Hamm Clinic Doctoral Psychology Internship Program

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Hamm Clinic
                         Doctoral Psychology Internship Program
                                       2017-2018

                              TRAINING MODEL and PHILOSOPHY:

The Hamm Clinic Psychology Doctoral Internship training philosophy is based on the
practitioner-scholar model which emphasizes that clinical practice is informed by the science of
psychology. Interns learn to use scholarly inquiry to understand and apply relevant research
findings to clinical practice.

The board and all clinical staff at Hamm Clinic understand that training the next generation of
mental health service providers a core mission of our organization. To support this mission,
supervisors and other staff clinicians are regularly available for consultations. Additionally,
Hamm Clinic provides monthly in-service trainings with professionals from the community and
an annual conference featuring a national leader in mental health issues. We also strongly
encourage consultation across mental health disciplines and recognize the value that these
clinicians can bring to the psychologist’s work with his/her clients.

The clinical staff at Hamm Clinic use and support an integrative theoretical approach to
therapy. This includes but is not limited to psychodynamic therapy, interpersonal relationship
therapy, emotionally-focused couple’s therapy, family therapy, cognitive behavioral therapy
and multicultural therapy. Other therapeutic interventions that interns may encounter include
mindfulness, distress tolerance and emotional regulation skills, assertiveness and interpersonal
communication skills.

An additional benefit of training at Hamm Clinic is the on-site availability of fully-credentialed
psychiatry. Interns are encouraged to consult with our psychiatric staff about clients and
treatment needs. Many of our clients’ mental health treatment includes psychiatric medication
and a thorough psychiatric evaluation. This unique opportunity to work with psychiatrists on an
ongoing basis helps the intern learn the skills necessary to collaborate with a client’s
medication prescriber in community practice.

                 HAMM CLINIC MEMORIAL PSYCHIATRIC CLINIC INFORMATION:

Hamm Memorial Psychiatric Clinic is an outpatient, mental health clinic that provides services
to adults and families in the greater Twin Cities area. It is a non-profit clinic founded in 1954 by
the Hamm Foundation. Hamm Clinic provides services on an ability to pay basis, accepting
client fees determined by a sliding scale, insurance, or medical assistance reimbursement. The
clinic is a MN Department of Human Services Rule 29 approved facility.

History
In the 1950s, mental illness was identified as a serious national health problem. However,
attempts to address this problem were mostly unsuccessful. Individuals without resources to
pay for treatment were often neglected or segregated; the stigma associated with mental
illness was pervasive. In the Twin Cities, those who could not afford private care got either no

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Hamm Clinic
                         Doctoral Psychology Internship Program
                                       2017-2018

care or received their treatment in a state hospital, away from family and community. Attempts
were made to serve people in the community but these efforts often failed due to inadequate
funding. Thus, the working poor and even many moderate to middle income people received
little or no treatment.

Led by Theodore Hamm's granddaughter, Margaret Hamm Kelley, herself a social worker,
members of the Hamm family worked to help meet this need. Hamm Memorial Psychiatric
Clinic was established in 1954 with the belief that comprehensive mental health care is a basic
human right for every community member.

The initial staff was small and included psychiatrists, psychologists and clinical social workers to
ensure an empathetic and comprehensive approach to treatment. Today, the goal of quality,
accessible direct patient care still drives the clinic's work along with the vision for its
sustainability and growth. Hamm Clinic is committed to a thorough evaluation and appropriate
team-based treatment for each client; a practice model as vital now as it was in 1954. The
Hamm Foundation Fund of the Saint Paul Foundation continues to provide significant funding
for Hamm Clinic.

Mission Statement
Hamm Clinic believes that comprehensive mental health care is a basic human need and should
be accessible to everyone. Our mission is to provide:

•   Quality, culturally competent outpatient mental health assessment and treatment for adults
    and families in our community, particularly the underserved and those who are unable to
    afford the full cost of care
•   Expert training and education for mental health professionals
•   Leadership in our community for effective mental health care

In addition, the Hamm Clinic mission includes training and community outreach to reduce
stigma and encourage those needing mental health services to seek care.

Training at Hamm Clinic
Throughout its history, the Hamm Clinic has offered training and continuing education
programs for mental health professionals and students. The training for students includes pre-
degree internships, psychiatric residencies, and post degree fellowships. The clinic became an
APPIC (Association of Psychology Post-doctoral and Internship Centers) psychology training site
in 2002 and an APA training site in 2005. Hamm Clinic has trained over 200 mental health
professionals.

