1. Pre-doctoral Internship Program Minneapolis VA Medical Center Wayne G. Siegel, Ph.D., ABPP Director of Training Thad Strom, Ph.D. Assistant Director of Training

2. What to Expect Today? Information Overload!  Actually, a good understanding of our Internship and our dedication to excellent clinical training

3. Schedule  8:00 - 9:00 Intros. Brief Program Description  9:00 – 9:30 Overview of Research Opportunities  9:30 - 10:20 Interview block  10:30 - 11:20 Interview block  11:30 - 1:30 Lunch/ Rotation/Adjunctive Supervisors (2 nd Floor Atrium – see map)  1:30 - 2:30 Interview block  2:30 - 3:15 Meet with current interns  3:15 - 3:45 Tour by Postdoctoral Residents  345 – 4:14 Wrap up with TDs  Each applicant will have 2 interviews of approximately 45 minutes. Two interviews in three blocks.  The second interview will include a clinical vignette.

4. Minneapolis VAMC  Approximately 500,000 veterans residing in our primary service area,  Tertiary referral center for VSIN 23  Ethnic minorities - 7% of those treated  65+ is the largest single clientele category but a growing mid 20’s cohort  Women Veterans Comprehensive Health Center  VA Lead Polytrauma Center  State of the art Spinal Cord Injury center (SCI )  Telemedicine / CBOC Opportunities  Will host VISN Tertiary Chronic Pain Tx Center

5. Competitively Funded Research Programs  Psychologists - more than $11,000,000 in merit- reviewed, multi-year research grants  One of the largest education and training programs in the VA system  Affiliations with 50 colleges, universities, and technical schools in allied health professions

6. The Presence of Psychology  70 doctoral psychologists many of which hold clinical faculty positions at the University of MN  Psychologist are assigned to one or more of the specialized treatment units an have a strong presence in almost every area of the medical center  Many psychologists are in key leadership roles in the medical center and nationally.  Staff hold a diversity of interests, expertise, theories, and techniques  The discipline of Psychology is highly valued in the Medical Center

7. Training Model & Philosophy Training Model & Philosophy  Accredited by the Commission on Accreditation of the APA  Member of APPIC and abides by its guidelines  Member of APCS  Scientist Practitioner Model  Scientific data and scholarly work are incorporated into all training experiences  Significant opportunity to be involved in research through the internship year

8. Training is Developmental  Close supervision, mentorship, and intensive instruction to relatively autonomous functioning over the course of the year  Interns take an active role in developing their training plan  Graduating interns develop the competencies and a sense of professional identity needed for entry-level positions or post docs

9. Broad Training Goals Broad Training Goals  Goal 1: Psychological Evaluation and Assessment Diagnostic interviewing  Goal 2: Psychological Interventions  Goal 3: Providing Consultation & Supervision  Goal 4: Ethics & Diversity  Goal 5: Maturing Professional Identity  Goal 6: Interface Between Science and Practice

10. Training Tracks  2 tracks with 2 separate Match numbers  Think of them as separate internships  6 General Clinical/Counseling positions  2 Neuropsychology positions  Emphasis on neuropsych training meeting APA Division 40 and Houston Guidelines (at least 50%)  Training is still broad and general in clinical psychology

11. The Neuropsychology Track  Neuropsychology and neuropsychological assessment  Meets the Houston Conference and APA Division 40 specialty training guidelines  Approximately 50% of his or her time to neuropsychology  2 rotations 17 week-long rotation in neuropsychology and rehabilitation psychology as well as providing assessment and intervention services in our GRECC.  3rd rotation areas outside of neuropsychology, usually dealing with severe mental illness  Weekly neuropsychology case conference, neurology rounds, and PM&R team rounds  Supervisors: Drs. Carter, Clason, Eidson, Lamberty, Lundgren, and Sim.

