Doctoral Internship Clinical Activities

Time allocations and responsibilities are approximate and may vary according to agency need.

Initial Consultation and Additional Assessment
Interns are assigned a schedule of brief initial consultation, as well as initial assessment appointments. Initial Consultation is for assessing presenting concerns and risk factors to determine the next step, which includes Additional Assessment. Via Additional Assessment clinicians assess risk factors, presenting concerns and relevant history, make ICD-10/DSM-5 diagnoses, provide preliminary case conceptualizations, and create treatment plans.

Clinical Crisis Intervention
Interns provide daytime crisis intervention services during shifts as Counselor on Duty (COD) or Emergency Clinician. Interns are typically assigned 4.5 hours of such shifts during the week. In these roles, interns provide clinical consultation to parents, faculty and staff in addition to assessing clients in crisis. Interns also provide crisis intervention services by providing after-hours consultation and on-site response to residence halls in case of mental health emergencies. After-hours response is provided in teams of two. Initially interns serve as the backup clinician, and later in the year may have the opportunity to take a more lead role in after-hours crisis response as front clinician.

Individual Counseling
ASU CS engages in focused therapy with clients, which is typically brief (3-12 sessions) but not specifically time limited. Supervisors encourage interns to work with clients representing all aspects of diversity (e.g., culture, ethnicity, sexual orientation, SES, ability, spirituality, and gender). As part of their individual therapy, interns develop case conceptualizations, clarify treatment goals, and evaluate treatment efficacy by integrating scholarly knowledge and empirically supported treatment.

Couple’s Counseling
Interns are expected to see at least two couples throughout the course of their internship training.  Training on how to do couple’s counseling is provided. Interns conduct co-therapy with a senior staff clinician for the first couple they see. Interns conduct couple’s therapy alone under the supervision of their supervisor for the couples they see after completing the co-therapy work.

Group Counseling
Interns are expected to co-lead one to two therapy groups during the internship, co-leading with a clinical supervisor. If approved by the Training Director and Clinical Supervisor, interns could contract to co-lead a group with another trainee after at least one semester of co-facilitating a therapy group.

Outreach and Psychoeducational Programming
Interns are required to regularly participate in outreach presentations and university events as representatives of ASU CS during the internship year. In many cases, interns are able to choose presentation opportunities of interest to them. Outreach opportunities vary from year to year, but some typical events have included: ASU orientation and information fairs, Tunnel of Tolerance, Finals Breakfast, and psychoeducational presentations to students in residence halls, classes, and organizations. Some programming might be scheduled during evening or weekend hours.

Supervision
Interns supervise advanced practicum students during the spring semester. While interns are expected to have some previous training in supervision, they receive further training in the provision of supervision consistent with the developmental-practitioner model of the agency. Interns video record all supervisory sessions, using the videos to receive feedback from supervisors. Interns provide formal evaluations of supervisee clinical performance, participate in ASU CS Supervisors/Trainers meetings, and write a sample reference letter.

Consultation
Interns can participate in the consultation activities to help other ASU staff and faculty, student groups, and community member meet their need. For this consultation work, interns are paired with a senior staff, who can provide supervision on their consultation work.

Health Services Summer Rotation
Interns will have an opportunity to learn how to work at a medical setting with primary care providers by a psychological consultant by spending 4 hours per week over several weeks in the summer at the ASU Health Services (HS). Interns will be supervised by a licensed psychologist at ASU Health Services for their HS rotation experiences.

On-Call
ASU CS provides services to the students in crisis after business hours and during the weekends and holidays through an on-call service system. CS clinical staff takes turn to cover the on-call duties and interns will have an opportunity to be part of the on-call team. Interns will shadow the front on-call clinicians during the fall semester, and they cover the on-call duty as front on-call clinician for a few weeks total in the spring and summer. The front on-call clinicians are supported by the on-call administrators, who provides support and guidance to the front on-call clinicians.