Rotations and Training

• Adult Health Psychology
  The Adult Health Psychology interns will each complete two of the following four Core rotations. Specific Core rotations will be selected after the Match with intern preference taken into account. Each rotation can only accommodate one intern per rotation.

  
  Adult Heart/Lung Transplant and Adult Sleep Rotation

  Supervisor: Yelena Chernyak, PhD, HSPP

  The goal of this core rotation is for interns to have a breadth of experience in providing health psychology services to adults in a variety of outpatient clinical treatment settings including cardiology and behavioral sleep medicine. The setting for this rotation is divided between the IU Health Adult Outpatient Psychiatry Clinic and Study Center at the IU Health Neuroscience Center and Methodist Hospital’s Acute Heart and Lung Care Clinic. Specialized services provided include assessment, consultation, individual and group psychotherapy primarily utilizing CBT/ACT and other empirically supported interventions to deliver behavioral medicine, psychosocial support, coping skills building, symptom management, and behavioral modification. Interns will have the opportunity to work with a medically diverse clinical population experiencing acute and chronic medical conditions, provide consultation services, and interact with a multi-disciplinary medical team, and attend clinical case rounds in hospital-based clinics. All clinical settings have a teaching mission allowing interns to interact with residents and fellows from various departments. IU Health is a tertiary care facility with nationally and internationally recognized programs in specialized medical care. Please note: the 2-1/2 days/week of this Core rotation must include a full day on Tuesdays (Adult Sleep Clinic) a half and full day on a Monday or Thursday (Heart/Lung Clinic).

  Adult Pain Clinic Rotation

  Supervisors: Danielle Henderson, PhD, HSPP, and Amanda Wakefield, PhD, HSPP

   Interns will have the opportunity to gain a broad perspective on working with adult patients who have chronic pain. The intern will participate in group and individual therapy sessions within the interdisciplinary Pain Rehabilitation Program at IU Health, complete presurgical evaluations for pain interventions (e.g., spinal cord stimulators, intrathecal pain pumps), and participate in psychological evaluations through the Pain Navigation Service. Individual and group modalities will primarily utilize CBT and ACT along with other empirically supported treatments for chronic pain. Interns will have the opportunity to interact with providers from multiple specialty areas within pain management and shadowing opportunities with multiple pain specialties will be available based on intern preferences and provider availability. The 2-1/2 days/week of this Core rotation will include a half-day on Mondays and a full day on Thursdays (Pain Rehabilitation), a full day on Tuesdays (pre-surgical evaluations), and a half-day on Friday mornings to complete any needed paperwork and/or readings.

  
  Adult Outpatient Rotation
  

  Supervisors: Tori Powers, PhD, HSPP, and Kendra Hinton-Froese, PhD, HSPP

   The intern will see approximately five patients per day on each of two days per week in clinic with an additional half day on Friday mornings for paperwork. Interns will provide evidence-based psychotherapy (this includes conducting a clinical interview and diagnostic assessment) that has been individualized to each patient’s needs. Interns will gain experience incorporating social factors (e.g., racism, sexism, loss of status, violence, disability, socioeconomic status) into their diagnostic assessments and in determining appropriate treatment goals. Interns will have the opportunity to provide care for patients with a variety of presenting concerns, including, but not limited to ADHD; adjustment disorder; anxiety disorders, bipolar and related disorders; depressive disorders; obsessive-compulsive and related disorders; and trauma-and stressor-related disorders. Interns will gain experience with a variety of modalities such as Acceptance and Commitment Therapy, Cognitive-Behavioral therapy, and Dialectical Behavior Therapy skills, based on the patients’ needs. A significant portion of the patients have a trauma history, and as such interns may gain experience with trauma-informed care and trauma-focused treatments such as Cognitive Processing Therapy and Prolonged Exposure. Many of the patients also present with medical comorbidities, and interns may have the opportunity to treat patients with post-intensive care syndrome (PICS). For the PICS patients there may be opportunities to participate in multidisciplinary team meetings to coordinate patient care and a monthly support group.

   

  Adult Solid Organ Transplant (Inpatient and Outpatient)

  Supervisors: Rachel Holmes, PhD, HSPP, and Anahli Patel, PsyD, HSPP 

  Interns will have the opportunity to conduct diagnostic assessments, pre-transplant evaluations, post-transplant intervention, and provide consultation to different specialty medical teams in both an outpatient and inpatient hospital setting. There are also opportunities to participate in the transplant support groups and weekly transplant meetings for the liver, pancreas, kidney, and multi-visceral teams. The patient population is organ transplant candidates, recipients, and donors. Experience on this rotation will be partially determined by the intern’s learning objectives and prior training experience.

