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Baylor University Counseling Center Doctoral Internship in PsychologyTraining and Clinical Service ActivitiesClinical ActivitiesIndividual/Couples CounselingInterns see up to 16 individual clients per week. The Baylor Counseling Center functions primarily within a short-term counseling model, with a yearly session limit of 12. Interns will have the option of seeing 2 clients over a longer period for the training experience of doing some in-depth clinical work. This will be determined in a discussion with their primary supervisor. Clients who are assessed to be in need of intensive or long-term therapy beyond the scope of the Baylor Counseling Center are referred to the community.Interns and staff conduct couples counseling as needed and interns may request to do co-therapy with a staff member. Couples needing intensive or long-term relationship counseling are generally referred to the community.Group CounselingThe Counseling Center offers a variety of groups throughout the year. Examples include Mindfulness, Boundaries, Substance Abuse, Men’s, Sexual Assault Survivors, Creative Arts Process, Social Confidence, Adult Children of Alcoholic Families, Interpersonal Process, etc… Interns are required to co-lead at least one group with a staff member and then may develop and lead groups in their own areas of interest. Walk-In Clinic & Initial Assessment SessionsStudents who are coming to the Baylor Counseling Center for the first time are asked to attend an initial consultation session as a way of entering the system – called an Initial Assessment. Initial Assessments are accessed through our Walk-In Clinic. Students come in during designated Walk-In hours and are seen based on basis of urgency and order of arrival. Students are asked to complete an information form (demographic data, history of previous treatment, current medication, family information, symptom checklist, etc.). They are also asked to sign an acknowledgement and consent to treatment form. The therapist on initial assessment duty then conducts a 30 minute assessment interview. Interns will each cover 2-4 hours weekly of the walk-in clinic time.During this initial session the therapist is expected to assess the nature of the presenting problem(s), determine the need for immediate attention or intervention, and refer the student to the appropriate resource within or outside the counseling center. If the student is in need of immediate attention, the therapist conducting the initial assessment will provide it during that session. Thus, therapists may also see crises during this time as well, as it serves as our entry point for all types of concern. After Hours, On-Call/Crisis InterventionThe Baylor Counseling Center provides formal after-hours emergency services. Staff, interns, and practicum students all provide this coverage on a rotating basis for a week at a time. Interns and practicum students will be the first contact by phone with senior staff serving as support, supervisors, and back up for the next line of phone contact. After-hours on-call coverage is done by phone, both for the primary on-call counselor and for the back-up supervisory counselor. Therapists assess the concern and provide appropriate interventions. Practicum SupervisionThe Baylor Counseling Center provides practicum experience for doctoral graduate students in clinical psychology from the Baylor University Psy.D. Program in the Department of Psychology and Neuroscience. Based on readiness and availability, Interns may be assigned as the primary supervisor for a practicum student in the fall and then may also be assigned a different practicum student at the start of the spring semester. As part of their supervisory duties, interns are responsible for both the client care and the professional development of the practicum student. This will include reviewing videotapes and/or observing therapy sessions. Interns as supervisors are also responsible for reviewing all practicum trainee case notes. All practicum student case notes, which have been reviewed by their intern supervisor, are countersigned by the Training Director. Practicum supervision by each intern is supervised in the 1) Supervision of Supervision Seminar and 2) through the Supervisory Triad Model: The Training Director will facilitate the Supervision of Supervision meeting with both Interns together. This will include readings, didactics, video-tape review and discussion about supervision and the growth of the practicum student. Practicum Supervision meetings are videotaped for review during the Supervision of Supervision.The supervisory process will be part of a Triad with the Training Director, the intern, and the practicum student. The Training Director will be present for every supervisory meeting as the intern and practicum student get started, and at least 1 hour weekly, but may then provide opportunity for the intern to provide videotaped supervision independently. Supervision ActivitiesIndividual SupervisionEffective supervision is believed to be the most essential element of a good training program. Each intern receives 2 hours per week of regularly scheduled supervision from a licensed psychologist. Additional unscheduled supervision and consultation with the supervisor and other staff members are available and encouraged. Although individual supervision