Clinical Services
The primary service provided at Hamm Clinic is individual psychotherapy. Hamm Clinic also
offers couple, family or group psychotherapy. The type and length of treatment is determined

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Hamm Clinic
                        Doctoral Psychology Internship Program
                                      2017-2018

by client need and commitment, allowing for the possibilities of brief, moderate, and longer-
term psychotherapy. Initially, a client is seen for a diagnostic assessment. If therapy is the
recommended treatment, the therapist and client will then determine parameters for the
therapy and jointly establish goals for their work together. Each person’s history, clinical
condition and current life situation inform the treatment effort. The clinic also offers
psychological assessment and medication management. Hamm Clinic staff values the client-
therapist relationship as an integral and essential part of the therapy process.

Client Population
Hamm Clinic serves a broad client population, from those experiencing situational crisis or
adjustment difficulty, to those with serious emotional disturbance. People come to the Hamm
Clinic by many routes. Many learn of the clinic from insurance network websites, friends or
former clients. College counselors, clergy, physicians, insurance providers, and social or
community agencies make referrals as well. The entire spectrum of personal problems is
represented by those who come to the clinic and trainees gain experience with a wide variety
of acute and chronic mental health conditions. Additionally, over half of our clients have seen a
psychiatrist at some point in their mental health care (i.e., 60% of our clients are on medication
management).
Staff
Hamm Clinic has a multidisciplinary staff comprised of psychiatrists, clinical and counseling
psychologists, clinical social workers, couple’s therapists, and nursing. Trainees have a rich
learning experience by working closely with these disciplines. The clinical staff and support
staff are a culturally and racially diverse community of people. The clinic has Spanish-speaking
psychotherapists and support staff.

Structure
Hamm Clinic administration includes an Executive Director, Director of Clinical Services, Medical
Director, Controller, and Office Operations Manager. Additional planning and leadership are
provided by the Training Coordinator, Director of Psychology Training, Research Coordinator,
and Management Services Coordinator. The clinic has an active community Board of Directors.

Commitment to Diversity:
Hamm Clinic has been providing services to clients of color for at least thirty years. Our
commitment to diversity is evident in our effort to provide mental health treatment to non-
native English speaking clients. We have provided therapy services to non-native English
speaking clients for 15 years.

Recent statistics show Hamm Clinic provided clinical services to a population that was 58%
women; 42% men. Forty-seven percent of our clients use commercial insurance, 46% use state
or federal funded programs to pay for treatment (i.e., Medicare, Medicaid/Medical Assistance)
and 7% have no insurance and utilize the sliding fee scale. Additionally, we continue to work to

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Hamm Clinic
                         Doctoral Psychology Internship Program
                                       2017-2018

expand our mental health services to individuals from diverse ethnic and cultural backgrounds.
Currently, our client population includes 17% people of color which is similar to the racial and
ethnic demographic of our service area. Our client population is diverse in socio-economic
status, approximately 50% of the clients have an income of less than $30,000 per year. We
presently provide psychological services, including therapy and assessment and psychiatric
consultations, in English and Spanish.

An ongoing goal of the clinic’s outreach activities is to reach diverse communities and bring
awareness of the clinic’s services. Hamm Clinic is actively examining approaches to increase
client diversity.

Hamm Clinic initiated cultural responsiveness efforts in 1987. Since that time we have had a
dedicated staff person and /or committee focusing on issues of diversity (with the exception of
period of a couple/few years when almost all activities that were not directly clinical were put
on pause). Presently, HMPC Cultural Responsiveness Committee efforts include: reflecting on
the ethnicity of the client in each team case consultation, and providing ongoing staff trainings
that focus on diversity (at minimum 3 of 11 annual staff in-service trainings).

In accordance with APA Ethical Standard 7, Item 7.04, Hamm Clinic does not require interns to
disclose many forms of personal information in the context of training. At the same time, we
also recognize as clinicians that our own personal reactions when providing therapy can affect
client care. As such, interns are encouraged to explore their own personal reactions in providing
therapy. This is done during supervision, consultation group, and when applicable, in personal
therapy.

                                    ACCREDITATION STATUS:

The Doctoral Psychology Internship is currently accredited, as designated by the American
Psychological Association*. Our most recent site visit was November, 2015. We have received
seven years of reaccreditation with the next site visit to be scheduled in 2022. The clinic is also
a MN Department of Human Services Rule 29 approved facility and an APPIC member
psychology training site. Interested students participate in the APPIC match.

