Rotations and Training

A 12-month long program, the Psychology Internship at Indiana University School of Medicine begins on the first working day of July and continues through the last working day of the following June. The training year is structured into two, six-month core rotations (two-and-a-half days per week), which are determined by track.

Clinical Experience

To ensure breadth of training, interns are expected to complete at least one core or elective rotation in a traditional psychology clinic setting as well as one core or elective in a behavioral medicine setting. Psychology Interns are also required to complete at least one core or elective rotation with an adult population and at least one core or elective rotation with a child-adolescent population. Interns must also complete two days of elective rotations per week during each of the six month rotations. Specific elective rotations are selected via post-match discussion between each intern and the training director based on the intern’s interests and training goals.

Please note: due to the uncertain course and duration of the COVID-19 pandemic, clinical experiences for the 2021-2022 training year may include a fluctuating mix of in-person and telehealth experiences.

Didactics

In addition to the core rotations and elective rotations, interns attend a series of weekly didactics presented on a wide variety of topics. These didactics take place on Fridays (1-4 pm). All interns also attend Director’s Conference weekly on Fridays (12-12:45 pm), just prior to didactics. This is an opportunity for interns to have regularly scheduled time with the director of training and/ or the assistant directors of training.

Interns also attend the Psychiatry Department Grand Rounds on Fridays (11 am – 12 pm, September through May). Interns must attend at least 75 percent of the Grand Rounds, or they are asked to make up missing sessions by viewing recorded sessions.

Interns have the opportunity to schedule Quarterly Educational Seminars (QES) and are encouraged to develop full-day workshops, which need to include at least six hours of educational activity in areas of interest specific to the intern class. The interns, coordinated by the chief intern, can select a topic from a list of available programs or create their own seminar. These seminars are to be conducted four times a year, once per quarter. One QES is done in the memory of Robert Ten Eyck, who supervised Psychology interns for many years. Funds are available for food and other seminar activities.

Due to the uncertain course and duration of the COVID-19 pandemic, didcactics may involve a mix of virtual and in-person activities over the course of the 2021-2022 training year.

Core Rotations

Rotation schedules are established during the spring prior to the start of the internship taking into account each intern’s training goals. Incoming interns, program leaders and supervisors work collaboratively to determine the best combination of rotations for each intern. Psychology interns train at clinical facilities in Indianapolis, including the IU Neuroscience Center/ Goodman Hall, Riley Hospital for Children at IU Health, the Pediatric Care Center (a Riley Hospital for Children/ IU Health facility), IU Health University Hospital clinics, IU Health North-Meridian Crossing and IU Health Primary Care clinics.

Adult Health Psychology

Please note: The Adult Health Psychology Track intern will be supervised for six months by Yelena Chernyak, PhD, HSPP and six months by Danielle Henderson, PhD, HSPP.

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) a half and full day on a Monday or Thursday (Heart/Lung Clinic). Interns completing this rotation will also be offered priority in completing the psychosocial oncology elective at the IU Simon Comprehensive Cancer Center concurrently, also supervised by Dr. Chernyak on Wednesday.

Supervisor: Danielle Henderson, PhD, HSPP

This core rotation gives interns the opportunity to provide psychological services to diverse clinical populations in a variety of settings – adult outpatient, integrated care (through CHOICE), and pain management. Locations for this rotation include IU Health University Hospital, IU Methodist Family Practice Center, and the IU Health Adult Outpatient Psychiatry Clinic and Study Center at the IU Health Neuroscience Center. Interns will enhance their skills in conducting assessments and consultations and in providing individual psychotherapy primarily utilizing CBT/ACT and other empirically supported interventions. Interns will also gain experience in providing psychosocial support and bolstering patients’ efforts to modify behaviors, build coping skills, and manage symptoms. The 2-1/2 days/week of this Core rotation must include a full day on Tuesdays (CHOICE); a full day on Thursday (AOC); and a half-day on either Monday or Wednesday (Advanced Pain Therapies Clinic).
Autism

Supervisors: Noha Minshawi-Patterson, PhD

The Christian Sarkine Autism Treatment Center (CSATC) 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 CSATC 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.