may focus primarily on an intern’s counseling cases, ethics and other professional issues are considered to be valuable topics for discussion. The primary supervisor is the therapist designated by the Training Director to be responsible for an intern’s training experience for a given time period. The primary supervisor is responsible for ensuring that all of the intern’s cases are being supervised and that the intern is getting a comprehensive experience in terms of types of cases and activities. The primary supervisor, or his/her designee, will monitor all written and verbal communications regarding cases and will countersign progress notes, correspondence and reports. The primary supervisor will also monitor the intern’s adherence to legal and ethical guidelines, as well as to Baylor University, Student Affairs, and Counseling Center policies and procedures. Additionally, the primary supervisor is responsible for evaluating the intern’s performance at the Counseling Center and providing feedback to the intern. The Director of Training initially assigns each intern to a supervisor during Intern Orientation. The primary supervisor or Director of Training may designate a case supervisor to supervise an intern on a particular case. Examples of the use of a case supervisor include supervision by a licensed marriage and family therapist when doing couples counseling, supervision of a substance abuse case by a licensed chemical dependency counselor, supervision of a trauma survivor case by our Sexual Assault Prevention Coordinator, etc. The case supervisor is responsible for monitoring the intern's management of the individual case; in this capacity the case supervisor monitors the counseling content and process, as well as written or verbal communications regarding the case.Supervisors may vary in style and approach to supervision, but there are some requirements that apply to all interns/supervisors. Interns should keep progress notes and records up to date and bring information about clients to be discussed to supervision. The primary or case supervisor must countersign all progress notes and other written communications regarding clients. Interns should also maintain an intern activity log (Appendix J) and be prepared to review all cases in their current caseload with their supervisor.Interns are expected to obtain releases for recording/observation from clients and to record their sessions or be observed as directed by their supervisor (webcams are provided). Interns should provide their supervisor with a video record of at least one session per week; this session should be given to the supervisor two or more days prior to the supervision session during which it will be discussed. Additional sessions may be viewed at the request of the supervisor or intern. Recordings are considered to be transitory information and are deleted/destroyed after review or use in supervision, and on a regular basis.It is the responsibility of the intern to keep his/her supervisor apprised of any potentially dangerous or troublesome cases. In the event that a supervisor is unavailable for one or more days (e.g., is attending a conference, on vacation, sick, etc.), the intern should inform/consult with another professional staff member. Supervision of Group CounselingDuring the training year, interns will co-lead a group with a staff member. This co-leader serves as the supervisor for the intern’s group therapy activities, meeting for approximately one half hour immediately preceding and/or following each group session. This supervision provides interns the opportunity to discuss dynamics, content and interventions specific to the group they are co-leading, as well as discuss group therapy dynamics and interventions in general. Once an intern has co-led a group with a staff member, he/she may be able to co-lead a group with another intern or independently lead a group, under supervision. Supervision of SupervisionThis weekly meeting combines a supervision training seminar with group supervision of practicum students. The seminar meets for 2.0 hours each week and focuses on developing supervisory skills. Topics for the didactic portion of the seminar include supervision models, supervisory roles and process, ethics, cross-cultural supervision, etc. Supervision of Supervision provides interns a setting in which to share and discuss their experiences as supervisors, and will be facilitated by the Training Director.Intern Case Conference Interns will meet together with a clinical staff member for 1.0 hours each week to watch video and discuss in detail one or more clients/cases. The Case Conference will be facilitated by the Training Director. Case conference will involve writing a conceptualization, researching a relevant journal article, and sharing video footage for discussion. Interns will each have a 6 week opportunity each semester to share video of the same client, weekly, with a small group of clinical staff, exploring the clinical work with an emphasis on multicultural counseling and attention to issues of diversity. Case Conceptualizations and Journal Article:Interns will complete a written conceptualization in advance of their first case conference and use it to present a client and ask for guidance in working with the client from the intern’s own frame of reference and theoretical approach. Interns will also select