APPIC PRE-DOCTORAL INTERNSHIP PROGRAMS
THAT OFFER TRAINING IN BEHAVIORAL EMERGENCIES

Compiled by Phillip M. Kleespies, Ph.D., Jason Spiegelman, MA, and Daniel DeBrule, MA
from the Section on Clinical Emergencies and Crises
(Section VII of APA Division 12)

Training in behavioral emergencies refers to training in the evaluation and management of life-threatening patient/client behaviors such as suicidal behavior, potentially violent behavior, and vulnerability to interpersonal victimization. The information contained in this directory is provided by individual internship sites, and is subject to change at any time. Interested parties should contact individual sites to check on any changes to the listed information.

For more information please contact Jason Spiegelman at JSSpiegelman@aol.com


INDIANA

INTERNSHIP: Quinco Behavioral Health Systems
ADDRESS: P.O. Box 628
Columbus, IN 42201
PHONE NUMBER: 812-348-7449
E-MAIL ADDRESS: ldewart@quincoinc.com
CHIEF PSYCHOLOGIST: Lawrence Ewert, Ph.D., HSPP
TRAINING DIRECTOR: Lawrence Ewert, Ph.D., HSPP

1) Training in behavioral emergencies
Required for interns in particular training sites or on particular rotations*
(*All interns in most counties serve crisis duty one day a week, and are trained and supervised in that work. There is a year-long optional rotation which is on a mobile crisis team as well, and requires more time and training)
2) Site of training
(a) Emergency room
(b) Mobile crisis team
(c) Crisis stabilization unit
3) Time devoted to training in behavioral emergencies
For the optional rotation, shadowing of the crisis team is for ten days total. Then
the intern does one evening on-call every two weeks and one weekend on-call every two months for a year.
4) Formal didactic training in evaluation and management
10 days shadowing for the optional rotation; 2 seminars (2 hours each) on crisis
assessment and critical incident stress debriefing for all interns, since they have
one day a week all year on-call in a rural office.
5) Supervision specifically for emergency/crisis work
Crisis team members have monthly meetings, plus interns on the optional
rotations meet regularly with the crisis team coordinator. Rural office symposium
of crisis duty occurs (1-1 _ hours per week) as part of on-site or group
supervision of all clients seen in that office.

IOWA

INTERNSHIP: Iowa State University Student Counseling Service
ADDRESS: 2223 Student Services Building
Ames, IA 50011-2223
PHONE NUMBER: 515-294-5056
E-MAIL ADDRESS: szilber@iastate.edu
CHIEF PSYCHOLOGIST: Dr. Terry Mason
TRAINING DIRECTOR: Dr. Suzanne Zilber

1) Training in behavioral emergencies
Required for all interns
2) Site of training
University Counseling Center
3) Time devoted to training in behavioral emergencies
Interns spend approximately 1-2 hours per week on behavioral emergencies, depending on who comes in during their crisis hour and who is on their individual or group caseload. Interns carry an evening/weekend crisis cell phone twice a semester for a week.
4) Formal didactic training in evaluation and management
Yes. Interns receive 4 hours of training on suicide assessment, referral procedures to the hospital, on site response and consultation with university staff. Interns receive 2 hours of didactic training in assessing potential for harm to others from a former staff member who is now a police captain.
5) Supervision specifically for emergency/crisis work
Yes. Supervision is provided in a variety of ways: 1) Each intern is on a disposition team with senior staff who supervise any walk in emergencies. 2) Emergencies that arise in individual or group are supervised by the respective senior staff supervisor. 3) Emergencies that occur off hours/ off site are supervised by the director for clinical services or the staff liaison.

INTERNSHIP: University of Iowa Counseling Service
ADDRESS: 3223 Westlawn
Iowa City, IA 52240
PHONE NUMBER: 319-335-7294
E-MAIL ADDRESS: julie-corkery@uiowa.edu
CHIEF PSYCHOLOGIST: Sam V. Cochran
TRAINING DIRECTOR: Julie Madison Corkery

1) Training in behavioral emergencies
Required for all interns
2) Site of training
University Counseling Service
3) Time devoted to training in behavioral emergencies
4 initial contact appointments each week
4) Formal didactic training in evaluation and management
2-hour workshop on suicide during orientation, 1 hour of Assessment Seminar devoted, Bongar (1991) The Suicidal Patient: Clinical and legal standards of care. Chapter on risk management required reading.
5) Supervision specifically for emergency/crisis work
Yes. 1 hour for each of the first 8 weeks of the semester to supervise up to 4 hours contact with clients. (This in addition to primary clinical supervision) “Initial Contact” supervision remains available for consultation after that. Also, some early appointments are observed and co-facilitated. After one semester, primary clinical supervisor assumes supervision of this work.