• Autism

  Supervisors: Noha Minshawi-Patterson, PhD
  
  The Christian Sarkine Autism Treatment Center (CSATC) is a comprehensive, hospital-based and university-affiliated treatment center engaging in clinical care, research, education and outreach activities in the state of Indiana. We are actively serving over 800 individuals with Autism Spectrum Disorders (ASD) and other neurodevelopmental disabilities (NDD) of all abilities and developmental levels. The CSATC and our corresponding internship program is unique in that we provide both diagnostic evaluations and treatment services. Interns receive extensive training and supervision in both the assessment of ASD and other NDDs, as well behavioral interventions grounded in Applied Behavior Analysis and Cognitive Behavioral Therapy.

  Who We Serve: The CSATC serves individuals from birth through early adulthood. Our primary referral concerns are: language delay, aggression, tantrums, self-injury, social skill deficits, oppositional behavior, anxiety, depression, and adaptive skills deficits (i.e., toileting). Our patients often have complicated presentations that include genetic syndromes (e.g., Fragile X, Down’s Syndrome, Angelman’s Syndrome) and medical complications (e.g., feeding disorders, childhood cancer, seizure disorders, mitochondrial disorders). 
  Services We Provide: The CSATC provides families with comprehensive evaluations and ongoing clinical care for interfering behavior problems and skill deficits. We receive referrals from across the state and surrounding states for our complex diagnostic decision making and behavioral and medical treatment expertise. Services we provide include:
  Diagnostic Assessments – determine appropriate diagnoses and assess for ASD. Evaluation includes a semi-structured caregiver interview and child observation. Feedback, diagnosis and treatment recommendations are provided and family is connected to local supports and resources.
  Comprehensive Evaluation – when additional information is needed, formal testing completed to assess ASD, ID, and other diagnoses. Includes ADOS, behavior rating scales, cognitive assessments, and assessment of adaptive skills.
  ABA-Based Parent Management Training – address behavior problems and skill deficits through Applied Behavior Analysis-based parent training. This include antecedent interventions (e.g., visual supports, schedule changes), function-based consequences (e.g., planned ignoring, differential attention, positive reinforcement) and teaching replacement skills (e.g., functional communication, coping skills)
  Individual Cognitive Behavioral Therapy – address co-morbid diagnoses (e.g., anxiety, depression) in higher functioning individuals with ASD. Basic CBT is modified to meet the individual’s needs, drawing from a number of interventions such as Facing our Fears and ZONES of Regulation.
  Medication Management – psychiatrists and psychiatry residents manage behavior problems through psychotropic medications
  Intern Responsibilities: Interns receive intensive training in both assessment and treatment of ASD and NDDs. Including:
  Intern Time Breakdown:
  • 2.5 days per week for 12-months in the CSATC, 2 days per week in elective rotations, 0.5 days per week in didactics
  • Average of 2 diagnostic assessments and 1 comprehensive assessment per week
  • Average of 5 therapy patient slots per week (average caseload of 12-15 therapy patients at a time)
  Behavioral Treatment Services:
  • Applied Behavior Analysis (ABA) focused interventions, including RUBI Parent Training protocol
  • Lead individual parent training
  • Conduct individual therapy using modified Cognitive Behavioral Therapy techniques
  • Treatment planning focused on antecedent, behavior, and consequence
  Assessment Services:
  • Conduct diagnostic interviews & observations
  • Consider differential diagnoses (e.g., ADHD, disruptive behaviors, Intellectual Disability)
  • Complete comprehensive evaluations when appropriate (e.g., IQ testing, adaptive skills, structured interviews)
  Additional Intern Opportunities: In addition to the above experiences, the intern in the Autism Track will also receive Crisis Prevention Intervention Training, ADOS-2 training through an ADOS-2 Clinical Workshop, exposure to the ADOS-2 administrations and scoring, and the opportunity to do case presentations. There are also opportunities for the Intern to advance their scholarly development within the Autism Track through optional work on case studies, chart reviews, journal reviews, book chapter and manuscript preparation, as well as poster presentations at regional and national conferences. The CSATC also provides a one-year Post-Doctoral Fellowship in Autism. This fellowship program includes extensive standardized testing experience with ADOS-2 clinical reliability, behavioral interventions and parent training, contact hours and supervision necessary for licensure, and the opportunity to supervise practicum students and interns.
• Child and Adolescent Consultation Liaison Service
  Supervisors: Amy Williams, PhD, HSPP, ABPP,  Michele Tsa-Owens, PhD, HSPP,  Mary Milder, PhD, HSPP, and Katherine Schwartzkopf, PsyD, HSPP

  The Riley Pediatric Consultation and Liaison Services offers inpatient mental health services hospital-wide. Consultation requests are received from various services including Hospitalist, Gastroenterology, Neurology, Hematology/Oncology, Rehabilitation, Pulmonology, Surgery, Developmental Pediatrics, Critical Care, Endocrinology, and Adolescent Medicine. Psychology interns will be involved in consultation requests involving diagnostic assessment, somatoform disorders, coping with chronic illness, overdose/ingestion, pain management, adherence difficulties, behavioral interventions, feeding issues, and pre- and post-transplant evaluations. Interns will carry an average of 2-4 cases per day, including new initial assessments and follow-up therapeutic interventions. The CL team is a multidisciplinary team which includes psychologists, psychiatrists, and licensed clinical social workers. In addition, the intern will have the opportunity to work with psychiatry and triple board residents and medical students. Opportunities for supervision of medical students are available.