12. Rotations  Assigned by interest and training needs  Orientation week  Learn about different rotations  Work with TDs to choose and sequence rotations so that intern training goals and program competency standards are met  Work with TDs to choose and sequence rotations so that intern training goals and program competency standards are met  Track activities are guaranteed, rotations are not  Schedules can be adjusted as needed later in the year  Schedules can be adjusted as needed later in the year

13. Addictive Disorders  Supervisors: Drs. Deloyski, Silversmith, and Siegel  Flexible and individual treatment by matching patient needs with interventions  Flexible and individual treatment by matching patient needs with interventions  Assessment and intervention services to patients with primary SUDs and those dually diagnosed  Individual and group therapies (process-oriented and structured skill-building), behavior and case management, and patient education  Individual and group therapies (process-oriented and structured skill-building), behavior and case management, and patient education  Diagnostic interviewing, objective and projective testing, and neuropsychological screening  Diagnostic interviewing, objective and projective testing, and neuropsychological screening  Provide consultation in the context of a multi- disciplinary team

14. Admissions/Crisis/Consultation Team (ACC) Supervisor: Drs. Arbisi  Main intake and evaluation center  Work closely with the Medical Center ER  Diagnostic interviewing, psychological and neuropsychological screenings and assessments, brief therapy, crisis management

15. The Mood Disorders and General Psychiatry Team  Supervisors: Drs. Hess, Perry, and Walden  Supervisors: Drs. Hess, Perry, and Walden  Specializes in mood disorders and general psych patients  Specializes in mood disorders and general psych patients  Diverse theoretical perspectives  Diverse theoretical perspectives  Emphasizes diagnostic interviewing, psychological assessment, and psychological intervention  Emphasizes diagnostic interviewing, psychological assessment, and psychological intervention  Intake evaluations, outpatient personality assessment, and neuropsychological screening evaluations, individual and group psychotherapy  Intake evaluations, outpatient personality assessment, and neuropsychological screening evaluations, individual and group psychotherapy

16. Neuropsychology (rotation)  Supervisor: Drs., Carter, Clason, Eidson, Lamberty, Lundgren, and Sim.  Ok for specialization as well as those wanting just experience  Eclectic test battery  Competence in consultation skills - TBI Team, Neuropsychology Case Conferences, and MS Team  Competence in consultation skills - TBI Team, Neuropsychology Case Conferences, and MS Team  Variety of patients – dementia, strokes, TBI, tumors, seizures, and MS, etc.

17. Psychiatric Partial Hospitalization (PPH) Psychiatric Partial Hospitalization (PPH)  Supervisor: Dr. Isenhart, Peterson, Schumacher, and Broden  Not a treatment team - cost-effective and clinically viable alternative to full hospitalization  Not a treatment team - cost-effective and clinically viable alternative to full hospitalization  Intensive treatment while avoiding some of the malignant regressive temptations often associated with inpatient care  Intensive treatment while avoiding some of the malignant regressive temptations often associated with inpatient care  Organized within a therapeutic community or milieu setting, the broad range of treatments include:  Case management, educational therapy, group therapy, occupational therapy, recreational therapy, and medication management  Opportunity for psychoeducational and process group experience  Opportunity for psychoeducational and process group experience

18. Post-Traumatic Stress Recovery (PTSR) Program – Team L  Supervisors: Drs. Curry, Ferrier-Auerbach, Kaler Meyers, Polusny, Voller, and Wagner  Training in the assessment and treatment of patients with acute and chronic trauma-related disorders  Training in the assessment and treatment of patients with acute and chronic trauma-related disorders  Assessment – diagnostic interviewing, objective, projective, and neuropsychological instruments  Individual, family, and group psychotherapy  EST – CPT, PE, MI and Seeking Safety  Consultation to the multidisciplinary team  Psychoeducational activities  Ongoing research  Female veterans, OIF/OEF service members  Variety of traumas.

