Doctoral Internship in Health Service Psychology 2023-2024

Thank you for your interest in the Washington State University (WSU) Counseling and Psychological Services (CAPS) Doctoral Internship Program in Health Service Psychology! CAPS has been training interns for 25 years and highly values the diverse experiences, fresh perspectives, and enthusiasm doctoral interns bring to their learning here.

Below is information about the program’s diversity commitment, role and mission; admissions process, support and intern placements; aim, competencies, and evaluation; training, and supervision. You may also be interested in learning more about WSU and what it’s like to live in our community.

If you have further questions about our internship program, please feel free to contact our training director, Jane Barga, Ph.D., at 509-335-4511 or jbarga@wsu.edu.


Overview

The WSU CAPS Doctoral Internship in Health Service Psychology is accredited by the American Psychological Association (APA) Commission on Accreditation. The next APA site visit is scheduled for 2025.

Questions related to the program’s accreditation status should be directed to the Commission on Accreditation:

Office of Program Consultation and Accreditation
American Psychological Association
750 1st Street NE
Washington, DC 2002
202-336-5979
E-mail: apaaccred@apa.org
Web: www.apa.org/ed/accreditation

WSU CAPS is an APPIC member and participates in the APPIC internship match process (APPIC Number 1618 Internship Program).

The four doctoral internship positions available at CAPS for the 2022-2023 training year are full-time, 12-month, professional appointments at the WSU Pullman campus. The internship begins July 1, 2022 and concludes on June 30, 2023. The stipend is $35,622.60 with additional benefits of health coverage, life insurance, sick leave, training leave, and vacation days.

In light of changing COVID-19 circumstances, CAPS has followed and will continue to follow CDC, Washington state, and WSU guidelines in making decisions about in-person training and service delivery. Since Fall 2021, CAPS clinicians have been working mostly from private CAPS offices offering both in-person and telehealth appointments. Training and supervision have been conducted primarily in person. 

As part of the Division of Student Affairs and Cougar Health Services (CHS), CAPS addresses the mental health needs of students and contributes to the quality of life of the campus community.

The WSU internship program takes a developmental approach in preparing interns for entry-level positions in a range of health service psychology settings, including university counseling centers.

CAPS provides generalist training while fostering the development of specialized skills in a range of interventions for diverse clientele and needs: initial consultations, individual therapy, groups and workshops, crisis management, LD and ADHD assessment, biofeedback, substance assessment and intervention, outreach, and consultation.

Given the integrated CHS structure, each CAPS intern regularly covers a brief Same Day Mental Health (SDMH) shift in the medical clinic.

Interns choose clinical or teaching-related minor rotations at CAPS or in the CHS medical clinic, and serve diverse student groups as liaisons to campus offices such as International ProgramsMulticultural Student Services, the Access Center, or the Gender Identity/Expression and Sexual Orientation Resource Center.

Interns also supervise practicum counselors’ initial consultations, groups and workshops, and outreaches. They may have an opportunity to be involved in other aspects of doctoral psychology training.

Throughout the internship, the Training Director solicits formal and informal feedback from interns regarding their internship training experiences. CAPS uses this feedback to adjust and improve the internship program each year.

CAPS Philosophy, Role, and Mission

Central to CAPSvalues are the worth of every individual and respect for human diversity. CAPS defines human diversity as including, but not limited to age, ability status, gender, race, culture, ethnicity, national origin, gender identity/expression, sexual orientation, neurodiversity, size, and socioeconomic status. As clinicians, trainers, and an organization, CAPS is committed to recruiting and effectively training diverse interns. Staff works to enhance  cultural understanding and honor the unique lived experiences of clients and trainees. They recognize that varied histories have contributed to differing worldviews and experiences of power and privilege, and as such, engage in processes to increase self-awareness and identify and address systematic oppression at multiple levels.

CAPS is part of the Division of Student Affairs and shares its goal “to provide services and spaces where all students will grow and succeed.” Student Affairs strives to create a welcoming and inclusive campus community and foster student engagement and leadership development. The role of CAPS within Student Affairs is to facilitate students’ intellectual, emotional, and social growth and development. We serve as a campus resource that promotes student well-being, advocacy, and support.

CAPS serves as the primary, short-term mental health agency for WSU students in rural, college-town Pullman, where local mental health resources are limited. The central mission of CAPS is to help students address mental health concerns and develop lifelong skills that are essential for achieving and maintaining academic and personal efficacy. Clients often utilize CAPS to address identity and adjustment experiences typical of college students, as well as more complex, long-term, or emerging mental health concerns. Through a broad range of interventions, clinicians work with clients to understand contextual factors contributing to their distress; explore needs, values, and resources; and find meaningful ways to live and achieve their goals.They ground their work in psychological theory and research, integrating consideration of diverse identities and cultural factors.

Also key to CAPS’ mission is training graduate students, doctoral interns, and postgraduates,to become ethical and culturally responsive mental health practitioners.  CAPS staff are highly invested in training and find great enjoyment in it. The program uses a developmental training approach, emphasizing experiential clinical service delivery informed by theory and research.