• Child and Adolescent Outpatient Clinic

  Supervisors: Bill Kronenberger, PhD, HSPP, Ann Lagges, PhD, HSPP, ABPP, Gabriela Rodriguez, PhD, HSPP, and Melissa Hord, PhD, HSPP

  The Child and Adolescent Psychiatry Clinic offers outpatient mental health services to families with children and adolescents under the age of 19. Families present to the clinic with a wide range of psychiatric and co-morbid medical conditions and often with complex social situations. The child outpatient rotation is divided among a number of the clinics that exist under the larger umbrella of this general clinic. Interns on this rotation will participate in a combination of the following tailored to meet their training goals: the pediatric testing clinic (full day on Thursdays), TAC (Tics, Anxiety and Compulsions) Clinic (full or half day Mondays, Tuesdays, or Wednesdays), and the Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic (full day Mondays).

  In all components of this rotation, the intern may have the opportunity to supervise a practicum student.

  The pediatric testing clinic provides interns with experience providing intensive, full-day assessments to children and adolescents with complex issues involving cognitive abilities (approximately 90% of cases) and at times, issues involving personality/symptom assessment (approximately 10% of cases). The intern is responsible for some test administration, behavior observation and test interpretation.

  In the Tics, Anxiety and Compulsions (TAC) clinic, interns will gain experience working with children, adolescents and their families presenting with primary diagnoses of OCD, Tourette’s Disorder and other tic disorders, as well as other anxiety disorders including selective mutism. Treatment will include Exposure and Response Prevention (ERP) for OCD and Comprehensive Behavioral Intervention for Tourette’s (CBIT) as well as other evidence-based interventions as appropriate. The clinic is multidisciplinary in nature which allows patients to receive therapy and medication management services at the same visit. On Mondays, the team, including a psychologist, psychiatrist, psychiatric residents, psychology interns and psychology practicum students will meet prior to the afternoon clinic to discuss patients and engage in didactic activities.

  The Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic is a full day per week and occurs on Mondays. Interns will primarily gain experience in providing therapy, specifically evidence-based treatment of ADHD and disruptive behavior disorders. Patients present with primary diagnoses including ADHD and/or ODD as well as comorbid diagnoses including depressive disorders and anxiety disorders. Patient ages typically range from 4 to 16 years. Treatment approach is most often behavioral parent training to manage disruptive behaviors and cognitive-behavioral therapy to manage comorbid disorders, typically using the Modular Approach to Therapy for Children (MATCH-ADTC) manual. Given the presenting problems of many of our patients, collaboration with schools and primary care providers is common.

• Pediatric Neuropsychology Clinic
  Training Supervisors: Liz Begyn, PhD, HSPP, ABPP-CN, Kathleen Kingery, PhD, HSPP and Jana Chan, PhD, HSSP
  Other agency/institution supervisor:  Brenna McDonald, PsyD, HSPP, ABPP-CN
  

  The pediatric neuropsychology track intern completes two core rotations in pediatric neuropsychology, designed to provide advanced training in neuropsychological assessment of children and adolescents with major medical conditions and associated cognitive sequelae. The goal of this track is to prepare interns for future board certification in clinical neuropsychology, as well as for leadership in the field, and this is accomplished through diverse clinical activities and didactics. The primary clinical activity is outpatient neuropsychological assessment, and the intern also observes inpatient consultation on the rehabilitation unit and consultation in multidisciplinary medical clinics. The intern on this track will spend 50% of their overall training time in clinical neuropsychology, consistent with the Taxonomy for Education and Training in Clinical Neuropsychology.

  Outpatient neuropsychological assessment takes place in the outpatient pediatric neuropsychology clinic, which serves patients ages four years through college age with major medical conditions (most commonly brain tumor, leukemia, epilepsy, concussion, traumatic brain injury, and genetic syndromes). Evaluations are conducted in one day, including interview, testing and feedback, to best serve our patients and families, who come from across the state for care. Interns participate in all aspects of the evaluation, with a developmental approach of increasing contribution throughout training. In addition to outpatient service, the intern also collaborates with the pediatric neuropsychology fellow on the inpatient rehabilitation unit, joins pediatric epilepsy surgery conference, and attends neuro-oncology multidisciplinary clinic and radiology conference (tumor board). There may be opportunities to participate in other multidisciplinary clinics as well. Neuropsychology-specific didactics include the pediatric neuropsychology seminar, pediatric neuropsychology case conference, and cultural competence seminar. Interns also have the opportunity to observe a functional magnetic resonance imaging (fMRI) evaluation, to further enhance exposure to the specialty of pre-surgical epilepsy evaluation. In addition to experience with a wide range of medical conditions, the intern will gain emerging specialization with specific medical populations, including neuro-oncology, epilepsy (with emphasis on pre-surgical), and TBI, through focused didactics, multi-disciplinary experiences, and clinical activities. The core rotation is complemented by the elective rotation with multidisciplinary experiences in RASopathy and TBI.