a scholarly journal article related to their case and distribute it along with the written case summary.Consultation and Video Review:Interns will provide a conceptualization of a client and then share videotape clips, discussing the interface of the person of the therapist, with theoretical approaches and practical hands-on interventions while learning about process from observing sessions and discussing with staff. A focus on multicultural competency in counseling will be a significant part of the discussion.Case Conference Rating Form:Senior staff will complete the Case Conference Rating Form at the end of each 6-week case conference that will shared with the presenting intern. Minimum overall scores on the rating form will be a 3 in the fall semester, and a 4 in the spring semester. Outreach ResponsibilitiesOutreach Programming and ConsultationBaylor Counseling Center staff is frequently asked to consult with faculty/staff, friends, or family members about a specific student or situation, to provide staff development programs for other departments, present seminars or workshops for student groups, and provide other outreach services on campus. Senior staff members invite interns to co-present workshops during the fall semester to assist the intern in gaining experience in making presentations. Interns also participate in general outreach activities.Interns will be expected to contribute to the mission of the BUCC by assisting with outreach efforts throughout the academic year. This may include tabling at campus events, promoting BUCC services, providing training for students or faculty/staff on mental health topics and engaging in afterhours outreach events. There are two specific Outreach Projects required for the doctoral interns that are outlined in later sections of this manual. The scheduling of these projects is flexible. On average outreach duties will constitute 2.5% of the Interns work schedule, which is equivalent to one hour per week of service.?The Outreach Coordinator will provide supervision and support but the intern is expected to show initiative and responsibility for the project. At the year’s end, the Outreach Coordinator will complete the Outreach Project Rating Form, which requires a minimum rating of a 4.Seminars Diversity Training SeminarThe Diversity Seminar will meet, at a minimum, for an average of 2 hours every other week, and combine didactic with experiential and discussion activities on topics related to diversity and developing multicultural competencies. Some weeks, this seminar may be replaced by special opportunities such as a visiting presenter, outside workshops on diversity, or attending a conference. Interns will develop and present at least 3-6 diversity seminars on topics of their choice during the late spring and summer, as a capstone training experience for this seminar. Some of these may be a part of training the incoming practicum students.Didactic Training Seminar The Didactic Training Seminar is an educational seminar that provides interns with training and information about a variety of professional issues and topics of therapeutic relevance. This is, at minimum, a 2 hour weekly seminar presented by Baylor Counseling Center staff, other Baylor University faculty and staff, and professionals from the surrounding community. Seminars may be presented in the following areas: ethical/legal/professional issues, the process approach for integrating modalities, multiculturalism and diversity, substance abuse, group therapy, sexual assault and Title IX, etc… and special topics. Some weeks, this seminar may be replaced by a special opportunity such as an outside presenter or attending a conference or workshop. Interns are required to develop and present 2-4 seminars on topics of their choice during the late spring and summer, as a capstone training experience for this seminar. Some of these may be a part of training the incoming practicum students.Capstone Professional Development PresentationsThe Professional Development Seminar is an educational/experiential opportunity that provides interns with training, information, and experiences to wrap up their training year as and integrate their learning. These will occur throughout the months of June and July, and might include topics about career opportunities, job search, work/life balance, etc… It will also include providing professional presentations themselves in the areas of diversity, clinical topics, case presentation, and theory of change. Training incoming practicum students will also be a part of these experiential learning opportunities.Administrative Activities Treatment Team Staff Meeting The Treatment Team Staff meeting is held once a week for 1 hour, typically Friday mornings at 8:00. The purpose of this meeting is fourfold: 1) general announcements, 2) to discuss issues which impact the Counseling Center and/or its staff and services, 3) discuss on-call/crisis calls and any students of concern, and 4) clinical consultation with multidisciplinary treatment team. Occasionally, guests are invited to provide information to the staff. All clinical staff members, including practicum trainees and interns, attend this meeting. Intern input is valued and staff meetings provide an opportunity to interact as colleagues.Administration/Records Maintenance Time is set aside for interns to write case notes, return