W. Gary Cannon Psychological Service Center
Internship Training Placements Available: 3
Overview: The PSC a spectrum of psychological services to the Fresno community. Doctoral-level graduate students and psychological interns, under licensed supervision, provide all the clinical therapies. Community members can receive individual, family, marital and group psychotherapy, consultation, and psychological testing and assessment.
Rotations: Interns are assigned to two of nine year-long rotations offered throughout the training year. Rotations include:
1. Batterer’s Intervention Program
The Batterers’ Intervention Program is a Fresno and Kings County Probation certified treatment program to treat court ordered men and women who have been convicted of domestic violence or other intimate partner violence (IPV). Our Fresno program currently treats male clients in six groups. Our Hanford program currently consists of one female client group and two male client groups. Groups utilize a combination of psycho-education and processing. Clients are also placed into individual treatment with a clinician on an individually assessed basis.
2. Child and Family Rotation
The Child and Family rotation follows more of a dynamic orientation. The interventions offered are child centered with the pragmatic goal of helping alleviate symptoms while addressing underlying issues. Case conceptualization follows dynamic orientations of attachment, object relations and self-psychology.
More specifically, dynamic theories are used to understand the origins of current patterns of interpersonal relationships, behavior, and self-concept. Child centered, relationship based therapy is used as the key to facilitating change. We consider the systems and the environments the child and their family are involved with as key to helping understand and work with them on their journey to psychological health. All of this takes place within the context of a therapeutic relationship fostered by empathic attention, and the assumption that the psyche strives for health. It is our belief that our therapeutic interventions are merely facilitating the development of good mental health.
3. Sex Offender/Forensic/CBT
This rotation mainly treats juvenile sex offenders in group and individual therapy, as well as conducts evaluations that include sexual risk assessment. Other clients and programs offered in this rotation include (but are not limited to):
- Court ordered offenders
- Non-mandated sex offenders
- SAVE Program (Sex education)
- Sex/pornography addictions
- Distressing paraphilia
- Treatment for individuals with sexual dysfunctions
- Clients with a significant or pertinent legal issue
- Clients who would benefit from a primarily CBT/brief/solution-focused intervention.
- Fire-setting Prevention Program for Juvenile Offenders/Court Mandated – clients referred from Fresno County probation. This group meets for 10 weeks [2 week credit for risk assessment/full psychological evaluation].
4. General Clinical & Clinical Forensic
This rotation provides individual therapy to clients (adult and child) within the PSC with a wide variety of presenting problems and diagnoses; we also provide group therapy to at-risk populations both within and outside of the PSC. Therapeutic approach is based on the specific needs of each client. As a result, you will be exposed to a breadth of therapeutic orientations. We also provide:
- Tulare County Competency Restoration
- Tulare County Theft Diversion Program
- AB109 Recidivism Reduction Grant
5. Forensic and Crisis Intervention
This PSC rotation will focus on providing various empirically based cognitive behavioral treatment to adult and adolescent clients. Brief Therapy, Solution focused therapy, DBT, REBT, and Relapse Prevention paradigms will be explored depending on student interest and client needs. This rotation will provide individual and group therapy for forensic and/or acute psychiatric populations. We will also provide anger management groups and psychological assessment supervision. This rotation is focused on providing training working with difficult to treat populations such as, incarcerated/paroled clients, chronically mentally ill, personality disordered clients, and clients at high risk for hospitalization.
6. Adult Psychotherapy Rotation
Goals for this rotation include:
- Conceptualizing people’s presenting problems from a psychodynamic, interpersonal, cognitive/behavioral, cultural, and DSM V perspectives. The Gottman model of couples therapy will be the groundwork for couples work, with some use of emotion focused theory and technique.
- Organizing treatment planning around an integration of the aforementioned points of view with the client/patients goals, internal/external resources, and motivation.
- Integrating psychotherapy theory driven points of view with psychotherapy evidence based points of view about what constitutes “good therapy” for a particular person or persons being seen in the context of the service center by a student therapist and this supervisor.
- Developing psychotherapy skills consistent with the aforementioned models of psychotherapy.
- Developing skills for the proper documentation of the psychotherapy process and outcomes.
- Developing skills for the assessment of the psychotherapy process and outcomes.
- Developing ways of using countertransference and transference reactions for therapeutic gain and personal growth.