  Our clinical neuropsychology program is home to a vibrant learning community, which also includes pediatric and adult neuropsychology fellows and externs from local doctoral clinical neuropsychology programs. The majority of this rotation takes place at the IU Health Neuroscience Center/Goodman Hall, with additional opportunities at Riley Hospital for Children.

• Pediatric Outpatient
  Supervisors: Elaine Gilbert, PsyD, HSPP, Stephanie Hullmann, PhD, HSPP, Mary Milder, PhD, HSPP, Katie Schwartzkopf, PsyD, HSPP, Amy Williams, PhD, HSPP, ABPP, and Scott Wagoner, PhD, HSPP
  
  

  Interns on this rotation will participate in a combination of the following tailored to meet their training goals: The Pain Center Specialty Clinic, Pediatric Psycho-oncology and the Pediatric GI Clinic. See the elective rotation descriptions for each of these clinics for more details.  

• Child/Autism

  Supervisors: Ann Lagges, PhD, HSPP, ABPP, Noha Minshawi, PhD, HSPP, and Gabriela Rodriguez, PhD, HSPP

  The Child/Autism Track intern will spend 1-1/2 days per week for each of the 6-month rotations training with Dr. Minshawi in the Christian Sarkine Autism Treatment Center (CSATC), which is a comprehensive, hospital-based and university-affiliated treatment center engaging in clinical care, research, education and outreach activities in the state of Indiana. We are actively serving over 800 individuals with Autism Spectrum Disorders (ASD) and other neurodevelopmental disabilities (NDD) of all abilities and developmental levels. The CSATC and our corresponding internship program is unique in that we provide both diagnostic evaluations and treatment services. Interns receive extensive training and supervision in both the assessment of ASD and other NDDs, as well behavioral interventions grounded in Applied Behavior Analysis and Cognitive Behavioral Therapy.

  During Core rotation A, the intern will spend 1 day per week with Dr. Lagges (Mondays) in the In the Tics, Anxiety and Compulsions (TAC) clinic. The intern will gain experience working with children, adolescents and their families presenting with primary diagnoses of OCD, Tourette’s Disorder and other tic disorders, as well as other anxiety disorders including selective mutism. Treatment will include Exposure and Response Prevention (ERP) for OCD and Comprehensive Behavioral Intervention for Tourette’s (CBIT) as well as other evidence-based interventions as appropriate. The clinic is multidisciplinary in nature which allows patients to receive therapy and medication management services at the same visit. The team, including a psychologist, psychiatrist, psychiatric residents, psychology interns and psychology practicum students will meet prior to the afternoon clinic to discuss patients.

  During Core rotation B, the intern will spend 1 day per week (Mondays) with Dr. Rodriguez in the Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic. Interns will primarily gain experience in providing therapy, specifically evidence-based treatment of ADHD and disruptive behavior disorders. Patients present with primary diagnoses including ADHD and/or ODD as well as comorbid diagnoses including depressive disorders and anxiety disorders. Patient ages typically range from 4 to 16 years. Treatment approach is most often behavioral parent training to manage disruptive behaviors and cognitive-behavioral therapy to manage comorbid disorders, typically using the Modular Approach to Therapy for Children (MATCH-ADTC) manual. Given the presenting problems of many of our patients, collaboration with schools and primary care providers is common.

• Addictions

  Supervisors: Zack Adams, PhD, HSPP, Amanda Broderick, PhD, HSPP, and Allyson Dir, PhD, HSPP 

  While more than 40 million people in the U.S. had a substance use disorder (SUD) in the last year, only 4 million people received any substance use treatment. One barrier to care is a lack of providers with specialized training in clinical management of SUDs and related disorders. Therefore, the primary goal of the Addiction core rotation is to train psychology interns in best practice, evidence-based practices for assessment and treatment of substance use and SUDs in adolescents and adults.

  Interns in the Addictions track will complete two core rotations in adolescent and adult substance use clinical service settings (i.e., 2.5 days per week for 12 months). The balance of time between the adolescent and adult services will be determined based on intern goals and preferences, as well as supervisor capacity within each of the clinics over the training year. Opportunities for scholarly work such as case studies, journal reviews and manuscript preparation are also available.

  Adolescent Services. The primary site for work with adolescents and families will be the Adolescent Dual Diagnosis Clinic in the Riley Child & Adolescent Outpatient Psychiatry Clinic. Interns will join an established treatment team and gain experience working with adolescents and their families in the evaluation and treatment of co-occurring substance use and mental health disorders. Interns will be trained in delivery of ENCOMPASS, an integrated, evidence-based treatment model that involves standardized diagnostic assessment, motivational interviewing (MI), cognitive behavioral therapy (CBT), contingency management and family sessions. Interns also will be trained in brief interventions for mild to moderate substance use. Youth receive both therapy and medication management through this clinic, and interns will have opportunities to interact and coordinate care with an interdisciplinary team of psychiatrists, psychologists, psychiatric residents, social workers and medical students in this rotation. Interns will attend team meetings and weekly supervision.