Who We Serve: The CSATC 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 CSATC 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:
Intern Time Breakdown:
• 2.5 days per week for 12-months in the CSATC, 2 days per week in elective rotations, 0.5 days per week in didactics
• Average of 2 diagnostic assessments and 1 comprehensive assessment per week
• Average of 5 therapy patient slots per week (average caseload of 12-15 therapy patients at a time)
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 & observations
• Consider differential diagnoses (e.g., ADHD, disruptive behaviors, Intellectual Disability)
• Complete comprehensive evaluations when appropriate (e.g., IQ testing, adaptive skills, structured interviews)
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 are also opportunities for the Intern 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.
Child and Adolescent Consultation Liaison Service

Supervisors: Hillary Blake, PsyD and Amy Williams, PhD

The Riley Pediatric Consultation and Liaison Services offers inpatient mental health services hospital-wide. Consultation requests are received from various services including Hematology/ Oncology, Rehabilitation, Gastroenterology, Neurology, Pulmonology, Neurosurgery, General Surgery, Developmental Pediatrics, Critical Care, Endocrinology, Emergency Medicine, Hospitalist and Adolescent services and the burn unit. This service also consults for various acute psychiatric emergencies in the outpatient pediatric specialty clinics. Psychology interns will be involved in consultation requests involving diagnostic assessment, pain management, behavioral interventions, family conflict, coping with chronic or terminal illness, feeding issues, pre- and post-transplant evaluations, somatoform disorders, altered mental status and psychosis and overdose/ ingestion cases. Interns will carry an average of two to six cases per day, including new initial assessments and follow-up therapeutic interventions. The Pediatric Consultation and Liaison team is a multidisciplinary team which includes a full-time psychologist, psychiatrist, and two social workers. In addition, the intern will have the opportunity to work with psychiatry and triple board residents and medical students. Opportunities for supervision of medical students are available.
Child and Adolescent Outpatient Clinic

Supervisors: Bill Kronenberger, PhD, HSPP, Ann Lagges, PhD, HSPP, ABPP and Gabriela Rodriguez, 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), TAC (Tics, Anxiety and Compulsions) Clinic (full or half day Mondays), Mood/Tics, Anxiety and Compulsions (TAC) Clinic (full or half day Wednesdays) and the Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic (full day Mondays)

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% of cases) . The intern is responsible for some test administration, behavior observation and test interpretation.

In the Mood/Tics, Anxiety and Compulsions (TAC) clinic, interns will gain experience in working as part of a tiered psychology team, which includes practicum students, to provide the Evidence Based Practice of Psychology as applied to pediatric mood and anxiety disorders as well as OCD and tic disorders. This may include use of ESTs, but the majority of the time, due to the complex nature of patients presenting to the clinic, will involve making use of the best available research to develop individualized treatment plans for each patient and family.

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. The team, including a psychologist, psychiatrist, psychiatric residents, psychology interns and psychology practicum students will meet prior to the afternoon clinic to discuss patients.

In the Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic, interns will gain experience in 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. Experiences include diagnostic assessments and therapy. Given the presenting problems of many of our patients, collaboration with schools and primary care providers is common. Interns will shadow the supervising psychologist initially and will gradually provide more services independently.
Integrated Care CHOICE Program

Supervisors: Lezlie Blackford, PhD, Melissa Butler, PhD, Danielle Henderson, PhD, Sarah Landsberger, PhD, Gabriela M. Rodriguez, PhD, Jenifer Vohs, PhD, Ryan Harris, MD, Amber Hunt, DO and Rachel Yoder, MD

The Changing Health Outcomes through Integrated Care Excellence (CHOICE) program is an integrated care program providing specialized behavioral health services in primary care adult and pediatric clinics. The CHOICE program strives to improve patient health and access to mental and behavioral health services through the integration of psychologists and psychiatrists into primary care practices. The CHOICE program is currently located at three separate IU Health locations: IU Health Methodist Family Medicine Center, Georgetown Medical Plaza and the Riley General Pediatric Clinic located in the Pediatric Care Center.