INTERNSHIP: North Iowa Consortium Psychology Internship Program
ADDRESS: 1000 4th Street SW
Mason City, IA 50401
PHONE NUMBER: 641-422-7797
E-MAIL ADDRESS: seatonb@trinity-health.com
CHIEF PSYCHOLOGIST: Mark Pelton, Ph.D.
TRAINING DIRECTOR: Brent Seaton, Ph.D.

1) Training in behavioral emergencies
Required for all interns
2) Site of training
Walk-in clinic
3) Time devoted to training in behavioral emergencies
18 hours – seminar, in-service, and orientation, plus additional discussion in i individual and group supervision
4) Formal didactic training in evaluation and management
Yes. Competency based orientation – Group supervision – 1+ sessions, Intern seminar - 1-2 sessions
5) Supervision specifically for emergency/crisis work
No. Only as appropriate to the cases which they work; Which means it is discussed regularly

KANSAS

INTERNSHIP: Eastern Kansas VA Healthcare System
ADDRESS: 4101 S. 4th Street Trafficway
Leavenworth, KS 66408-5055
PHONE NUMBER: 913-682-2000, ext. 2658
E-MAIL ADDRESS: Oehlert.mary@med.va.gov
CHIEF PSYCHOLOGIST: Caroll Ohlde, Ph.D.
TRAINING DIRECTOR: Mary Oehlert

1) Training in behavioral emergencies
Yes. (minimal, didactic) No training rotations.
2) Site of training
Didactic
3) Time devoted to training in behavioral emergencies
Yes. 2-4 hours per year.
4) Formal didactic training in evaluation and management
Yes. 2-4 Hours per year.
5) Supervision specifically for emergency/crisis work
No specific supervision/ training

KENTUCKY

INTERNSHIP: East Kentucky Rural Predoctoral Internship Program
ADDRESS: 102 Medical Center Drive
Hazard, KY 41701
PHONE NUMBER: 606-439-1331 (ext 5871/6819)
E-MAIL ADDRESS: dbliss@mtcomp.org – OR – bolive@arh.org
CHIEF PSYCHOLOGIST: David Bliss, Psy.D. (Acting Director of Training)
TRAINING DIRECTOR: Brandon R. Olive, Ph.D. (Acting Co-Director of Training)

1) Training in behavioral emergencies
(upcoming) Required of all interns – We will likely require all interns to rotate
through our new ER triage service, once it is up and running
(current) Required for interns in particular training sites or on particular
rotations – Currently, interns receive training/supervision for behavioral emergencies while working in outpatient clinic rotations
2) Site of training
(a) Walk-in clinic – (outpatient community mental health center)
(b) Emergency room – (we are in the process of setting up an ER Triage
experience for interns that will be available, hopefully, by the beginning of
our 2002-2003 training year)
3) Time devoted to training in behavioral emergencies
Interns have formalized training in non-violent crisis intervention for acting-out
patients (8-hours training), and then receive individualized supervision/training on a case-by-case basis. Additionally, w attempt to train interns in rapid assessment of suicidality and dangerousness during their work in both inpatient and outpatient rotations.
4) Formal didactic training in evaluation and management
- 8-hour Non-violent crisis intervention
- Various didactics and orientation didactics focus on the assessment/interviewing process with patients in acute suicidal or homicidal states. Interns are also guided in the appropriate manner to document their
assessment and make appropriate referrals
- Individual (case-by-case) supervision
5) Supervision specifically for emergency/crisis work
The supervision aspect of training occurs during case-by-case consultation (as needed), individual supervision (1 hour weekly), and occasionally during group supervision (2 hours weekly) when issues pertinent to all interns arise.
• When we begin the ER Triage service, we plan to conduct formalized didactic
training prior to this experience to familiarize interns with forms and to assure proficiency in interviewing

INTERNSHIP: Western Kentucky Predoctoral Psychology Consortium
ADDRESS: 735 North Drive
Hopkinsville, KY 42240
PHONE NUMBER: 270-886-9371
E-MAIL ADDRESS:
CHIEF PSYCHOLOGIST: Dr. Robert Sivley
TRAINING DIRECTOR: Dr. Stephen Glasscock

1) Training in behavioral emergencies
Required of all interns
2) Site of training
Walk-in clinic (on-call, after hours emergencies in emergency room. Pre/Postdocs are given the walk-in emergencies with licensed psychologist(s) mentoring the process.
3) Time devoted to training in behavioral emergencies
Approximately 10% of 2080 hour predoctoral year
4) Formal didactic training in evaluation and management
Mentoring during the process, feedback afterward, psychologist mentor co-signs emergency forms;
5) Supervision specifically for emergency/crisis work
Yes

INTERNSHIP: Federal Medical Center - Lexington
ADDRESS: 3301 Leestown Road
Lexington, KY 40511
PHONE NUMBER: 859-255-6812 (ext 665)
E-MAIL ADDRESS: ccanon@bop.gov
CHIEF PSYCHOLOGIST: Michael Helvey, Ph.D.
TRAINING DIRECTOR: Chris Canon, Ph.D.