*Questions related to the program’s accredited status should be directed to:
Commission on Accreditation
Office of Program Consultation and Accreditation
American Psychological Association
750 1st Street, NE, Washington, DC 20002

Phone: (202) 336-5979
E-mail: apaaccred@apa.org
Web: www.apa.org/ed/accreditation

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Hamm Clinic
                        Doctoral Psychology Internship Program
                                      2017-2018

                                        TRAINING AIMS:

1. At the completion of the HMPC internship, psychology interns will be able to provide
   competent, culturally-responsive short-term and long-term psychotherapy to a diverse
   adult population. Focus is paid to examining therapeutic process, the fundamental
   importance of the therapeutic relationship, and value of utilizing transference/counter-
   transference to inform and enhance treatment.

2. At the completion of the HMPC internship, psychology interns will be able to provide
   competent cross-disciplinary, integrative clinical services to a diverse adult population. As a
   consultation team-member, trainees learn to navigate and facilitate productive
   collaboration with psychiatry (within a community mental health setting),
   for the benefit of the client. In addition, psychology interns will learn how to provide peer-
   consultation, and to elicit and integrate feedback from a consultation group to supplement,
   enhance, and diversify their treatment approach.

3. At the completion of the HMPC internship, psychology interns will have acquired experience
   in utilizing neurocognitive, personality, and academic skills screening tests and procedures
   in the psychological assessment process. Psychology interns are trained according to a
   “therapeutic assessment” approach, whereby testing is utilized to enhance mental health
   treatment. The function and importance of feedback is understood from the lens of how it
   can benefit the client, and facilitate the effectiveness of the treating professional or
   treatment team.

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Hamm Clinic
                                Doctoral Psychology Internship Program
                                              2017-2018

                  CORE COMPETENCIES OF HMPC PSYCHOLOGY INTERNSHIP TRAINING:

                                                      1. Research:

Objective 1.A: Conducts scholarly inquiry and critically evaluate research
Objective 1.B: Demonstrates integration of science into practice
Objective 1.C: Demonstrates knowledge, skills, and competence to produce new knowledge
Objective 1.D: Disseminates knowledge and/or scholarly activities

                                            2. Ethical and Legal Standards:

Objective 2.A: Demonstrates advanced knowledge and application of the APA Ethical Principles and Code of Conduct
and other relevant ethical, legal, and professional standards and guidelines
Objective 2.B: Independently utilizes an ethical decision-making model in professional work
Objective 2.C: Independently integrates ethical and legal standards with all competencies

                                          3. Individual and Cultural Diversity:

Objective 3.A: Independently monitors and applies knowledge of self as a cultural being in assessment, treatment,
and consultation
Objective 3.B: Independently monitors and applies knowledge of others as a cultural being in assessment, treatment,
and consultation
Objective 3.C: Independently monitors and applies knowledge of diversity in others as cultural beings in assessment,
treatment, and consultation
Objective 3.D: Applies knowledge, skills, and attitudes regarding dimensions of diversity to professional work

                                  4. Professional Values, Attitudes, and Behaviors:

Objective 4.A: Monitors and independently resolves situations that challenge professional values and integrity
Objective 4.B: Conducts self in a professional manner across settings and situations
Objective 4.C: Independently accepts personal responsibility across settings and contexts
Objective 4.D: Independently acts to safeguard the welfare of others
Objective 4.E: Displays consolidation of professional identity as a psychologist; demonstrates knowledge about issues
central to the field; integrates science and practice
Objective 4.F: Demonstrates reflectivity both during and after professional activity; acts upon reflection; uses self as
a therapeutic tool
Objective 4.G: Accurately self-assesses competence in all competency domains; integrates self-assessment in
practice; recognizes limits of knowledge/skills and acts to address them; has extended plan to enhance
knowledge/skills
Objective 4.H: Self-monitors issues related to self-care and promptly intervenes when disruptions occur
Objective 4.I: Independently seeks supervision when needed

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Hamm Clinic
                                Doctoral Psychology Internship Program
                                              2017-2018

                                      5. Communication and Interpersonal Skills:

Objective 5.A: Develops and maintains effective relationships with a wide range of clients, colleagues, organizations,
and communities
Objective 5.B: Manages difficult communication; possesses advanced interpersonal skills
Objective 5.C: Verbal, nonverbal, and written communications are informative, articulate, succinct, sophisticated,
and well-integrated; demonstrate thorough grasp of professional language and concepts