Interns on this rotation will become a part of the CHOICE team at at least one of the three CHOICE program locations. Depending on the intern’s interests and supervisor availability, interns may choose to split their core rotation between two CHOICE locations. CHOICE teams are comprised of psychologists, psychiatrists, psychiatry residents and psychology interns. Interns will spend approximately 50 percent of their time in scheduled face-to-face therapy sessions and diagnostic evaluations with patients referred by primary care physicians and pediatricians. During the other 50 percent of their time, interns will be available along with other CHOICE team members for consultations and “warm-hand offs” from primary care physicians and pediatricians. Many referrals tend to be for common psychiatric conditions, such as depression and anxiety, however a number of referrals also deal with adjustment difficulties, health behavior change (including management of chronic health conditions) and more severe forms of mental illness. Pediatric referrals tend to focus on depression, anxiety, and behavioral and developmental problems. Interns will use evidence-based practice methodology to provide appropriate evaluation and treatment for patients seen in these settings.
Pediatric Neuropsychology Clinic

Training Supervisors: Liz Begyn, PhD, HSPP, ABPP-CN, Rachel Jensen, PsyD., HSPP and Jana Dykstra, PhD, HSPP
Other agency/institution supervisors: Kathleen Kingery, PhD, HSPP and Brenna McDonald, PsyD, HSPP, ABPP-CN

The pediatric neuropsychology track intern completes two core rotations in pediatric neuropsychology, designed to provide advanced training in neuropsychological assessment of children and adolescents with major medical conditions and associated cognitive sequelae. The goal of this track is to prepare interns for future board certification in clinical neuropsychology, as well as for leadership in the field, and this is accomplished through diverse clinical activities and didactics. Clinical activities include outpatient neuropsychological assessment, inpatient consultation on the rehabilitation unit, and consultation in multidisciplinary medical clinics. The intern will spend 50% of their overall training time in clinical neuropsychology, consistent with the Taxonomy for Education and Training in Clinical Neuropsychology

Outpatient neuropsychological assessment is the primary clinical focus and takes place in the outpatient pediatric neuropsychology clinic, which serves patients ages four years through college with major medical conditions (most commonly brain tumor, leukemia, epilepsy, concussion, traumatic brain injury, and genetic syndromes). Evaluations are conducted in one day, including interview, testing and feedback, and interns participate in all aspects of the evaluation, with a developmental approach of increasing contribution throughout training. In addition to outpatient service, the intern will also collaborate with the pediatric neuropsychology fellow on the inpatient rehabilitation unit, join pediatric epilepsy surgery conference, and attend neuro-oncology multidisciplinary clinic and radiology conference (tumor board). There may be opportunities to participate in other multidisciplinary clinics as well. Neuropsychology-specific didactics include the neuropsychology series, which comprises lectures and fact findings in preparation for board certification, as well as the pediatric neuropsychology seminar. Interns also have the opportunity to observe a functional magnetic resonance imaging (fMRI) evaluation, to further enhance exposure to the specialty of pre-surgical epilepsy evaluation. In addition to experience with a wide range of medical conditions, the intern will gain emerging specialization with specific medical populations, including neuro-oncology, epilepsy (with emphasis on pre-surgical), and TBI, through focused didactics, multi-disciplinary experiences, and clinical activities.

Our clinical neuropsychology program is home to a vibrant learning community, which also includes pediatric and adult neuropsychology fellows and externs from local doctoral clinical neuropsychology programs. The majority of this rotation takes place at the IU Health Neuroscience Center/Goodman Hall, with additional opportunities at Riley Hospital for Children
Pediatric Outpatient

Supervisors: Elaine Gilbert, PsyD, HSPP, Stephanie Hullmann, 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.

Elective Rotations

Adolescent Dual Diagnosis Clinic

Supervisor: Zack Adams, PhD, HSPP

This rotation may occur on one full or two half days per week. 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 (using the KSADS structured interview), motivational enhancement, cognitive behavioral therapy (CBT), contingency management and family sessions. Youth receive both therapy and medication management through this clinic, and interns will have ample opportunities to interact and coordinate care with an interdisciplinary team of psychiatrists, psychologists, psychiatric residents, social workers and medical students in this rotation. Interns will attend weekly team meetings and weekly individual supervision sessions. There may be opportunities to obtain training in delivery of services outside the conventional in-person clinic setting (e.g., school-based services; telemedicine). Opportunities for scholarly work such as didactic material development, patient handouts and scholarly articles for publication are also available.
Adult Behavioral Sleep Medicine