 

Internship Admissions, Support, and Initial Placement Data

Program tables last updated on June 16, 2022.

Program Disclosures

Does the program or institution require students, trainees, and/or staff (faculty) to comply with specific policies or practices related to the institution’s affiliation or purpose? Such policies or practices may include, but are not limited to, admissions, hiring, retention policies, and/or requirements for completion that express mission and values?

Yes ( ) No (x)

Internship Program Admissions

Briefly describe in narrative form important information to assist potential applicants in assessing their likely fit with your program. This description must be consistent with the program’s policies on intern selection and practicum and academic preparation requirements:

CAPS considers applicants from APA-accredited training programs in counseling or clinical psychology who are in their final year of study.

Applicants must be in good standing with their academic department, must have passed their comprehensive exams, and must have defended their dissertation proposal by the application deadline.

Applicants should have previous, well-documented, supervised counseling and crisis intervention experience and should be prepared to work with clients presenting with moderate psychopathology and a wide range of clinical diagnoses (e.g., anxiety and mood disorders, relational and identity concerns, trauma symptoms, substance abuse, body image concerns and eating disorders, and personality disorder traits).

Applicants should demonstrate a nuanced understanding of the impact of cultural and socio-historical experiences on individuals and communities and be interested in working with clients across a broad spectrum of identities. College counseling experience is preferred but not required.

Does the program require that applicants have received a minimum number of hours of the following at time of application? If yes, indicate how many:

Total Direct Contact Intervention Hours

Yes

375

Total Direct Contact Assessment Hours

No

N/A

Describe any other required minimum criteria used to screen applicants.

By the time of application the following criteria must be met:

  • Accrual of at least375 doctoral intervention hours, not including assessment (indicated in Table above)
  • 150 doctoral individual adult therapy hours preferred, but not required
  • Completion of at least one written integrated assessment report
  • Administration of at least one WAIS, WISC or WJ Cognitive Assessment (child or adult), and one WIAT or WJ Achievement Assessment (child or adult). Assessment requirements may be fulfilled through practice within a class. Applicants should explicitly address fulfillment of these requirements in their cover letter or AAPI hours.

Application and Interview Procedures

The WSU doctoral internship uses the AAPI online process, which is part of the APPIC Internship Match Program. Applicants are encouraged to download the APPIC Match Policy and the Match Program information. Applicants must obtain an Applicant Agreement Package from the above site and register for the Match Program to be eligible for a match to the WSU CAPS program. The application deadline is midnight EST on Saturday, November 5, 2022.

The application requires three recommendation letters submitted using the AAPI online process from those familiar with applicant’s recent professional development. At least two of these letters must be from recent clinical supervisors who are familiar with applicant’s therapy practice and can speak to their clinical/counseling abilities.

One recommendation letter may be from applicant’s Director of Clinical Training (DCT), who is additionally required, as part of the APPIC application form, to certify  eligibility and readiness for internship. DCT certification of internship readiness.

The WSU CAPS internship site agrees to abide by the APPIC Policy that no person at this training facility will solicit, accept or use any ranking-related information from any intern applicant prior to Uniform Notification Day.

WSU is an Equal Opportunity/Affirmative Action Employer.

All interviews will be conducted via Zoom video conferencing. CAPS will inform applicants of their interview status by December 9, 2022, and will hold the interviews during the first half of January 2023.

Pre-Employment Screening

CAPS conducts two pre-employment screenings for all employees, including doctoral interns.

Intern applicants who match for the doctoral internship at CAPS will be subject to a pre-employment criminal background check within the state of Washington and nationwide.

A “clear” criminal background check requires that the intern has no record of criminal history that would prohibit them from providing psychological counseling according to the laws of the State of Washington (see RCWs 43.43.830 – 43.43.842).

Additionally, per RCW 28B.112 – Postsecondary Educational Institutions – Sexual Misconduct, applicants for positions at WSU are required to sign a statement, prior to an official offer of employment:

  1. Declaring whether the applicant is the subject of any substantiated findings of sexual misconduct in any current or former employment or is currently being investigated for, or has left a position during an investigation into, a violation of any sexual misconduct policy at the applicant’s current and past employers, and, if so, an explanation of the situation;
  2. Authorizing the applicant’s current and past employers to disclose to WSU any sexual misconduct committed by the applicant and making available to the hiring institution copies of all documents in the previous employer’s personnel, investigative, or other files relating to sexual misconduct, including sexual harassment, by the applicant.

The criminal background check, as well as completion of the Sexual Misconduct Statement and related check with former employers will occur following the APPIC Match. Official offer letters to interns will be sent following clear criminal background and sexual misconduct checks.

Financial and Other Benefit Support for the Upcoming Training Year

Annual stipend/salary for full-time interns:

$35,622.60

Annual stipend/salary for half-time interns:

N/A

Program provides access to medical insurance for intern?

Yes

If access to medical insurance is provided:

Trainee contribution to cost required?

Yes

Coverage of family member(s) available?

Yes

Coverage of legally married partner available?