  Adult Services. The primary sites for work with adults in this rotation will be the Addiction Treatment & Recovery Center at IU Health Methodist Hospital and the Outpatient Addictions Clinic at Goodman Hall. Interns will gain experience in conducting substance use assessments for adults and determining appropriate level of care, as well as in delivering group and individual therapy to adults with a range of substance use disorders and across varying levels of severity. In addition to training in evidence-based practice for substance use treatment, individuals will also gain experience in working with a multidisciplinary team in a hospital-based setting and outpatient clinic. Interns will attend team meetings and weekly supervision.

Elective Rotations

• Adult Behavioral Sleep Medicine
  Supervisor: Yelena Chernyak, PhD, HSPP
  
  This rotation is a full day per week and is available only on Tuesdays. The intern will participate in an adult behavioral sleep medicine clinic in the IU Health Adult Outpatient Psychiatry Clinic in collaboration with the IU Sleep Disorders Center under the supervision of a psychologist with board certification in behavioral sleep medicine. The intern will provide assessment and treatment services to adults ages 18 an and over for sleep-related presenting problems including insomnia, hypersomnia, circadian rhythm disorders, narcolepsy, anxiety disorders and noncompliance with medical treatments such as continuous positive airway pressure (CPAP) for sleep apnea, as well as possible coexisting psychiatric disorders. Skills training, education and structured learning experiences (e.g. readings, webinars) will be provided to develop skills and knowledge in behavioral sleep medicine respective to intern experience. Initially the intern will shadow the supervising psychologist and then gradually provide more services independently. Treatments are typically short-term (four to eight sessions), are highly focused, specific to sleep problems and have a strong basis in cognitive-behavioral psychology. Previous experience in behavioral sleep medicine is desirable but not required.
  
  This elective is part of the Adult Health Pscyhology Core.
• Adult Outpatient
  Supervisor: Tori Powers, PhD, HSPP and Kendra Hinton-Froese, PhD, HSPP
  
  
  This rotation is available for one intern per rotation on Tuesdays with Dr. Powers and two interns per rotation on Wednesdays with Dr. Hinton-Froese. The intern will see approximately six patients per day. Interns will provide evidence-based psychotherapy (this includes conducting a clinical interview and diagnostic assessment) that has been individualized to each patient’s needs. Interns will gain experience incorporating social factors (e.g., racism, sexism, loss of status, violence, disability, socioeconomic status) into their diagnostic assessments and in determining appropriate treatment goals. Interns will provide care for patients with a variety of presenting concerns, including ADHD, adjustment disorder; anxiety disorders, bipolar and related disorders; and depressive disorders. Interns will receive individual supervision and gain experience with a variety of modalities such as Acceptance and Commitment Therapy, Cognitive-Behavioral therapy, Dialectical Behavior Therapy, and trauma-focused psychotherapies based on the patients’ needs.
• Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic
  Supervisor: Gabriela Rodríguez, PhD, HSPP
  
  

  The Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic is a full day per week and occurs on Mondays. Interns will primarily gain experience in providing therapy, specifically evidence-based treatment of ADHD and disruptive behavior disorders. Patients present with primary diagnoses including ADHD and/or ODD as well as comorbid diagnoses including depressive disorders and anxiety disorders. Patient ages typically range from 4 – 16 years. Treatment approach is most often behavioral parent training to manage disruptive behaviors and cognitive-behavioral therapy to manage comorbid disorders, typically using the Modular Approach to Therapy for Children (MATCH-ADTC) manual. Given the presenting problems of many of our patients, collaboration with schools and primary care providers is common.

• Adolescent Gender Health Program
  Supervisor: Kelly Donahue, PhD, HSPP
  
  
  

  The intern will participate in Gender Health clinics conducted through the Department of Pediatrics in the Division of Adolescent Medicine. This rotation is available as a full day per week. Clinics occur on Thursdays in the PCC. Interns will receive supervision in the provision of gender-affirming care for transgender and gender-expansive adolescents and young adults. Primary focus is on conducting initial assessments for new patients, in addition to providing ongoing psychological support as patients explore their gender identity or pursue gender-affirming social or medical transition, and providing psychoeducation to families and addressing caregiver concerns or misperceptions about their child’s gender identity. Interns will also participate in multidisciplinary team huddles that include providers in medicine, psychology, social work, nursing and nutrition.
• Child and Adolescent Tics, Anxiety and Compulsions (TAC) Clinic
  Supervisor: Ann Lagges, PhD, HSPP, ABPP and Melissa Hord, PhD, HSPP
  
