Rotations and Training

The Adult Health Psychology interns will each complete two of the following four Core rotations. Specific Core rotations will be selected after the Match with intern preference taken into account. Each rotation may only be able to accommodate one intern per rotation. 

Adult Heart/Lung Transplant and Adult Sleep Rotation
Supervisor: Yelena Chernyak, PhD, HSPP

The goal of this core rotation is for interns to have a breadth of experience in providing health psychology services to adults in a variety of outpatient clinical treatment settings including cardiology and behavioral sleep medicine. The setting for this rotation is divided between the IU Health Adult Outpatient Psychiatry Clinic and Study Center at the IU Health Neuroscience Center and Methodist Hospital’s Acute Heart and Lung Care Clinic. Specialized services provided include assessment, consultation, individual and group psychotherapy primarily utilizing CBT/ACT and other empirically supported interventions to deliver behavioral medicine, psychosocial support, coping skills building, symptom management, and behavioral modification. Interns will have the opportunity to work with a medically diverse clinical population experiencing acute and chronic medical conditions, provide consultation services, and interact with a multi-disciplinary medical team, and attend clinical case rounds in hospital-based clinics. All clinical settings have a teaching mission allowing interns to interact with residents and fellows from various departments. IUH is a tertiary care facility with nationally and internationally recognized programs in specialized medical care. Please note: the 2-1/2 days/week of this Core rotation must include a full day on Tuesdays (Adult Sleep Clinic) and a full day on a Monday or Thursday (Heart/Lung Clinic). Friday mornings will be primarily dedicated to case review, consultation and documentation time and may require being on site to collaborate with team members. 

Adult Pain Clinic Rotation
Supervisors: Danielle Henderson, PhD, HSPP, and Amanda Wakefield, PhD, HSPP

Interns will have the opportunity to gain a broad perspective on working with adult patients who have chronic pain. The intern will participate in group and individual therapy sessions within the interdisciplinary Pain Rehabilitation Program at IU Health, complete presurgical evaluations for pain interventions (e.g., spinal cord stimulators, intrathecal pain pumps), and participate in psychological evaluations through the Pain Navigation Service. Individual and group modalities will primarily utilize CBT and ACT along with other empirically supported treatments for chronic pain. Interns will have the opportunity to interact with providers from multiple specialty areas within pain management and shadowing opportunities with multiple pain specialties will be available based on intern preferences and provider availability. The 2-1/2 days/week of this Core rotation will include, a full day on Tuesdays (Pain Rehabilitation), a full day on Wednesdays (pre-surgical evaluations), and a half-day on Friday mornings to complete any needed paperwork and/or readings. 

Adult Outpatient and Post-ICU Recovery Clinic Rotation

Supervisors: Tori Powers, PhD, HSPP, and Kendra Hinton-Froese, PhD, HSPP

Interns will see approximately five patients per day on each of two days per week in clinic with an additional ½ day on Friday mornings for paperwork. Interns will see patients in the Post-ICU Recovery Clinic (PIRC) on Wednesdays with Dr. Hinton-Froese and on Thursdays in the Adult Outpatient Clinic with Dr. Powers. The PIRC serves patients who have been hospitalized and are experiencing psychological sequelae after being discharged. Patients are hospitalized for a range of reasons such as a COVID-19 infection, sepsis, trauma, or respiratory failure. Interns rotating in this clinic may also have opportunities to diversify their caseload by treating patients who did not have an ICU stay but who are managing complex medical comorbidities. In both clinics interns will provide evidence-based psychotherapy (this includes conducting a clinical interview and diagnostic assessment) that has been individualized to each patient’s needs. Interns will gain experience incorporating social factors (e.g., racism, sexism, loss of status, violence, disability, socioeconomic status) into their diagnostic assessments and in determining appropriate treatment goals. Interns will have the opportunity to provide care for patients with a variety of presenting concerns, including, but not limited to ADHD; adjustment disorder; anxiety disorders, bipolar and related disorders; depressive disorders; obsessive-compulsive and related disorders; and trauma-and stressor-related disorders. Interns will gain experience with a variety of modalities such as Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, and Dialectical Behavior Therapy skills, based on the patients’ needs. A significant portion of the patients have a trauma history, and as such interns may gain experience with trauma-informed care and trauma-focused treatments such as Cognitive Processing Therapy and Prolonged Exposure. Interns may also gain experience consulting with multidisciplinary team members.  

 

Adult Solid Organ Transplant (Inpatient and Outpatient)

Supervisors: Rachel Holmes, PhD, HSPP, and Anahli Patel, PsyD, HSPP 

Interns will have the opportunity to conduct diagnostic assessments, pre-transplant evaluations, post-transplant intervention, and provide consultation to different specialty medical teams in both an outpatient and inpatient hospital setting. There are also opportunities to participate in the transplant support groups and weekly transplant meetings for the liver, pancreas, kidney, and multi-visceral teams. The patient population is organ transplant candidates, recipients, and donors. Experience on this rotation will be partially determined by the intern’s learning objectives and prior training experience. The two full days of this core rotation will be on Mondays, Wednesdays or Thursdays with Friday morning primarily reserved for paperwork, administrative tasks or reading. 

The Child/Pediatric Track interns will complete two of the following core rotations.

Child and Adolescent Outpatient
Supervisors: Bill Kronenberger, PhD, HSPP, Ann Lagges, PhD, HSPP, ABPP, Gabriela Rodriguez, PhD, HSPP, and Allison Meyer, PhD, HSPP

The Child and Adolescent Psychiatry Clinic offers outpatient mental health services to families with children and adolescents under the age of 19. Families present to the clinic with a wide range of psychiatric and co-morbid medical conditions and often with complex social situations. The child outpatient rotation is divided among a number of the clinics that exist under the larger umbrella of this general clinic. Interns on this rotation will participate in a combination of the following tailored to meet their training goals: the pediatric testing clinic (full day on Thursdays – can only accommodate 1 intern per rotation), TAC (Tics, Anxiety and Compulsions) Clinic (full day Mondays or Wednesdays), and the Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic (full day Wednesdays).

In all components of this rotation, the intern may have the opportunity to supervise a practicum student.

