Serious Mental Illness Track

Description of Rotations

Primary Placement: Early Psychosis Intervention Center (EPICENTER)

The primary goal of this placement is to provide interns with advanced and intensive training in evidence-based assessments and interventions for severe mental illness with an emphasis on early psychosis. Interns receive training in the administration, scoring, and interpretation of several clinical and cognitive assessments commonly used to track treatment outcomes among individuals with psychosis. Interns will also receive training in the delivery of evidence-based treatments for severe mental illness, including cognitive behavioral therapy for psychosis, family psychoeducation, and cognitive remediation. Interns will also assist in the delivery of three group interventions: group cognitive behavioral therapy, multifamily group psychoeducation, and inpatient group. 

Interns carry a caseload of EPICenter clients and are responsible for providing assessment and intervention services to these patients. As there is significant variation in the number of services that each EPICenter client completes per week, the size of an intern’s caseload will be based on the extent of clinical services that they are providing per week.  

Primary supervisor: Patricia Harrison-Monroe, PhD

Rotations

I. Behavioral Sleep Medicine

This Rotation will develop Interns’ experience in Behavioral Sleep Medicine. This involves the diagnosis and treatment of sleep disorders using non-pharmacologic techniques, most commonly Insomnia Disorder. This will include Cognitive Behavioral Therapy for Insomnia, as well as other treatments for adult insomnia (such as Sleep Compression), treatments for circadian rhythm sleep disorders (including phototherapy and chronotherapy), treatment adherence in sleep apnea, and treatment approaches for other sleep disorders including narcolepsy, restless legs syndrome, periodic limb movement disorders, etc. Students will learn how to recognize, screen for, diagnose, and treat these sleep disorders without the use of medications (where appropriate). This will include administration and scoring of assessment instruments, clinical interviews, case conceptualization, consideration of other medical and psychiatric conditions, and report writing.

Primary Supervisor: Michael Grandner, Ph.D. M.T.R.

II. Integrated Behavioral Health 

The goal of this rotation is to provide interns with training in the assessment and diagnosis of serious mental illnesses (SMI) with individuals not eligible for EPICenter services. These include individuals who are experiencing chronic psychotic disorders as well as bipolar disorders, depressive disorders, obsessive-compulsive disorder, post-traumatic stress disorder, etc. Interns conduct psychological and neuropsychological evaluation consultations and group therapy with WHC patients. Opportunities for individual therapy are limited to short interventions. Treatment modalities include evidence-based therapies such as cognitive behavioral therapy, exposure therapies, and mindfulness therapies (e.g. Acceptance and Commitment Therapy, Dialectical Behavior Therapy, etc.).

During this rotation, interns are also responsible for assisting with clinical research activities at the Whole Health Clinic and EPICenter as needed, including clinical data collection, database management, data analysis, and preparation of data for presentation if needed. Research activities might also involve administering standardized assessment batteries completed by EPICenter patients as part of ongoing research activities, including semi-structured diagnostic and symptom assessment interviews, computerized and clinician-administered cognitive and social cognitive tests, and a wide variety of other self-report and clinician administered tests (e.g. sleep, genetic, physiological, personality, and motivation tests).

Primary Supervisor: Gustavo Perez, PhD

III. Inpatient Psychology

The goal of this rotation is to familiarize psychology interns with the assessment and treatment of psychiatric disorders in an inpatient setting. This rotation involves an assignment at the Banner University Medical Center South Campus psychiatric inpatient units, which provide assessment, brief intervention, and treatment services for patients experiencing serious episodes of mental illness including depression, psychosis, substance abuse, and personality disorders. The intern will a) participate in individual and group interventions including cognitive behavioral and dialectic behavioral approaches and discharge planning, and b) conduct psychological and neuropsychological consults. The intern will also be exposed to multidisciplinary treatment planning, mental health-related legal proceedings, and electroconvulsive therapy observations. 

Primary Supervisor: Patricia Harrison-Monroe, PhD