery model" philosophy of care, including focus on client-centered assessment and treatment, appropriate use of self-help and peer support, and emphasis on integration with the community. Outpatient mental health services generally emphasize brief treatment and group treatment with a focus on optimizing developmental and family functioning, restoring premorbid functioning and addressing functional impairments caused by psychiatric disorder within a multi-disciplinary setting.

6 The internship training program provides exposure to a base of clients experiencing serious mental health issues. Interns will gain experience clinical interviewing, crisis intervention, formal diagnostic assessment, psychological testing, treatment planning, individual, group, and family psychotherapy, case management, and use of community resources. Some programs also offer experience with program development, research, and outcome studies. Because the sponsoring agency is a county behavioral health department, the interns will have access to a very broad range of clinical contexts, including mobile and home-based teams and community based-wellness centers. The program will provide experience with clients across a variety of backgrounds and circumstances, including diversity of age, gender, ethnic background, sexual orientation, and clinical diagnosis (including clients with thought disorders, persistent mental illness, and/or suicidal risk). The program includes involvement with some degree of research, including participation with ongoing efforts to evaluate clinic operations, client care, or treatment outcomes, or participating in State mandated performance-improvement projects. Internship Structure Fulltime interns are placed within a treatment track: Adult Services or Youth and Family Services. Within each track interns will receive a variety of experiences which may include more specialized training in youth and family or specialty rotations in the adult services. Typically interns are assigned to an outpatient clinic as part of their general clinical training. The purpose of the general clinic rotation is to provide an opportunity to function as part of a multidisciplinary team at a mental health center. The specialty rotations are in place to provide experience in more specialized areas of clinical treatment during the internship. The fulltime internship is designed to provide a total of 1,856 hours. We also provide a modified version for part time interns (2 hours per week). Generally speaking, interns are expected to spend 0% their scheduled hours in direct client contact. Specific schedules at each of the rotations are determined between the intern and the primary supervisor at the rotation site. The primary supervisor will coordinate with the clinic administrator as appropriate regarding scheduling of hours and absences but the initial contact for these matters is the primary supervisor. If there are questions about the internship structure, rotations, didactic sessions, etc. the intern can talk with the primary supervisor, the Internship Program Supervisor, or the Internship and Training Manager. Basic informational questions will be answered directly. If the question requires more in-depth decision making then the question will be brought to the IC for discussion. The IC will determine eligibility for each specialty rotation for full- or part-time status depending on the needs of the placement and the intern. An intern may stay in the initial general clinic rotation for the entire year if the IC agrees that their training goals are being met and it does not

7 interfere with other interns completing required rotations. In order to provide the opportunity to follow a patient for longer-term, effort will be made to allow fulltime interns to continue treating two or three clients across the entire year where possible (this option is not possible for part time interns). All interns are formally evaluated at regular intervals throughout the year. Sample Diagram of Full Time Rotations: General Clinic Rotation Specialty Rotation 6 months 6 months On Fridays, interns report to their assigned rotations in the morning and then spend the remainder of the day on training and supervision activities. The Friday sessions include a twohour seminar with presentations on psychopathology, treatment modalities, psychological testing, ethics, and professional issues. A testing consultation seminar may also be scheduled into these sessions with each intern contributing a presentation during the year. Following the didactic session on Fridays, the interns receive two hours of group supervision. The program may require the use of tapes of client sessions in supervision with some presented to the individual s primary supervisor and some presented in Friday s group supervision. To structure the clinical learning experience, minimum requirements are set for the year as follows: intake assessments psychological evaluations 200 hours of psychotherapy (with some combination of individual, group and/or family therapy) 2 weeks of participation in community based interventions 20 hours of case management activities 1 formal case presentation in group supervision 2 recorded tapes or observed sessions