19. Primary Care Psychology/ Health Psychology  Supervisors: Drs. Billig, Helbok, Mallen Olson, Chiros, and Skroch  Integration of mental health with primary care  Co-located working collaboratively with PC staff  Rapid access and tx for acute psychiatric disorders  Innovative models of co-managing care for patients with chronic medical and mental health conditions.  Innovative models of co-managing care for patients with chronic medical and mental health conditions.  Interns will have the opportunity to learn innovative models and skills for managing mental health conditions within an integrated primary care clinic setting.  Chronic pain assessment and intervention,  Training in the assessment, treatment and consultation of medical patients.  Training in the assessment, treatment and consultation of medical patients.  Orientation - Integrative, emphasizing contemporary behavioral approaches.  Orientation - Integrative, emphasizing contemporary behavioral approaches.  Telemedicine opportunities

20. Polytrauma/Rehab Polytrauma/Rehab  Supervisors – Drs. Petska, Collins, Blahnik, Lamberty, McGuire, Sim, Howard, Kennedy, and Merladet  Training in Rehabilitation and Neuropsychology  Recognized as a center of excellence  1 of 4 such programs in the country  Provides a full range of intensive inpatient treatment to brain injured veterans and active duty patients, many in their late teens and early 20's  Provides a full range of intensive inpatient treatment to brain injured veterans and active duty patients, many in their late teens and early 20's  Psychotherapeutic and behavioral interventions  Neuropsychological evaluations  Family interventions  Bed rounds  Neurological and psychiatric examinations

21. VISN Pain Center VISN Pain Center  New VSIN Tertiary Pain Center  New rotation or part of rehab rotation?  Staff being hired.  We will know more at start of training year  Assessment and intervention with chronic pain

22. SPMI (Serious and Persistent Mental Illness) Team  Supervisors: Dr. Hegeman, Nienow, Rogers, and Sponheim  Assessment and treatment of patients with psychotic disorders including bipolar disorders  Patients vary in their level of functioning and persistence of psychopathology  Competence in the conceptualization and assessment of psychosis and other psychiatric symptoms as well as in the assessment of cognitive and social functioning in outpatients and inpatients  Individual therapy, group therapy, and couples or family interventions  New Programs – CBSST, Family Program, recovery Oriented

23. Main Rotations22.5 hours per week Standard interns Rotation 1Rotation 2Rotation 3 NeuropsychNeuropsych II Neuropsych IRotation 3 GRECC Memory Clinic Neuropsych Neuropsych IRotation 2 Neuropsych II GRECC Memory Clinic Adjunctive Experiences DBT, Family Therapy, TLDP, MI, CPT, Admin., ACT, Extended Psychodynamic Therapy Clinic, Research, AIC (17.5 hrs per week) Adjunctive Exp. -------------------------------6 hours per week --------------------- Adjunctive Exp. -------------------------------6 hours per week --------------------- Assmt. Clinic------------------------------1.5 Hrs. per week---------------------- Reading/misc. --------------------------------2 Hrs per week---------------------- Seminars--------------------------------2 Hrs per week---------------------- This chart is intended to serve as a planning guide and should not be rigidly interpreted. Time estimates are based on a 40 hour work week. Interns should expect to work 40 to 50 hours per week in order to complete training activities.

25. Adjunctive Training Experiences  Interns select 3 Adjunctive Training Experiences:  Family Therapy Training Clinic (FTTC)  Dialect Behavior Therapy (DBT)  Anxiety Intervention Clinic (AIC)  Time-Limited Dynamic Psychotherapy (TLDP)  Motivational Interviewing (MI)  CBSST  Cognitive Processing Therapy (CPT)  Prolonged Exposure (PE)  Psychodynamic Psychotherapy  Acceptance and Commitment Therapy (ACT)  Assessment Clinic  Administration  Research

