(Child interns: full year, correctional/forensic interns: 6 months, adult intern: full year)
Interns are responsible for the treatment of their clients, as well as case management and maintenance of appropriate documentation, including intake assessments, treatment plans, progress notes, and discharge plans, all of which are tailored to each client’s needs. By the end of the training year, interns are expected to prepare treatment plans that require minimal correction. In addition to training in therapeutic interventions, interns gain experience advocating for clients. Interns also gain experience consulting with professionals, agencies, and systems that impact on clients, e.g., child or adult protective services, school systems, the legal system, medical professionals. Interns may complete their age distribution requirement in this rotation (geriatric or early childhood) by carrying at least one outpatient case in the designated age group.
As part of this experience, interns participate in a weekly, interdisciplinary team meeting. In all settings for this experience, interns work under the supervision of licensed psychologists, with whom the decisions about treatment interventions are made, and receive one hour of individual supervision per week. Psychiatric evaluation and management is commonly available, and interns work collaboratively with psychiatrists and other treatment team members.
Child track interns complete this rotation in the Child and Adolescent Outpatient Service (ages 3-17). This unit provides treatment for children with varying levels of disturbance. Clients present with a wide range of problems including family dysfunction, histories of trauma, depression, anxiety, conduct disorder, attention deficit hyperactivity disorder, psychotic disorders, learning difficulties, acculturation problems, and substance abuse. After an initial biopsychosocial evaluation, clients are assigned to an intern who develops, implements, and coordinates the treatment. Depending upon the age of the client and his/her needs, treatment may be more individually focused or more family focused. Decisions about treatment interventions are made by the intern and supervisor, in collaboration with the client and his/her family. Psychiatric evaluation and management is available as needed, and interns learn about the role that psychotropic medication plays in treatment. Interns are expected to engage in outreach activities as demonstrated by at least two home visits and at least two school visits during the year. Child track interns also participate for one semester in the intensive outpatient group, in which children are either “stepping up” or “stepping down” to partial care.
Adult track interns complete this rotation in the Adult Outpatient Services unit of UBHC in Newark. At this program, they will see a range of clients representing the full adult age spectrum, with a variety of presenting problems including histories of trauma, depression, anxiety, bipolar disorder, psychotic disorders, acculturation problems, personality disorders, and substance abuse. This rotation may include both individual treatment and a wide range of group therapies. Decisions about treatment interventions are made by the intern and supervisor, in collaboration with the client, and sometimes his/her family. Psychiatric evaluation and management is common, and interns learn about the role that psychotropic medication plays in treatment.
Correctional/Forensic interns complete this rotation at the outpatient units of UCHC, typically for one semester, although limited cases may be carried more consistently throughout the year. Within Northern State Prison (NSP) and Edna Mahan Correctional Facility for Women (EMCFW), clients present with a wide range of difficulties and diagnoses, including the full array of diagnoses seen in community settings, and notably with a high rate of personality disorders, schizophrenia, mood disorders, and trauma-related diagnoses. Interns in these settings assess clients, and develop and implement site-specific treatment plans. Interns are generally expected to carry 8-10 individual cases and co-lead 1-2 groups, typically in an area familiar to them, such as anger management, DBT, CBT, or the New Directions Manualized Treatments. Process groups may also be co-led.
At the Adult Diagnostic and Treatment Center (ADTC), interns learn a more specialized approach to this particular clinical population of repetitive and compulsive sex offenders. Approximately 20% of sexually-offending inmates are identified as being in need of mental health services. Thus, in addition to their history of sexually offending behavior, these clients also bring a range of other difficulties which are generally addressed in group settings. These groups include Orientation, Process, Psychoeducational, and Mental Health treatments. In the Outpatient Division, the intern principally participates in presentence evaluation of offenders, determining whether they meet legal criteria for repetitive and compulsive sex offending, according to New Jersey Law.