Yes

Coverage of domestic partner available?

Yes

For details on the university's benefit plans, visit Human Resource Services.

Hours of annual paid personal time off (PTO and/or vacation):

16.67 hours/month

Hours of annual paid sick leave:

8 hours/month

In the event of medical conditions and/or family needs that require extended leave, does the program allow reasonable unpaid leave to interns in excess of personal time off and sick leave?

Yes

Other benefits:

  • Dental insurance
  • Life insurance
  • Disability insurance
  • Voluntary contributions to retirement
  • Up to $250 towards professional training
  • Up to 2.5 days of training leave
  • Free Pullman city bus service

Interns are asked to take 5 days of annual leave at the end of internship to allow CAPS staff transition time between intern cohorts. Interns need to be mindful of the 500 direct service requirement  when considering how to use their personal time off.

Training Facilities and Administrative Support

CAPS is located in the Washington building, along with Cougar Health Services partners and the Access Center. CAPS is within close walking distance of coffee shops and restaurants, residence halls, campus libraries, and the student union building.

Each CAPS intern has a private office with a sit-stand desk and desk chair; therapy chairs; a small locked filing cabinet; bookshelves; adjustable lighting; a telephone; and a computer with dual monitors, biofeedback capacity, regularly updated software programs and applications, and a printer.

SPSS has been installed on interns’ computers for dissertation or other research projects. If CAPS offers remotely-provided telehealth services at any point during the internship year, interns will be provided with university-owned devices to carry out this work.

CAPS has three group rooms with computer, internet, and projection capacity that may be used for meetings, groups, workshops, and training seminars. The Center also has a large testing room with individual testing desks and monitoring capacity, a biofeedback room, and a projective sand tray. CAPS has gender neutral restrooms and a kitchen with refrigerator, microwave, and dining access.

Testing Services is located within CAPS and keeps up to date, standardized psychological and learning disability testing and assessment instruments. The Director of Testing maintains a library of assessment texts that interns may borrow.

CAPS employs several administrative personnel who provide a wide range of clerical and technical support for the interns.

Initial Post-Internship Positions (2018-2021)

Total number of interns who were in the 2018-2021 cohorts: 12
Total number of interns who did not seek employment because they returned to their doctoral program/are completing doctoral degree: 0

For the table below, PD = postdoctoral residency, EP = employed position.

Each individual represented in this table should be counted only one time.  For former trainees working in more than one setting, select the setting that represents their primary position.

 

PD

EP

Community mental health center

0

0

Federally qualified health center

0

0

Independent primary care facility/clinic

0

0

University counseling center

7

3

Veterans Affairs medical center

0

0

Military health center

0

0

Academic health center

0

0

Other medical center or hospital

0

0

Psychiatric hospital

0

0

Academic university/department

0

0

Community college or other teaching setting

0

0

Independent research institution

0

0

Correctional facility

0

0

School district/system

0

0

Independent practice setting

1

1

Not currently employed

0

0

Changed to another field

0

0

Other

0

0

Unknown

0

0

 

 

Internship Aim, Competencies, and Evaluation

  • Aim

    The aim of the WSU CAPS internship program is to provide the professional training and experience necessary for independent entry-level work as a health service psychologist in a wide variety of settings, including university counseling centers.

  • Competencies

    CAPS is invested in helping interns develop a range of competencies through which they may implement a broad set of skills, theoretical and clinical knowledge, and methods of inquiry in the practice of psychology. Common to these competencies are the further refinement of ethical decision-making and the proficiency to effectively provide services to diverse clientele in multiple settings.

    Following the APA Standards of Accreditation, CAPS trains and evaluates interns across se nine profession-wide competencies:

    1. Research
    2. Ethical and Legal Standards
    3. Individual and Cultural Diversity
    4. Professional Values, Attitudes, and Behaviors
    5. Communication and Interpersonal Skills
    6. Assessment
    7. Intervention
    8. Supervision
    9. Consultation and Interprofessional/Interdisciplinary Skills
  • Evaluation

    CAPS understands that professional growth in health service psychology is an ongoing process, with varying degrees of oversight and scaffolding needed at different points in time. It is expected that interns will enhance their skills and be able to function more independently as the year progresses.  The nature of supervision and support offered is adjusted accordingly.

    Interns receive ongoing feedback regarding their professional strengths and growth areas across the profession-wide competencies. The Training Committee meets quarterly to discuss and provide verbal feedback to the clinical supervisor and Training Director about each intern’s performance. The clinical supervisor completes the related evaluation form and reviews it with the intern.

    Assuming there are no “below expected level of competence” ratings as defined in the evaluation form, the supervisor and intern sign the completed form indicating that it has been reviewed by both parties. Quarterly evaluations are forwarded to the Training Director, and the 6-month and 12-month evaluations are additionally forwarded to the intern’s Director of Clinical Training in their academic department. If an intern receives a “below-expected level of competence” rating during a quarterly evaluation, the Training Director will follow intern evaluation and due process guidelines outlined in the Intern Handbook to address the concern. These guidelines are provided to interns on the first day of their internship.

