Overview of the Internship
The internship begins two weeks prior to the start of the Fall semester, typically late August. All interns are based within Tuttleman Counseling Services. Interns typically work between the hours of 8:30 a.m. and 5:00 p.m., however interns are asked to work one evening per week. In addition, interns will work two Saturday mornings from 9:00 a.m. to 1:00 p.m. each semester. Interns are encouraged to keep an hour free for lunch each day. Tuttleman Counseling Services is comprised of six units, (Psychological Services, Psychiatric Services, Sexual Assault Counseling and Education (SACE), Campus Alcohol and Substance Awareness (CASA), Eating and Body Image Concerns, and Dialectical Behavior Therapy (DBT)). Each intern participates in a year-long, approximately 20 hours/week major rotation through the psychological services unit and an approximately 10 hours/week, year-long minor rotation through one of the specialized units. Interns are asked to rank-order their preference for one of the following four specialized units: CASA, SACE, Eating and Body Image Concerns, and DBT, to which they are then assigned. It should be noted that while the Units have specific missions and specialized areas of expertise, TCS and its staff functions as an integrated and collaborative multidisciplinary team of which its interns are an essential component.
The internship experience is divided among three major activities:
Direct clinical services to Temple students
Supervision and training activities
DIRECT SERVICE ACTIVITIES
Individual and couples psychotherapy
Tuttleman Counseling Services provides psychotherapy to an undergraduate and graduate student population which reflects a range of diversity in terms of race, ethnicity, sexual orientation, age, gender, gender identity and religion. Clients at TCS present with a wide range of needs and concerns, ranging from developmental or transitional difficulties to serious, chronic psychopathology. Interns gain experience in using a variety of theoretical orientations and interventions to assist client growth and remediation. Interns are expected to carry a caseload of approximately 15 students per week. The caseload will involve a mix of students presenting with a range of general concerns as well as students presenting with concerns specific to the intern's minor rotation. Interns and staff conduct a formal intake assessment at the beginning of their work with each student, which they use to develop their case formulation, treatment goals and modes of intervention. While the average number of sessions used by TCS students is about 6 – 7 sessions, interns are expected to carry a few longer-term clients through the year.
Walk-in clinic (WIC)
WIC is an essential component of clinical intervention and the point of entry for students seeking services at TCS. Temple students do not schedule initial appointments at TCS; rather, they are encouraged to present at any time during WIC hours, where they are seen and triaged by a counselor. The focus of this triage is the identification of problems or areas of concern, the level of clinical urgency, and the development of a plan to remediate those problems.
Interns are required to co-facilitate at least one psychotherapy or support/skills group over the course of the year. Most of these groups are co-facilitated with a senior staff member or counseling fellow. Some groups that have existed or currently exist are focused on: Healthy Relationships; Food and Body Image; Healing from Loss; Understanding Self and Others; LGBTQIA; Dissertation Support, Mindfulness, First Generation College Students; DBT; and more.
During the fall and spring, interns have the opportunity to gain supervisory experience by supervising a graduate-level practicum student from a local social work, professional counseling, counseling psychology or clinical psychology masters or doctoral training program. Interns will also participate in a weekly group supervision seminar.
Interns are currently required to complete at least two full test batteries during their internship. Testing is an important part of the assessment process that helps lead to diagnosis and treatment planning. Opportunities to provide additional partial or full-battery assessments are negotiated with the primary supervisor when developing learning goals and objectives for the internship year.
Some TCS staff members are trained in Critical Incident Stress Management techniques, in the unfortunate event of a tragedy striking the University community. Interns are invited to observe and sometimes assist trauma team members depending upon their degree of prior experience and interest.
SUPERVISON AND TRAINING
Each intern receives two hours per week of individual supervision by licensed psychologists. One supervisor is typically from the Psychological Services unit and serves as the primary supervisor, while the other may be from the intern's minor rotation. The supervisor serves as a resource, advocate and advisor and is responsible for overseeing the intern’s training experiences and progress throughout the internship.