  This rotation is a half or full day per week and occurs on Mondays and Wednesdays with Dr. Lagges and Tuesdays with Dr. Hord; the rotation can accommodate up to three interns (core plus elective) on Mondays, one on Tuesdays, and three on Wednesdays during each rotation. Interns will gain experience working with children, adolescents and their families presenting with primary diagnoses of OCD, Tourette’s Disorder and other tic disorders, as well as other anxiety disorders. Treatment will include ERP for OCD and Comprehensive Behavioral Intervention for Tourette’s (CBIT) as well as other evidence-based interventions as appropriate. The clinic is multidisciplinary in nature, which allows patients to receive therapy and medication management services at the same visit. The team, including a psychologist, psychiatrist, psychiatric residents, psychology interns and psychology practicum students will meet prior to the afternoon clinic on Mondays to discuss patients and engage in didactic activities with interns having the opportunity to present. Interns may have the opportunity to assist in supervision of practicum students.
• Early and Emerging Self-Injury Clinic

  Supervisor: Jill Fodstad, PhD, HSPP, BCBA-D
  
  Clinic Description: The Early and Emerging Self-Injury Clinic is a treatment-only specialty clinic providing unique care to families. The clinic is primarily focused on providing psychological evidenced-based interventions and support for families of young children (ages 1-7 years old), regardless of developmental status, who engage in self-injurious behaviors (e.g., head banging, hair pulling, face hitting, hand mouthing, rectal digging, rumination). Families are able to receive a variety of services including functional behavior assessments, brief ABA-based behavior consultations, parent/caregiver management training, coordination of care with other providers, and individualized care plans. Psychotherapy services are short-term, and referring therapeutic providers should be prepared to resume care within 6 months of treatment initiation. Families must be able to attend clinic appointments every 2-3 weeks for the duration of their care. Older children, adolescents, and adults diagnosed with developmental disabilities who engage in behavioral/psychiatric conditions impairing their functioning level will be considered on a case by case basis and based upon availability.

  Intern Responsibilities/Opportunities:

  • Conduct individual psychoeducation and psychotherapy with families/caregivers via 45- to 60-minute outpatient therapy appointments. Types of treatment modalities that may be used include (but are not limited to) the following:
    • Parent/Caregiver Management Training
    • Individualized & Function-based, ABA-based Caregiver Training
    • Relaxation Skills Training
    • Note: Interns will have the opportunity to conduct psychotherapy via telepsychology services
  • Coordinate care therapeutic care with referring provider as well as other providers who may be providing care to the individual
• Integrated Care CHOICE Program

  Supervisors: Supervisors: Sarah Landsberger, PhD, HSPP, and Jenifer Vohs, PhD, HSPP. Other agency/institution supervisor: David Diaz, MD

  This rotation is available at different locations on different days of the week. CHOICE is an integrated care program providing specialized behavioral health services in adult primary care (Family Medicine, Internal Medicine, Sports Medicine) clinics. Interns may train at one of three IU Health Primary Care locations: IU-Methodist Family Medicine Center, Georgetown Medical Plaza, and Capital Center Clinic. While each clinic is unique in its level of integration and the population served, several commonalities exist across sites. As an elective rotation, interns will become a part of the CHOICE team at one of the program locations, depending on supervisor availability. CHOICE teams are comprised of psychologists, psychiatrists, psychiatry residents, psychology students, psychology interns, master’s level Behavioral Health Clinicians, and Bachelor’s level health coaches. Elective experiences are for 1 full day per week. Interns will spend approximately 50% of their day in scheduled face-to-face therapy sessions and diagnostic evaluations with patients referred by primary care physicians and pediatricians. The remainder of the day, interns will be available along with other CHOICE team members for consultations and “warm-hand offs” from primary care providers. Referrals tend to be for psychiatric conditions, such as depression, anxiety, and trauma. Other common referrals include adjustment difficulties, health behavior change (including management of chronic health conditions), and other forms of mental illness. Interns will use Evidence Based Practice methodology to provide appropriate evaluation and treatment for patients seen in these settings.
• Pain Center Specialty Clinic
  Supervisors: Amy Williams, PhD, HSPP, ABPP and Mary Milder, PhD, HSPP
  
  
  

  This rotation is a half or full day per week on Tuesdays or Thursdays. Interns will gain experience in assessment and treatment of pediatric patients with chronic pain who present to the Riley Pain Center. Treatment involves CBT for chronic pain (and other evidence based interventions) and biofeedback. The pain center is an interdisciplinary treatment team comprised of pediatric anesthesiologists, a nurse practitioner, pediatric psychologists, a pediatric psychology fellow and physical therapists. Interns may have the opportunity to gain experience in supervision of practicum students.
• Pediatric Behavioral Sleep Medicine
  Supervisor: Sarah Morsbach Honaker, PhD, HSPP, CBSM, and Maureen McQuillan, PhD, HSPP
  
  
  

  The intern will participate in pediatric behavioral sleep medicine clinics conducted through the Section of Pulmonology, Allergy, and Sleep Medicine in the Department of Pediatrics. Under the supervision of a psychologist with board certification in behavioral sleep medicine and in collaboration with several sleep physicians, they will provide assessment and treatment services for youth ages 0-18 presenting with sleep problems. Initially, the intern will shadow the supervising psychologist and then gradually provide more services independently. The intern will also make follow-up phone calls to families to discuss treatment progress and engage in structured learning experiences (e.g., webinars, readings) to develop skills and knowledge in behavioral sleep.