phone calls, talk to other staff about policies/procedures, etc.Professional Development/Research/Unscheduled SupervisionInterns are given, on average, two hours per week to engage in activities that will enhance their development as professionals. Due to the cyclical nature of counseling center work, it is expected that these hours are given to client care during the busy times of each semester, and recouped during the slower times. This time may be spent in unscheduled supervision or consultation, reading journal articles, working on intern projects, attending workshops or staff development seminars, working on dissertation, etc. Interns typically engage in professional development activities and research on campus. Requests for off-campus professional development time must be approved by the Director of Training. Other Required Training ExperiencesDiversity Project/ActivityInterns must successfully complete a diversity project after consulting with Coordinator of Multicultural Services. A Diversity Project Rating Form will be completed, as feedback. The interns will discuss their developmental stage of diversity awareness and cross-cultural competency with the Multicultural Services Coordinator, and together they will develop a year-long training plan that includes both a diversity project and core experiential components and activities. The plan will be developed with intentionality around a comprehensive growth-producing experience for the intern. The Coordinator of Multicultural Services will provide the intern with formal and informal, as needed, year-long consultation and supervision. Examples of Diversity Projects include:Co-lead/lead a support group for students Assist Multicultural Student Affairs programming effortsSupport the More Than We Can Bear programDevelop a diversity project on disabilities, partnership with OALADevelop your own idea / area of interest on campus around diversityAs appropriate, invest in support groups of Latinas Unidas, My Sister Myself, etc…Assist Coordinator with Focus Group research finding ways to improve our diversity services and multicultural programming. “Adopt a Residence Hall” Outreach ProjectInterns will be assigned a residence Hall where they will build relationships with the Residence Hall Directors and establish an understanding of the needs relevant to the residence hall. Interns will provide a minimum of four programs to their residence hall during the academic year. These programs can be for Community Leaders, or all residents, as the needs of the hall dictate. This project will be supervised by the Coordinator of Outreach, so that guidance and resources can be provided.Core Experiential ComponentsInterns are expected to complete the required activities listed under each core area (1-6). In addition to the required activities, some optional activities may be listed if an intern wants further experience and training.I/P Violence Prevention– Dr. Cheryl Wooten, Sexual Assault Prevention CoordinatorSupport and attend, It’s On Us – Sexual Assault Prevention Campaign for freshmanLead small groups with this campaign, and/or other related outreach events, as appropriate and when needed. Receive Bystander Intervention training and lead small group interventions as appropriate and as needed. Attend related trainings in the department, as offered, on: Title IX, Introduction to Working with Trauma, Working with Sexual Assault, Crisis Response with Sexual Assault, etc…Work with 2 or more individuals who experienced trauma, based on readiness, consulting with Dr. Wooten for guidance, as appropriate / needed. Optional: Research and present intervention model to staffProvide counseling for trauma survivorSupport Coordinator of Sexual Assault Prevention researchCo-facilitate Trauma Recovery Support Group or Therapy GroupDiversity – Dr. Monique Marsh-Bell, Coordinator of Multicultural ServicesParticipate/support at least two diversity programs sponsored by a Baylor office, department or multicultural/diversity teamWork with at least four clients from the following categories during each semester (at least three categories must be represented):ethnicity other than your owngay/lesbian/bisexual/transgendernon-traditional student (35 years or older)first generation studentstudent with a disability (other than psychological)international studentreligious beliefs significantly different from your ownLead 3-6 diversity seminars in multicultural area of interestLead seminars for incoming practicum students on diversity topics, in July.Clinical Services & Group Therapy – Dr. Lauri Rogers, Clinical CoordinatorBuild up to 16 individual clients per weekCo-lead at least one group during the yearSupport suicide prevention services on campusOptional: Lead 2nd group in the spring, in area of interestSupervision of a Practicum Student – Randal W. Boldt, Training DirectorSupervise 2 practicum students at the CC, one at a time and changing midyearWork with Training Director in Supervisory Triad ModelParticipate fully in weekly Supervision of Supervision meetingComplete process-reflection paper about supervision experience each semesterParticipate in weekly Practicum Case Conference meetingEducational Programming/Outreach – Dr. Emma Wood, Outreach CoordinatorSupport Existing Outreach Events:Interns will be expected to contribute to the mission of the Baylor University Counseling Center