The pediatric testing clinic provides interns with experience providing intensive, full-day assessments to children and adolescents with complex issues involving cognitive abilities (approximately 90% of cases) and at times, issues involving personality/symptom assessment (approximately 10 percent of cases). The intern may be responsible for some test administration, but will most commonly provide supervised supervision to one or more practicum students administering tests, and will also engage in behavior observation and test interpretation. 

In the Tics, Anxiety and Compulsions (TAC) clinic, interns will gain experience working with children, adolescents and their families presenting with primary diagnoses of OCD, Tourette’s Disorder and other tic disorders, as well as other anxiety disorders including selective mutism. Treatment will include Exposure and Response Prevention (ERP) for OCD and Comprehensive Behavioral Intervention for Tourette’s (CBIT) as well as other evidence-based interventions as appropriate. The clinic is multidisciplinary in nature which allows patients to receive therapy and medication management services at the same visit. On Mondays, the team, including psychologists, a psychiatrist, psychiatric fellows, psychology interns and psychology practicum students will meet prior to the afternoon clinic to discuss patients and engage in didactic activities. 

The Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic is a full day per week and occurs on Wednesdays. Interns will primarily gain experience in providing therapy, specifically evidence-based treatment of ADHD and disruptive behavior disorders. Patients present with primary diagnoses including ADHD and/or ODD. Patient ages typically range from 4 – 16 years. Treatment approach is most often behavioral parent training to manage disruptive behaviors, typically using the Modular Approach to Therapy for Children (MATCH-ADTC) manual. Given the presenting problems of many of our patients, collaboration with schools and primary care providers is common. 

Child and Adolescent Consultation Liaison Service
Supervisor: Katherine Schwartzkopf, PsyD, HSPP

The Riley Psychiatry Consultation Liaison service offers inpatient mental health services hospital-wide. Consultation requests are received from various services including Hospitalist, Gastroenterology, Neurology, Hematology/Oncology, Rehabilitation, Pulmonology, Surgery, Developmental Pediatrics, Critical Care, Endocrinology, and Adolescent Medicine. Psychology interns will be involved in consultation requests involving diagnostic assessment, somatoform disorders, coping with chronic illness, safety evaluations related to suicidality/self-harm, pain management, adherence difficulties, behavioral interventions, and feeding issues. Interns will carry an average of one to four cases per day, including new initial assessments and follow-up therapeutic interventions. The CL team is a multidisciplinary team which includes psychologists, psychiatrists, and licensed clinical social workers. In addition, the intern will have the opportunity to work with administrative coordinators as well as psychiatry and triple board residents and medical students. Opportunities for research and supervision of medical students and psychology practicum students may be available. Please note: this rotation can likely only accommodate one intern per rotation (two total). Additionally this rotation is 2.5 days per week and includes clinical work every Friday from 8/8:30 to 10:30 a.m. 

Pediatric Outpatient
Supervisors: Elaine Gilbert, PsyD, HSPP, Stephanie Hullmann, PhD, HSPP, Scott Wagoner, PhD, HSPP, and Amy Williams, PhD, HSPP, ABPP

Interns on this rotation will participate in a combination of the following tailored to meet their training goals: The Pain Center Specialty Clinic, Pediatric Psycho-Oncology and The Pediatric GI Clinic. Please see the elective rotation descriptions for each of these clinics for more details. Friday mornings are generally paperwork/administrative time, but there is the possibility for clinical work if needed. 

Riley Pain Center Specialty Clinic
Supervisor: Amy Williams, PhD, HSPP, ABPP

This rotation is a full day per week on Tuesdays or Thursdays, and can accommodate up to two interns per day per rotation total (core plus elective). Interns will gain experience in assessment and treatment of pediatric patients with chronic pain who present to the Riley Pain Center. Treatment involves CBT for chronic pain (and other evidence based interventions) and exposure to biofeedback (may be limited due to continued virtual care). The pain center is an interdisciplinary treatment team comprised of pediatric anesthesiologists, a physician assistant, pediatric psychologists, a pediatric psychology fellow, and physical therapists. Interns may have the opportunity to gain experience in supervision of practicum students. 

Pediatric Psycho-Oncology
Supervisor: Stephanie Hullmann, PhD, HSPP

Pediatric GI Clinic
Supervisors: Elaine Gilbert, PsyD, HSPP and Scott Wagoner, PhD, HSPP

This rotation is available on Mondays, Tuesdays, Wednesdays and Thursdays with a maximum of four interns (core plus elective) per rotation. Interns may see patients in the outpatient Pediatric GI clinics at IU North, Meridian Crossing, or on the Riley campus at the Riley Outpatient Center or Pediatric Care Center. Interns will learn research informed care for children and adolescents referred by their GI physicians for a multitude of presenting concerns including nonadherence, coping with chronic medical conditions, disorders of the gut-brain interaction, pain management, encopresis, as well as comorbid attention deficit hyperactivity disorder, anxiety, and mood issues. Beyond outpatient care this rotation has the potential to involve trainees in integrated clinics including the Motility Clinic and Disorders of the Gut Brain Interaction clinic. Specialty skills that may be taught include brief assessment of patients with GI symptoms, CBT interventions for chronic medical conditions and pain management, as well as basic and advanced biofeedback skills.

The Autism Track intern will complete two core rotations in the Autism Spectrum and Developmental Disorders Clinic.

​Supervisors: Noha Minshawi-Patterson, PhD

The Autism Spectrum and Developmental Disorders Clinic is a comprehensive, hospital-based and university-affiliated treatment center engaging in clinical care, research, education and outreach activities in the state of Indiana. We are actively serving over 800 individuals with Autism Spectrum Disorders (ASD) and other neurodevelopmental disabilities (NDD) of all abilities and developmental levels. The Autism Spectrum and Developmental Disorders Clinic and our corresponding internship program is unique in that we provide both diagnostic evaluations and treatment services. Interns receive extensive training and supervision in both the assessment of ASD and other NDDs, as well behavioral interventions grounded in Applied Behavior Analysis and Cognitive Behavioral Therapy. Interns will spend two full days in clinic per week; Friday mornings are typically paperwork/administrative time, but may also include group telesupervision.  

Who We Serve: The Autism Spectrum and Developmental Disorders Clinic serves individuals from birth through early adulthood. Our primary referral concerns are: language delay, aggression, tantrums, self-injury, social skill deficits, oppositional behavior, anxiety, depression, and adaptive skills deficits (i.e., toileting). Our patients often have complicated presentations that include genetic syndromes (e.g., Fragile X, Down’s Syndrome, Angelman’s Syndrome) and medical complications (e.g., feeding disorders, childhood cancer, seizure disorders, mitochondrial disorders). 