7. Therapy and Psychological Assessment Rotation
This rotation will provide individual and group therapy to clients within the PSC for a wide variety of presenting problems and diagnoses. The therapeutic approach will be evidenced based treatment, focusing on a wide variety of presenting problems that are appropriate for Cognitive Behavioral Therapy interventions. Group therapy will specifically focus on Dual Diagnosis and Personality Disorders, primarily centered on Dialectical Behavioral Therapy interventions (M. Linehan).
This rotation will provide an opportunity to administer, score, interpret, and generate integrative reports that will be responsive of referrals for the following reasons:
- Juvenile Court Assessments
- Child & Adult Cognitive Assessments
- Child & Adult Personality Assessments
- Assessments for diagnostic impressions; Assessments to R/O Malingering
- Disability Assessments
8. General Clinical – Children, Adolescents and Adults
This rotation draws upon the traditions of developmental attachment theory, Winnicott’s version of object relations theory, more recent developments in interpersonal neurobiology, to support development of a “therapeutic presence.” The focus of this rotation is on
working with adolescents and adults in individual therapy. In working with children and teens, family therapy and/or work with parents will also be necessary.
9. Health Psychology Rotation
This rotation focuses on developing clinical and assessment skills in the area of Health psychology and Medical Psychology. The skills you garner in this rotation are highly transferable to treating many mental health issues including anxiety disorders such as OCD, PTSD, Generalized Anxiety, Phobias, and Somatic issues. Major depression is also prevalent in those who are managing acute or chronic health issues.
In addition, partners and family members who have a loved one with health issues may enter therapy to increase coping skills, to process grief, or for help with problem solving. Finally, you will gain knowledge and experience working with clients where health issues could present as either a primary or a secondary issue.
Internship Training Placements Available: 4
Stipend: $40,000. Health insurance, vision/dental coverage, vacation/sick time are also provided.
Overview: DSH-C specializes in the treatment of Sexually Violent Predators (WIC 6600), Mentally Disordered Offenders (PC 2972), and California Department of Corrections and Rehabilitation (CDCR) Mentally Ill Prisoners (PC 2684). The Sexually Violent Predator (SVP) population is the largest sub-section of the DSH-C population. The Mentally Disordered Offenders (MDO) are the second largest sub-section of the population with the Mentally Ill Prisoners (MIP) populating a single unit. The facility includes 30 living units, a psychological assessment center, a medical clinic, treatment and education group areas, arts and crafts workshops, a music center, a graphic arts center, computer labs, and a patient library.
1. Units Rotations – Interns will participate in two 5 1/2 month long rotations on a unit. Interns can be assigned to rotations working with the SVP, MDO, or MIP populations. Rotation duties can include, but are not limited to, intake assessments (Admissions Psychological Assessment, Suicide Risk Assessment, DSM 5 Assessment Measures, Psychology sections of the patient’s Treatment Plan), participate in Treatment Plan Conferences with the goal of being able to run a conference as the team lead, updating Treatment Plans as necessary, carrying a small caseload of patients, and providing short-term individual therapy as clinically warranted. Please note that the unit rotations can change based on staff availability and program development efforts.
2. Assessment Rotation– Interns will further develop their test administration skills, clinical interviewing and test feedback skills, diagnostic skills, report writing/test integration skills, and consultation skills with Treatment Team members. Interns will also have the opportunity to be exposed to new testing instruments, including being trained in and conducting violence risk assessments under supervision.
3. Therapy Rotation – Interns will provide individual and group therapy for the population. A caseload of individual therapy patients will be assigned for the duration of the year. All individual therapy clients will be referred by their Treatment Team and screened by a member of the Internship Committee for consideration for the program. Interns will be assigned to a Sex Offender Treatment Program (SOTP) group for the duration of the internship year and will co-facilitate additional groups, as assigned.
Special Requirements of Applicants:
It is preferable that applicants have prior forensic experience and be able to demonstrate appropriate boundaries working in this therapeutic environment. Applicants must be able to pass a DOJ/FBI background check, state employment physical, and drug screen. All offers of internship are contingent upon the successful completion of the pre-employment screenings. Although legal, marijuana and alcohol can result in disqualifying drug screen for state service.
All applicants must submit an original state application to be considered for an interview.
Per rules set by the California State Personnel Board, all applicants must submit a standard State of California application form (STD 678) available at: https://jobs.ca.gov/pdf/std678.pdf.