8 Internship Schedule and Hours Full time interns work 0 hours per week. Part time interns work 2 hours per week. Typically interns report for work at 8 a.m. unless an alternative schedule is predetermined by the supervisor and the clinic needs. Evening and weekend hours are not currently required for most program sites but are available in some of the rotations within the Youth and Family Track. All interns must be present on Friday each week for group supervision and for the didactic intern seminar. Interns who intend to continue separate private practices should only accept positions with VCBH if practice activities would cause no infringement on the internship schedule. Sample Intern Week: At assigned rotation site Monday Tuesday Wednesday Thursday Friday At assigned rotation site At assigned rotation site Days off from the internship program include: At assigned rotation site 8:00 AM 12:00 At assigned rotation site 12:30 2:30 PM Didactic Session 2:30-:30 Group Supervision 15 days of leave available for vacation days or sick leave. 5 days for professional development that could include dissertation work, professional conferences/training, or other research activities outside of VCBH. 8 County holidays (New Year's Day, Martin Luther King Day, Presidents Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Christmas Day). All scheduled time off must be preapproved and fit with the needs of the clinic. The days off from the internship are prorated for part-time interns.

9 Supervision Full-time interns receive two hours of individual supervision each week and attend the 2-hour group supervision on Fridays. At least one of these individual hours and the group supervision is provided by licensed psychologists. The second hour of individual supervision may be with a delegated supervisor that is assigned by the primary supervisor. Part-time interns receive one hour of individual supervision at their clinic and attend the two hour group supervision on Fridays. Both individual and group supervision sessions will be used to discuss cases and related professional issues while also providing an opportunity for personal examination and feedback. The internship program encourages instrumental use of Self in the clinical process. Openness to this process of self-examination and direct feedback to and from others is highly encouraged. Psychology staff follows a broad range of theoretical orientations, such as behavioral, cognitivebehavioral, psychodynamic, and humanistic approaches and interns may be exposed to a variety of theoretical orientations during the supervision process. Didactic Training Many didactic opportunities are included throughout the internship. Interns are required to attend case conferences and treatment team meetings that are held at their rotation sites. Interns also attend department sponsored training which includes a variety of training topics such as multi-cultural issues, clinical supervision, and ethical/legal issues. Two annual conferences are sponsored by the department with current topics presented by nationally known speakers. As part of the weekly organized internship activities, structured didactic seminars are scheduled each Friday throughout the training year. Typically, these didactic seminars will occupy 2 hours of the Friday afternoon schedule with presentations on psychopathology, treatment modalities, psychological testing, ethics, and professional issues. These interactive didactic seminars are organized into modules with each module covering 2- weeks of seminars on topics that are related to the training module. Additional topics of interest may be selected collaboratively by the training staff and the intern class. Each intern may also make one formal presentation to the rest of the class during the seminar schedule. The following is a schedule and list of the didactic seminar training modules:

10 Didactic Calendar 1 Orientation Module September 2 3 Systems of care module 1 Client Centered Treatment Module October 2 3 Clinical interview, Assessment, Risk Assessment Module 1 Psychological Testing Module I - Adults November Psychological Testing Module II - Youth December Alcohol and Drug Assessment and Treatment Module January Multicultural module February 2 3 Psychological Testing Module III - Forensics 1 Consultation module March 2 3 Supervision module 1 Models of psychotherapy and clinical interventions Module April Legal / Forensic Module May 2 3 Older Adult Assessment and Treatment Module 1 Strategies of Scholarly Inquiry June 2 3 July 1 Professionalization and Career Planning 2 3 Internship wrap-up

11 Program Goals The following sets of goals pertaining to the knowledge, skill set, and attitudes of a clinical psychologist are organizing principles of our program. Interns will be formally evaluated by supervisors on their progressive attainment of these goals. Knowledge - Interns should demonstrate increasing knowledge of the following areas: 1. Techniques of conducting clinical interviews in a wide range of treatment settings. 2. Techniques of developing therapeutic alliances. 3. Knowledge of the continuum of care, including social services and medical resources such as inpatient units, social service and welfare agencies, and law enforcement necessary to functioning as a professional in a complex context of healthcare delivery.. Executing and integrating psychological testing. 5. Modes of talk therapy, including brief- and long-term individual therapy, group therapy, crisis intervention 6. Theoretical knowledge of the major models of psychotherapy, including cognitivebehavioral, psychodynamic, biopsychosocial, and interpersonal models, enough to be able to conceptualize cases from each point of view. 7. Ancillary social interventions, such as community, school, or home-based care. 8. Assessment and treatment for the range of psychopathology and substance abuse disorders which present themselves to a community mental health center. 9. Assessment and treatment of patients from diverse cultural backgrounds, including low socioeconomic levels. 10. The structure and function of multidisciplinary teams. Skills - Interns should demonstrate increasing skill in the following areas: 1. Ability to perform and document comprehensive psychiatric history and examination, including social, educational, family, substance abuse, medical and developmental history as appropriate. 2. Ability to develop and document a complete DSM multi-axial differential diagnosis, and to articulately describe such formulations in case formulations and treatment plans.