Services We Provide: The Autism Spectrum and Developmental Disorders Clinic provides families with comprehensive evaluations and ongoing clinical care for interfering behavior problems and skill deficits. We receive referrals from across the state and surrounding states for our complex diagnostic decision making and behavioral and medical treatment expertise. Services we provide include:

• Diagnostic Assessments – determine appropriate diagnoses and assess for ASD. Evaluation includes a semi-structured caregiver interview and child observation. Feedback, diagnosis and treatment recommendations are provided and family is connected to local supports and resources.

• Comprehensive Evaluation – when additional information is needed, formal testing completed to assess ASD, ID, and other diagnoses. Includes ADOS, behavior rating scales, cognitive assessments, and assessment of adaptive skills.

• ABA-Based Parent Management Training – address behavior problems and skill deficits through Applied Behavior Analysis-based parent training. This include antecedent interventions (e.g., visual supports, schedule changes), function-based consequences (e.g., planned ignoring, differential attention, positive reinforcement) and teaching replacement skills (e.g., functional communication, coping skills). 
  
  
• Individual Cognitive Behavioral Therapy – address co-morbid diagnoses (e.g., anxiety, depression) in higher functioning individuals with ASD. Basic CBT is modified to meet the individual’s needs, drawing from a number of interventions such as Facing our Fears and ZONES of Regulation. 
  
  

• Medication Management – psychiatrists and psychiatry residents manage behavior problems through psychotropic medications

Intern Responsibilities: Interns receive intensive training in both assessment and treatment of ASD and NDDs. Including:

• Behavioral Treatment Services:
  • Applied Behavior Analysis (ABA) focused interventions, including RUBI Parent Training protocol.
  • Lead individual parent training.
  • Conduct individual therapy using modified Cognitive Behavioral Therapy techniques.
  • Treatment planning focused on antecedent, behavior, and consequence.
• Assessment Services:
  • Conduct diagnostic interviews and observations.
  • Consider differential diagnoses (e.g., ADHD, disruptive behaviors, Intellectual Disability).
  • Complete comprehensive evaluations when appropriate (e.g., IQ testing, adaptive skills, structured interviews).

Intern Time Breakdown:
• 2.5 days per week for 12-months in the CSATC, two days per week in elective rotations, and a half day per week in didactics.
• Average of two diagnostic assessments and one comprehensive assessment per week.
• Average of five therapy patient slots per week (average caseload of 12-15 therapy patients at a time).

Additional Intern Opportunities: In addition to the above experiences, the intern in the Autism Track will also receive Crisis Prevention Intervention Training, ADOS-2 training through an ADOS-2 Clinical Workshop, exposure to the ADOS-2 administrations and scoring, and the opportunity to do case presentations. There is also opportunities for Interns to advance their scholarly development within the Autism Track through optional work on case studies, chart reviews, journal reviews, book chapter and manuscript preparation, as well as poster presentations at regional and national conferences. The CSATC also provides a one-year Post-Doctoral Fellowship in Autism. This fellowship program includes extensive standardized testing experience with ADOS-2 clinical reliability, behavioral interventions and parent training, contact hours and supervision necessary for licensure, and the opportunity to supervise practicum students and interns.

Supervisors: Ann Lagges, PhD, HSPP, ABPP, Noha Minshawi, PhD, HSPP, and Gabriela Rodriguez, PhD, HSPP

The Child/Autism Track intern will spend 1-1/2 days per week for each of the 6-month rotations training with Dr. Minshawi in the Autism Spectrum and Developmental Disorders Clinic which is a comprehensive, hospital-based and university-affiliated treatment center engaging in clinical care, research, education and outreach activities in the state of Indiana. Friday mornings are typically paperwork/administrative time, but may also include group telesupervision. We are actively serving over 800 individuals with Autism Spectrum Disorders (ASD) and other neurodevelopmental disabilities (NDD) of all abilities and developmental levels. The Autism Spectrum and Developmental Disorders Clinic and our corresponding internship program is unique in that we provide both diagnostic evaluations and treatment services. Interns receive extensive training and supervision in both the assessment of ASD and other NDDs, as well behavioral interventions grounded in Applied Behavior Analysis and Cognitive Behavioral Therapy. Child/Autism Track interns will have exposure to all experiences in the Autism Track, but with less intensity due to more diverse experiences.

During Core rotation A, the intern will spend one day per week with Dr. Lagges (Mondays or Wednesdays) in the In the Tics, Anxiety and Compulsions (TAC) clinic. The intern will gain experience working with children, adolescents and their families presenting with primary diagnoses of OCD, Tourette’s Disorder and other tic disorders, as well as other anxiety disorders including selective mutism. Treatment will include Exposure and Response Prevention (ERP) for OCD and Comprehensive Behavioral Intervention for Tourette’s (CBIT) as well as other evidence-based interventions as appropriate. The clinic is multidisciplinary in nature which allows patients to receive therapy and medication management services at the same visit. The team, including a psychologist, psychiatrist, psychiatric residents, psychology interns and psychology practicum students will meet prior to the afternoon clinic to discuss patients. 

During Core rotation B, the intern will spend one day per week (Wednesdays) with Dr. Rodriguez in the Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic. Interns will primarily gain experience in providing therapy, specifically evidence-based treatment of ADHD and disruptive behavior disorders. Patients present with primary diagnoses including ADHD and/or ODD. Patient ages typically range from 4 – 16 years. Treatment approach is most often behavioral parent training to manage disruptive behaviors, typically using the Modular Approach to Therapy for Children (MATCH-ADTC) manual. Given the presenting problems of many of our patients, collaboration with schools and primary care providers is common. 