26. Family Therapy Training Clinic  Supervisor: Drs. Leskela and Erbes  Training in the assessment and treatment of couples and family-related concerns  Staff, postdoctoral fellows, and interns participate  Didactic presentations  Clinical experience using structural, strategic, solution-focused, and narrative techniques  Group supervision  Group supervision

27. Anxiety Intervention Clinic  Supervisor: Dr. Possis  Utilizes empirically-supported approaches to treat Anxiety disorders  Critical thinking and professional development are emphasized  Critical thinking and professional development are emphasized  Interdisciplinary training setting  Peer consultation/supervision model

28. Prolonged Exposure  Supervisors – Drs. Polusny and Strom (VA National Trainers); Drs. Voller and Ferrier-Auerbach  Didactics starting with 1.5 day PE training and weekly readings  Weekly 90 min. appointments with 1-2 veterans  Bi-monthly consultation group  Weekly group and individual supervision  Video tape and review by supervisor  Will be PE certified with the VA (same as staff)

29. Cognitive Processing Therapy Clinic  Supervisors: Drs. Curry & Petska (VA Regional Trainers)  Utilizes empirically-supported time-limited approach to treat trauma-related disorders such as PTSD  Readings and discussions of didactic material, review of video and audio tapes of interactions with patients, and role-playing  Readings and discussions of didactic material, review of video and audio tapes of interactions with patients, and role-playing  Interdisciplinary training setting  Peer consultation/supervision model  Opportunity to serve as individual therapist and co- leader for group  Ongoing clinical outcome assessment

30. Time-Limited Dynamic Psychotherapy (TLDP) Time-Limited Dynamic Psychotherapy (TLDP)  Supervisor: Dr. Wagner  Empirically-based treatment model:  Strupp and Binder (Psychotherapy in a New Key: A Guide to Time Limited Dynamic Psychotherapy  Training in a group/peer supervision/consultation format

31. Motivational Interviewing (MI)  Supervisor: Dr. Isenhart  Empirically supported directive, client-centered therapeutic style for eliciting behavioral change  Help clients explore and resolve ambivalence about making changes  Applicable to SUDs and other psychological disorders  Applicable to SUDs and other psychological disorders  Will learn basic MI goals and principles  Will learn basic MI goals and principles  Readings and discussions of didactic material, review of video and audio tapes of interactions with patients, and role-playing  Readings and discussions of didactic material, review of video and audio tapes of interactions with patients, and role-playing

32. Acceptance & Commitment Therapy: ACT  Supervisors: Drs. Billig & Hess (VA Consultants)  A functional contextual therapy that views psychological problems dominantly as problems of psychological inflexibility.  A functional contextual therapy that views psychological problems dominantly as problems of psychological inflexibility.  Uses acceptance and mindfulness processes, and commitment and behavior change processes, to produce greater psychological flexibility.  Uses acceptance and mindfulness processes, and commitment and behavior change processes, to produce greater psychological flexibility.  Six months for the later part of the year

33. Dialectical Behavioral Therapy (DBT)  Supervisors: Drs. Meyers and VanEgeren  Empirically-supported, manualized treatment approach developed by Linehan, 1993)  Used to treat male and female patients who share key features with those diagnosed with Borderline Personality Disorder, particularly emotion deregulation  Didactic, group supervision, consultation group  Individual and/or group interventions

34. DBT/PE  New pilot program  Co-lead skills group (6 week intensive module)  Co-lead mindfulness exercises  Lead community outings – skill practices  Individual patient if experience with DBT

35. Psychoanalytic Therapy  Supervisor: Dr. Walden  This year-long clinic is intended to give trainees experience with psychoanalytic-informed approaches to psychotherapy with individuals.  One to two cases, meeting once or twice weekly, for a total of two clinical hours per week.  Process notes for use in a weekly group supervision meeting.  Readings covering various psychoanalytic ways of thinking about and working with people are assigned and discussed in supervision.

