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Rotations

CORE ROTATIONS

Adult Outpatient Clinic 

Supervisors: Kristine Chapleau, Ph.D. (primary supervisor), Lezlie Blackford, Ph.D., Sarah Landsberger, Ph.D., Jen Vohs, Ph.D.

The adult outpatient rotation takes place at the Adult Psychiatry Clinic and Study Center at Indiana Neuroscience Center. The IU Neuroscience Center is a tertiary-care facility with nationally and internationally recognized programs in specialized medical care. General psychiatry residents and psychology interns rotate through the clinic, located on the IU School of Medicine campus.  The clinic offers psychiatric services and outpatient psychological testing and treatment. The clinic is staffed by IU faculty physicians and psychologists, social workers, and trainees in each of these disciplines. Clinicians specialize in the treatment of mood disorders, anxiety disorders, trauma-related disorders, behavioral health issues, personality disorders, and relationship issues.

Interns on this rotation conduct clinical interviews and diagnostic assessments, provide individual psychotherapy, receive individual supervision, and may have the opportunity provide supervised supervision to clinical psychology doctoral students on practicum.

Adult Health Psychology

Supervisor: Yelena Chernyak, Ph.D. (primary supervisor), Lezlie Blackford, Ph.D., Sarah Landsberger, Ph.D., Jen Vohs, Ph.D.

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, oncology, 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, the Simon Cancer Center Multidisciplinary Clinic, 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.

 

Child and Adolescent Outpatient

Supervisors: Hillary Blake, Psy.D., Melissa Butler, Ph.D., Bill Kronenberger, Ph.D., Ann Lagges, Ph.D., John Spanke, Ph.D., Amy Williams, Ph.D.

The Riley 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 specialty clinics that exist under the larger umbrella of this general clinic. Interns on this rotation may spend a full day in the headache clinic, a half day in the pain clinic, a full day in an intensive testing clinic, a half day in either or both of the mood/anxiety or Tics, Anxiety and Compulsions (TAC) clinic, and a half to one and a half days seeing general psychiatry outpatients. In all components of this rotation, the intern may have the opportunity to supervise a practicum student.

In the headache and pain clinics, interns will gain experience working as part of a multidisciplinary medical team. The headache clinic is a joint venture with Pediatric Neurology; interns will learn assessment of patients with headache, CBT intervention for headache as well as basic and advanced biofeedback skills. The pain clinic involves collaboration with anesthesiology, and provides interns with experience assessing patients with chronic pain, providing CBT and biofeedback interventions.

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/anxiety 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.  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.  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 clinic to discuss patients.  

In their general psychiatry clinic time, interns will see patients from the general clinic population. Diagnoses include a wide range of typical (e.g. ADHD, ODD, Separation Anxiety) and less commonly seen (e.g. selective mutism, conversion disorder) psychiatric conditions. Co-occurring medical conditions are common.

Child and Adolescent Consultation Liaison Service

Supervisor: Hillary Blake, Psy.D., Julianne Giust, M.D., Amy Williams, Ph.D.

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. Our 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, biofeedback, 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 2-6 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 graduate students and medical students are available.

Autism Core Rotation

Supervisors: Jill Fodstad, Ph.D., Noha Minshawi, Ph.D.

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 1,000 individuals with Autism Spectrum Disorders (ASD) and other neurodevelopmental disabilities (NDD) of all ages, abilities, and developmental levels. The CSATC was one of only five sites in the country involved in a research study funded by the National Institute of Mental Health that was focused on parent management training for individuals with autism. The mission of the CSATC is to provide evidence-based interventions to individuals with ASD and NDD, including gold-standard assessment and diagnosis, behavioral interventions, and medication management. 

Psychology interns have the opportunity to participate in a variety of clinical opportunities that include both assessment and treatment of individuals with ASD and NDD. Assessment experience will include diagnostic interviews and standardized testing experiences. The treatment focus of the CSATC is behavioral in nature with a specific emphasis on the science of Applied Behavior Analysis (ABA). Interns will carry therapy caseloads that will include multiple modalities (e.g., individual therapy, parent training), as well as a variety of presenting problems (e.g., aggression, self-injury, social skills deficits, adaptive skills training). In addition to treatment experience, interns can pursue opportunities to expand their research skills on several ongoing studies based on time and interest.