12 3. Ability to comprehensively assess, discuss, document, and intervene regarding elevated risk factors in the clinical population, including risk for self-harm and harm to others, as well as mandatory reporting situations.. Ability to conduct clinical interviews and mental status examinations with a broad range of presenting problems and in a variety of treatment contexts. 5. Techniques for communicating effectively with allied professionals and with other members of a multidisciplinary team. 6. Ability to effectively communicate explanations of psychiatric disorder, education concerning prognosis and prevention strategies, the proposed treatment plan with its risks and benefits, to clients and other interested parties. 7. Understand and manage the impact of a clinician s own feelings on psychological treatment and assessment. 8. Ability to mobilize resources within the context of the continuum of care in the interest of promoting welfare and well-being of clients and the agency. 9. Maintain clinical records that are legible, timely, inclusive of essential information while respectful of client privacy, and useful to non clinician consumers of the data. 10. Ability to assess gaps in one s knowledge base through participation in training, research, self-improvement, and other forms of education. Attitudes - Interns should demonstrate the following professional attitudes and behaviors: 1. Desire to maintain the highest standards of ethical and professional behavior in the care of clients. 2. Listen to, understand, and communicate effectively with clients and collateral contacts. 3. Ability to maintain an analytic and investigatory approach to clinical situations.. Tolerate and manage high levels of affect from patients and caregivers. 5. Maintain an underlying respect for others, even from those with differing points of view or from different backgrounds. 6. Desire to gain understanding of another person s position and reasoning. 7. The desire to share information in an open rather than dogmatic fashion. 8. Willingness to continuously self-observe and confront one s own biases. 9. Desire to act as an advocate for the client as appropriate. 10. A belief in the intrinsic worth of other human beings.

13 Rotation Descriptions Conejo Valley Adult Clinic (Adult Division) Location: Thousand Oaks Supervisor: Genine Hanin, Ph.D. ADULT TRACK The Conejo Valley Adult Outpatient Clinic is an adult outpatient clinic situated in the suburban and mainly middle-class neighborhoods of Thousand Oaks, in the eastern part of Ventura County. The clinic serves a clientele of somewhat higher SES than other adult clinics because of the local demographic, with a higher average level of functioning. The interdisciplinary treatment team consists of psychiatrists, nurses, psychologists, social workers, and case managers. Oxnard Adult Clinic (Adult Division) Location: Oxnard Supervisor: To be assigned The Oxnard Adult Outpatient Clinic is the largest of the County s five outpatient clinics and maintains enrollment of more than 100 client s living in Oxnard and Port Hueneme. The interdisciplinary treatment team consists of psychiatrists, nurses, psychologists, social workers, marriage & family therapists, and case managers. While the majority of clients at the Oxnard Clinic are treated for thought disorders, a wide range of psychiatric diagnoses and different levels of functional impairment are addressed. Extra effort is made to identify and meet the needs of the most severely mentally ill. Given the size of the clinic, a fair amount of crisis intervention occurs. Ventura Adult Clinic (Adult Division) Location: Ventura Supervisor: John Schipper, Ph.D. The Ventura Adult Outpatient Clinic is a large adult outpatient clinic with an average enrollment around 900 clients living in Ventura, Ojai, and surrounding neighborhoods. The interdisciplinary treatment team consists of psychiatrists, nurses, psychologists, social workers, and case managers. As one of the larger adult outpatient clinics, the Ventura site sees a very broad range of mental health presentations, and staff encounters crises which require emergency intervention on a fairly regular basis. The clinic works particularly closely with the nearby psychiatric inpatient unit at Ventura County Medical Center.

