Graduate student members of the SMI Research Group at UNL serve in clinical practicum placements with substantial opportunities for applying evidence-based treatments. Below are brief descriptions of recent clinical placements for students in this research group. In addition to those listed here, the CPTP overall has a wide variety of clinical placements available to all students, for clients of all ages, from all backgrounds, and with a variety of presenting problems.
The Psychological Consultation Center (PCC) is part of the Clinical Psychology Training Program and provides outpatient psychotherapy and assessment services for children, adolescents, adults, couples, and families. Members of the SMI research group provide individual cognitive behavioral therapy and rehabilitation counseling to clients with SMI as part of their PCC caseload. As one of the clinical psychology faculty at UNL, Dr. Spaulding provides supervision to therapists seeing clients in the PCC.
All advanced doctoral level graduate students in UNL's Clinical Psychology Training Program provide services to clients through the PCC.
Integrated Pathways of Antelope Valley Outpatient Therapy Services
IPAV Outpatient Therapy Services is a newly established and accredited program that provides therapeutic interventions to mostly SMI population in close collaboration with IPAV Community Support Program and other outreach efforts. Externs at IPAV Outpatient Therapy Services will be responsible for all clinical activities including but not limited to: (a) conduct pre-treatment assessment; (b) collaborate with community support workers and clients on development of treatment plan; (c) provide individual, family, and group therapy; and (d) conduct psychological evaluations upon referral. Program evaluation is another facet of this placement which allows externs to examine the productivity, treatment efficacy and outcome in a measurable way. Given that the rehabilitative capacities will evolve in order to meet the needs of clients and referring agencies, externs will be expected to design new program goals and objectives, and adapt to such changes. Lastly, externs will be responsible for some administrative tasks including designing program schedule, delivering staff training, designing and enforcing reward plan, submitting billing information, attending staff meeting, and etc.
OUR Homes – Psychiatric Day Rehabilitation Program
OUR Homes is an organization that provides multiple levels of service to people with serious mental or physical health concerns. They have several assisted-living facilities that vary in degree of assistance and primary population, several day program sites with assorted activities, as well as providing case management through Medicaid/Medicare for people with a mental health diagnosis impeding their ability to complete daily activities. There is also an out-patient mental health clinic (see other placement description for OUR Homes). Recently, OUR Homes has been developing a new program, Psychiatric Day Rehabilitation Program (PDRP), which aims to create rehabilitative treatment plans enacted in a day program setting, in conjunction with case managers, medication providers, individual therapists, and residential facilities. PDRP typically offers therapeutic groups and life skills groups with long-term rehabilitative goals in mind. Particularly unique about this placement is its existence in a developmental stage, offering a rare opportunity to experience licensing, accreditation, and insurance protocols and challenges. Additionally, since the project is under development, there is an opportunity to contribute to decisions about program evaluation and management. Any of the weekly 20 hours not spent developing the day program are spent seeing individual clients at the out-patient mental health clinic, although it is expected that once the PDRP reaches full enrollment, all 20 weekly hours will be spent there.
OMNI Adolescent Therapeutic Group Home
OMNI Therapeutic Group Home, Seward Family Support Center is a group living facility for youth 14-19 years of age who require intensive community based treatments. This facility aims to serve a wide variety of youth presenting with disorders of mood as well as other co-occurring disorders such as substance abuse, chronic physical illness, learning disabilities and problems related to sexual acting out. As a member of a multidisciplinary treatment team, the extern provides services including treatment planning, provision of both individual and group therapy, conducting pre-treatment assessment, collaborating with collateral agencies, and conducting post-physical intervention assessment.
OMNI Community Service Programs
Two extern positions cover 3 interrelated community service programs for high-need children, adolescents and families, provided by OMNI. The services themselves are evolving as the surrounding service system undergoes seismic changes. We expect the two externs on these placements will develop interchangeable roles on the respective treatment teams. There will probably be some of that with the group home extern as well. The common denominator is the need to develop doctoral-level assessment and consultation capabilities in a service system that hasn’t had an effective model for that historically, but is struggling to modernize. There is a “cutting edge” dimension to these placements.
Home Based Therapy (HBT: Home based therapy clients typically include individual or family sessions with children with behavioral issues. Common diagnoses include Oppositional Defiant Disorder, ADHD, Conduct Disorder and Autism. Other common treatment issues include truancy and substance abuse. The age range is typically between 10-18 years, though occasionally adults may be seen on an individual basis. Because services are home based, substantial travel may be required for any given client. Extern is expected to conduct intakes including psychosocial history, treatment planning, therapy sessions, notes and other record keeping (including mileage logs).
Intensive Family Preservation is a home-based service that includes crisis and intensive case management to families with children with behavioral issues that most commonly include aggression, truancy and/or substance abuse. Due to the nature of this service, the extern may be expected to respond to crises during nights and weekends, and some transport of clients may also be expected. IFP is conducted in treatment teams so frequent communication with the treatment team is expected. Integrative assessment opportunities may arise such as evaluations of children with behavioral issues. This would involve direct observation, use of assessment instruments, and integrative report writing.
Intensive Treatment Mobility Services (ITMS) is primarily focused on individuals with intellectual or developmental disabilities (e.g., Autism spectrum disorders and Down syndrome), and consults with primary care providers to help in alleviating problematic behaviors in the residence and community setting. ITMS are primarily consultants, and they provide training to direct care staff. ITMS externs are expected to attend intake and consultation meetings, observe the client in the residence or in the community, train direct care staff, participate in case conceptualizations, and conduct fidelity assessments. Travel is required, and observation and training can be within or outside of Lincoln.
OMNI Eating Disorders Clinic
OMNI Eating Disorders Clinic (EDC) located in Omaha is a comprehensive, individualized evaluation and treatment program for adolescents and adults diagnosed with Anorexia Nervosa, Bulimia Nervosa, Eating Disorder Not Otherwise Specified, or Binge Eating Disorder. This facility offers day program services, outpatient therapeutic services, nutritional counseling, and home-based treatment services. The position is seeking a post-masters clinical extern to serve as a member of a multidisciplinary treatment team. The extern will apply skillsets in program development, treatment planning, pre- and post-treatment assessment, consultation, and collaboration with collateral agencies. The extern will also be instrumental in developing identifying and articulating skillsets in assessing and treating eating disorders, and applying these skillsets for the purpose of implementing a novel, non-residential community outreach home-based treatment program. Additional information about the existing outpatient/day treatment program can be found at: http://www.omnibehavioralhealth.com/services/eating-disorders/