Supervisor: Yelena Chernyak, PhD, HSPP

This rotation is a full day per week and is available only on Tuesdays. 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 under the supervision of a psychologist with board certification in behavioral sleep medicine. The intern will provide assessment and treatment services to adults ages 18 an and over for sleep-related presenting problems including insomnia, hypersomnia, circadian rhythm disorders, narcolepsy, anxiety disorders and noncompliance with medical treatments such as continuous positive airway pressure (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 (four to eight sessions), are highly focused, specific to sleep problems and have a strong basis in cognitive-behavioral psychology. Previous experience in behavioral sleep medicine is desirable but not required.

This elective is part of the Adult Health Pscyhology Core.
Adult Outpatient

Supervisor: Danielle Henderson, PhD, HSPP

At the Adult Outpatient Clinic, interns will learn to approach psychotherapy with an understanding of how social factors (e.g., belonging, racism, sexism, loss of status, interpersonal betrayal and violence) affect mental health. That is, interns will gain experience incorporating social factors into their diagnostic assessments and in determining appropriate treatment goals. Interns will provide individual psychotherapy (this includes conducting a clinical interview and diagnostic assessment) for approximately 6 patients per day. Patients present with mood and anxiety disorders and PTSD. Interns will provide psychotherapy that is evidence-based and individualized to increase patient’s understanding of self, ability to manage symptoms, interpersonal effectiveness, and well-being. Interns will receive individual supervision and may have the opportunity provide supervision to practicum students. This rotation is available on Thursdays for both rotations and is limited to one intern each rotation.
Adult Psychosocial Oncology

Supervisor: Yelena Chernyak, PhD, HSPP

This rotation is a full day per week and is available only on Wednesdays. Outpatient psychosocial services are provided as part of the Indiana University Simon Comprehensive Cancer Center Complete Life Program. The treatment team (which consists of a psychiatrist, psychologist, social worker, dietitian and chaplain) meets on a weekly basis for rounds and staffing. Psychological services provided include individual, family and group therapy using cognitive behavioral therapy (CBT ) and other empirically-supported interventions for skills building, symptom management, behavior modification and psychosocial support.

This elective is part of the Adult Health Psychology Core.
Cardio-Pulmonary/Thoracic Transplant Psychology

Supervisor: Yelena Chernyak, PhD, HSPP

This rotation is a full day per week and occurs on Mondays and Thursdays. Specialized psychological services are provided to the Advanced Heart and Lung Care Clinic at Methodist Hospital including pre-transplant psychological evaluations, individual therapy using cognitive behavioral therapy (CBT), other empirically-supported interventions and group therapy for thoracic transplant patients. Interns will have the opportunity to work with a medically diverse clinical population, provide consultation services and interact with a multi-disciplinary medical team in a hospital-based outpatient cardiology clinic. One hour of weekly individual supervision will be provided as part of this elective rotation.

This elective is part of the Adult Health Psychology Core.
Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic

Supervisor: Gabriela Rodríguez, PhD, HSPP

This rotation is a half or full day per week and occurs on Mondays. Interns will gain experience in evidence-based treatment of attention deficit disorder (ADHD) and disruptive behavior disorders. Patients present with primary diagnoses including ADHD and/or oppositional defiant disorder (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. Experiences include diagnostic assessments and therapy. Given the presenting problems of many of patients, collaboration with schools and primary care providers is common. Interns will shadow the supervising psychologist initially and will gradually provide more services independently.

This elective is part of the Child Outpatient Core.
Adolescent Gender Health Program

Supervisor: Kelly Donahue, PhD, HSPP

The intern will participate in Gender Health clinics conducted through the Department of Pediatrics in the Division of Adolescent Medicine. This rotation is available as a full day per week. Clinics occur on Thursdays in the PCC.

Interns will receive supervision in the provision of gender-affirming care for transgender and gender expansive adolescents and young adults. This may include conducting initial assessments for new patients; ongoing supportive therapy as patients explore their gender identity or pursue gender-affirming social or medical transition; and ongoing therapy to address co-occurring depression, anxiety, etc., using primarily a cognitive behavioral approach. Interns will also gain skills in providing psychoeducation to parents and families and addressing parent concerns or misperceptions about their child’s gender identity.