14 S.T.A.R Program (Centralized Assessment and Triage) Location: Oxnard office location with services also provided at other sites Supervisor: Holly Hartson, Ph.D. Entry to Ventura County Mental Health Services is facilitated through the Screening, Triage, Assessment and Referral (S.T.A.R.) Program. Following contact with the STAR Program, an initial screening is conducted to assess the extent of one s mental health needs. Individuals, whose needs will be better served by other community resources, will be provided with appropriate referrals. If county mental health services are indicated, an initial psycho-social assessment is scheduled with a Behavioral Health Clinician and clients are subsequently referred for appropriate services within the department. The Integrated Dual Diagnosis Treatment Program (Adult Division) Location: Ventura and Oxnard adult outpatient clinics Supervisor: To be assigned The Integrated Dual Diagnosis Treatment Program (IDDT) is a specialty clinic providing services to individuals who present with serious mental illness and severe substance abuse disorders. The program was developed through use of the Substance Abuse and Mental Health Services Administration (SAMHSA) evidenced-based treatment program for individuals with co-occurring disorders. The program consists of a multidisciplinary team that provides assessments, diagnostic workups, individual and group psychotherapy, medication management and case management. The IDDT Team has developed a unique assessment instrument and database and is collecting outcome measures to ensure that the program is evidenced-based. The IDDT Program was awarded SAMHSA s 2007 Science and Service Award for outstanding implementation of a dual diagnosis treatment program and is considered a model program for best practices in treatment of this patient population. Older Adult Mobile Services (Adult Division) Location: Oxnard, but provides mobile services across county Supervisor: To be assigned The Older Adult Mobile Team is a specialty clinic providing home-based behavioral health services to seriously mentally ill older adults, age 60 and up. The team consists of case managers, nurses, clinical social workers, psychologists, and a geropsychiatrist. The multidisciplinary team works closely to provide intensive services to a relatively small caseload, and cooperates closely with partner agencies such as Adult Protective Services. Most services are delivered in the field, where the clients live. The clinic is located at our Williams Drive facility in Oxnard, but services cover the entire county.

15 Adult Forensics Services (Adult Division) Location: Ventura Supervisor: Gil McFarlane, Ph.D. The forensics services of the Adult system include three basic programs which offer an interesting mix of clinical and legal issues: The Multi-Agency Referral and Recovery Team (MARRT) provides mental health services to clients receiving a reduced jail sentence in exchange for agreeing to mental health treatment. One goal of this program is to demonstrate the benefits of treatment so they will continue treatment even after the court obligation is expired. The Court Ordered Treatment (COT) program has similar goals as the previous program but the services are provided anywhere in the county at a regular mental health clinic by regular mental health staff. The Conditional Release Program (CONREP) provides a variety of services to clients that are transitioning from the State Hospitals to living in the community. Alcohol and Drug Programs (Alcohol and Drug Division) Location: Oxnard Supervisor: Linda Gertson, Ph.D. The Alcohol and Drug Division offers a full range of services for drug and alcohol addiction and also provides specialty services that span the range from prevention to diversion and treatment Outpatient centers provide assessment, treatment, crises intervention, and referrals for alcohol and other drug abusing adolescents, adults and their families. Other specialty programs include: New Start for Moms: Comprehensive day treatment program and outpatient counseling to pregnant and/or parenting women that are using alcohol and/or other drugs. Alcohol and Drug Treatment Centers: Drinking Driver Program: Education program for persons referred by the Court, Probation or the California Department of Motor Vehicles. This program provides information, counseling, and support system to modify attitudes/behaviors related to alcohol and other drug abuse. Prop 36: Drug treatment program for adults that have been referred by the criminal justice system. Adolescent AOD Intervention Services: School & community based alcohol and other drug screening, assessment, brief intervention, small group facilitation and referrals. Alcohol and Drug Prevention Division Utilizes environmental/public policy prevention initiatives to prevent underage and binge drinking, impaired driving and other drug abuse.

