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Vanderbilt University-Department of Veterans Affairs
Internship in Professional Psychology

Department of Psychiatry (Adult Psychiatry)
Vanderbilt School of Medicine



Setting and Population Served:  Training in the provision of outpatient psychological services is conducted in Adult Psychiatry primarily through the Vanderbilt Mental Health Center (VMHC). The clinic is staffed by a team of multidisciplinary professionals from the fields of psychology, psychiatry, nursing, education, and social work. Adults with chronic mental illness, a history that makes obtaining private insurance difficult, and the working poor with mental health needs are eligible for treatment regardless of race, gender, age, religion, sexual orientation, or ethnic origin. Adult Psychiatry offers services to a broad spectrum of mental health clients ranging from those with mild impairment to severe disability. Co-morbid Axis I, Axis II, and Axis III diagnoses are common for this population.


Training Objectives:
  Fostering professional development is emphasized as a primary goal of training. Interns are encouraged to obtain enhanced competence in the following areas:  evidence-based psychological interventions, forensic assessment, and consultation with multidisciplinary treatment team members. Additional objectives include proficiency with intake procedures, clinical diagnosis, and community referrals.


Training Program/Experiences:
  The weekly schedule for the intern whose primary placement is in Adult Psychiatry consists of three and one-half days at the Adult Psychiatry outpatient clinic, one day of placement at a secondary site within the consortium, and one-half day of didactic training.

The primary focus of training during the three and one-half days at the Adult Psychiatry outpatient clinic is on conducting individual and group psychotherapy. Delivery of Cognitive-Behavioral and other evidence-based psychotherapy techniques is emphasized. The intern will also have the option to co-lead one of several ongoing psychotherapy groups. Intake assessment and forensic assessment are experiences that supplement the overall training experience. The internship experience takes place in a clinical setting and the intern will gain valuable experience with managed care (primarily Tennessee’s version of Medicaid), electronic medical record keeping, and general productivity.  The intern will gain experience treating a variety of psychiatric disorders. Additionally, the intern will be oriented to the organizational and administrative structure of a busy mental health center.


The intern whose primary placement is in Adult Psychiatry will receive supervision from multiple sources, including: Weekly individual supervision with the primary therapy supervisor, Dr. Kirsten Haman, to discuss psychotherapy cases seen through Adult Psychiatry; weekly supervision for group therapy experiences, depending upon which group the intern chooses to co-lead; individual and group supervision (alternate weeks) for the forensic assessment experience with Dr. Kimberly Brown; and additional weekly individual supervision from the supervisor of his or her secondary placement site.


Didactic training occurs weekly with all interns throughout the consortium. Half of the weekly meeting is spent participating in a case conference that is facilitated by a Vanderbilt, VA, or community psychologist. Each week a different intern presents a case and a different facilitator is present.  The second half of the meeting consists of a guest speaker or intern who presents on topics pertinent to the science and practice of psychology. There is also an open invitation for
interns to attend additional training opportunities, such as psychiatry and general medical center Grand Rounds and psychiatric resident psychotherapy trainings, throughout the year.


Research Possibilities: 
There are active research programs ongoing in the Department of Psychiatry. Involvement in clinical research is an option for the intern; however, research participation will require a commitment of additional time on the part of the intern. Before accepting any invitations to conduct research, the intern is expected to discuss the matter with the internship site director (Dr. Haman) and the coordinator of the internship program (Dr. May). 


Constraints on Secondary Placement Selection:
 The intern collaborates with his or her supervisor to accommodate scheduling needs of both primary and secondary placements.


Secondary placement experiences available:
The intern whose primary placement is in Adult Psychiatry will interview for a secondary placement at one of the other sites in the consortium.  For an intern whose primary placement is at one of the other sites in the consortium, Adult Psychiatry offers several potential secondary placement options. Specific options are determined each year based on supervisor availability but may include experiences in forensic assessment, behavioral medicine, and outpatient psychotherapy.


Additional Criteria for Acceptance:
 Successful candidates will have experience conducting therapy and psychological assessment as well as having an attitude of cooperation and motivation. Note: All interns with primary placements in the Vanderbilt Department of Psychiatry must pass a background check. This will be performed after match day.  Match results and selection decisions are contingent on passing the background check.  No prospective TVHS intern has ever been refused employment as a result of the background check, but it is a possibility.  Several have had difficulty, in all cases because of past legal problems they chose not to reveal during the application process. Department of Psychiatry interns performing a secondary placement in the VA must also complete a VA background check.


Potential for Change:
 There are no current indications for change.


Positions:   1 

Salary:  $25,000

Starting Date:  July 1, 2012

Ending Date:  June 30, 2013


Faculty Contact:
    Kirsten L. Haman, Ph.D. (Ph.D., Vanderbilt University)

Assistant Professor of Clinical Psychiatry

Email: kirsten.haman@vanderbilt.edu

Phone:  (615) 343-2572


Affiliated Faculty:   Abbe Boeka, Ph.D. (Ph.D., University of Alabama)                       
Assistant Professor of Psychiatry                                                         
Areas of Clinical Expertise:
Obesity, weight management, eating disorders, health psychology

                                  
                                    Kimberly Brown, Ph.D. (Ph.D., University of Alabama

                                    Assistant Professor of Forensic Psychiatry and Psychology

Areas of Clinical Expertise: Forensic psychology; Competency evaluations

 

                                    Tobi Fishel, Ph.D. (Ph.D., University of Miami)

                                    Assistant Professor of Psychiatry, Psychology, and Pediatrics

                                    Areas of Clinical Expertise: Behavioral and integrative medicine

 

                                    Linda Manning, Ph.D. (Ph.D., University of Texas at Austin)

                                    Assistant Professor of Psychiatry

                                    Areas of Clinical Expertise: Trauma; Chronic illness

 

                                    Steven Passik, Ph.D. (Ph.D., New School for Social Research)

                                    Professor of Psychiatry and Anesthesiology

                                    Areas of Clinical Expertise: Psycho-oncology, palliative care, chronic pain

 

                                    Gary Solomon, Ph.D. (Ph.D., Texas Tech University)

                                    Associate Professor of Psychiatry                             

                                    Areas of Clinical Expertise: Traumatic brain injury, memory disorders,

                                    neurodegenerative disorders

 

                                    David Street, M.D. (M.D., Medical College of Pennsylvania)

                                    Assistant Professor of Psychiatry

Areas of Clinical Expertise: Forensic psychology; Personality disorders; PTSD

 

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08-09-11