On Thursday afternoons, interns will participate in multidisciplinary team visits for new patients, which include providers in medicine, psychology, social work, nursing, and nutrition. Outside of these team visits, the majority of patients seen by the psychologist are for evaluations or therapy related to gender dysphoria. Remaining patients include referrals from providers in adolescent medicine for anxiety or depression.
Child and Adolescent Mood/Tics Anxiety, and Compulsions (TAC) Clinic

Supervisor: Ann Lagges, PhD, HSPP, ABPP

This rotation is a half or full day per week and occurs on Wednesdays. Interns will gain experience in the evidence-based practice of psychology as applied to pediatric mood, anxiety, obsessive-compulsvie disorder (OCD) and tic disorders. This may include use of Erhard Seminars Training (ESTs), but the majority of the time, due to the complex nature of patients presenting to the clinic, will involve a modular approach to therapy making use of the best available research to develop individualized treatment plans for each patient and family. Experiences will include diagnostic assessments and therapy. Interns will most likely have the opportunity to assist in supervision of practicum students. Patients present with a wide range of primary diagnoses including depressive disorders, anxiety disorders, OCD and tic disorders as well as comorbid secondary diagnoses including attention deficit disorder (ADHD), oppositional defiant disorder (ODD), Autism Spectrum Disorder and intellectual disabilities. Co-occurring medical conditions and complex social situations in families are very common.

This elective is part of the Child Outpatient Core.
Child and Adolescent Tics, Anxiety and Compulsions (TAC) Clinic

Supervisor: Ann Lagges, PhD, HSPP, ABPP

This rotation is a half or full day per week and occurs on Mondays. Interns will gain experience working with children, adolescents and their families presenting with primary diagnoses of obsessive-compulsive disorder (OCD), Tourette’s Disorder and other tic disorders, as well as other anxiety disorders. Treatment will include event-related potential (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 and review relevant literature. Interns will most likely have the opportunity to assist in supervision of practicum students.

This elective is part of the Child Outpatient Core.
Down syndrome and Catatonia Clinic
Supervisors: Jill Fodstad, PhD, HSPP, BCBA-D, Cassie Karlsson, MD

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:
  - Modified Cognitive Behavioral Therapy
  - Parent/Caregiver Management Training
  - Individualized & Function-based, ABA-based Caregiver Training
  - Biofeedback and Relaxation Skills Training
  - 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
Early and Emerging Self-Injury Clinic
Supervisor: Jill Fodstad, PhD, HSPP, BCBA-D

Clinic Description: The Early and Emerging Self-Injury Clinic is a treatment-only specialty clinic providing unique care to families. The clinic is primarily focused on providing psychological evidenced-based interventions and support for families of young children (ages 1-7 years old), regardless of developmental status, who engage in self-injurious behaviors (e.g., head banging, hair pulling, face hitting, hand mouthing, rectal digging, rumination). Families are able to receive a variety of services including functional behavior assessments, brief ABA-based behavior consultations, parent/caregiver management training, coordination of care with other providers, and individualized care plans. Psychotherapy services are short-term, and referring therapeutic providers should be prepared to resume care within 6 months of treatment initiation. Families must be able to attend clinic appointments every 2-3 weeks for the duration of their care. Older children, adolescents, and adults diagnosed with developmental disabilities who engage in behavioral/psychiatric conditions impairing their functioning level will be considered on a case by case basis and based upon availability.

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:
  - Parent/Caregiver Management Training
  - Individualized & Function-based, ABA-based Caregiver Training
  - Relaxation Skills Training
  - Note: Interns will have the opportunity to conduct psychotherapy via telepsychology services
- Coordinate care therapeutic care with referring provider as well as other providers who may be providing care to the individual
Integrated Care CHOICE Program

Supervisors: Supervisors: Lezlie Blackford, PhD, HSPP, Melissa Butler, PhD, HSPP, Danielle Henderson, PhD, HSPP, Sarah Landsberger, PhD, HSPP, Gabriela M. Rodriguez, PhD, HSPP, Jenifer Vohs, PhD, HSPP, Ryan Harris, MD, Amber Hunt, DO and Rachel Yoder, MD

The Changing Health Outcomes through Integrated Care Excellence (CHOICE) program is an integrated care program providing specialized behavioral health services in primary care adult and pediatric clinics. The CHOICE program strives to improve patient health and access to mental and behavioral health services through the integration of psychologists and psychiatrists into primary care practices. The CHOICE program is currently located at three separate IU Health locations: IU Health Methodist Family Medicine Center, Georgetown Medical Plaza and the Riley General Pediatric Clinic located in the Pediatric Care Center.