16 YOUTH AND FAMILY TRACK Conejo Valley Options Clinic (Youth and Family Division) Location: Thousand Oaks Supervisor: Monica Rittmaster, Ph.D. Simi Valley Options Clinic (Youth and Family Division) Location: Simi Valley Supervisor: Ken Williams, Psy.D. Oxnard Options Clinic (Youth and Family Division) Location: Oxnard Supervisor: Jeff Titcher, Psy.D. The Youth and Family Options Clinics serve low-income and special needs children and youth ages 0-19 and their families in community outpatient settings. Interns in these sites will be part of a supportive and collaborative multi-disciplinary team that includes psychiatrists, psychologists, and licensed and unlicensed masters-level clinicians. Primary diagnoses in the Youth and Family clinics are anxiety, mood, and disruptive disorders. Interns will have the opportunity to gain experience in providing individual, group and family therapy to clients with a broad range of clinical issues. Juvenile Justice Facility (Youth and Family Division) Location: Oxnard Supervisor: Ellen Yoshimura Ph.D. This branch of VCBH services responds to the mental health needs of youth with severe mental illness that are involved in the juvenile justice system. There are various components to these programs in which interns can gain experience, including conducting court-ordered psychological screenings, testing and assessments and providing short-term and long-term individual, group and family treatment to youth in custody. Youth in this branch come from a variety of ethic, cultural and socioeconomic backgrounds, and present with a broad range of mental health issues. Programs in this track are offered in close partnership with the Probation Agency, the Ventura County Juvenile Courts, and the local school districts. 0-5 Early Intervention Program (Youth and Family Division) Location: varies Supervisor: Jeffrey Titcher, Psy.D. The 0-5 Early Intervention Program is a collaborative program with First 5 Ventura County. Specialized services are provided in County clinics and in connection with community organizations which are designed to serve the educational, physical, and emotional needs that young children and their families may have. Services include assessment, early intervention and family support for young children (zero to 5 years old) who demonstrate social, emotional, and behavioral problems.

17 List of Supervisors Linda Gertson, Ph.D. Agency Title: Behavioral Health Manager II Internship role: Primary Supervisor, Ventura Outpatient Adult Clinic and IDDT I was trained in the scientist-practitioner model of clinical psychology. For the past 15 years I have specialized in the areas of co-occurring disorders and PTSD. I hold the Certificate of Proficiency in the Treatment of Alcohol and Other Psychoactive Substance Use Disorders. Since 1993 I have been teaching seminars in the areas of Attachment Disorders, Co-Occurring Disorders, Complex Comorbidity, PTSD and Personality Disorders. I have a particular area of interest in the interaction of the neurobiology of trauma with that of substances of abuse and the impact of this interaction on cognitive processes, mental status and behavior. Genine Hanin, Ph.D. Agency Title: Senior Psychologist Internship role: Primary Supervisor, Thousand Oaks Adult Outpatient Clinic No statement of theoretical orientation on file at this time. Holly Hartson, Ph.D. Agency Title: Senior Psychologist Internship role: Primary Supervisor, S.T.A.R. Program My theoretical orientation is primarily cognitive-behavioral, particularly as applied to working with adolescents and families. I also draw on my background in psychodynamic, particularly interpersonal, theory. Previously, in a Juvenile Justice treatment setting where therapeutic work is often short-term, I emphasized skills-based and problem-solving work, in addition to case formulations and exploration of a session s process.

18 Gil McFarlane, Ph.D. Agency Title: Clinic Administrator III Internship role: Primary Supervisor, Adult Forensic Program I am a cognitive-behavioral psychotherapist with an existential philosophical background. I also include unconscious phenomena and family system issues into my clinical formulations. Interest areas include serious mental illness, anxiety disorders, sociopathy, suicide prevention, and geriatrics. I am currently administrating a jail diversion program for seriously mentally ill offenders. Ana Montes, PhD Agency Title: Internship Role: Senior Psychologist Primary Supervisor, program assignment to be determined "My main theoretical approach is a cognitive behavioral approach; I also incorporate various approaches when necessary, including aspects of Dialectic Behavioral Therapy, family systems, Gestalt, positive behavioral reinforcement, biofeedback, etc. My aim is to develop empathy, mindfulness, understanding feelings and accompanying body sensations, change thought processes and belief systems, as well as helping clients establish more appropriate behavioral changes, develop problem solving skills, see the correlation between behavior and consequences, and make other significant and permanent changes." Monica Rittmaster, Ph.D. Agency Title: Senior Psychologist Internship role: Primary Supervisor, Conejo Options Clinic No statement of theoretical orientation on file at this time. John Schipper, PhD Agency Title: Internship Role: Behavioral Health Manager II Primary Supervisor, Ventura Adult Outpatient Clinic My theoretical orientation is rooted in an interpersonal process approach. I hold the belief that the therapeutic relationship should serve as both a mechanism for change and partial model for other relationships. Providing the experience of good boundaries and examining them is often central to my practice. However more than therapy, I believe clinical interviewing, arriving at evidence-based diagnoses, and report writing are my strengths. As a diagnostician I emphasize suspending judgment, or interpretation, until all the available information or data has been gathered from all possible sources. I believe accounting for all things, both confirmatory and otherwise, is often what distinguishes psychologists from the other professionals on an interdisciplinary team.

