|Training Rotations and Settings|
IPPP Placements for 2013 - 2014
Child and Family Rotations
* All Child and Family rotations include a primary placement at the Children's Intervention Program (ChIP) at RCMH, which involves work with children ranging in age from 2 to 18 years of age. Each rotation includes a secondary placement that is in one of our school-based locations.
Integrated Primary Care (IPC) Rotations:
* All Integrated Primary Care rotations involve a primary placement in an integrated care setting with Capitol Region Health Care (CRHC), a RCMH affiliate, which includes work with individuals from across the lifespan. The Adult or Child and Family emphasis pertains to the secondary placement at RCMH's satellite office in
4. (IPC) Adult - This rotation includes training at the Concord Hospital Family Health Center (CHFHC) in a rural satellite branch office in
5. (IPC) Child and Family - Interns placed in this rotation receive training at Concord Hospital Family Health Center (CHFHC) located at
Training Program Descriptions
Children's Intervention Program. The Children's Intervention Program (ChIP) of RCMH provides quality; comprehensive, family centered and community based mental health services to children and families. We work actively toward the development of an individualized comprehensive system of care for children and families. We believe that collaboration and partnerships with families and with community resources are important methods to attain this goal. The ChIP program believes that children are best served in their families and in their communities, with access to quality and comprehensive mental health services. We develop treatment plans that are based on a comprehensive biopsychosocial assessment that delineates the child and families needs, and encourage parent and guardian participation, involvement and investment in the assessment, treatment planning, service delivery and the treatment review process are necessary for successful outcomes. The resources and services provided by the mental health center are part of the continuum of a larger system of care for children and youth within the community and the State and we operate under the premise that successful treatment requires collaboration and coordination among these resources. Services need to be flexible and creative. That treatment plans need to be continually evaluated and altered to meet the changing needs of children and families. At ChIP, interns conduct individual and family therapy with clients age three to eighteen who exhibit a wide range of psychopathology. They also conduct psychological assessments, participate in multidisciplinary teams, and conduct crisis and case management.
Young Child Focus. In 1999 a county-wide, formal Zero through Six Mental Health Steering Committee was formed. This committee identified the following priorities: to develop in the community, competence and expertise in addressing the mental health needs of children and families; address multi-level training need in the community (i.e. for child care providers and medical service providers; develop an interagency community based consultation and evaluation team; develop an understanding of related financial issues and resources; and further prevention efforts in our region. Our Young Child rotation involves participation on the Zero to Six Mental Health Steering Committee, which is part of the NH Association for Infant Mental Health, that now represents collaboration between many agencies and programs, which share as their mission, supporting the development of healthy children and families in greater
Asperger's Emotional and Social Enrichment Program (AESEP). Due to the burgeoning need for services to children on the Autism Spectrum, AESEP was designed to provide an array of services for individuals with ASDs that may benefit from a comprehensive treatment program. The AESEP program begins with a thorough evaluation of an individual's strengths and needs conducted by psychologists who specialize in the treatment of AS. Results from the evaluative process are used to develop goals and objectives that inform the approaches and practices of providers on the treatment team. Based on the information gleaned from the evaluation process particular services will be prescribed and implemented by a team of professionals that may include psychologists, mental health therapists, family therapists, outreach workers, and psychiatrists. Skill development for each participant of the program is routinely assessed to assure that progress is being made and that treatment is effective. Treatment team members meet on a regular basis to order to make certain that services are being implemented in a coordinated fashion. They participate in ongoing training which is informed by evidenced based practices from the literature and consultation by experts in the field so that each participant in the program can be assured that treatment is provided by knowledgeable and skilled practitioners. Interns placed in this rotation provide individual therapy to ASD children, and participate in the development and co-facilitation of psychotherapy groups. They develop the capacity to conduct comprehensive evaluations with this population through extensive training on the ADOS and ADI-R and are members of our Asperger's consultation team.
School-Based Services. Our school-based services are premised our commitment to provide quality, accessible services to the community. We have long-standing interagency collaborative relationships with area rural schools. All interns placed in the Child and Family rotations are assigned to school-based clinics as the secondary portion of their rotation. School staff or parents can refer clients to Riverbend and the Admissions department and clinician collaborate to determine if it is appropriate for them to be seen in the school setting. The co-location of academic and mental health services fosters ongoing consultation with parents, school staff, and other agencies involved with RCMH clients. Often interns present to teachers and/or parents about mental health issues. The clinics at schools represent successful efforts to integrate health care services.