Group Supervision of Group: Interns attend a weekly ninety- minute group supervision of group therapy. This focuses on processes and procedures for conducting psychotherapy and support groups.
Group Supervision of Supervision: Interns attend a weekly ninety-minute group supervision to discuss their supervision cases. This focuses on defining and enhancing the intern’s supervisory style.
A ninety-minute, weekly case conference is held both for interns and practicum students. Didactic instruction on psychodynamic case formulation is provided in the first six weeks of the internship and periodically throughout the year. Each week, on a rotating basis, a trainee presents a case for discussion. The purpose of case conference is to enhance therapeutic skills through the continued development of diagnostic and case formulation skills, treatment planning, and therapeutic interventions.
Intern Didactic Seminar: A ninety-minute seminar is held each week for the interns. Presentations, which include both single sessions and ongoing modules, are taught by TCS staff and with occasional invited guest speakers. They may be both didactic and experiential in nature and are designed to enhance and supplement the learning that occurs through supervision and clinical experiences. A multicultural perspective is infused into all training seminars. In particular, interns participate in a variety of multicultural didactic seminars throughout the year that highlight self-awareness, social identity, themes of privilege and oppression, and relevant knowledge and skills. We have a series devoted to diversity (approximately 7 weeks) that runs in the beginning of the spring semester. Seminars that have existed or currently exist include: Brief Psychotherapy, Managing Suicidal Ideation, Eating Disorders, Substance Abuse and Dependence, Ethics, Psychopharmacology, Student Development Theory, Multicultural Issues; Working with Athletes, Psychology of Immigrants, Working with Trans Identified Students, Assessing Violence, Personality Disorders; Complex PTSD, Self-Harm, Motivational Interviewing, Group Therapy Process, and Positive Psychology, among others.
Psychological Assessment Seminar: Interns attend an hour-long weekly seminar on psychological assessment. This seminar allows students to develop a further understanding and facility with psychological assessment, test scoring, and interpretation.
Meet with Training Director: though not technically a seminar, interns do have the opportunity to meet, as a group, regularly with the training director to review learning goals, solicit feedback about the internship experience, and deal with any areas of concern related to program administration.
Staff In-Service Training
Interns join the staff for departmental in-service trainings. Invited speakers from both within the Temple Community as well as the greater Philadelphia area join us for a two hour lunch-time presentation. More elaborate half or full-day in-services are often offered each year, generally in conjunction with other departments within the University (i.e. Safe Zone Training, IDEAL Multicultural Training, etc.).
TCS does not use distance education technologies for training and/or supervision
Weekly staff meeting: Interns attend a two-hour, weekly staff meeting with all TCS staff. The meeting addresses routine administrative issues, updating the notice board of TCS sponsored events, detailed discussion of departmental policies and procedures as needed, and a review of "hot file" cases of students in crisis. Scheduling and documentation done via Titanium Scheduling Software ™
Breakdown of a Typical Week for an Intern
Direct Service: 22
Individual / Couples Therapy, 13; Group Counseling, 2
Intake Assessments, 2; Walk-In Clinic/Triage, 4
Supervision & Training: 9
Individual Supervision, 2; Group Supervision, 3
Case Conference, 1.5; Didactic Seminar, 1.5; Assessment Seminar, 1
Staff Meeting, 2; Minor Rotation, 1
Dissertation/ Professional Reading, 2.5
Total Hours: 40 (interns typically work a 40 - 45 hour work week)
The interns’ two individual therapy supervisors meet twice each year in January and July to collaborate on a written evaluation of the intern’s progress. This evaluation incorporates feedback from group supervisors, the assessment supervisor, minor rotation supervisors and seminar leaders regarding each intern. The primary supervisor meets with the intern individually to review the evaluation forms. During the evaluation, areas of strength as well as areas needing further growth are identified and discussed with the intern. After review of the evaluation, the training director sends the completed evaluation to the clinical training director of the intern’s academic program. Specific procedures are in place to ensure due process during the feedback and evaluation process.