Training Supervisors: Liz Begyn, PhD, HSPP, ABPP-CN, Jana Chan, PhD, HSSP, Kathleen Kingery, PhD, HSPP, and Sarah Koch, PhD, HSPP
Other agency/institution supervisor:  Brenna McDonald, PsyD, HSPP, ABPP-CN
​

Structure of Track:
The pediatric neuropsychology track intern completes two 6-month core rotations in pediatric neuropsychology. This amounts to 50 percent of their overall training time in pediatric neuropsychology, consistent with the Taxonomy for Education and Training in Clinical Neuropsychology as well as the training guidelines provided by the Houston Conference to qualify as a Major Area of Study in neuropsychology. The overarching goal of this track is to prepare interns for a competitive post-doctoral fellowship in pediatric neuropsychology, future board certification in clinical neuropsychology, and leadership in the field. This is accomplished through a diverse range of clinical activities, supervision, and didactics. 

Outpatient Assessment:
The Neuropsychology Intern receives advanced training in neuropsychological assessment of children and adolescents with medical conditions that carry associated cognitive sequelae. Our clinic is located in the Neuroscience Center and is the only pediatric neuropsychology service housed within an academic medical center in the state of Indiana. As such, patients seen in our clinic are required to have a documented medical history with implications for neurological and cognitive development. Patients range in age but are typically between 4-18. Common populations include brain tumor, leukemia, epilepsy, concussion, moderate-severe traumatic brain injury, brain infection, myelomeningocele, cardiac disease, sickle cell disease, and genetic syndromes. 

Evaluations are conducted in a same-day model, with interview, testing, supervision, case conceptualization, and feedback happening in the same day-long appointment. The Neuropsychology Intern participates in every aspect of the evaluation, with increasing independence over time. In preparation for fellowship and eventual independent practice, the goal is for the Neuropsychology Intern to take the clinical lead in two outpatient cases per week. We employ 5 full-time technicians who provide testing/scoring support to meet this goal. Our service utilizes a standardized report format with approximately 5-6 pages of text followed by a score table appendix. 

Multidisciplinary Clinical Activities:

• Outpatient Medical Clinic Consultation-Liaison
  Outpatient medical clinics provide multidisciplinary care at Riley Hospital for Children at IU Health. The Neuropsychology Intern provides year-long consultation services in the Neuro-Oncology Multidisciplinary Clinic at Riley Hospital for Children. This clinic provides interdisciplinary care to medically and psychosocially complex brain tumor patients. The Neuropsychology Intern is also provided with preferential consideration for the 6-month elective rotation in Inpatient/Outpatient Rehabilitation, which includes clinical consultation in the TBI Clinic as well as the Spina Bifida Clinic (see description). 
  
  
• Multidisciplinary Team Conferences/Boards
  The Neuropsychology Intern is invited to participate in Tumor Board and Epilepsy Surgery Conference. The Tumor Board team includes neuro-oncology, radiology, neurosurgery, and neuropsychology. Tumor Board meets weekly to confer on diagnosis and treatment approaches for pediatric brain tumor patients. The Epilepsy Surgery Conference team includes neurology, radiology, neurosurgery, and neuropsychology. Epilepsy Surgery Conference occurs bimonthly to confer on a surgical plan for pediatric patients with intractable epilepsy.
  
  
• Inpatient Consultation
  The Neuropsychology Intern provides year-long consultation on the inpatient rehabilitation unit at Riley Hospital for Children. Consultation activities include providing psychoeducation on brain injury, conducting abbreviated bedside evaluations prior to discharge, and coordinating on a plan of care for discharge through school re-entry meetings and interdisciplinary consultation. Typical patient populations seen on the inpatient rehabilitation unit include severe traumatic brain injury, anoxic/hypoxic brain injury, stroke, brain tumor, meningitis/encephalitis, and non-accidental trauma. 

Emerging Specialization:
The goal of internship is to provide breadth training and strengthen the foundation in general practice in pediatric neuropsychology. Through outpatient evaluation and the ancillary clinical activities included in this track, the Neuropsychology Intern will also gain emerging specialization with three populations: neuro-oncology, epilepsy surgery, and inpatient rehabilitation. 

Supervision and Didactics:
Individual supervision is provided by the pediatric neuropsychology faculty listed above. Group supervision occurs weekly for inpatient rehabilitation activities and includes learners at all stages from various disciplines, including psychology. Group supervision is also provided for Tumor Board, Epilepsy Surgery Conference, and Multidisciplinary Neuro-Oncology Clinic. In addition to receiving supervision, the Neuropsychology Intern may have opportunities to provide supervision of junior trainees in a vertical model. 

Didactics specific to pediatric neuropsychology occur bi-monthly. There is a faculty-led didactic component where topics relevant to the practice of pediatric neuropsychology are formally presented and discussed. There is also a case conference/group supervision component where specific cases are presented to discuss clinical, professional, and ethical issues. Through this didactic, the Neuropsychology Intern also practices ABPP-style fact findings. 

Diversity and Inclusion:
Our service is committed to the principles of diversity, equity, inclusion, and justice. The Neuropsychology Intern is invited to participate in our section’s Cultural Humility Seminar, which is a monthly journal club and didactic presentation in DEIJ issues that are specific to the assessment and the field of neuropsychology. The Neuropsychology Intern is also invited to be a member of the DEIJ Committee of the Section of Neurology and contribute to their monthly newsletter.

Research:
The focus of research efforts during internship should be on dissertation completion and defense. If the Neuropsychology Intern has additional bandwidth, they may elect to contribute to ongoing research projects helmed by faculty or post-doctoral fellows. Other research activities embedded within the track include literature searches conducted in preparation for clinical case supervision or case presentations and opportunities to co-review journal articles submitted for publication.

Supervisors: Zack Adams, PhD, HSPP, Amanda Broderick, PhD, HSPP, and Allyson Dir, PhD, HSPP

While more than 40 million people in the U.S. had a substance use disorder (SUD) in the last year, only 10 percent of people with SUDs received any substance use treatment. One barrier to care is a lack of providers with specialized training in clinical management of SUDs and related disorders. Therefore, the primary goal of the Addiction core rotation is to train psychology interns in best practice, evidence-based practices for assessment and treatment of substance use and SUDs in adolescents and adults.

Interns in the Addiction track will complete two core rotations in adolescent and adult substance use clinical service settings (i.e., 2.5 days per week for 12 months). Tuesday and Thursdays will be full days in person in clinic and Friday mornings will typically be time for paperwork, administrative tasks or work on scholarly products, but may at times be used for rescheduled supervision or a virtual patient visit. The balance of time between the adolescent and adult services will be determined based on intern goals and preferences, as well as supervisor capacity within each of the clinics over the training year. Opportunities for scholarly work such as case studies, journal reviews, and manuscript preparation are also available and interns will be invited to participate in pertinent campus and departmental learning series (e.g., Addiction Psychiatry Symposium).