This application should be completed and mailed to the Coalinga State Hospital Personnel Department by the AAPI application deadline. STD 678 is NOT to be uploaded with the AAPI. APPIC has approved the use of the STD 678 as an additional document for California DSH internships.
Department of State Hospitals – Coalinga
PO Box 5002
Coalinga, CA 93210
Porterville Developmental Center
Internship Training Placements Available: 6
Stipend: $44,964 – 53,580, health insurance, vision/dental coverage, vacation/sick time are also provided
Overview: Porterville Developmental Center (PDC) is one of the few remaining California state-operated facilities that serve people with developmental disabilities. The center provides 24-hour residential services for individuals who are developmentally disabled and have serious medical and/or behavioral problems for which appropriate services are not currently available through community resources. PDC also serves developmental disabled individuals who have been involved with the legal system, primarily those who have been found incompetent to stand trial and those who present as danger to self and/or others.The forensic program houses 211 clients and has designated intensive treatment residences for clients with high needs.
- Continuity Rotation – This is a longitudinal rotation where the intern is assigned a “home” unit with a small set caseload.The intern will carry this caseload throughout the internship and provide all psychological services related to the case, including but not limited to: individual therapy, crisis interventions, functional behavioral assessment, behavioral treatment plans, and behavior management restrictive intervention documentation.The intern will be immersed into the interdisciplinary team on the home unit and attend individual program plan meetings, individual educational plan meetings, meetings regarding emerging risks, and meetings regarding behavior interventions such as psychotropic medications and physical restraints.
- Behavior Management Rotation – This is a 4-month rotation where the intern works closely with the Behavior Management Committee and Human Rights Committee to review and approve/disapprove requests for restrictive interventions such as psychotropic medications and restraints.
- Forensic Evaluations Rotation – This is a 4-month rotation where the intern learns to assess competency to stand trial and submits a formal progress report to the courts.If desired, forensic evaluation experience may extend beyond this rotation.
- Transitions Rotation – This is a 4-month rotation where the intern learns about the placement process.The intern works with the interdisciplinary team to consider various individualized factors pertinent to the client’s potential for success in a less restrictive environment.
Special Requirements of Applicants:
Applicants who match with the site must submit an original state application, pass a background check, and pass physical/medical clearance.
San Quentin State Prison
Internship Training Placements Available: 4
Stipend: Approximately $40,000.00 per year, plus Health/Dental/Vision insurance, vacation/sick time
Overview: SQSP is California’s oldest and best-known correctional institution within the California Department of Corrections and Rehabilitation (CDCR). The prison houses approximately 4,000 male inmates and includes a reception center for new commitments, administrative segregation units and endorsed “mainline” population units. It is also the state’s only death row facility for male condemned inmates, and has a licensed Psychiatric Inpatient Program for the condemned population as well as a Mental Health Crisis Bed unit. There are approximately 1,000 inmate/patients in the Mental Health Program at San Quentin, which includes seriously mentally disordered inmate/patients and mildly to moderately mentally disordered inmate/patients. Diagnoses include psychotic and mood disorders, anxiety disorders, personality disorders, and adjustment disorders, along with chronic substance abuse, medication and treatment compliance issues, as well as cognitive and developmental disabilities. Inmate/patients represent considerable diversity in cultural, ethnic, and socioeconomic backgrounds.
Rotations and Year-Long Training:
- The internship year begins with a three-month Diagnostic Intake Assessment rotation that includes Suicide Risk Assessment, Diagnostic Formulations, and preliminary Treatment Plan formulation. These assessments are to be done weekly and may continue throughout the year based on the intern’s interest and development needs.
- The internship year will also begin with training in Individual Treatment, which will continue throughout the year and includes long and short-term therapy utilizing a variety of evidence-based modalities. Inmate/patients seen in individual treatment will range from mild to severe psychopathology at various custody levels. Interns are usually given an opportunity to work with a condemned inmate/patient and may have the opportunity to work with patients in the Administrative Segregation unit, pending availability. Interns will also participate in Interdisciplinary Treatment Team Meetings.
- The internship includes an ongoing Group Treatment Rotation. Group treatment will include inmate/patients with moderate to severe psychopathology at various custody levels. A variety of topics may be utilized and will include psychoeducational/didactic groups and process groups.