1) Training in behavioral emergencies
Required for all interns
2) Site of training
Prison
3) Time devoted to training in behavioral emergencies
Emergency/Crisis training is a 4-hour didactic followed by OJT, within a 6-month general population prison training rotation
4) Formal didactic training in evaluation and management
Yes
5) Supervision specifically for emergency/crisis work
No

INTERNSHIP: Jefferson County Internship Consortium
ADDRESS: 914 East Broadway, Suite 125
Louisville, KY 40204
PHONE NUMBER: 502-58-8731 (ext. 2007)
E-MAIL ADDRESS: pmcginty@sevencounties.org
CHIEF PSYCHOLOGIST: Patricia G. McGinty, Ph.D.
TRAINING DIRECTOR: Patricia G. McGinty, Ph.D.

1) Training in behavioral emergencies
Required for all interns
2) Site of training
(a) Crisis stabilization unit (for children)
(b) Placement in specialized family and children programs require SPM;
Placement at inpatient adult hospital has required training in physical restraint procedures with periodic updates.
3) Time devoted to training in behavioral emergencies

4) Formal didactic training in evaluation and management
2 day course in safe physical management
3 hour – month - update
5) Supervision specifically for emergency/crisis work
Supervisors have same training, so available in regular weekly supervision as
issues arise. Agency has critical incident reporting system to debrief

LOUISIANNA

INTERNSHIP: LSUHSC Department of Psychiatry, Section of Psychology,
Clinical Psychology Predoctoral Internship Program

ADDRESS: 1542 Tulane Ave
New Orleans, LA 70112
PHONE NUMBER: 504-568-3068
E-MAIL ADDRESS: jhayesl@lsuhsc.edu
CHIEF PSYCHOLOGIST: Tom Wolf, Ph.D.
TRAINING DIRECTOR: Jill Hayes Hammer, Ph.D.

1) Training in behavioral emergencies
Required for all interns
2) Site of training
(a) Mobile crisis team (elective)
(b) Crisis stabilization unit (only for general [adult/child] interns)
(c) Outpatient psychotherapy with victims/witnesses of different types of trauma
(only for infant/child interns and as an elective for general interns)
3) Time devoted to training in behavioral emergencies
General interns – part of 6-month rotation (time varies depending on the patients who present for treatment)
Crisis Stabilization – five hours per week
4) Formal didactic training in evaluation and management
2-day training in crisis management
2 hours regarding suicide
2 hours regarding homicide
5) Supervision specifically for emergency/crisis work
Depends on what intern is doing (i.e., crisis response team is one-on-one
supervision for all hours). Most others are 4-6 hours per week

MARYLAND

INTERNSHIP: Malcolm Grow USAF Medical Center
ADDRESS: Andrews Air Force Base, MD 20762
PHONE NUMBER: 240-857-7186
E-MAIL ADDRESS: Ronald.Jeffcott@mgmc.af.mil
CHIEF PSYCHOLOGIST: Robert Wilson
TRAINING DIRECTOR: Ron Jeffcott

1) Training in behavioral emergencies
Required for all interns
2) Site of training
(a) Walk-in clinic
(b) Emergency room
3) Time devoted to training in behavioral emergencies
One day a week for 6 months. Covers walk-ins and ER consultations. Also pulls call 4 weeks over the year
4) Formal didactic training in evaluation and management
2 Didactics regarding suicide/suicide prevention and management of emergent patients
5) Supervision specifically for emergency/crisis work
Weekly supervision with each walk-in/ER case

INTERNSHIP: Springfield Hospital Center
ADDRESS: Department of Psychology
6655 Sykesville Road
Sykesville, MD 21784
PHONE NUMBER: 410-795-2100 (ext 3391)
E-MAIL ADDRESS: rkatz@dhmh.state.md.us
CHIEF PSYCHOLOGIST: Randy Roberts, Ph.D.
TRAINING DIRECTOR: Robert Katz, Ph.D.

