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. Brain and Behavior Sciences

The primary goal of this rotation is to provide interns with advanced training in neuropsychological assessment and brain-behavior relationships including the neuropsychological aspects of neurological, psychiatric, and other medical disorders. Interns conduct comprehensive neuropsychological evaluations at the Memory Disorders Clinic in the Department of Psychiatry at BUMCT. Referrals come primarily from Neurology/Neurosurgery (including the Behavioral Neurology Unit, Arizona Comprehensive Epilepsy Program, and the Movement Disorders Program), Psychiatry, primary care, and other medical services.

Required activities include (a) conducting at least one and no more than two comprehensive neuropsychological evaluations per week (including medical chart review, clinical interview, and neuropsychological test administration, scoring, and interpretation), (b) drafting the neuropsychological report and submitting it within one week of the completion of testing, (c) attending weekly supervision with Dr. Menchola, (d) providing patients and families with education and feedback regarding evaluation results and neuropsychological issues, and (e) presenting clinical cases at the neuropsychology practicum/case conference during the academic year. Elective activities include attendance at Neuroscience Grand Rounds and conducting inpatient consults.

Primary supervisor: Marisa Menchola, PhD

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