Interns on this rotation will become a part of the CHOICE team at least one of the three CHOICE program locations. Depending on the intern’s interests and supervisor availability, interns may choose to split their core rotation between two CHOICE locations. CHOICE teams are comprised of psychologists, psychiatrists, psychiatry residents and psychology interns. Interns will spend approximately 50 percent of their time in scheduled face-to-face therapy sessions and diagnostic evaluations with patients referred by primary care physicians and pediatricians. During the other 50 percent of their time, interns will be available along with other CHOICE team members for consultations and “warm-hand offs” from primary care physicians and pediatricians. Many referrals tend to be for common psychiatric conditions, such as depression and anxiety, however a number of referrals also deal with adjustment difficulties, health behavior change (including management of chronic health conditions) and more severe forms of mental illness. Pediatric referrals tend to focus on depression, anxiety, and behavioral and developmental problems. Interns will use evidence-based practice methodology to provide appropriate evaluation and treatment for patients seen in these settings.
Pain Center Specialty Clinic

Supervisor: Amy Williams, PhD, HSPP, ABPP

This rotation is a half or full day per week on Tuesdays or Thursdays. 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 biofeedback. The pain center is an interdisciplinary treatment team comprised of a pediatric anesthesiologist, a nurse practitioner, a pediatric psychologist, a pediatric psychology fellow, and a physical therapist. Interns may have the opportunity to gain experience in supervision of practicum students.
Pediatric Behavioral Sleep Medicine

Supervisor: Sarah Morsbach Honaker, PhD, HSPP

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 psychologist with board certification in behavioral sleep medicine and in collaboration with several sleep physicians, he/she 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 will 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 lead conducting co-therapy with patients. Treatments are typically short-term (2-4 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, and hypersomnias. 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. This rotation is offered only on Wednesdays in the Meridian Crossing building in Carmel. This is a full-day rotation. Previous experience in behavioral sleep medicine is desirable but not required. Intern hours accrued during this rotation can be applied towards certification in behavioral sleep medicine (DBSM certification offered by the Society for Behavioral Sleep Medicine).
Pediatric GI Clinic

Supervisor: Elaine Gilbert, PsyD, HSPP

This rotation is a half or full day per week and is available on variable days depending on interest and goals of the trainee. This clinical elective rotation is within the Riley Gastroenterology (GI) Division. Interns will learn research informed care for children and adolescents referred by their GI providers for a multitude of presenting issues including nonadherence, coping with chronic medical conditions, somatic and functional conditions, pain management, encopresis, as well as comorbid anxiety and mood issues. Beyond outpatient care this rotation has the potential to involve trainees in integrated clinics including the Healthy Weight Management Clinic and the Motility Clinic. Specialty skills that will be taught include brief assessment of patients with GI symptoms, cognitive behavioral therapy (CBT) interventions for chronic medical conditions and pain management, as well as basic and advanced biofeedback skills.
Pediatric Psycho-Oncology

Supervisor: Stephanie Hullmann, PhD, HSPP

This rotation is one full day or two half days per week. 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 Hospital for Chidren. Presenting problems include: adjustment disorder, anxiety, depression, behavior problems, nonadherence, symptoms 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 will also be opportunities to attend weekly interdisciplinary treatment team meetings in which the interns may collaborate with Pediatric Hematology/ Oncology medical and psychosocial staff.
Pediatric Psychology Testing Clinic

Supervisor: Bill Kronenberger, PhD, HSPP

This rotation is a full day per week and is only available on Thursdays. Psychological testing is conducted two days per month, with one patient per day. Contact hours average six to eight 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 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, supervision of a graduate student, behavior observation and test interpretation; there is no report-writing. Supervision is provided by live observation of test administration, individual meetings to discuss results and didactics covering major topics.

This elective is part of the Child Outpatient Core.