Training and Supervision

  • Training Plan

    The internship year is a time to consolidate existing skills and knowledge, develop new competencies, and transition from a graduate trainee to an entry-level practitioner. As per APPIC policy, at the onset of the internship, the Training Director contacts interns’ academic programs to invite their guidance in working with individual intern needs.

    Over the internship year, CAPS facilitates interns’ process of systematically increasing their skill and self-assurance in providing a range of direct services to a diverse clientele. Cougar Health Services medical clinic, CAPS supports interns’ growth in delivering these services through supervision, sequential didactic training, mentoring, modeling, and feedback. Following a developmental approach, early in the training year interns are provided with more didactic training, modeling, and close oversight of their activities. As the year and their skills progress, interns gain more independence such that by the end of the training year, interns successfully completing the program are ready for entry-level practice in a variety of health service psychology settings, including university counseling centers.

  • Summer Orientation

    Internship training starts several weeks before the academic year begins. This allows for a structured summer orientation period with a gradual increase in direct service delivery.

    Summer orientation emphasizes introduction to CAPS policies, procedures, and services. Training topics include Point and Click electronic medical records system, initial consultations, risk assessment, crisis management, diversity attunement, telehealth, AOD assessments, group and workshop facilitation, individual therapy, outreaches, biofeedback, LD/ADHD assessment, record-keeping, provision of supervision, diversity liaison work,, same-day mental health practices, and ethics.

    During summer orientation, interns also connect with CAPS and WSU staff, increasing their familiarity with potential supervisors, campus partners, referral resources, and diversity liaison options. Individual CAPS providers meet informally with the intern group to get to know each other better. Interns also have orientation meetings with colleagues from Cougar Health Services, the Dean of Students office, Health Promotion, Residence Life, Multicultural Student Services, the Gender Expression/Identity and Sexual Orientation Resource Center, the Women’s Center, the Academic Success and Career Center, the Center for Civil Rights, the Access Center, and the International Center.

    Interns therefore begin the academic year with knowledge of the work environment, an outline of their training year, and collegial contact and support.

  • Academic-Year Training Schedule

    CAPS uses a contracting process at the start of each semester. Each intern and the Training Director collaborate to develop a 40 hour/week schedule specifying general responsibilities as well as those unique to each intern. The table below outlines the training and service delivery activities an intern can expect on a weekly basis:

     

  • Diversity Liaisons and Minor Rotations

    Direct Service Training

    The provision of direct services is central to interns’ training experience at CAPS. Direct services include initial consultations; brief, focused individual therapy; groups and workshops; crisis intervention; alcohol and other drug interventions; LD and ADHD assessments; biofeedback; outreaches; consultation; liaison work with a diverse student population; same-day mental health coverage in the CHS medical clinic; and the provision of supervision. Interns do not have after-hours on-call service responsibilities.

    All direct service experiences count toward the required 500 direct service hours needed for successful completion of internship. CAPS offers reduced clinical service hours during student breaks, which are good times for interns to take annual leave or work on research or administrative tasks.

    Assessment is integral to interns’ training and CAPS service delivery. To develop and refine skills in assessment, problem formulation, and diagnosis, interns regularly conduct initial consultations and risk assessments. CAPS uses the Counseling Center Assessment of Psychological Symptoms (CCAPS-62) as initial consultation data to inform treatment, and the CCAPS-34 to track client progress and treatment outcomes.

    Assessment learning is addressed through case formulation, diagnosis, and presentation within weekly individual and group supervision. This includes discussion on theoretical and diagnostic issues and guidance in the use of the DSM-5-TR.

    CAPS’ comprehensive testing services offer interns the opportunity to gain selected experiences in the administration and interpretation of ADHD and learning disability (LD) test batteries, as well as exposure to personality and some neuropsychological testing.

    Interns receive testing supervision and participate in an assessment seminar that addresses questions of test interpretation, diagnostic formulation, and report-writing. Interns complete three to four full ADHD/LD batteries over the year and may choose a minor rotation in assessment to gain further experience.

    Interns share fully in CAPS’ provision of therapy services designed to help WSU students improve their mental health and wellness. Clients present with a full spectrum of concerns, from the more frequent anxiety, adjustment, relationship, identity, or developmental experiences to more complex affective, trauma, eating disorder, substance abuse, personality, or psychosis presentations. Couples therapy cases are infrequent.

    Treatment starts with a 30-minute initial consultation, after which a client is referred to appropriate services. CAPS’ treatment model assumes that most students who seek services can benefit from brief, focused counseling in either a group or individual therapy format. Most individual therapy clients meet their treatment goals in 1-6 sessions and are allowed up to 12 sessions per academic year with a limit of 25 sessions per undergraduate or graduate degree.

    Individual therapy interventions are evidence-based, rooted in theory, and tailored to each client’s lived experiences and needs. Interns receive training in cognitive processing therapy for treating PTSD, and biofeedback for treating a range of anxiety concerns. Interns learn to be intentional with their therapy work, facilitating effective treatment and clinical service delivery, and providing referrals to community resources for those students who need or want longer-term or more intense individual therapy.