19 Jeff Titcher, Psy.D. Agency Title: Internship role: Senior Psychologist Primary Supervisor, Oxnard Options Clinic "I treat adults, couples, families, and children. I view treatment from a developmental perspective and will meet the client wherever they exist on the life span continuum, and whenever they have difficulty negotiating the next step. I have an expertise in trauma work and exposure therapy and have created children's trauma groups for UCLA Oncology. I also have an expertise in Asperger s Disorder, dating back to 1979, and developed the Asperger s Peer Group Program for the County. I believe that the security of attachment in the critical period (first 36 months) forms the basis for all future functioning and that disturbances in attachment can be therapeutically attended to from this perspective. I believe that successful therapy is always character strengthening and I conceptualize case material through the lens of Object Relations Theory, with a Cognitive Behavioral delivery. Ken Williams, Psy.D. Agency Title: Senior Psychologist Internship role: Primary Supervisor, Simi Valley Options Clinic With a strong background in medicine and the psychological testing of children, I am decidedly Cognitive-Behavioral in practice and charting. However, while structure is important, I enjoy the opportunity to display warmth, empathy, acceptance, positive regard and nonjudgmental support to my clients and their caregivers. I am reluctant to treat any child without also the prospect to provide collaborative collateral service to the caregivers and, when possible, with investment into long term character development. Ellen Yoshimura, PhD Agency Title: Senior Psychologist Internship Role: Primary Supervisor, Juvenile Justice Facility "My primary theoretical orientation is cognitive behavioral, but I also incorporate family systems, client centered and gestalt theory. I have a particular interest in dual diagnosis treatment, Borderline Personality Disorders, Dialectical Behavior Therapy and Redecision Therapy. I have extensive experience in providing psychological services to adolescent forensic populations. I also maintain a private practice, and have experience at a student health center on a large college campus."

20 Requirements for Consideration The Ventura County Behavioral Health pre-doctoral internship considers interns with at least three years of doctoral-level study in psychology. Interns must be enrolled in a clinical or counseling psychology program (Ph.D. or Psy.D.) at a regionally-accredited graduate school of psychology during the entire duration of the internship. In general, the program is designed to train interns who have developed some skill in the administration, scoring, and interpretation of a standard battery of psychological tests. It is expected that applicants will have had the following minimum coursework and training prior to internship: At least one course covering intellectual assessment At least one course covering projective personality assessment At least one course covering objective personality assessment A formally designed practicum training program with experience in psychotherapy It is expected that applicants will have the following minimum clinical experience: At least four psychological testing reports integrating data from batteries of four or more psychological tests At least five clinical intakes or other mental health evaluation interviews resulting in DSM- diagnosis Preference is given to applicants from APA-accredited graduate programs and to interns that are interested specifically in public mental health. The County is an Equal Opportunity/Affirmative Action employer. Minority and bilingual (including sign language) applicants are encouraged to apply. Neither the County nor the internship program discriminates on the basis of age, race, ethnic background, gender, sexual orientation, socioeconomic background, handicap, religion, or health status. Applicants are also expected to conform to this non-discrimination policy. Final acceptance is contingent on a background clearance conducted by the County before the start of the internship. Application Process Applicants must be enrolled in doctoral program in clinical psychology offered by an accredited institution of higher education. Applicants must apply online with CAPIC as students are matched via the online computerized matching system. Additional information regarding the materials that must be submitted online can be found on the CAPIC website : Internship applicants must also send a sample of a completed psychological testing report or comprehensive evaluation report, or other writing sample to VCBH after the application has been submitted online. Interviews are conducted in March and formal acceptance to the program is contingent on clearance from a required background check conducted by the County.