Adolescent Services: The primary site for work with adolescents and families will be the Adolescent Dual Diagnosis Clinic in the Riley Child & Adolescent Outpatient Psychiatry Clinic. Interns will join an established treatment team and gain experience working with adolescents and their families in the evaluation and treatment of co-occurring substance use and mental health disorders. Interns will be trained in delivery of ENCOMPASS, an integrated, evidence-based treatment model that involves standardized diagnostic assessment, motivational interviewing (MI), cognitive behavioral therapy (CBT), contingency management and family sessions. Interns also will be trained in brief interventions for mild to moderate substance use. Youth receive both therapy and medication management through this clinic, and interns will have opportunities to interact and coordinate care with an interdisciplinary team of psychiatrists, psychologists, nurse practitioners, social workers, psychiatric residents, graduate students, and medical students in this rotation. Interns will attend team meetings and weekly supervision.

Adult Services: The primary sites for work with adults in this rotation will be the Addiction Treatment & Recovery Center at IU Health Methodist Hospital and the Outpatient Addictions Clinic at Goodman Hall. Interns will gain experience in conducting substance use assessments for adults and determining appropriate level of care, as well as in delivering group and individual therapy to adults with a range of substance use disorders and across varying levels of severity. In addition to training in evidence-based practice for substance use treatment, individuals will also gain experience in working with a multidisciplinary team in a hospital-based setting and outpatient clinic. Interns will attend team meetings and weekly supervision.

Supervisor: Yelena Chernyak, PhD, HSPP

This rotation is a full day per week and is available only on Tuesdays and can accommodate up to two interns as an elective per rotation. The intern will participate in an adult behavioral sleep medicine clinic in the IU Health Adult Outpatient Psychiatry Clinic in collaboration with the IU Sleep Disorders Center the under supervision of a psychologist with board certification in behavioral sleep medicine. The intern will provide assessment and treatment services to adults ages 18+ for sleep related presenting problems including insomnia, hypersomnia, circadian rhythm disorders, narcolepsy, anxiety disorders, and noncompliance with medical treatments such as CPAP for sleep apnea as well as possible coexisting psychiatric disorders. Skills training, education, and structured learning experiences (e.g. readings, webinars) will be provided to develop skills and knowledge in behavioral sleep medicine respective to intern experience. Initially the intern will shadow the supervising psychologist and then gradually provide more services independently. Treatments are typically short-term (4-8 sessions), are highly focused and specific to sleep problems, and have a strong basis in cognitive-behavioral psychology. Previous experience in behavioral sleep medicine is desirable but not required. 

Supervisor: Tori Powers, PhD, HSPP and Kendra Hinton-Froese, PhD, HSPP

This rotation is available for up to two interns per rotation (Core plus elective) on Wednesdays with Dr. Hinton-Froese and Thursdays with Dr. Powers. Please note: Dr. Hinton-Froese can only accommodate two interns total per rotation on Wednesdays across this and the Post-ICU Recovery Clinic. Interns will provide evidence-based psychotherapy (this includes conducting a clinical interview and diagnostic assessment) that has been individualized to each patient’s needs. Interns will gain experience incorporating social factors (e.g., racism, sexism, loss of status, violence, disability, socioeconomic status) into their diagnostic assessments and in determining appropriate treatment goals. Interns will have the opportunity to provide care for patients with a variety of presenting concerns, including, but not limited to ADHD; adjustment disorder; anxiety disorders, bipolar and related disorders; depressive disorders; obsessive-compulsive and related disorders; and trauma-and stressor-related disorders. Many patients’ presentations are complex. Interns will gain experience with a variety of modalities such as Acceptance and Commitment Therapy, Cognitive-Behavioral therapy, and Dialectical Behavior Therapy skills, based on the patients’ needs. A significant portion of the patients have a trauma history, and as such interns may gain experience with trauma-informed care and trauma-focused treatments such as Cognitive Processing Therapy and Prolonged Exposure. Many of the patients also present with medical comorbidities, and interns may have the opportunity to treat patients with post-intensive care syndrome (PICS). For the PICS patients there may be opportunities to participate in multidisciplinary team meetings to coordinate patient care and a monthly support group.

Supervisors: Lindsay Flegge, PhD, HSPP and Amanda Wakefield, PsyD, HSPP

Interns will gain pain psychology experience working and consulting on a multidisciplinary team in a specialty clinic performing evaluations, along with individual and group therapy. Interns will experience evaluations and interventions as part of IU Health’s Pain Rehabilitation Program, Pain Navigation Service, and Pain Psychology clinic. Interns will learn how to conduct intake assessments and intervention planning for patients with chronic pain and other health concerns, including clinical interview and administrating self-report objective questionnaires, and identify which pain psychology intervention is most appropriate. Interns will become proficient in using CBT-CP interventions; additional opportunities may include exposure to specialty pain-focused interventions, including Acceptance and Commitment Therapy (ACT), Empowered Relief^TM, hypnotherapy, Emotional Awareness and Expression Therapy (EAET), and biofeedback interventions for adults with chronic pain. Interns will develop skills in performing both in-personal and virtual interventions. This rotation can accommodate one intern per rotation on Thursdays with Dr. Flegge and one intern on Thursdays with Dr. Wakefield. 

Supervisors: Rachel Holmes, PhD, HSPP and Anahli Patel, PsyD, HSPP

This rotation is one full day per week on Mondays, Wednesdays or Thursdays and can accommodate up to three interns per rotation if another intern has not elected this rotation as a Core; if an intern has elected this as a Core, it will be available to one additional intern as an elective. Interns will have the opportunity to conduct diagnostic assessments, pre-transplant evaluations, post-transplant intervention, and provide consultation to different specialty medical teams in both an outpatient and inpatient hospital setting. There are also opportunities to participate in the transplant support groups and weekly transplant meetings for the liver, pancreas, kidney, and multi-visceral teams. The patient population is organ transplant candidates, recipients, and donors. Experience on this rotation will be partially determined by the intern’s learning objectives and prior training experience. 

