Internship in Clinical Psychology

Overview

Our Internship in Clinical Psychology is designed to provide an intensive American Psychological Association-accredited (Commission on Accreditation, 750 First Street N.E., Washington, D.C., 20002-4242, 202-336-5979) clinical internship training experience. The Department of Psychiatry is the coordinating agency for the development and operation of the training program in Clinical Psychology. The faculty as a whole participates in the internship. The Psychology Internship Training Committee serves as the major forum for ongoing discussion of the training program.

Training Philosophy

UT Health San Antonio’s Psychology Internship Training Program is an APA-accredited (accredited through 2023) Clinical Psychology Internship Program. The program subscribes to a scientist-practitioner training philosophy and generalist training model. Our program aims include the following: breadth of training, intensive supervision, practice and science of applied psychology, and ethical and sensitive practice to individual and cultural differences.

Program Aims

Breadth of training – As applied psychology expands to encompass many new areas, the clinical psychologist needs to be trained in a broad variety of skills rather than any single specialty. A good program should be comprehensive in scope.
As a generalist program, we are able to provide our interns with a wide range of training activities including intake work, diagnostic assessment, and group, individual, and family psychotherapy. Interns provide care for diverse patient populations including adults, adolescents, and children with a wide range of presenting problems. A significant percentage of the patients served come from under-served urban areas. Approximately 50 to 60 percent of the training experiences involve services to minorities (primarily Hispanic), though there are also opportunities for work with Veteran and military populations at some sites. In addition to clinical care, we have provided interns with opportunities for involvement in applied clinical research and/or process improvement activities.

Intensive supervision – A second major point is the importance of close and careful monitoring of each intern’s experience, with useful feedback to the intern. The content and timing of evaluations is set to maximize a student’s growth. This implies a close individual involvement in each student’s progress by faculty and supervisors.
Interns’ work is intensively supervised on an individual basis, with each intern scheduled for a minimum of four hours per week of supervision. Most supervision is provided by the psychology faculty. Interns may also have the opportunity to work with and receive feedback from psychiatry faculty and social work staff.

Practice and science of applied psychology – Quality clinical internship training should impart skills focusing on the process and science of psychological work.
The Clinical Psychology Internship was established in 1970 with the faculty making a philosophical commitment to the “scientist-practitioner model,” emphasizing the practitioner side of the Boulder model. More recently, we have added opportunities for training in evidence-based assessment and treatment approaches. The internship year is seen as a time to emphasize first-hand experiences with clinical involvement under intense individual supervision by faculty who demonstrate clear and visible scientific and professional interests.

Psychology Interns receive year-long education designed to help strengthen their understanding and skill in assessment and psychotherapeutic process. Our students also learn the fundamentals of outcome evaluations and use of available scientific principles and data to guide their selection of clinical interventions and help them learn to evaluate and evolve their clinical practice.

Practice ethically and with sensitivity to individual and cultural differences – All psychologists should be able to practice ethically and with sensitivity to cultural and individual differences that impact their clinical and professional activities.
The Internship program has made systematic and long-term efforts to attract interns and staff from culturally diverse backgrounds, including diversity across age, disability, ethnicity, gender, gender identity, language, national origin, race, religion, culture, sexual orientation, and socio-economic background. These efforts have resulted in the admission of culturally diverse interns and supervisors. The internship sites have a training environment that is sensitive and shows respect for individual and cultural diversity.

The psychology training program values diversity and evaluates interns on multicultural competencies. The internship has a series of diversity didactics during the year, and interns have numerous opportunities for supervised experiences in clinical services delivered to an ethnically and culturally diverse client population within San Antonio and the surrounding communities (over 60% of the population in this area is Hispanic). The internship provides routine discussion of diversity issues within the context of clinical supervision and formal didactic seminars.

Application Process

The internship year begins on July 1 and ends June 30. Applicants are invited to apply to one or more tracks and are encouraged to rank one or more tracks. Some applicants will be invited to attend a half-day interview at the University of Texas Health at San Antonio, where they will meet as a group for orientation to the program, have an opportunity to meet with a current intern to ask questions, interview with a faculty member, and the Internship Director and Associate Director.

Application Deadline: 08 December 2019
Interview Notification: 13 December 2019

CBT Track Interview Days:

  • Monday, January 13, 2020             7:00 am – 12:00 pm
  • Monday, January 13, 2020             12:00 pm – 5:00 pm
  • Friday, January 24, 2020                7:00 am – 12:00 pm
  • Monday, January 27, 2020             7:00 am – 12:00 pm
  • Friday, January 31, 2020                12:00 pm – 5:00 pm

Child, Adolescent, and Family Track Interview Days:

  • Friday, January 10, 2020                7:00 am – 12:00 pm
  • Friday, January 17, 2020                7:00 am – 12:00 pm

Forensic Track Interview Days:

  • Monday, January 27, 2020            12:00 pm – 5:00 pm
  • Friday, January 31, 2020                7:00 am – 12:00 pm

Integrated Primary Care Behavioral Health Track Interview Days:

  • Friday, January 10, 2020                12:00 pm to 5:00 pm
  • Friday, January 17, 2020                12:00 pm to 5:00 pm

Points of Contact:
Director
Cindy McGeary, Ph.D., ABPP, Associate Professor
Phone: 210-567-5497
Email: mcgearyc@uthscsa.edu

Associate Director
Tabatha Blount, Ph.D., Assistant Professor
Email: blountt@uthscsa.edu

Child, Adolescent, and Family Track Coordinator
Wayne Ehrisman, Ph.D., ABPP, Clinical Professor

Cognitive Behavioral Track Coordinator
John Moring, Ph.D., Assistant Professor
Email: moringj@uthscsa.edu

Forensic Track Coordinator
Billy James, Ph.D., Clinical Assistant Professor

Integrated Primary Care Behavioral Health Track Coordinator
Stacy Ogbeide, Psy.D., ABPP, Associate Professor
Email: ogbeide@uthscsa.edu

Program Coordinator
Sandy Collazo
Email: collazos@uthscsa.edu

Department of Psychiatry
UT Health San Antonio
7703 Floyd Curl Drive
San Antonio, Texas 78229-3900

Generalist Program

Our program provides generalist training involving a full array of patients (children, adolescents, adults) seen in diverse treatment settings (inpatient, outpatient and community organizations) receiving a full spectrum of psychological evaluations (interview and test-based) and interventions (individual, family, and group). Our interns receive intensive supervision and are exposed to multiple theoretical orientations, including behavioral, cognitive-behavioral, systems, and psychodynamic.

During the year-long internship, interns participate in their major rotation(s) as well as several year-long clinical activities, including on-going individual therapy cases through our ADVANCE Clinic and co-leading group therapy. Additionally, interns attend weekly seminars and didactic trainings designed to enhance their understanding of the scientist-practitioner model, evidence-based practice, integrative assessment, and ethics/diversity. Finally, interns have the opportunity to design and implement a program improvement project during the training year.

Tracks

Our program strives to provide training that has depth as well as breadth. We accomplish this balance through the use of a track system, which was first implemented during the 2014-2015 training year. The track system provides applicants with stronger assurance of the training experiences they will receive when they arrive. Interested participants can apply and rank one or more of our four tracks:

  1. Child, Adolescent, and Family
  2. Forensic
  3. Cognitive Behavioral Therapies
  4. Integrated Primary Care Behavioral Health

The Cognitive-Behavioral Track

The Cognitive Behavioral track provides training in empirically supported psychological assessments and interventions across treatment settings, presenting problems, and patient populations. Interns on the Cognitive Behavioral track will rotate at either one 12-month rotation or two six-month rotations. For 2020-2021, there will be 5 full-time positions available through this track.

Institutions/Programs that are affiliated with the Cognitive Behavioral track include:

  • UT Health San Antonio, Department of Psychiatry, STRONG STAR (12 month rotation)
    Interns learn evidence-based treatments for PTSD. Interns see Veterans and Active Duty military members diagnosed with combat PTSD. Interns receive training in evidence-based assessments and treatments for trauma-related disorders and co-morbidities.
  • Adult Community Behavioral Health (6 month rotation)
    The UT Health clinics at University Plaza provide psychological, psychiatric, and social work services to individuals with the full spectrum of behavioral health problems, including a high proportion of higher risk patients recently discharged from inpatient treatment. Clients also represent wide cultural and socioeconomic diversity, including un- and underinsured clients, as well as commercially insured clients. Interns work within a multidisciplinary treatment team and have the opportunity to perform individual and group therapy, intake assessment and triage, and to participate in program development and oversight. Psychological services are provided within an integrative theoretical model, with emphases in: motivational interviewing, brief solution-focused therapy, cognitive behavioral therapy, dialectical behavior therapy and relationship-based therapy. Interns have the choice to participate in the clinic’s DBT program, substance misuse program, and/or to be trained and supervised in the delivery of Cognitive Processing Therapy (CPT) for PTSD.
  • UT Health San Antonio’s Student Counseling Center (6 month rotation)
    The Student Counseling Center provides psychological and psychiatric consultation to students in the graduate and professional schools within the university, which enrolls more than 2,600 students each year. Consultation is also provided to spouses. Clients present with academic, vocational, and personal concerns. In this setting interns have the opportunity to work with college students and career-oriented young adults. Interventions and diagnostic activities in the Counseling Center include intake evaluations, psychological testing (including intellectual, personality, and vocational assessment), brief counseling and therapy, study skills consultation, relaxation training, couples and marital consultation, group counseling, and consultation with faculty and staff.
  • San Antonio State Hospital (6 month rotation)
    San Antonio State Hospital (SASH) is a 302-bed, public residential psychiatric hospital that has been in operation since 1892, and serves an area of 56 counties in South and South Central Texas with a population of over 3,000,000. There are nine doctoral level psychologists practicing as members of multidisciplinary treatment teams. The training program includes the participation and gradually increased responsibility of the intern under careful, direct clinical supervision. The trainee will join doctoral psychologists in individual clinical interviews and group therapy sessions and later conduct interviews and sessions without direct observation. The trainee will also administer assessment batteries with direct observation by the supervisor and will later conduct testing without direct observation. The trainee will provide feedback to the treatment teams and will complete group and individual therapy notes and testing reports.