36. Assessment Training Clinic  Supervisors: Drs. Arbisi and Siegel  Supervisors: Drs. Arbisi and Siegel  Ensures that all interns get good training in psychodiagnosis  Diagnostic interviewing  Intellectual assessment  Objective instruments  Exposure to projective instruments  Meets weekly for entire year  Wide range of cases are assigned on a rotating basis  Interns provide consultation and peer supervision  Interns can expect to become familiar with the relevant assessment related literature

37. Research/Scholarly Experiences  Research: Consistent with our Scientist Practitioner Model, interns may participate in a research or other scholarly project for six or 12 months of the training year  Averaging four hours of release time per week.  Can devote more on own time.

38. Administrative Experiences  Interns may elect to obtain administrative experience with psychologists who are actively involved in clinical administration.  This experience will involve some didactic, readings, shadowing staff and completion of a project based on intern’s interests.

39. Seminars  Seminars: weekly Psychology Training Seminar  Didactic focus (interns help choose)  Adjunctive experiences have a didactic component  One of the presentations occurs in Mental Health Grand Rounds (formal and multidisciplinary in nature)  One of the presentations occurs in Mental Health Grand Rounds (formal and multidisciplinary in nature) ***** Want to foster development of competency, critical thinking abilities, knowledge, and professional identity

40. Optional Didactics  Neuropsychology Case Conference  Year-long conference involves didactics and case presentations  Opportunity to improve their competence in interpretation of neuropsychological tests, consultation and peer supervision  Other educational seminars and case conferences throughout the hospital and community

41. Main Rotations22.5 hours per week Standard interns Rotation 1Rotation 2Rotation 3 NeuropsychNeuropsych II Neuropsych IRotation 3 GRECC Memory Clinic Neuropsych Neuropsych IRotation 2 Neuropsych II GRECC Memory Clinic Adjunctive Experiences DBT, Family Therapy, TLDP, MI, CPT, Admin., ACT, Extended Psychodynamic Therapy Clinic, Research, AIC (17.5 hrs per week) Adjunctive Exp. -------------------------------6 hours per week --------------------- Adjunctive Exp. -------------------------------6 hours per week --------------------- Assmt. Clinic------------------------------1.5 Hrs. per week---------------------- Reading/misc. --------------------------------2 Hrs per week---------------------- Seminars--------------------------------2 Hrs per week---------------------- This chart is intended to serve as a planning guide and should not be rigidly interpreted. Time estimates are based on a 40 hour work week. Interns should expect to work 40 to 50 hours per week in order to complete training activities.

43. Time Commitment  A one-year, full-time training commitment - averaging 45 to 50 hours a week on site  Expected that some work will occur off site as well  Balance of work and learning

44. Supervision  2 + hours of individual supervision per week  2 + hours of group supervision per week  Style and modes of supervision vary  Style and modes of supervision vary  Videotapes, audiotapes, observation, role-plays, process notes, and co-therapy are among the tools used to aid in supervision  Videotapes, audiotapes, observation, role-plays, process notes, and co-therapy are among the tools used to aid in supervision  May be assigned readings and literature searches  Mostly consultative in nature

45. Mentors  Each intern will choose a mentor  A non-evaluative but not absolutely confidential relationship Role:  Help the intern negotiate the internship program  Integrate feedback from various supervisors  Plan for post-internship goals

46. Postdoc Opportunities  2 postdocs in the specialty of Clinical Neuro (2 years)  4 Postdocs in Clinical Psychology – emphasis (1 year)  PCMH/Health  Rehab Psychology/Polytrauma  SMI (interprofessional center)  Trauma  Accredited – Clinical focus with 25-49% time in research  Current interns very competitive but no overt preference (about 50% selection)

47. The Application Process The Application Process We seek applicants who have: 1.A sound clinical and scientific knowledge base 2.Strong basic skills in standard assessment, intervention, and research techniques 3.Personal characteristics necessary to function well in our internship setting  Open to supervision, thirst for learning, strong initiative  Open to supervision, thirst for learning, strong initiative  Selection criteria are based on a "goodness–of–fit" with our scientist-practitioner model

