The Internship, Practicum, and... | Buy

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.

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 3^rd 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.

Preface

Chapter 1: Preparation

Theory into Practice

Terminology

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

Evaluation

Using This Book

References

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

References

Chapter 3: Ethical And Legal Issues

Ethical Guidelines of the Helping Professions

Competence

Informed Consent

Confidentiality

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

Summary

References

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

Evaluation

Planning for Future Supervision

References

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

Summary

References

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

Writing Skills

Writing Can Be Learned

Focusing Reading to Learn Writing

Practice and Feedback

Rewriting

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

Dictation

Progress Notes and Supervision

Using Your Notes

Other Guidelines

References

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

Burnout

Self-Care

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

References

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

Aftereffects

Stalking

Summary

References

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

References

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

References

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

Indices

Author Index

Subject Index

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