Integrated Primary Care Behavioral Health Track

The Integrated Primary Care Behavioral Health track provides training in the implementation of the Primary Care Behavioral Health (PCBH) consultation model within UT Health San Antonio and a community setting. For 2020-2021, there will be 2 full-time positions available through this track.

Institutions/Programs that are affiliated with the Integrated Primary Care Behavioral Health track include:

  • UT Health San Antonio, Department of Family and Community Medicine (12 month rotation)
    Interns will be trained in implementing the Primary Care Behavioral Health (PCBH) consultation model within the Department of Family and Community Medicine. More specifically, interns will have the opportunity to screen, assess, identify, and treat behavioral health concerns within the context of the healthcare team. Interns will also learn how to consult with primary care providers, supporting them around chronic disease management and health behavior change. Interns will also participate in the education and training of family medicine residents.
  • Center for Health Care Services (12 month rotation)
    Interns will be trained in implementing the Primary Care Behavioral Health (PCBH) model in an Integrated Primary Care clinic within a psychiatric outpatient center.  Interns will have the opportunity to work with a community mental health population addressing health related behavior change in an interdisciplinary team-based approach to care.  Interns will be working closely with primary care and psychiatric teams, learning about high-comorbidity and complex cases that require a large range of skill from working with transitional age youth to geriatric patients.  Clinical care involves understanding the bidirectional effects of psychiatric and medical comorbidities. One hundred percent of the persons in Integrated Primary Care already have a diagnosis of one of the following: Major Depressive Disorder, a Schizophrenia Spectrum Disorder such as Schizoaffective Disorder or Schizophrenia, and/or Bipolar Disorders.  PCBH consultation in this bidirectional setting aims to provide comprehensive care for patients whose medical and physical needs often go unmet.

Child, Adolescent, and Family Track

Our Psychology Internship Program has a rich history of providing psychodynamic training. Interns on this track receive extensive training in psychodynamic theory, case conceptualizations, assessments, and interventions. Child, Adolescent, and Family interns complete their rotation at the Clarity Child Guidance Center, a not-for-profit treatment center that provides outpatient services, acute care, on-campus 24-hour treatment, and on-campus day treatment for children and adolescents with mental health concerns. Interns participate in psychological testing and individual, group, and family therapy. Interns will divide the year between providing inpatient and outpatient services. For 2020-2021, there will be 2 full-time positions available through this track.

Forensic Track

Interns on the forensic track will complete their rotation at Kerrville State Hospital, a forensic state hospital with a census of 220 felony forensic patients.  Staff and interns work with patients who are incompetent to stand trial or who have been adjudicated not guilty by reason of insanity (NGRI) contending with severe and persistent mental health issues. Interns participate in clinical and forensic evaluations, a sequence of bimonthly forensic seminars, provide forensic and clinical evaluations in-person and through a video teleconference system, and collaborate with a multidisciplinary staff to provide patients with mental health treatments designed to help patients either attain competency or be safely returned to the community.

Interns on the forensic track will also be expected to participate in several training opportunities throughout the year including a mock trial experience at Baylor University Law School and a Crisis Negotiation seminar at Texas State University in conjunction with law enforcement officers.  There may be opportunities to consult with the local police department as well during the rotation year.  Finally, students will participate with a staff member to complete a research project related to our local research agenda and quality assurance issues.  For 2020-2021, there are 2 full-time positions available through this track.

Year-Long Experiences

Each intern is involved in a wide range of clinical areas. The training year consists of clinical service rotations with some experiences spanning all rotations. The specifics of your rotation will be determined by the assigned rotation sites and the Internship Training Director (TD). Clinical Activities for the UT Health San Antonio Clinical Psychology Internship include rotation-specific and year-long experiences.

  1. Outpatient Individual Psychotherapy
    Each intern will be assigned 1-2 individual psychotherapy cases through the Department of Psychiatry ADVANCE Clinic. Patients will be selected in order to provide the intern with the experience of discovery, formulation, and the attempt to alter symptom constellations. Theoretical orientation for outpatient psychotherapy cases vary by supervisor, though most are expected to be long-term treatment cases. Through the combination of individual supervision and participation in seminars and case conferences, each intern should receive first- or second-hand experience with a wide variety of psychopathology and of therapeutic approaches.
  2. Group Psychotherapy
    Each intern will be assigned as a co-therapist in an outpatient psychotherapy group. Additional group experiences will be available through site rotations.

Internship Admissions, Support, and Initial Placement Data

Questions related to the program’s accredited status should be directed to the Commission on Accreditation

Office of Program Consultation & Accreditation
American Psychological Association
750 1st Street, NE
Washington, DC 20002
Phone: 202-336-5979
Email: apaaccred@apa.org

Americans With Disabilities (ADA)
Students should be able to perform the essential functions listed with or without reasonable accommodation under the ADA and the ADAAA guidelines. The Health Science Center Americans with Disabilities Coordinator should be contacted for any questions.