The Internship, Practicum, and Field Placement Handbook

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  • Edition: 6th
  • Format: Paperback
  • Copyright: 2010-07-01
  • Publisher: Pearson
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A practical guide to the "real world" knowledge and skills that students need when they begin working in the field of mental health. The book guides interns through every phase of the internship process from finding placements to concluding relationships with clients and supervisors. Along the way students learn about ethics, clinical writing and record keeping, working with peers and supervisors, understanding diversity, self care and safety, and how to be successful in meeting the challenges and opportunities of the internship or field placement setting. Following an evidence and competency based approach, the latest research findings are reviewed from the fields of psychology, social work and counseling. Throughout the book are hands on practical exercises plus examples and illustrations to keep the material relevant and "user friendly" to students.

Author Biography

Brian Baird Ph.D. has more than 23 years of clinical experience including work in psychiatric hospitals, group homes, juvenile detention facilities, brain injury rehabilitation and cancer clinics.   A Phi Beta Kappa graduate of University of Utah, Dr. Baird received his masters and doctorate degree in clinical psychology from the University of Wyoming.  In addition to his clinical background, Dr. Baird chaired the Psychology Dept at Pacifiic Lutheran University where he also taught and supervised interns for many years.  Additional courses taught included  abnormal psychology, theories of personality, and graduate level assessment and psychotherapy classes.  For the past 12 years, Dr. Baird has served as a Member of the United States House of Representatives, representing the 3rd Congressional District of Washington State.  In Congress, Dr. Baird chairs the Energy and Environment subcommittee of the House Committee on Science and Technology.  He also serves on the Transportation and Infrastructure committee and was previously a member of the House Committee on the Budget.

Table of Contents



Chapter 1: Preparation  

    Theory into Practice


    Meeting with Your Instructor

    Finding and Selecting a Placement

    Peers and Campus Resources for Locating Internships

    Community Resources

    Choosing a Placement

    The Rights of Applicants and Character Requirements for Interns

    Internship Agreements


    Using This Book



Chapter 2: Getting Started

    First Impressions

    Enthusiasm Meets Experience

    The Role of the Intern

    The Role of the Professional

    Meeting Clients

    Age and Experience Issues with Clients and Supervisors

    Time Limits

    Fees for Service

    Altruism versus Money

    Is Treatment Effective?

    Clinical and Ethical Issues Pertaining to Fees

    Inoculation: What Not to Learn

    Internship Classes And Peer Groups

    Forming Internship Peer Groups

    Models of Peer Group Learning

    Elements of Successful Classes and Groups

    Video or Audio Recordings of Sessions

    Role Plays

    Introduction to Journal Work



Chapter 3: Ethical And Legal Issues 

    Ethical Guidelines of the Helping Professions


    Informed Consent


    Exceptions to Confidentiality

    Insurance Company Inquiries, Managed Care, and Ethical Practice

    Confidentiality with Minors

    Dual Relationships and Boundary Issues

    Ethics in Classes and Groups

    Liability and Insurance

    Technology and Ethics

    Research Ethics




Chapter 4: Supervision 

    What is Supervision?

    Hopes and Fears of Interns,

    Hopes and Fears of Supervisors 

    Clarifying Expectations

    Frequency and Timing of Supervision

    Content of Supervision

    Didactic Supervision

    Case Notes and Discussions

    Tapes and Role-Plays

    Live Supervision

    Observing the Supervisor in Therapy

    Remote Supervision—Internet, Telephone, and Other Technologies

    Theoretical Orientation

    Supervision and Therapy: Differences and Similarities

    Transference and Countertransference

    Suggested Guidelines for Therapy and Supervision

    Conflict in Supervision


    Planning for Future Supervision



Chapter 5: Working With Diversity 

    Reasons for Diversity Training

    Resistance to Diversity Training

    Steps Toward Working with Differences

    Self-Awareness: Knowing the Diversity within Us

    Confronting Our Biases and Acknowledging Our Ignorance

    The Historical Context Must Be Acknowledged

    The Current Context Must Be Acknowledged

    Strengths Must Be Recognized along with Problems

    Ethnic-Identity Development

    Developing Culturally Sensitive and Relevant Skills

    The Culturally Sensitive Counselor

    Culturally Sensitive Intervention Approaches

    Cultural and Organizational Change




Chapter 6: Clinical Writing, Treatment Records, And Case Notes 

    Writing Skills

    Writing Can Be Learned

    Focusing Reading to Learn Writing

    Practice and Feedback


    Common Writing Problems

    Keys to Good Writing

    The Function and Maintenance of Records

    What Goes into Records

    What Stays Out of Records

    Progress Notes and Psychotherapy Notes

    Standard Formats

     Progress Notes

    Standard Formats

    SOAP Notes

    Time-Sequenced Notes

    Process or Progress Notes

    Signing Notes


    Progress Notes and Supervision

    Using Your Notes

    Other Guidelines



Chapter 7: Stress And Self-Care  

    Client after Client, Day after Day

    How Common Is Stress among Helping Professionals?

    Sources of Stress

    The Effects of Stress

    Secondary Trauma



    Cognitive Self-Care

    Physical Self-Care

    Emotional Self-Care

    Organizational Measures and Peer Support

    Multimodal Self-Care

    Personal Therapy

    Positive Effects on Therapists

    Financial Self-Care



Chapter 8: Assault And Other Risks

    The Risks of Assault

    Coping with Aggression

    Strange Behavior and Strange People Are Not Necessarily Dangerous

    Understand Developmental Differences

    Understand and Recognize Motivational Factors

    Situational Factors and Violence

    Recognize Potentially Dangerous Individuals

    Early Prevention of Violence

    Institutional Responses to Threats of Violence

    Prevention of Imminent Violence with Clients

    Responding to Assault

    Assault-Response Training






Chapter 9: Closing Cases 

    Ethical Considerations and Termination

    Understanding Client Reactions to Early Termination

    Understanding Intern Reactions to Early Termination

    Common Problems in Termination

    Toward Successful Termination or Transfer

    Issues to Address in Termination

    Techniques for Termination

    Transferring Clients to Other Therapists



Chapter 10: Finishing The Internship  

    Concluding the Supervisory Relationship

    Letters of Recommendation

    Procedures for Those Seeking Letters of Recommendation

    Concluding Relationships with Staff

    Letters of Thanks

    Looking Ahead

    Professional, Community, and Political Involvement



Chapter 11: Frustrations, Lessons, Discoveries, And Joy

    Learning from Whatever Happens

    Lessons We Wish Were Not True

    Lessons about the Lessons

    Discoveries and Joy

    Closing Comments


Appendix A: Internship Selection Checklist 


Appendix B: Placement Information Form 


Appendix C: Internship Learning Agreement Record Form 


Appendix D: Intern Evaluation: Supervisor Form 


Appendix E: Intern Evaluation: Intern Form 


Appendix F: Emergency Contact And Procedures Information 


Appendix G: Ethical Guidelines 


Appendix H: Treatment Agreement And Informed Consent 


Appendix I: Supervisor Evaluation Form  


Appendix J: Clinical Activities Record Sheet 


Appendix K: Placement Evaluation Form



Author Index

Subject Index

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