  During the second half of the rotation, the intern will take the lead conducting co-therapy with patients. Treatments are typically short-term (2-4 sessions), are highly focused and specific to sleep problems, and have a strong basis in cognitive-behavioral psychology. While the most frequent presenting complaint will be insomnia, treatment will also address problems such as nightmares, circadian rhythm disorders and hypersomnias. In addition to developing a strong foundation and understanding of normal sleep and behavioral sleep medicine treatments, the intern will gain familiarity with actigraphy as a clinical assessment tool, observe part of an overnight polysomnogram, shadow a sleep physician in clinic, and learn to screen for medical sleep disorders. The training experience further includes opportunities to work with infants and toddlers. This rotation is offered only on Wednesdays at IU Health North in Carmel. This is a full-day rotation. Previous experience in behavioral sleep medicine is desirable but not required. Intern hours accrued during this rotation can be applied towards certification in behavioral sleep medicine (DBSM certification offered by the Society for Behavioral Sleep Medicine).

• Pediatric GI Clinic
  Supervisors: Elaine Gilbert, PsyD, HSPP and Scott Wagoner, PhD, HSPP
  
  This rotation is a half or full day per week and is available on variable days depending on interest and goals of the trainee. This clinical elective rotation is within the Riley Gastroenterology (GI) Division. Interns will learn research informed care for children and adolescents referred by their GI providers for a multitude of presenting issues including nonadherence, coping with chronic medical conditions, somatic and functional conditions, pain management, encopresis, as well as comorbid anxiety and mood issues. Beyond outpatient care this rotation has the potential to involve trainees in integrated clinics including the Healthy Weight Management Clinic and the Motility Clinic. Specialty skills that will be taught include brief assessment of patients with GI symptoms, cognitive behavioral therapy interventions for chronic medical conditions and pain management, as well as basic and advanced biofeedback skills.
• Pediatric Psycho-Oncology
  Supervisor: Stephanie Hullmann, PhD, HSPP
  
  This rotation is one full day or two half days per week. Interns will have the opportunity to conduct intake assessments, psychotherapy and consultations with children and adolescents with cancer and their families. Interns may see patients in the outpatient Pediatric Hematology/Oncology clinic, infusion center and/or inpatient medical unit at Riley Hospital for Chidren. Presenting problems include: adjustment disorder, anxiety, depression, behavior problems, nonadherence, symptoms management and end-of-life issues. Treatment is primarily cognitive-behavioral. This rotation takes a developmental approach; initially, the intern will shadow the supervising psychologist and gradually gain more independence. There will also be opportunities to attend weekly interdisciplinary treatment team meetings in which the interns may collaborate with Pediatric Hematology/ Oncology medical and psychosocial staff.
• Pediatric Psychology Testing Clinic
  Supervisor: Bill Kronenberger, PhD, HSPP
  
  This rotation is a full day per week and is only available on Thursdays. Psychological testing is conducted two days per month, with one patient per day. Contact hours average six to eight hours per child. Approximately 90 percent of testing cases involve evaluation of cognitive abilities (intelligence, achievement, memory, executive functioning, etc.), and 10 percent of testing cases involve personality testing (projective and/ or objective). The other two days per month are used for didactics, additional supervision, learning new tests, test interpretation and review of results. The intern is responsible for some test administration, supervision of a graduate student, behavior observation and test interpretation; there is no report-writing. Supervision is provided by live observation of test administration, individual meetings to discuss results and didactics covering major topics.
  
  This elective is part of the Child Outpatient Core.

• Adult Solid Organ Transplant Elective Rotation (Inpatient and Outpatient) 

  Supervisors: Rachel Holmes, PhD, HSPP, and Anahli Patel, PsyD, HSPP

   

  This rotation is one full day per week on Mondays or Thursdays. Interns will have the opportunity to conduct diagnostic assessments, pre-transplant evaluations, post-transplant intervention and provide consultation to different specialty medical teams in both an outpatient and inpatient hospital setting. There are also opportunities to participate in the transplant support groups and weekly transplant meetings for the liver, pancreas, kidney and multi-visceral teams. The patient population is organ transplant candidates, recipients and donors. Experience on this rotation will be partially determined by the intern’s learning objectives and prior training experience.
• Traumatic Stress Clinic Elective Rotation

  Supervisor: Michelle Miller, PhD, HSPP

   