Supervisor: Gabriela Rodríguez, PhD, HSPP

Please note: This rotation is an option as part of the Child/Pediatric Track Child Outpatient Core Rotation, and is part of Core Rotation B for the Child/Autism Track

The Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic is a full day per week, occurs on Wednesdays and can accommodate up to two interns total (core plus elective) per rotation. Interns will primarily gain experience in providing therapy, specifically evidence-based treatment of ADHD and disruptive behavior disorders. Patients present with primary diagnoses including ADHD and/or ODD as well as comorbid diagnoses including depressive disorders and anxiety disorders. Patient ages typically range from 4 – 16 years. Treatment approach is most often behavioral parent training to manage disruptive behaviors and cognitive-behavioral therapy to manage comorbid disorders, typically using the Modular Approach to Therapy for Children (MATCH-ADTC) manual. Given the presenting problems of many of our patients, collaboration with schools and primary care providers is common. 

Supervisor: Ann Lagges, PhD, HSPP, ABPP and Allison Meyer PHD, HSPP

Please note: This rotation is an option as part of the Child/Pediatric Track Child Outpatient Core Rotation, and is part of Core Rotation A for the Child/Autism Track

This rotation is a full day per week and occurs on Mondays with Dr. Lagges or Dr. Meyer and Wednesdays with Dr. Lagges. The rotation can accommodate up to 4 interns total (core plus elective) on Mondays, and 3 on Wednesdays during each rotation. Interns will gain experience working with children, adolescents and their families presenting with primary diagnoses of OCD, Tourette’s Disorder and other tic disorders, as well as other anxiety disorders. Treatment will include ERP for OCD and Comprehensive Behavioral Intervention for Tourette’s (CBIT) as well as other evidence-based interventions as appropriate. The clinic is multidisciplinary in nature which allows patients to receive therapy and medication management services at the same visit. The team, including a psychologist, psychiatrist, psychiatric residents, psychology interns and psychology practicum students will meet prior to the afternoon clinic on Mondays to discuss patients and engage in didactic activities with interns having the opportunity to present. Interns will most likely have the opportunity to assist in supervision of practicum students. 

Supervisor: Amanda Broderick, PhD, HSPP

This rotation occurs on Mondays and can accommodate one intern per rotation. In this rotation, interns will provide evidence-based treatments for youth (ages 5-17) who have experienced trauma and exhibit posttraumatic stress symptoms. Interns will develop skills in differential diagnosis, selection and administration of trauma and symptom assessments (e.g., CPSS-5), case conceptualization, providing treatment recommendations for complex cases, and delivery of evidence-based trauma treatments. Interns will be trained in Trauma Focused-Cognitive Behavioral Therapy (TF-CBT) and will learn how to deliver treatments to a wide range of family configurations. There may be opportunities to learn additional modalities for cases in which TF-CBT is not indicated. Interns will also gain an understanding of the child welfare system within the state of Indiana. Interns will receive weekly individual supervision and may participate in supervised supervision of practicum students.

Supervisor: Jill Fodstad, Ph.D., HSPP, BCBA-D

Offered: Wednesdays

Location: Adult Outpatient Psychiatry Clinic, Goodman Hall

Max number of interns per rotation: one

Clinic Description: The Down syndrome and Catatonia Clinic is a specialty clinic providing unique care across the lifespan of person’s with Down syndrome. Primarily focused on assisting families access care when their child has experienced a regression in functioning due to catatonia – a state of psycho-motor immobility and behavioral abnormalities most often seen in this patient population due to trauma, major life changes, early onset dementia/Alzheimer’s, or major depression – the clinic also focuses on supporting individuals who may be experiencing other co-occurring psychiatric needs impairing their functioning. Using a combined treatment approach of psychopharmacology and psychotherapy with adjunctive therapies as needed, individuals and their families are provided with a plan of care the is tailored to their needs. 

Intern Responsibilities/Opportunities: 

• Conduct individual psychoeducation and psychotherapy with families/caregivers via 45- to 60-minute outpatient therapy appointments. Types of treatment modalities that may be used include (but are not limited to) the following:

1. Modified Cognitive Behavioral Therapy
2. Parent/Caregiver Management Training
3. Individualized & Function-based, ABA-based Caregiver Training
4. Biofeedback and Relaxation Skills Training
5. Note: Interns will have the opportunity to conduct psychotherapy via telepsychology services

• Coordinate care therapeutic care with psychologist, psychiatrist, and other trainees in the clinic; as well as other providers who may be providing care to the individual
• Do co-therapy with psychiatrist or psychiatry trainees
• Conduct progress monitoring assessments as part of standardized, clinic protocol

Supervisor: Melissa Hord, PhD, HSPP

This rotation is a full day per week and occurs on Tuesdays or Wednesdays with Dr. Hord; the rotation can accommodate 1 intern on each day during each rotation. Patients typically consist of young children (ages 2-8) who are struggling with anxiety, behavioral challenges, feeding/eating difficulties, voiding issues, or a combination of these problems. Treatment emphasizes parenting skills training and live coaching of parent-child interactions, as informed by Parent-Child Interaction Therapy (PCIT), a gold standard, empirically supported treatment for disruptive behavior. The Early Childhood Clinic uses PCIT as a foundation for several treatments for a broad range of early childhood anxiety and behavioral disorders. Interns will learn the PCIT protocol and develop skills for coaching caregivers and coding both verbal and behavioral interactions that occur during sessions. Due to the length of internship rotations, interns will not be certified in PCIT; however, they will learn skills useful for all clinicians who work with children and how to apply those within the clinical setting. In addition, interns will gain experience with PCIT that will help them understand if certification is a step they wish to pursue as well as an understanding of the certification process and steps they can take to become certified.

Supervisor: Jana B. Chan, PhD HSPP

Description of Clinical Activities: The intern on this elective rotation would provide consultation services to patients admitted to the inpatient rehabilitation unit at Riley Hospital for Children at IU Health. The intern would provide brain injury education to the patient’s family, medical team, and patient (as appropriate). The intern would also be involved in helping to implement the unit-wide patient engagement program that has been designed to facilitate patient cooperation and participation in all rehab activities, including therapies and nursing cares. The intern would also be actively involved in co-treatment session with therapies to provide serial neurocognitive assessment of recovery. The intern would also provide consultation in the multidisciplinary outpatient TBI Clinic, which sees patients who have recently been discharged from the inpatient rehabilitation unit. 