Dialectical Behavior Therapy. This rotation involves working with adolescents participating in a Dialectical Behavior Therapy (DBT) program. ChIP's DBT program is based on the work of Marsha Linehan, Ph.D., Alec Miller, Psy.D., and Jill Rathus, Ph.D. Clients who participate in this treatment modality demonstrate severe difficulties in the areas of emotional regulation, distress tolerance, adolescent-family relationships, and interpersonal effectiveness. These adolescents typically display suicidal and self-harming behaviors. Interns learn theories and framework of DBT, how to provide the individual therapy component to DBT, and serve as co-facilitators in a 16 week multi-family skills group, and are members of ChIP's weekly DBT consultation team which provides ongoing consultation and support for therapists working in this model.
Integrate Primary Care. The integrated primary care (IPC) pre-doctoral psychology internships are a joint venture between
Two theoretical models provide orienting an orienting philosophy to the internships, one older, the other more recent. The first is the biopsychosocial model first described by George Engel in 1969. The basic premise of this model is that health care is best provided within a broad systems view where biological/genetic factors as well as psychological, social and spiritual variables are all considered in the care of an individual patient. Further the relationships between these variables and their mutual influence on each other is seen as critical. The second model is the patient and family centered medical home which includes concepts about health care delivery including comprehensiveness of care and access to all services needed by a patient and family to improve health. The clinical application of both these models requires partnerships between medical and psychosocial professionals. The psychology interns practice for a year in these practices.
The intern placed at the FHC is on site for two and a half days. This is a "child placement" for the psychology intern because of the secondary component of the rotation. In the primary care setting the intern caters to all patients regardless of age or problem. They function most often as a "behavioral health consultant" and a key skill of this role is to be able to triage patients based on the severity of the presenting issue. On Monday mornings interns participate in a two hour group supervision, multidisciplinary meeting where clinical material is presented and discussed, often using videotapes. The psychology intern, in collaboration with a pediatrician and nurse clinician, evaluates children referred for behavioral, medical, or emotional problems. The intern meets with Dr. Gunn for one hour of individual supervision where cases are presented most often using videotape and/or live supervision. Dr. Gunn is a family psychologist and supervises cases through a broad systemic and family oriented lens.
There are three primary goals of the IPC rotation. The first is to increase skill in behavioral health consultation in a primary care setting. The second is to increase skill in providing individual, couple, or family therapy to a wide range of presenting problems, including chronic health conditions. A third goal is to learn how to function as a psychologist in a primary care setting. To accomplish the last goal, the intern sees patients with family medicine residents and provides them feedback on their ability to incorporate psychosocial skills into their practice. They also partner with integrated care managers in the practice to learn how to provide brief targeting treatment to patients.
The HFH is located in a rural area of
Twin Rivers Counseling Associates. Riverbend - Twin Rivers Counseling Associates (TRCA) is an outpatient community mental health center office. We provide a number of psychological and psychiatric services for those in need. Most of our clients are indigent and suffer with more serious disturbances. Services are provided for clients based on age by either a Child Team or an Adult Team. These teams consist of individuals from a variety of disciplines who are fully invested in serving our clients with the highest standard of care. Our staff consists of: psychotherapists; case managers; a clinical psychologist; a psychiatrist; a nurse; a vocational specialist; and a pre-doctoral psychology intern. Additionally, we have a psychotherapist practicing out of Health First - a local, community health clinic.
We provide psychotherapy (of various orientations /styles), case management, vocational services, medication services, and "Illness Management and Recovery", an educational program used for some individuals with more severe difficulties. Our team is deeply dedicated to healing and believes in the possibility of full recovery - from any mental disorder, regardless of severity. We have a strong regard for privacy and individual choice and feel that personal, customized care is essential for recovery.
TRCA is the secondary placement for the interns on the Integrated Primary Care track. The interns are in
- Two Appointed to Governor's Commission
- Health Buddy 2013 Program of Significance by National Council for Behavioral Health
- Looking Back, Moving Forward
- The Rainbow Awards
- Riverbend Honors Four Champions for Mental Health
- Josephson Shares Health Buddy Results with Washington
- TIER technology benefits community
- Janssen Pharmaceuticals Awards Grant