- The internship year will include ongoing Assessment Training in which interns will further develop their test administration and clinical interviewing skills, diagnostic skills, test data integration skills and report writing, as well as providing feedback of test results to the treatment team and inmate/patient. Interns may also have the opportunity to complete pre-sentencing, risk assessment reports of a forensic nature for the court. Interns are expected to complete at least four integrated assessment reports during the year.
- Interns may have an opportunity to provide crisis intervention and on-call services with licensed clinical staff for a brief rotation, pending institutional availability.
- Interns will be given an opportunity to provide supervision to practicum students in either a group or individual supervision format under the guidance of a licensed supervisor.
- Interns will participate in weekly case conference seminar, with each trainee presenting cases on a rotating basis. Emphasis will be placed on case formulation, transference issues and cultural considerations. Interns will also participate in weekly in-house didactic seminar on a variety of topics. This didactic is in addition to the biweekly didactics organized through the consortium.
- Interns will also participate in all CDCR mandated trainings. Included in this is a four-day onboarding training in Elk Grove, CA that will take place within the first month of the internship, as well as 40 hours of required training to become provisioned to use our electronic health records system. These trainings are mandatory and are in addition to in-house orientation with the Training and Assessment team.
Please note that some of the training opportunities may change based on staff availability and changes in the institution or CDCR policy.
Special Requirements of Applicants: Applicants must be able to pass a background check, state employment physical, and drug screen. All offers of internship are contingent upon the successful completion of the pre-employment screenings. Although legal, marijuana and alcohol can result in disqualifying drug screen for state service.
Special Requirements in Background or Training: Must have prior training and/or courses in Assessment/Psychological Testing and clinical interviewing. It is preferable, but not necessary, for the applicant to have had some exposure to forensic/correctional psychology. Applicants should be able to demonstrate appropriate boundaries in the therapeutic setting, closely utilize supervision, and adhere to safety and security regulations of the institution. The qualified applicant should be open to understanding this unique population, including exploration of transference and countertransference issues, as well as possess an interest in introspection and personal growth.
Applicants who match with the site must submit an original state application. The application can be found at: http://jobs.ca.gov/Profile/StateApplication
State Center Community College District – Fresno
Internship Training Placements Available: 4
Overview:Fresno City College offers experience with an inner city population, and the Reedley College Campus offers experience with a rural community population. The purpose of the Psychological Service Program is to meet the health needs of members of the college community. The populations served range in age from 18 to 65 with the mean age of 28. The interns work in conjunction with counseling and health services. The psychological services offer assistance to students and staff in a number of areas including: personal growth, crisis assistance, problems in living, relationship and family issues, A wide range of pathological problems are addressed with students from varied socio-economic backgrounds; the majority being ethnic minorities from low SES addressing cultural identity and stress related issues.
Preventive Services, and Direct Services
1. Preventive Service Component: Preventive services consists of four areas: (1) consultation, (2) dispersion of information, (3) guest lecturers, and (4) referral network assistance. The in-service training for the prevention service component will focus on each of the four areas:
A. Consultation: An ongoing problem-solving interaction which utilizes psychological principles and knowledge to enable faculty, administration and other staff to more effectively meet the needs of the college community. Interns participate in consultation in two areas: (1) Student-centered, consultation where a faculty or staff member has a work-related problem with a particular student, and,
(2) Program-centered consultation provides input in the areas of instruction, administration, and counseling.
B. Dispersion of Information: Interns participate in the research and dissemination of information concerning psychological principles to heighten awareness of faculty and administration.
C. Guest Lecturer: Interns participate in providing in-service training by utilizing classroom settings for lectures, lead discussions, and conduct workshops for students, faculty, and the Psychological Service Program staff to promote understanding of mental health issues important to the college community.
D. Referral Network Assistance: Interns function as referral agents by establishing a liaison relationship with several off-campus resources and agency providers assisting the college community when indicated.
2. Direct Services Component: The in-service training for the Direct Services component consists of five major areas and interns are expected to have experience in these areas: a) Psychotherapy, (b) Group Therapy, c) Crisis Intervention, and d) Psychological Assessment. Although services are provided to predominantly adult populations, interns can have many family problem cases that are paramount, which result in interns providing psychotherapy with adults, adolescents, children and parents.