ELECTIVE ROTATIONS

Adult Outpatient

Supervisor: Kristine Chapleau, Ph.D.

This rotation is a half or full day per week.  Interns will have the opportunity to conduct diagnostic assessment and psychotherapeutic treatment for mood, anxiety, and personality disorders in an outpatient treatment setting at the Adult Psychiatry Clinic and Study Center at Indiana Neuroscience Center. Interns will have the opportunity to interact with multi-disciplinary treatment team members, social workers, physicians, and psychologists. 

Adult Psychosocial Oncology*

Supervisor: Yelena Chernyak, Ph.D.

This rotation is a full day per week.  Outpatient psychosocial services are provided as part of the Indiana University Simon 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 CBT and other empirically-supported interventions for skills building, symptom management, behavior modification, and psychosocial support. 3

Cardiac Psychology*

Supervisor: Yelena Chernyak, Ph.D.

This rotation is a full day per week and occurs on Mondays.  Specialized psychological services are provided to the Acute Heart and Lung Care Clinic at Methodist Hospital including individual therapy using CBT and other empirically-supported interventions for skills building, symptom management, behavior modification, and support. 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 specialty rotation.

Adult Behavioral Sleep Medicine*

Supervisor: Yelena Chernyak, Ph.D.

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 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.

*Please note, this rotation may be a part of the Adult Health Psychology Core Rotation.  Interns who complete this core rotation, may already have this elective rotation included. 

Adult Solid Organ Transplant (Inpatient and Outpatient)

Supervisors: Rachel Holmes, Ph.D., Audrey Krause, Ph.D.

This rotation can be either a half day or full day per week.  For maximal benefit and learning, a full day is recommended.  Interns will have the opportunity to conduct diagnostic assessments, pre-transplant evaluations, brief interventions / psychotherapy, and provide consultation to different medical teams in both an outpatient and inpatient hospital setting. There are also opportunities to participate in the monthly transplant support group and weekly transplant meetings for the liver, pancreas, and multi-visceral teams. Experience on this rotation will be partially determined by the intern’s learning objectives and prior training experience.  The patient population is mostly organ transplant candidates and recipients (90%) but kidney donors are also assessed.  Most patients have no previously identified psychopathology but the full diagnostic range can present.

Adult Neuropsychology

Supervisors: Courtney Johnson, Ph.D. Dan Rexroth, Psy.D., and Fred Unverzagt, Ph.D.

This rotation is a full day per week.  The apprenticeship model of clinical supervision is used, meaning, the intern will likely work with a post-doctoral fellow in neuropsychology for portions of their training time and participate in group supervision with the fellow.  Unless an intern begins this rotation with extensive experience in neuropsychological testing, the intern will likely spend a significant portion of their time observing clinical evaluations.  Interns will participate in case conceptualization and observe test selection and administration, report generation, and feedback with patients.  Interns can gain experience with portions of the clinical interview and generating portions of the report (as developmentally appropriate for the intern).

Interns are encouraged to complete this rotation on Thursday which provides the ability to attend Neuropsychology Case Conference 90 minutes weekly.  This didactic provides exposure to lectures related to the field of neuropsychology and fact findings where interns can observe a resident preparing for this feature of board certification in neuropsychology.

If an intern would like to build skills to the point at which they can begin to administer tests, contribute substantially to clinical interview and report writing, and intend to pursue neuropsychology as part of their career and is planning to pursue post-doctoral training in neuropsychology, completing two rotations of a specialty in this area is strongly recommended; the experiences over the two rotations would clearly be developed to be sequential in nature rather than a repetition of the same experience. 

Pediatric Psychology Testing Clinic *

Supervisor: Bill Kronenberger, Ph.D.

This rotation is a full day per week and is only available on Thursdays.  Please note, this rotation is part of the Child Outpatient Core Rotation, and so interns who complete that core rotation will already have this specialty rotation included.  Psychological testing is conducted two days per month, with one patient per day.  Contact hours average 6-8 hours per child.  Approximately 90% of testing cases involve evaluation of cognitive abilities (intelligence, achievement, memory, executive functioning, etc.), and 10% 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.