    Interns can expect to work with clients who present in crisis or exhibit moderate or chronic risk. Risk is routinely assessed during initial consultations, crisis appointments, and as relevant, over the course of therapy. CAPS providers offer empathic support and facilitate safety planning, helping clients access voluntary or involuntary hospitalization, if needed. Consultation with senior clinical staff is readily available for interns as they manage client crises.

    CAPS views groups and workshops as primary treatment modalities, offering long-term group and workshop attendance to WSU students.

    Each semester the Groups Coordinator leads senior staff and interns in choosing which groups and workshops to offer. These are determined by clinical needs, requests from specific client populations, therapist interests, and clinician expertise. Frequently offered groups include undergraduate and graduate Understanding Self and Others (USO – interpersonal process groups), Sexual Assault Survivor Support, and Trans* Student Support. Standard workshop offerings include Mindfulness, Getting Unstuck (ACT-based), Mood Management Skills (DBT-inspired), Anxiety Management (CBT-based), and Increasing Motivation (CBT-based).

    Intern pairs co-facilitate USO groups over the course of the academic year and possibly into the following summer. A senior staff member provides live supervision for the USO group and co-leads the intern group therapy seminar.

    Interns are also involved in groups and workshops by co-facilitating the Mindfulness, Getting Unstuck, Mood Management, CBT for Anxiety, or other skills-based workshops with practicum trainees. They additionally may be able to co-facilitate another group of interest. Interns participate in a bi-weekly group therapy seminar and may also receive supervision for their group and workshop work from a senior co-facilitator or a designated CAPS provider.

    During summer orientation and over the course of the year, interns receive Motivational Interviewing and AOD training to provide 1:1 harm reduction- interventions for sanctioned students who have received AOD violations through WSU’s Center for Community Standards. These interventions are typically single sessions although may lead to follow-up AOD counseling appointments. It is also common for clinicians to address substance concerns with their therapy clients.

    • Outreach

    Outreach Programming facilitates early intervention and service access, especially by traditionally underserved students. Interns provide outreach services to the WSU community throughout the year. They may facilitate some outreaches during their first summer of internship as well as three to four additional outreaches per semester. Specific experiences reflect a combination of the interns’ training interests and student or university needs.

    Outreach topics vary and may include such presentations as stress management, self-care, time management, test anxiety, attachment styles and healthy relationships, safe dating, depression, anxiety, bereavement, sleep, physical and mental wellness, anger management, and advocacy. In 2020, the CAPS Outreach Coordinator and a doctoral intern developed the “Real Talk Thursday” program, using 30-minutes presentations to address wellness and pandemic-related topics. Some outreaches may be held outside of business hours, for which facilitators receive flex time.

    Interns also oversee their practicum supervisees’ outreaches. Support for outreach development and implementation is provided by the CAPS Outreach Coordinator.

    • Consultation

    CAPS interns receive introductory didactic training on consultation and have multiple opportunities to serve as consultants for individuals and groups during the year. For example, they may provide consultation to Residence Life staff, academic departments, and other campus partners on issues relating to service coordination and student welfare. Interns also frequently collaborate and consult with CHS medical and psychiatric providers to facilitate effective service delivery. As supervisors to beginning practicum counselors, interns may be approached by supervisees for clinical consultation.

    Interns also benefit from receiving consultation. Through group supervision, group supervision of supervision, and various training seminars, interns are given space to discuss their clinical experiences and questions with each other and staff. CAPS clinicians maintain an open-door consultation policy to facilitate accessible consultation. Interns are encouraged to consult with each other, their supervisors, and senior staff regarding clinical and supervisory questions.

    During the academic year, interns receive hands-on experience supervising practicum students from WSU’s APA-approved doctoral program in Clinical Psychology. They help train and supervise these students in conducting initial consultations, providing outreaches, and co-facilitating skills-based workshops such as the ACT-based Navigating Distress workshop, the DBT-inspired Mood Management workshop, the CBT for Anxiety group, and/or a Mindfulness workshop.

    Interns begin group supervision of supervision during summer orientation and receive weekly group supervision of their supervision during the academic year. They also regularly address supervision of supervision with their individual clinical supervisor.

    When there are multiple summer practicum counselors at CAPS, interns may be involved in providing their group or individual supervision.

    Diversity Liaison work is carried out over the entire academic year and involves collaborating with CAPS senior providers as liaisons to campus partners working with specific student populations. Examples of organizations CAPS has diversity liaisons with are Multicultural Student Services; GIESORC (Gender Identity Expression and Sexual Orientation Resource Center); International Programs; the ROAR (Responsibility, Opportunity, Advocacy and Respect) Program, which serves students with moderate limitations in adaptive behavior and intellectual functioning; the Access Center, providing disability services; and Student Support Services, offering programming for students who are first generation, low income, or have a documented disability.

    Liaison roles typically include establishing a presence within the organization served, developing relationships with staff and student leaders, sharing information about CAPS services, offering outreach programming, attending special events, and providing consultation.  Intern liaisons devote an average of one hour/week to their liaison role and receive up to 30 minutes/week of liaison supervision.