Population: Patients admitted to the inpatient rehabilitation unit have experienced a decline in functioning and are deemed likely to benefit from receiving intensive therapies (occupational, physical, and speech-language therapy). Often, the medical condition that precipitated admission to the unit includes traumatic or acquired brain injury, such as traumatic brain injury, stroke, brain infection (i.e., encephalitis, meningitis, meningoencephalitis), empyema, anoxic brain injury, non-accidental trauma, and epilepsy. Other medical conditions include cerebral palsy (s/p dorsal rhizotomy), Guillain-Barre syndrome, spinal cord insult/injury, muscular dysfunction. Patients span the age range, from a few months of age to early 20s.

Site: Clinical activities will take place on the Pediatric Inpatient Rehabilitation Unit at Riley Hospital for Children at IU Health (RI3B). Intern workspace is on the first floor of the Simon Family Tower and will be a shared work space.

Days: Tuesday

Supervision Structure: Individual supervision 30 minutes weekly. Weekly one hour group supervision with Rehab Psychology/Neuropsychology team (Drs. Chan and Schwartzkopf and psychology/neuropsychology learners).

Anticipated Hours: Four direct patient contact hours per week

Supervisor: Kate Lyn Walsh, PsyD, HSPP

This rotation is offered on Thursdays at IUH North in Carmel and can accommodate one intern per rotation. A half day clinic on Tuesday mornings may also be possible, for one intern per rotation, but would include only telehealth patients and utilize telesupervision. The intern will participate in pediatric behavioral sleep medicine clinics conducted through the Section of Pulmonology, Allergy, and Sleep Medicine in the Department of Pediatrics. Under the supervision of a licensed psychologist and in collaboration with several sleep physicians, they will provide assessment and treatment services for youth ages 0-18 presenting with sleep problems. Initially the intern will shadow the supervising psychologist and then gradually provide more services independently. The intern may also make follow-up phone calls to families to discuss treatment progress and engage in structured learning experiences (e.g. webinars, readings) to develop skills and knowledge in behavioral sleep. During the second half of the rotation, the intern will take the one conducting co-therapy with patients. Treatments are typically short-term (two to four sessions), are highly focused and specific to sleep problems, and have a strong basis in cognitive-behavioral psychology. While the most frequent presenting complaint will be insomnia, treatment will also address problems such as nightmares, circadian rhythm disorders, hypersomnias, and adherence to PAP therapy for sleep apnea. In addition to developing a strong foundation and understanding of normal sleep and behavioral sleep medicine treatments, the intern will gain familiarity with actigraphy as a clinical assessment tool, observe part of an overnight polysomnogram, shadow a sleep physician in clinic, and learn to screen for medical sleep disorders. The training experience further includes opportunities to work with infants and toddlers. Previous experience in behavioral sleep medicine is desirable but not required.

Supervisor: Kelly Donahue, PhD, HSPP

This rotation occurs on Wednesdays in the Pediatric Care Center and can accommodate one intern per rotation. The intern will participate in clinical care provided as part of the Riley Gender Health Program, conducted through the Department of Pediatrics in the Division of Adolescent Medicine. The adolescent medicine clinic is located in the Pediatric Care Center. Interns will receive supervision in the provision of gender-affirming care for transgender and gender-expansive youth and young adults. Primary focus is on conducting initial assessments for new patients, providing ongoing psychological support as patients explore their gender identity or pursue gender-affirming social or medical transition, and providing psychoeducation to families and addressing caregiver concerns or misperceptions about their child’s gender identity and associated goals. 

Supervisors: Elaine Gilbert, PsyD, HSPP and Scott Wagoner, PhD, HSPP

Please note: This rotation is an option as part of the Child/Pediatric Track Pediatric Outpatient Core Rotation and Elective Rotation

This rotation is available on Mondays, Tuesdays, Wednesdays, and Thursdays with a maximum of four interns (core plus elective) per rotation. Interns may see patients in the outpatient Pediatric GI clinics at IU North, Meridian Crossing, or on the Riley campus at the Riley Outpatient Center or Pediatric Care Center. Interns will learn research informed care for children and adolescents referred by their GI physicians for a multitude of presenting concerns including nonadherence, coping with chronic medical conditions, disorders of the gut-brain interaction, pain management, encopresis, as well as comorbid attention deficit hyperactivity disorder, anxiety, and mood issues. Beyond outpatient care this rotation has the potential to involve trainees in integrated clinics including the Motility Clinic and Disorders of the Gut Brain Interaction clinic. Specialty skills that may be taught include brief assessment of patients with GI symptoms, CBT interventions for chronic medical conditions and pain management, as well as basic and advanced biofeedback skills.

Supervisor: Stephanie Hullmann, PhD, HSPP

Please note: This rotation is an option as part of the Child/Pediatric Track Pediatric Outpatient Core Rotation

This rotation is one full day per week on Mondays or Tuesdays and can accommodate up to two interns per rotation (core and elective). Interns will have the opportunity to conduct intake assessments, psychotherapy, and consultations with children and adolescents with cancer and their families. Interns may see patients in the outpatient Pediatric Hematology/Oncology clinic, infusion center, and/or inpatient medical unit at Riley. Presenting problems include: adjustment disorder, anxiety, depression, behavior problems, nonadherence, symptom management, and end-of-life issues. Treatment is primarily cognitive-behavioral. This rotation takes a developmental approach; initially, the intern will shadow the supervising psychologist and gradually gain more independence. There may also be opportunities to attend weekly interdisciplinary team meetings in which the interns may collaborate with Pediatric Hematology/Oncology medical and psychosocial staff. 

Supervisor: Bill Kronenberger, PhD, HSPP
Please note: This rotation is an option as part of the Child/Pediatric Track Child Outpatient Core Rotation, and so if it is elected as part of that core rotation by two Child/Pediatric Track interns, it will not be available as an elective.  