  In the Traumatic Stress Clinic rotation, interns will first be trained in the delivery of evidence-based treatments for treatment of posttraumatic stress disorder (PTSD), including Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), and Narrative Exposure Therapy (NET). Participants will also be trained in how to assess PTSD through use of the CAPS and PCL-5. Skills training and ongoing learning experiences (e.g., readings, webinars) will be provided and matched on level of intern experience. Interns will also have the opportunity to receive training and clinical hours in the assessment and treatment of perinatal traumatic stress, which targets PTSD symptoms (and associated mental health sequalae) during pregnancy and the first two years postpartum. Interns will see traumatic stress cases through Goodman Hall on Tuesday or Thursdays using a variety of modalities as well as have the opportunity to conduct brief NET with pregnant and postpartum women. Interns may have the opportunity to co-facilitate an Acceptance and Commitment Therapy (ACT) for PTSD group for perinatal women. Interns will attend weekly individual supervision sessions. Opportunities for scholarly work such as scholarly articles for publication and submitting abstracts for conferences may also be available.
• Autism/Developmental Disabilities Unit Testing Clinic

  Supervisors: Jill Fodstad, PhD, HSPP, BCBA-D (primary), and Amber Hunt, DO 

  Offered: 1 full day (Tuesdays or Wednesdays); One intern per rotation

  The Autism/Developmental Disabilities Unit Testing Clinic is located at the NeuroDiagnostic Institute at Community East, Indianapolis, and is a training clinic for psychology interns to gain experience in neurodevelopmental disabilities testing in a complex patient population. The Autism Unit is a 12-bed locked behavioral health unit for children/teens ages 12-21 who have received a prior diagnosis of autism spectrum disorder or another intellectual/developmental disability. These children and teens have chronic or escalating behavioral and psychiatric symptoms that have failed traditional outpatient therapy and places them in jeopardy for an out of home placement. Patients receive intensive pharmacologic, medical, behavior analytic and other therapies provided by a multi-disciplinary team consisting of a psychiatrist, pediatrician, psychologists, social worker, speech therapist, occupational therapist, nurses, board-certified behavior analysts and behavioral health technicians. During the course of their admission, which can average 4-8 weeks, patients receive a focused psychological assessment that is an integral piece for assisting with providing diagnostic clarity, short- and long-term goal setting and accessing appropriate community-based resources.

  Intern Responsibilities/Opportunities:

  • Learn and practice administration, scoring and interpretation of major cognitive test batteries as well as tests of specific cognitive subdomains under supervision
  • Learn and practice administration, scoring and interpretation of major assessments used to assess autism symptoms include the Autism Diagnostic Observation Schedule, 2nd edition (Modules 1-4) and the Childhood Autism Rating Scale, 2nd edition under supervision
  • Learn to select test batteries to evaluate specific presenting problems particularly involving cognitive, learning and language ability
  • Learn and practice interpretation and integration strategies for multiple tests to differential diagnose and clarify complex behavioral or psychiatric presentations
  • Learn and practice test administration in individuals who have significant behavioral or psychiatric symptoms and who may be minimally verbal or nonverbal.
  • Write integrative reports focused on providing diagnostic clarity in complex symptom presentations in children with historical diagnosis of autism spectrum disorder and/or intellectual disability

   

• Pediatric Sickle Cell Disease

  Supervisor: Julia LaMotte, PhD HSPP

  The intern will participate in a full-day rotation (Thursday) in the pediatric comprehensive Sickle Cell Disease. Interns will gain experience providing brief interventions in the context of an interdisciplinary outpatient medical clinic for youth ages 0-22. Presenting problems include coping with medical condition, pain, challenges adhering to the medical regimen, internalizing symptoms, developmental delays, sleep hygiene, behavior problems and executive functioning concerns. Interns will learn how to effectively communicate and collaborate across disciplines. Medical team includes pediatric hematologist & advanced practice provider, nurse coordinator, transition nurse navigator, social work, education liaison, neurologist, pulmonologist, research coordinators, and medical assistants. While most services are provided alongside medical appointments, the intern may have the opportunity to follow patients in the infusion center and/or inpatient medical unit depending on clinic cadence. Interns interested in health equity and literacy are strongly encouraged to consider this rotation. This rotation generally takes a developmental approach such that the intern will shadow the supervising psychologist and gradually gain more independence and can be tailored based on intern’s past experiences.

• Pediatric Kidney Disease

  Supervisor: Julia LaMotte, PhD HSPP 

  This rotation is offered one full day (Mondays) or two half-days (Monday and Tuesday mornings) per week in the Pediatric Nephrology outpatient center. Interns will provide long-term interventions while patients present for 3 times/week hemodialysis. Presenting problems include coping with medical condition, challenges adhering to the medical regimen, internalizing symptoms, developmental delays, sleep hygiene, behavior problems, and executive functioning concerns. Additional opportunities include providing brief intervention in the context of the outpatient Kidney Transplant clinic. Interns will learn how to effectively communicate and collaborate across disciplines. While most services are provided in the outpatient setting in coordination with medical appointments, the intern may have the opportunity to follow patients on the inpatient medical unit. Interdisciplinary collaboration with medical team includes pediatric nephrologist & advanced practice provider, dialysis nursing, nurse navigator, social work, education liaison, dietician, and medical assistants. This rotation generally takes a developmental approach such that the intern will shadow the supervising psychologist and gradually gain more independence and can be tailored based on intern’s past experiences.