48. Training Term  Full-time for one year beginning on about the 3 rd week of August  One year at full-time equals 2080 hours Leave:  10 federal holidays  Sick leave and annual leave (4 hours of each per two-week pay period (a total of 13 days of each)  Authorized leave for conferences, presentations, PD interviews, and to complete activities required by your university - # day is flexible  Authorized leave for conferences, presentations, PD interviews, and to complete activities required by your university - # day is flexible

49. Stipend and Benefits  $25,402 per year  Health and life insurance is available.  The United States Government covers interns for malpractice under the Federal Tort Claims Act  The United States Government covers interns for malpractice under the Federal Tort Claims Act

50. Our Strength is Our Weakness  Opportunity and Choice!  Many training options  Can be overwhelming!  Cannot pick them all  Need to try and prioritize  Many ways to get training goals met  Several rotations/options can meet goals

51. Nationally Recognized Staff  Training Program  Dr. Siegel  APPIC Board of Directors  Co-Chair VA National Professional Standards Board  Associate Editor - TEPP  Past - APA Commission on Accreditation – Executive Committee  Past Chair, VA Psychology Training Council  National VA Trainers and Clinical Consultants  Dr. Billig  Acceptance and Commitment Therapy  Drs. Polusny & Strom  Prolonged Exposure Therapy  Dr. Hegeman  Cognitive Behavioral Social Skills Training  Dr. Nienow  Family Psychoeducational Program for Schizophrenia  Drs. Petska & Curry  Cognitive Processing Therapy

52.  Research Staff  Dr. Sponheim  Continuously funded psychopathology research lab for the past 15 years.  Dr. Arbisi  Author of MMPI-2 F(p) scale, co-author MMPI RF  Consulting editor, Personality Assessment  Dr. Polusny  RINGS project  Dr. Erbes  RINGS project  Dr. Nienow  Cognitive training intervention for individuals with schizophrenia  Dr. Hagedorn  Contingency management in addictions treatment

53. Other Strengths  Highly skilled supervisory staff dedicated to training  No pressure to produce billable hours  Focus in on TRAINING  Want about 15 clinical contact hours per week by mid year  Balance learning with productivity  Goal: prepare you for postdoc or job  Assessment and testing is the clinician’s decision  Very few sites that don’t limit testing especially personality assessment  Affiliated Medical Center – academically productive  Access to female patients  Telemedicine

54. Thank You Notes/Email  We ask that you do no send us thank you notes or emails.  Communication with TDs and staff is encouraged if you have questions about our program and how it may meet your training needs and goals.

55. Minneapolis-St. Paul Yes, it gets cold, but….  Kiplinger rated the Twin Cities #2 on their list of “50 smart places to live”. -”Hip and progressive with a Midwestern sensibility, multiple cultural outlets, and pro teams in all four major sports.”  Forbes ranked Minneapolis #1 on their list of most affordable places to live well.  Twin Cities suburbs are consistently ranked “best places to live” by Money magazine. -Past winners include: Apple Valley, Eagan, Plymouth and Chaska.

56. Schedule  8:00 - 9:00 Intros. Brief Program Description  9:00 – 9:30 Overview of Research Opportunities  9:30 - 10:20 Interview block  10:30 - 11:20 Interview block  11:30 - 1:30 Lunch/ Rotation/Adjunctive Supervisors (2 nd Floor Atrium – see map)  1:30 - 2:30 Interview block  2:30 - 3:15 Meet with current interns  3:15 - 3:45 Tour by Postdoctoral Residents  345 – 4:14 Wrap up with TDs  Each applicant will have 2 interviews of approximately 45 minutes. Two interviews in three blocks.  The second interview will include a clinical vignette.