    • Minor Rotations

    In addition to receiving a common core of trainings and experiences, each intern also engages in select training emphases through one minor rotation per semester. In Minor Rotations, interns dedicate two to three hours a week to a CAPS teaching experience or clinical area of interest.   Minor rotation assignments are made in collaboration with the Training Director. Descriptions of recent minor rotation options follow. .

    ADHD AND LD ASSESSMENT

    The ADHD and LD assessment rotation is supervised by the CAPS Testing Director. The rotation involves conducting ADHD and LD assessments and writing integrated reports beyond the four required of all interns. The rotation may include assessment screenings, seminar presentations, and other training or clinical tasks per consultation with the Testing Director. Weekly to bi-weekly supervision is provided.

    AOD ASSESSMENT LD ASSESSMENT

    The AOD minor rotation is supervised by the CAPS AOD Coordinator. In the rotation, interns may see additional IMPACT appointments, which are 1:1 assessments and brief motivational interviewing-based interventions for sanctioned students who have received an AOD violation at WSU. Interns may also request referrals for AOD cases, deepening their work with substance concerns. Weekly to bi-weekly supervision is provided.

    BEGINNING PRACTICUM TRAINING

    The beginning practicum training rotation is supervised by the Practicum Coordinator and involves co-teaching the weekly CAPS Beginning Practicum class with the Coordinator. Class participants are 2nd-year doctoral students from WSU’s Clinical Psychology program who are completing their first year of practicum training at CAPS. This rotation includes curricular planning, development, implementation, and evaluation, which are addressed in weekly supervision meetings.

    BEHAVIORAL HEALTH

    The behavioral health rotation is supervised by the CAPS Behavioral Health Psychologist. In this rotation, interns may provide brief therapy for clients whose psychological concerns manifest in a physical manner, or whose medical concerns create psychological distress. Alternatively, they could  assume an additional “same day mental health” shift at the CHS medical clinic  assisting providers with patients needing acute psychological interventions. This rotation involves some assigned readings and regular supervision.

    BIOFEEDBACK

    The biofeedback rotation is supervised by the CAPS Board Certified Biofeedback Coordinator. Interns in this rotation learn about mind-body connections and how to help clients increase control over their autonomic nervous system through biofeedback training involving heart rate variability, skin conductivity, or muscle tension. The rotation involves some assigned readings and study, providing one to two hours of biofeedback appointments weekly, and bi-weekly supervision.

    GROUP FACILITATION

    The group facilitation rotation is supervised by the CAPS Groups Coordinator or another designated senior clinician. The rotation involves co-facilitating one group with the supervisor and engaging in reading and reflection about group process and facilitation. The intern receives supervision on a bi-weekly to weekly basis. An intern may complete this rotation while also co-facilitating other groups separately from the rotation.

    OUTREACH

    The Outreach minor rotation is overseen by the CAPS Outreach Coordinator. Interns participating in this rotation will learn about social justice-oriented outreach services and be involved in the development and facilitation of outreach services beyond the minimum requirement. The rotation may also include the creation, implementation, and evaluation of an outreach project to be conducted for a particular student population, within a specific university office, or more broadly across campus. Supervision is provided weekly to bi-weekly.

    TRAUMA SPECIALTY

    The Trauma Specialty is supervised by a designated staff member. On a weekly basis, interns in this rotation see one additional client with a specific focus on trauma-focused presenting concerns, receive 30 minutes of supervision, and engage in 30 minutes of structured reading. Readings include, but are not limited to trauma-informed interventions, trauma-focused theoretical orientations, non-diagnostic frameworks of trauma and traumatic stress, and cultural-informed models of trauma. Supervision involves discussions of readings, as well as time for case consultation on clients with trauma-specific presenting concerns.

  • Administrative and Research Opportunities

    Interns have multiple opportunities to develop administrative skills as part of their ongoing CAPS responsibilities. On a daily basis, they manage their own schedule on Point and Click, keep up clinical documentation, oversee their supervisees’ work, and juggle multiple roles and tasks. While doing consultation and diversity liaison work,, they navigate aspects of program development, resource planning, staffing, and follow-up services. Interns are also involved in decision-making process at CAPS. This includes participation in planning workshops and weekly staff meetings, serving on the intern selection committee, and providing feedback about  candidates during CAPS employee searches. Interns can  participate on the CAPS Diversity Committee and maybe able to serve on additional CAPS committees.

    CAPS regards research as foundational to training and service provision. Interns engage in research as they prepare for outreaches, presentations, training seminars, and clinical work. CAPS regularly conducts a survey review of client satisfaction and other forms of program evaluation regarding both service delivery and training. Interested interns are welcome to participate in such projects.

    Interns are expected to remain active in their own research during the internship year. They present to CAPS providers on current dissertation research or engage in another small-scale psychology related research project and share the outcome of their endeavors with CAPS in some manner. Interns may use some administrative hours during less busy clinical times, such as student breaks, for these activities. Computer access, SPSS, library privileges, and consultation are available to support research.