by assisting with outreach efforts throughout the academic year. This may include tabling at campus events, promoting Baylor University Counseling Center services, providing training for students or faculty/staff on mental health topics and engaging in afterhours outreach events. On average outreach duties will constitute 2.5% of the Interns work schedule which is equivalent to one hour per week of service. See Appendix I for Outreach Project Expectations.Mental Health Outreach Project:Interns will be expected to develop a formal outreach program to be delivered on campus to address one of the following college students mental health needs: 1) Stigma Reduction, 2) Diversity and Mental Health, 3) Stress management, and 4) Depression and Suicide.Programs should take into consideration current trends and data on relevant topics and should demonstrate creativity and engaging presentation techniques. Interns will be expected to present their outreach program to clinical staff and practicum students prior to rolling it out on campus. Interns will work with the Coordinator of Outreach to market and execute the outreach program.The bulk of this work will be done during the summer months when clinical needs are diminished and there is more administrative time available. Programs should take into consideration current trends and data on relevant topics and should demonstrate creativity and engaging presentation techniques. Interns will be expected to present their outreach program to clinical staff and practicum students prior to rolling it out on campus. Interns will work with the Coordinator of Outreach to market and execute the outreach program.Alcohol and Other Substance Abuse – Dr. Don Arterburn, Addictive Behavior Specialist? Attend Counseling Center training sessions on alcohol/drug assessment and diagnosisParticipate in an MIP Alcohol Education Class (one 3-hour session) and Drug Offender Class (one 3-hour session), discussing with Dr. Arterburn which class would be the most appropriate.? Attend/assist Dr. Arterburn with an on-campus workshop/presentation on substance abuse/treatment for studentsDr. Arterburn will act as case-consultant for 2+ cases over the year with abuse/addiction presentationsOptional: Research the 12-step model and attend a 12-step meeting on campus Other Optional Experiential Opportunities Intern Project/ActivityInterns may select a project or activity to complete during the internship year that will broaden their professional development training/experience. Interns should discuss their ideas with the Director of Training prior to beginning a project or activity. Below is a list of possible activities/projects; it is not exhaustive, so interns are encouraged to be creative and develop their own ideas. Final project must be approved by primary supervisor and the Training Director.Required Activities: NoneOptional Activities – Based on discussion with Training Director and Intern readiness:Serve on a university committee throughout the yearParticipate in intern or practicum student selectionTrain the CC staff on a particular theory or technique,Independent study/activity on area of interest Mindfulness Interventions – Dr. Yoshiko HallRequired Activities: NoneOptional Activities – Based on discussion with Dr. Hall and intern readiness: Complete assigned reading on MindfulnessParticipate in Mindfulness Training seminar with other internMeet weekly to practice and prepare for group facilitationAttend & support/co-lead Mindfulness group Plan and lead Mindfulness group experience on your ownTeach Mindfulness skills with individual clients, consulting with Dr. Hall Administrative Mentoring – Dr. Jim Marsh, Counseling Center Director Optional - Meet with Director to learn about components of CC administration Dissertation work – It may be possible, after consultation with the Training Director, to allocate some time for dissertation work.Capstone Professional Presentation Activities during 2nd six monthsParticipate fully in activities designed to bring together your year of training, integrating research and practice, ethics, and clinical work to level of being able to teach, lead, or present on topic important to the field in a professional manner, while also further preparing for the job application process.Diversity Case PresentationTopical/Clinical PresentationTheory of Change PresentationTraining and Orientation of Practicum Extern PresentationsContinuing Education/Staff Development/Professional MeetingsThe Counseling Center tries to provide yearly educational/workshop/conference programing for staff. Past conferences have included attending the Multicultural Conference at Texas A&M, and our own hosting of Dr. Hannah Levenson. We also sometimes partner with other departments to bring in speakers (e.g. Dr. Nancy Boyd-Franklin). The Student Life Division provides staff development lunch programs which are available to all Student Life staff during the fall and spring. The Counseling Center also provides some funding for interns to attend the annual Texas Counseling Center Intern Conference in the spring and may provide funding for additional conferences or workshops as the budget allows (e.g. TUCCCC). Requests to use any accumulated leave or to attend conferences must be approved in advance by the Director of Training. ................
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