Long-Term Psychotherapy: The staff and interns provide long-term psychotherapy for clients who will benefit from this treatment modality. Psychotherapy is utilized for the treatment of neuroses, psychoses, personality disorders, relationship difficulties and for victims of violence and abuse. Implicit in this approach is a concrete analysis of the range of individual orientations used including Psychoanalytic, Cognitive/Behavioral, Person-Centered, Reality, Gestalt and Social Learning perspectives of therapy. Individually tailored treatment plans are initiated for each client.
B. Brief and Individual Therapy:
Brief therapy is a relatively short-term intervention that is applicable to individual counseling, family therapy, crisis intervention, institutional management and organizational development. Interns and staff utilize a wide range of orientations with clients in order to achieve effective and desired goals. The brief therapy model delineates (1) six to eight sessions of supportive therapy throughout the crisis; (2) an extension of services under emergency conditions, or when a referral is pending; or (3) referral to other agencies for clients requiring further treatment not offered at the Psychological Service Center (i.e., inpatient drug treatment services, etc.)
C. Group Therapy:
A variety of group therapy sessions are offered. Group sessions are conducted by interns to promote personal growth in areas such as Stress Management, Behavior Modification for Addictions, Interpersonal Relationships, and Self-Esteem. In conjunction with Counseling Services, interns serve as resource persons for group counseling in areas such as Career, Learning Assistance and Personal Issue Groups.
D. Crisis Intervention:
A coordinated team approach is utilized to effectively deal with on-campus crisis situations. Interns participate as members of the Crisis Intervention Team, which includes psychologists, trained counselors, district police, and nursing services. The intern assists the team by providing extensive 24-hour on-call crisis coverage to the campus community.
E. Psychological Assessment:
Psychological Services is responsible for overseeing testing and assessment for the State Center Community College District. This responsibility is shared by the interns, the Disabled Students Program staff, the Counseling Program staff, and Psychological Services. Testing and assessment involves preventive and direct service programs. Preventive programs focus on testing associated with personal growth, self-understanding and learning disability. Direct services are related to the identification of psychopathology and involve psychological assessment in order to obtain mental status, make differential diagnosis, develop a treatment plan, and answer referral questions or make appropriate referrals as needed. Tests currently employed are the MMPI-2, MCMI-II, TAT, Rorschach, Bender-Gestalt and WAIS-III.
Cases are often referred for psychological assessment to obtain a formal evaluation of the client’s mental status. Interns are exposed to the various instruments and techniques for testing and/or measuring characteristics, (e.g., projective tests, achievement tests, diagnostics, personality inventories and tests of intellectual and mental ability). Once interns have organized and evaluated collected information, they will obtain additional information, and then formulate a working hypothesis for treatment and therapy.
Special Requirements of Applicants: N/A
Sutter Center For Psychiatry (SCP)
Internship Training Placements Available: 4
Sutter Center for Psychiatry (SCP) is a part of the Sutter Health Care System that is located in east Sacramento, CA. SCP is a inpatient and outpatient treatment facility serving the urgent needs of children ages five through older adults. SCP operates from the perspective of a Recovery model, thus emphasizing the needs of the patient first while integrating a variety of health and mental health programs, including Child & Adolescent Program, Latency Program, Adolescent Partial Treatment Program, Sutter Counseling Center (serving outpatient children and adolescents), Adult Care Unit, Adult Intensive Care Unit, Chemical Dependency Services; Chaplaincy Training Program.
Interns provide a variety of psychological services to children, adolescents, adults, and older adults. These include comprehensive psychological assessments, trauma assessments, treatment and consultation, crisis intervention and suicide assessment, brief and long term individual psychotherapy, comprehensive treatment planning with a multidisciplinary team, and co-facilitation of psychotherapy groups (for example, Trauma-Focused CBT). Interns will participate in a variety of trainings, and will be expected to present training themselves. Among the variety of psychiatric conditions present in this population are Posttraumatic Stress Disorder, Major Depressive Disorder, Chemical Dependency, Conduct Disorder, Psychotic Disorders, Attention Deficit/Hyperactivity Disorder, Bipolar Disorder, impulse control difficulties, organic issues, and various Personality Disorders.
Interns will have the opportunity to participate in discussions of cases and issues encountered in an inpatient psychiatric hospital and a community clinic, which offers longer-term psychotherapy for children, adolescents, and their families.
For more information visit our program description website: http://www.suttermedicalcenter.org/psychiatry/ccpic.html
Special Requirements of Applicants: N/A