  • Supervision Received

    An essential facet of effective intern training is receiving quality supervision. CAPS interns consistently report enjoying excellent and supportive supervision throughout their internship year.

    During the summer orientation period, interns receive two hours of individual clinical supervision from a CAPS licensed psychologist and two hours of group supervision led by the Training Director. Summer clinical supervisors are assigned by the Training Director.

    Interns get to know the available intern supervisors and indicate their supervisor preferences for the fall semester, including the possibility of remaining with their summer supervisor over the fall semester. Interns switch clinical supervisors for spring semester, again providing input about their preferences. If their first choice is not possible or advisable for some reason, the Training Director will discuss other options with the intern. In addition to receiving two hours of individual supervision weekly, interns receive regularly scheduled group supervision, group supervision of supervision, testing supervision, diversity liaison supervision, and minor rotation supervision.

    CAPS supervisors practice from a range of theoretical perspectives, most working from an integrative orientation. CAPS maintains an open-door consultation policy, so interns have ample opportunity for supervisory consultation with senior staff who have expertise in areas such as gender and sexual diversity, social responsiveness, psychological testing, international student needs, military culture, eating disorders, biofeedback, neurodiversity, AOD interventions, outreach, group therapy, and sexual trauma response. Specific information about  the expertise and interests of CAPS supervisors can be found on the .

     

Direct Services

The provision of direct services is a core aspect of our interns’ training experience. CAPS serves as the primary, short-term mental health agency for WSU students. Given our relatively rural and small-town setting, local referral resources are limited, and we offer a broad range of services in order to best meet student needs. Our clinicians ground their work in psychological theory and research, integrating consideration of individual and cultural differences and diversity factors.

Direct clinical services include initial consultations; brief, focused individual therapy (which may include single-session therapy); groups and workshops; biofeedback; crisis intervention; alcohol and other drug interventions; LD and ADHD assessments; outreaches; and consultation. Interns do not have after-hours on-call service responsibilities.

Due to safety concerns associated with COVID-19, CAPS has been offering mostly telehealth services over the past year, with testing and psychiatry appointments being conducted in-person. CAPS is preparing to gradually increase our in-person services over the coming months and will continue to follow CDC, Washington state, and WSU guidelines in making decisions about on-site work expectations and in-person services. Visit the WSU COVID-19 webpage for the latest university updates and information.

All clinical services, as well as the provision of supervision, count toward the completion of interns’ required 500 direct service hours. CAPS offers reduced clinical service hours during the week of Thanksgiving and Native American Heritage Day, the semester break, and spring break; those are good times for interns to take annual leave or work on research or administrative tasks.

  • Assessment

    Assessment is integral to interns’ training and CAPS service delivery. To develop and refine skills in assessment, problem formulation, and diagnosis, interns regularly conduct initial consultations and risk assessments. Our clinicians use the Counseling Center Assessment of Psychological Symptoms (CCAPS-62) as initial consultation data to inform treatment, and the CCAPS-34 to track client progress and treatment outcomes.

    Assessment is addressed through case formulation, diagnosis, and presentation within weekly individual and group supervision. This includes discussion on theoretical and diagnostic issues and guidance in the use of the DSM-5.

    Our comprehensive testing services offer interns the opportunity to gain selected experiences in the administration and interpretation of ADHD and learning disability (LD) test batteries, as well as exposure to personality and some neuropsychological testing.

    Interns receive testing supervision and participate in an assessment seminar that addresses questions of test interpretation, diagnostic formulation, and report-writing. Interns complete at least four full ADHD/LD batteries over the year and may choose a minor rotation in assessment to gain further

  • Individual Therapy

    Interns share fully in our provision of therapy services designed to help WSU students improve their mental health and wellness. Our treatment model assumes that most students who seek services at CAPS can benefit from brief, focused counseling in either a group or individual therapy format.

    The number of individual therapy sessions is determined by clinical need, as defined by the clinician. For students referred to individual counseling, most meet their treatment goals in 1-6 sessions, and are allowed up to 12 sessions per academic year (with a limit of 25 sessions per undergraduate or graduate degree at WSU).

    Our clientele present with a full spectrum of concerns, from the more frequent adjustment, relationship, identity, or developmental experiences to more complex affective, anxiety, psychotic, or personality presentations. Clients also seek services to address body image and eating disorder concerns, trauma, and substance use, among others. Interested interns may have the opportunity work with couples.

    Treatment starts with a brief initial consultation, after which a client is referred to appropriate services, including the possibility of individual counseling. Individual therapy interventions are evidence-based, rooted in theory, and tailored to each client’s lived experiences and needs. Interns receive training in CPT (cognitive processing therapy) for treating PTSD, and biofeedback for treating a range of anxiety concerns.

    Interns learn to be intentional with their therapy work, facilitating effective treatment and clinical service delivery, and providing referrals to community resources for those students who need or want longer-term or more intense individual therapy.