Child and Adolescent Mood/Anxiety Clinic *

Supervisor: Ann Lagges, Ph.D.

This rotation is a half day per week and occurs on Wednesday mornings.  Interns will gain experience in the Evidence Based Practice of Psychology as applied to pediatric mood and anxiety 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 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 bipolar disorder as well as comorbid secondary diagnoses including ADHD, ODD, Autism Spectrum Disorder, and intellectual disabilities.  Co-occurring medical conditions and complex social situations in families are very common. 

Child and Adolescent Tics, Anxiety and Compulsions (TAC) Clinic *

Supervisor: Ann Lagges, Ph.D.

This rotation is a half day per week and occurs on Monday afternoons.  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 clinic to discuss patients and review relevant literature.   Interns will most likely have the opportunity to assist in supervision of practicum students. 

Headache Clinic *

Supervisor: Hillary Blake, Psy.D.

This rotation is a half or full day per week and is only available on Mondays.  This clinical specialty rotation is within the Riley Headache Clinic which is a joint venture with Pediatric Neurology and is charged with providing excellent clinical care to children and adolescents presenting with headaches. Our treatment team is comprised of a pediatric psychologist and pediatric neurologist. Specialty skills interns learn while on this rotation include assessment of patients with headache, CBT intervention for headache, and basic and advanced biofeedback skills.

Pain Center Specialty Clinic *

Supervisor: Amy Williams, Ph.D.

This rotation can be a full or half day per week.  This clinical specialty rotation is within the Riley Pain Center which is multi-disciplinary and charged with providing excellent clinical care to individuals presenting with pain. We teach the next generation of pain providers through the pediatric anesthesia residency program, the Indiana University School of Medicine Psychology Pre-doctoral internship Consortium. We conduct clinical research evaluating the effectiveness of the treatment of chronic pain. Our treatment team is comprised of 2 pediatric anesthesiologists, 1 pediatric nurse, 1 pediatric psychologist, a physical therapist and an occupational therapist. Specialty skills interns learn while on this rotation include assessment of patients with chronic pain, CBT intervention for chronic pain, basic and advanced biofeedback skills all within a collegial atmosphere.

*Please note, these rotations may be a part of the Child Outpatient Core Rotation, and so interns who complete that core rotation, may already have many of these elective rotations included.   It may also be possible to combine two half-day elective child outpatient rotations (Headache, pain, mood/anxiety and TAC clinics) into a single elective during one rotation.   

Pediatric Consultation Liaison

Supervisors: Hillary Blake, Psy.D., Julianne Giust, M.D., Amy Williams, Ph.D.

This rotation is a full day per week or two half days.  The intern will provide psychological assessments, individual therapy, family supportive therapy, and biofeedback training to children, adolescents, and their families in an inpatient pediatric children’s hospital, work with children and adolescents with a range of medical problems.  Prior to scheduling an elective on this rotation, interns will speak with the supervisor(s) about how the rotation will fit into the interns training goals. 

Pediatric Behavioral Sleep Medicine

Supervisor: Sarah Morsbach Honaker, Ph.D.

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, non-compliance with CPAP and other medical regimens, and hypersomnias.  The intern will participate in two multi-disciplinary specialty clinics.  The Behavioral Positive Airway Pressure (PAP) clinic includes a respiratory therapist, and is focused on PAP desensitization and adherence.  Our insomnia clinic includes a sleep physician and neurologist, and treats children with chronic insomnia requiring combined pharmacological and behavioral treatment.  In addition to developing a strong foundation and understanding of normal sleep and behavioral sleep medicine treatments, the intern will gain experience using actigraphy and biofeedback, observe part of an overnight polysomnogram, and learn to screen for medical sleep disorders.  The training experience further includes opportunities to work with infants and toddlers.  This rotation is offered as a full (preferred) or half day per week and is available Wednesday mornings or Fridays. Previous experience in behavioral sleep medicine is desirable but not required.

Department of Psychiatry | 355 W. 16th St., Suite 4800 | Indianapolis, IN 46202 | Ph: (317) 963-7316 | Fax: (317) 963-7313