1) Training in behavioral emergencies
Required for all interns
2) Site of training
Springfield Hospital Center is an inpatient psychiatric facility
3) Time devoted to training in behavioral emergencies
The intern will respond to behavioral emergencies as needed
4) Formal didactic training in evaluation and management
- Prevention and Management of Aggressive Behavior (PMAB) training program
- Monthly reviews of PMAB training at the ‘ward level’
- A variety of seminars that address behavioral emergencies, including behavior
therapy, “Teaching safety and coping strategies to self-injurious patients”, and
a seminar that looks at suicidal patients in order to help the intern gain a better
understanding of how to assess suicide and prevent it’s expression.
- Seminar(s) which expose the interns to ways of assessing and controlling
behavioral emergencies (including aggressive behaviors)
5) Supervision specifically for emergency/crisis work
Intern responses to behavioral emergencies are reviewed with the supervisor so
that the intern can gain a better understanding of how to handle these situations in the future

MASSACHUSETTS

INTERNSHIP: Federal Medical Center - Devens
ADDRESS: P.O. Box 880
Aper, MA 01432
PHONE NUMBER: 978-796-1420
E-MAIL ADDRESS: pmanderson@bop.gov
CHIEF PSYCHOLOGIST: Dennis Becotte, Ph.D.
TRAINING DIRECTOR: Paul Anderson, Psy..D.

1) Training in behavioral emergencies
Required for all interns
2) Site of training
Walk-in clinic
3) Time devoted to training in behavioral emergencies
Approximately 1-5% of an intern’s time throughout the training year
4) Formal didactic training in evaluation and management
1 didactic lecture in suicide prevention
5) Supervision specifically for emergency/crisis work
No

INTERNSHIP: Edith Norse Rogers Memorial VAMC
ADDRESS: Bedford, MA 01730
PHONE NUMBER: 781-687-3056
E-MAIL ADDRESS: amodio.richard@bedford.va.gov
CHIEF PSYCHOLOGIST: Walter Penk, Ph.D., ABPP
TRAINING DIRECTOR: Richard Amodio, Ph.D.

1) Training in behavioral emergencies
Required for all interns
2) Site of training
(a) Walk-in clinic
(b) Crisis stabilization unit (inpatient acute psychiatric unit)
3) Time devoted to training in behavioral emergencies
With regard to walk-in clinic, the intern sees any veteran presenting to the walk-in, which necessarily includes a range of presenting issues, some of which pertain directly to behavioral emergencies.
With regard to the inpatient acute unit, each intern does a 4-month assessment rotation and the inpatient unit is a component of that rotation. interns do approximately 10-12 evaluations on impatient units, and the majority of such referrals are related to behavioral emergency (usually risk of harm to self) issues.
The walk-in clinic is another portion of the assessment rotation, and interns spend one day per week over the 4 months, resulting in approximately 30 such evaluations).
4) Formal didactic training in evaluation and management
In the past, four seminars – 2 on risk of harm to self, 2 on risk of harm to others
5) Supervision specifically for emergency/crisis work
The inpatient work is supervised by a psychologist. The walk-in work is
supervised by a psychiatrist.

INTERNSHIP: Boston Consortium in Clinical Psychology
ADDRESS: Psychology Services (116B)
Boston VA Medical Center
150 South Huntington Ave,
Boston, MA 02130
PHONE NUMBER: 617-232-9500 (ext 4041)
E-MAIL ADDRESS: Joseph.LoCastro@med.va.gov
CHIEF PSYCHOLOGIST: Terence Keane, Ph.D.
TRAINING DIRECTOR: Joseph LoCastro, Ph.D.

1) Training in behavioral emergencies
Required only for interns who select the crisis stabilization rotation
2) Site of training
Urgent Care Clinic
3) Time devoted to training in behavioral emergencies
One 4-month rotation of 4-5 hours per week
4) Formal didactic training in evaluation and management
- Didactic seminars to all interns as part of their required seminar program
- Risk rounds to all interns at a 1 hour per month rate of frequency
5) Supervision specifically for emergency/crisis work
While on the behavioral emergency rotation, interns receive on-the-site
supervision as well as group supervision (1 hour per week)

INTERNSHIP: South Shore Mental Health Center
ADDRESS: 6 Fort St.
Quincy, MA 02169
PHONE NUMBER: 617-847-1938
E-MAIL ADDRESS: Allan.Kamfonik, Ph.D.
CHIEF PSYCHOLOGIST: Allan A. Kamfonik, Ph.D.
TRAINING DIRECTOR: Allan A. Kamfonik, Ph.D.

1) Training in behavioral emergencies
Optional, for those who request it
2) Site of training
(a) Walk-in clinic*
(b) Emergency room *
(c) Mobile crisis team*
(d) Crisis stabilization unit*
(* We have all of these and students can experience some or all of them)
3) Time devoted to training in behavioral emergencies
For one year, approximately 20%
4) Formal didactic training in evaluation and management
No
5) Supervision specifically for emergency/crisis work
Ongoing supervision by other emergency workers throughout a shift
One-on-one supervision, one hour per week