This rotation is a full day per week and is only available on Thursdays; this rotation can accommodate one intern per rotation including Child-Pediatric Track interns who elect this as part of a core rotation and so may not be available as an elective to interns from other tracks. Psychological testing is conducted two or three days per month, with one patient per day. Contact hours average 6-8 hours per child. Approximately 90 percent of testing cases involve evaluation of cognitive abilities (intelligence, achievement, memory, executive functioning, etc.), and 10 percent of testing cases involve personality testing (projective and/or objective). The other one or two days per month are used for didactics, additional supervision, learning new tests, test interpretation, and review of results. The intern is responsible for some test administration but will primarily provide supervised supervision of a graduate student administering tests, behavior observation, and test interpretation; there is no report-writing. Supervision is provided by live observation of test administration, individual meetings focusing on test interpretation, and didactics covering major topics.

Supervisor: Julia LaMotte, PhD HSPP

The intern will participate in a full-day rotation (Thursday) in the pediatric comprehensive Sickle Cell Disease (SCD). The rotation can accommodate one intern per rotation. Interns will gain experience providing brief interventions in the context of an interdisciplinary outpatient medical clinic for youth ages 0-22. Presenting problems include coping with medical condition, pain, challenges adhering to the medical regimen, internalizing symptoms, developmental delays, sleep hygiene, behavior problems, and executive functioning concerns. Interns will learn how to effectively communicate and collaborate across disciplines. Medical team includes pediatric hematologist & advanced practice provider, nurse coordinator, transition nurse navigator, social work, education liaison, neurologist, pulmonologist, research coordinators, and medical assistants. While most services are provided alongside medical appointments, the intern may have the opportunity to follow patients in the infusion center and/or inpatient medical unit depending on clinic cadence. Interns interested in health equity and literacy are strongly encouraged to consider this rotation. This rotation generally takes a developmental approach such that the intern will shadow the supervising psychologist and gradually gain more independence and can be tailored based on intern’s past experiences.

Supervisor: Julia LaMotte, PhD HSPP

The intern will participate in a full-day rotation (Monday) in the pediatric comprehensive Sickle Cell Disease (SCD) Neurocognitive Screening Clinic; the rotation can accommodate one intern per rotation. The testing model is based on protocols developed by colleagues at Children’s Hospital of Wisconsin and Children’s National, and is designed to serve as a longitudinal screener for neurocognitive changes in pediatric patients with SCD. Screening timepoints are at ages 4, 6-7, 11-12, and 15-16. Interns will gain experience with test administration, interpretation, and developing recommendations in an abbreviated manner to better serve the patient population and their needs. Typical schedule includes two testing patients (approximately 1.5-2 hours) with adequate report writing time. Patients are also seen by their SCD medical provider on day of testing, therefore opportunities to provide care coordination through interdisciplinary care will be a key aspect of the rotation. Additional opportunities to provide brief health & behavior interventions both in the outpatient clinic and during inpatient admissions may present as schedule allows (e.g., patient cancellations). Interns interested in health equity are strongly encouraged to consider this rotation. This rotation generally takes a developmental approach such that the intern will shadow the supervising psychologist and gradually gain more independence and can be tailored based on intern’s past experiences. 

Supervisor: Kendra Hinton-Froese PhD, HSPP

This rotation is available for up to two interns per rotation on Wednesdays. Please note: Dr. Hinton-Froese can only accommodate two interns total per rotation on Wednesdays across this and the Adult Outpatient Clinic. The PIRC serves patients who have been hospitalized and are experiencing psychological sequelae after being discharged. Patients are hospitalized for a range of reasons such as a COVID-19 infection, sepsis, trauma, or respiratory failure. Interns rotating in this clinic may also have opportunities to diversify their caseload by treating patients who did not have an ICU stay but who are managing complex medical comorbidities. Interns will provide evidence-based psychotherapy (this includes conducting a clinical interview and diagnostic assessment) that has been individualized to each patient’s needs. Interns will gain experience incorporating social factors (e.g., racism, sexism, loss of status, violence, disability, socioeconomic status) into their diagnostic assessments and in determining appropriate treatment goals. Interns will have the opportunity to provide care for patients with a variety of presenting concerns, including, but not limited to ADHD; adjustment disorder; anxiety disorders, bipolar and related disorders; depressive disorders; obsessive-compulsive and related disorders; and trauma-and stressor-related disorders. Interns will gain experience with a variety of modalities such as Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, and Dialectical Behavior Therapy skills, based on the patients’ needs. A significant portion of the patients have a trauma history, and as such interns may gain experience with trauma-informed care and trauma-focused treatments such as Cognitive Processing Therapy and Prolonged Exposure. Interns may also gain experience consulting with multidisciplinary team members.

Supervisor: Amy Williams, PhD, HSPP, ABPP

Please note: This rotation is an option as part of the Child/Pediatric Track Pediatric Outpatient Core Rotation

This rotation is a full day per week on Tuesdays or Thursdays, and can accommodate up to two interns per day per rotation total (core plus elective). Interns will gain experience in assessment and treatment of pediatric patients with chronic pain who present to the Riley Pain Center. Treatment involves CBT for chronic pain (and other evidence based interventions) and exposure to biofeedback (may be limited due to continued virtual care). The pain center is an interdisciplinary treatment team comprised of pediatric anesthesiologists, a physician assistant, pediatric psychologists, a pediatric psychology fellow, and physical therapists. Interns may have the opportunity to gain experience in supervision of practicum students. 

Supervisor: Michelle L. Miller, PhD, HSPP

In the Traumatic Stress Clinic rotation, interns will first be trained in the delivery of evidence-based treatments for treatment of posttraumatic stress disorder (PTSD), specifically Cognitive Processing Therapy (CPT) and Narrative Exposure Therapy (NET); trainees will also receive an overview of Prolonged Exposure (PE) and Acceptance and Commitment Therapy (ACT) for PTSD. Participants will be trained in how to assess PTSD through use of the CAPS-5 and PCL-5. Interns will have the opportunity to receive training and clinical hours in the assessment and treatment of perinatal traumatic stress, which targets PTSD symptoms (and associated mental health sequalae) during pregnancy and the first two years postpartum. Interns will see outpatient PTSD cases through Goodman Hall using a variety of modalities as well as will conduct brief NET with pregnant and postpartum women. Skills training and ongoing learning experiences (e.g. readings, webinars) will be provided and matched on level of intern experience. Interns will attend weekly individual supervision sessions as well as group supervision with advanced practicum students; opportunities for conducting supervision available. Opportunities for scholarly work (e.g., scholarly articles for publication, submitting abstracts for conferences) may also be available. This rotation is available on Tuesdays and Thursdays for up to one intern per day per rotation.