# Presentation: 381172

## Doctoral StudentsExtending Mental Health Services

**Vic Carlson, Psy.D.****Edison Job Corps**

**Boston Region Health and  Wellness Conference****September 28, 2006**

**April O’Grady, Ph.D.****PJCA in Bangor**

## Rationale

- Extend Services
- Bridge the Generation Gap
- Building Rapport
- Serving as Role Models
- Win-Win-Win!
- Students receive more services
- Doctoral students receive training
- We benefit from infusion of time, creativity and the latest developments in the field

## Who are these “Interns”

- Not “Pre-Doctoral Interns”
- Can’t be “APA approved” without adequate clinical infrastructure
- Practicum Students
- Pre-doctoral, clinical experience
- Under our supervision
- Enrolled at a University
- Pre-screened by admissions
- Official practicum - shared liability

## What’s in a Name

- Not “**Counselors**”
- We have “counselors” at Job Corps
- Calling them “counselors” leads to confusion
- Not “**Practicum Students**”
- Students and staff don’t know what a “practicum” is
- They would be called “students” in casual conversation
- This would confuse them with Job Corps students

## Possible Titles?

- “**Interns**” (when speaking with staff)
- Some confusion with pre-doc “interns,” but not among Job Corps staff
- The term has also been used too generally in the media
- Students don’t want to see an “intern”
- “**Therapists**” or “**Consultants”**
- When speaking with the students
- Accurately describes their role

## Two Models

- Consultation Model at PJCA in Bangor, Maine
- Mental Health Clinic and  Prog. Development / Evaluationat Edison Job Corps Academy

## Consultation Model

- Brief Assessment
- Recommendations to the Student
- Recommendations to the Staff
- Consultation with Spec. Groups
- Counselors
- Dorm Staff
- Teachers
- Psychiatrist
- TEAP Specialist
- Wellness Staff
- Consult with Senior Administration

## MH Clinic Model 

- Screening & Assessment
- Psychological Testing
- Accommodation Planning
- Consultation with Counselors
- Advising Teachers & Instructors
- Ongoing Treatment (>3 sessions)
- Special Groups, e.g.:
- Stress / Anger Management
- Smoking Cessation
- Healthy Living (diet & exercise)

## Program Development

- Dormitory Support
- Consultation with RAs
- Leadership Development
- Sports Psychology (at Edison)
- Men's / Women's Groups
- Artists & Writers Workshop
- Productive Introspection
- Healthy Self-Expression
- Doctoral Dissertations
- Local, Regional, and National Office  approval required

## Additional Responsibilities

- Training and Supervision
- More Time
- More Liability
- Case Management
- Managing New Capacity
- Referral and Follow-up Tracking
- More Active Cases
- Managing Relationships
- Interns and other Staff

## Supervision

- Group Supervision
- Administrative: learning the job
- Clinical: learning from each other
- Individual Supervision
- Intensive individual attention
- Addressing individual goals
- Training Seminars
- Including Counselors & SRAs
- Center-wide trainings

## Seminar Topics

- Suicide Assessment
- Self-Injury
- Anxiety & OCD
- Anger Management
- Addictions
- ADHD
- Trauma & PTSD
- Dialectical Beh. Tx.
- Adolescent Devel.
- Impulse Control Prog

- Sleep Disorders
- Eating Disorders
- Personality Disorders
- Sexual Preference
- Cultural Sensitivity
- Psychosis
- Somatization
- Neurological/Organic
- Medication Issues
- Prog. Devel & Eval.

## Administrative Issues

- Defining their Clinical Role
- Documentation
- Off-Site Tx & Med Monitoring
- Limits of Confidentiality
- Releases of Information
- Obtaining Prior Records
- Active Case Roster
- Follow-Up Tracking
- Job Corps Specific Issues (staff roles, types of leaves)

## Forms & Procedures

- Referral Tracking
- Routine Screening
- Priority Screening
- Emergent Screening
- Elective Referral
- Follow-Up Tracking
- Treatment or Med. Monitoring
- Adjustment or Risk Assessment
- Monitor due to Psychiatric History

## Active Case Roster

- Name
- Counselor
- Dorm
- Date Received
- Date Seen
- Follow-Up Code (disposition)
- Clinical or Behavioral Issue

## Additional Recourses

**Internship "Start-Up" Prototype for Center Mental Health Consultants**
*	**Special acknowledgment to Jeff Gottlieb, Ph.D., CMHC, Hubert H. Humphrey JCC for his assistance **in the writing and organization of the internship web guide.*
- _[http://jchealth.jobcorps.gov/health-topics/mental-health/mental-health-best-practices](http://jchealth.jobcorps.gov/health-topics/mental-health/mental-health-best-practices)__  _

## Internship Web Guide

- Internship Policy
- Internship Application
- Ethical & Liability Considerations
- Orientation Checklist
- Initial Interview Guidelines
- Charting Guidelines
- Mental Health Employability Issues
- Internship Evaluation Criteria