  • Crisis Intervention

    Interns can expect to work with clients who present in crisis or exhibit moderate or chronic risk. Risk is regularly assessed during each initial consultation, through crisis appointments offered daily during business hours, and as relevant, over the course of therapy. CAPS providers offer empathic support and facilitate safety planning. They help clients in need access voluntary hospitalization and involuntary hospitalization. After-hours crises are handled through a contracted crisis intervention service, community resources, and the CAPS Director and Associate Director. CAPS interns do not have after-hours on-call responsibilities. Consultation with senior clinical staff is readily available for interns as they manage client crises.

  • Groups and Workshops

    Our clinicians view groups and workshops as primary treatment modalities, and CAPS offers long-term group and workshop attendance to WSU students.

    Before the start of each semester, the Groups Coordinator, other senior staff, postdoctoral residents, and interns discuss possible skills-based, support, and interpersonal process groups to offer. These are determined by clinical needs, requests from specific client populations, providers’ interests, and staff and intern expertise.

    Groups frequently offered include undergraduate and graduate Understanding Self and Others (USO – interpersonal process groups), Sexual Assault Survivor Support, and Trans Student Support.

    Workshop series on Mindfulness, Navigating Distress (ACT-based), Mood Management Skills (DBT-inspired), Anxiety Management (CBT-based), and Increasing Motivation (CBT-based) are regularly offered as primary interventions for low risk clients.

    Intern pairs co-facilitate USO groups over the course of the academic year and possibly into the following summer. A senior staff member provides live supervision for the USO group and co-leads the intern group therapy seminar.

    Interns are also involved in groups and workshops by co-facilitating the Mindfulness, Navigating Distress, Mood Management, CBT for Anxiety, or other skills-based workshops with practicum trainees. They additionally may be able to co-facilitate another group of interest. Interns participate in a bi-weekly group therapy seminar and may also receive supervision for their group and workshop work from a senior co-facilitator or a designated CAPS provider.

  • Alcohol and Other Drug (AOD) Interventions

    Interns participate in AOD interventions in multiple ways. During summer orientation, they are trained to provide educational outreaches on alcohol use and sexual decision making for incoming first-year and transfer students.

    Over the course of the year, interns receive Motivational Interviewing and AOD training to provide 1:1 harm reduction- interventions for sanctioned students who have received AOD violations through WSU’s Center for Community Standards. These interventions are typically single sessions but may lead to follow-up AOD counseling appointments. Finally, interns may provide individual therapy to students who are wanting to address AOD use as primary or secondary concerns.

  • Outreach and Consultation

    Outreach Programming is an essential aspect of CAPS that facilitates early intervention and service access, especially by traditionally underserved students and those who may not otherwise seek therapy. Interns provide outreach services to the WSU community throughout the year. They facilitate some outreaches during their first summer of internship and approximately four additional outreaches per semester. Specific experiences reflect a combination of the interns’ training needs and interests as well as student and university needs.

    Outreaches are delivered to campus departments and requesting groups. Topics vary and may include such presentations as stress management, self-care, time management, test anxiety, attachment styles and healthy relationships, safe dating, depression, anxiety, bereavement, sleep, physical and mental wellness, anger management, and advocacy. During the COVID-19 pandemic, the CAPS Outreach Coordinator and a doctoral intern developed the “Real Talk Thursday” program, covering wellness topics in 30-minute workshops each week, several of them specific to pandemic-related challenges.

    Some outreaches may be held in the evening (or occasionally on a weekend), outside of business hours. Interns receive flex time for these. Interns also oversee their practicum supervisees’ outreaches. Support for outreach development and implementation is provided by the CAPS Outreach Coordinator.

    CAPS interns have opportunities to develop consultation and interprofessional communication skills with individuals and groups in both formal and informal contexts. For example, they may provide consultation to Residence Life staff, academic departments, and other campus partners on issues relating to service coordination and student welfare. CAPS clinicians also frequently collaborate and consult with medical and psychiatric providers of Cougar Health Services to facilitate the most effective service delivery to students. Interns who choose liaisons as their minor rotations additionally provide outreaches and consultation for respective campus liaison offices and student groups.

    Among our clinicians, there is an open-door consultation policy, which encourages interns to consult with peers, postdoctoral residents, and senior staff regarding clinical questions. This policy further facilitates interns’ serving as consultants to practicum trainees. If working remotely, we utilize videoconferencing for impromptu consultations.

  • Provision of Supervision

    During the academic year, interns receive hands-on experience supervising practicum students from WSU’s APA-approved doctoral program in Clinical Psychology.

    More specifically, they are involved in training and supervising these students in conducting initial consultations, providing outreaches, and co-facilitating skills-based workshops such as the ACT-based Navigating Distress workshop, the DBT-inspired Mood Management workshop, the CBT for Anxiety group, and/or a Mindfulness workshop.

    Interns begin group supervision of supervision during summer orientation and receive weekly group supervision of their supervision during the academic year. They also regularly address supervision of supervision with their individual clinical supervisor.

    When there are multiple summer practicum counselors at CAPS, interns may be involved in providing their group or individual supervision.