                               6. Theories and Methods of Psychological Assessment:

Objective 6.A: Independently selects and implements multiple methods and means of evaluation in ways that are
responsive to and respectful of diverse individuals, couples, families, and groups and context
Objective 6.B: Independently understands the strengths and limitations of diagnostic approaches and interpretation
of results from multiple measures for diagnosis and treatment planning
Objective 6.C: Utilizes case formulation and diagnosis for intervention planning in the context of stages

                                  7. Psychotherapy and Psychological Intervention:

Objective 7.A: Independently plans interventions; case conceptualizations and intervention plans are specific to case
and context
Objective 7.B: Displays clinical skills with a wide variety of clients and uses good judgment even in unexpected or
difficult situations
Objective 7.C: Implements interventions with fidelity to empirical models and flexibility to adapt where appropriate
Objective 7.D: Independently evaluates treatment progress and modifies planning as indicated, even in the absence
of established outcome measures

                                                8. Providing Supervision:

Objective 8.A: Understands the ethical, legal, and contextual issues of the supervisor role
Objective 8.B: Demonstrates knowledge of supervision models and practices; demonstrates knowledge of and
effectively addresses limits of competency to supervise
Objective 8.C: Engages in professional reflection about one’s clinical relationships with supervisees, as well as
supervisees’ relationships with their clients
Objective 8.D: Provides effective supervised supervision to peer(s)

                           9. Consultation and Inter-Professional/Interdisciplinary Skills:

Objective 9.A: Determine situations that require different role functions and shifts roles accordingly, to meet referral
needs
Objective 9.B: Demonstrates knowledge of and ability to select appropriate and contextually sensitive means of
assessment/data gathering that answers consultation referral questions
Objective 9.C: Applies knowledge to provide effective assessment feedback and to articulate appropriate
recommendations
Objective 9.D: Applies literature to provide effective consultative services (assessment and intervention) in most
routine and some complex cases

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Hamm Clinic
                        Doctoral Psychology Internship Program
                                      2017-2018

                                CLINICAL PRACTICE EXPERIENCE:

Overview:
Psychology Interns’ clinical practice experience occurs within a community mental health
outpatient setting. Interns provide individual and psychological assessment services for a
diverse adult population; and have the option of providing group and couples therapy. They
collaborate with multi-disciplinary teams, to provide thoughtful and well-coordinated services.
Pre-doctoral psychology interns are expected to have face-to-face clinical contact with a
minimum of 12 patients per week, and a total of at least 450 hours of face-to-face clinical
contact hours over the course of the internship year. This can include group therapy, and
couple’s therapy. In addition, interns are expected to complete a minimum of six full
assessment batteries during their internship experience. These batteries are expected to
include the administration of at least three separate assessment procedures, in addition to the
clinical interview. Collectively, interns are expected to spend 50% of their time at the clinic
providing direct service.
Learning Elements:

1. Diagnostic Assessment: Diagnostic assessment is an important part of service delivery at
   Hamm Clinic. A thorough assessment is necessary for the clinician to be able to provide
   informed treatment. Training in diagnostic assessment takes a variety of forms, and occurs
   in a graded, cumulative, and sequential manner. Psychology interns are introduced, early
   on, to the idea of diagnostic assessment as an ongoing process in psychotherapy. As interns
   progress in their training, they are introduced to more sophisticated aspects of diagnostic
   assessment. Weekly seminars contribute to the focus on psychological assessment viewing
   personality structure from a variety of perspectives. Specifically, assessment as viewed
   through multiple professional and theoretical lenses, and interns are encouraged to
   consider various ways of gathering and organizing information gleaned from therapy
   interactions. During the mid and later phases of the training, supervision parallels the
   trainee’s development focusing on more complex and nuanced issues in psychological
   assessment.

2. Psychotherapy: Psychotherapy is fundamental to the psychology interns’ clinical training at
   HMPC. Psychology interns receive a concentrated orientation throughout their first weeks
   at the clinic. Interns are assigned a low number of new client intakes (2-5) during their first
   week at the clinic. In order to address training in a sequential, graded, and cumulative
   manner, interns (in collaboration with their supervisor) are encouraged to increase their
   caseload in an intentional, managed fashion, keeping in mind the need to conceptualize,
   diagnose, formulate a treatment plan, and provide timely completion of paper work for
   each client. As the training experience continues, trainees have the opportunity to provide

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Hamm Clinic
                          Doctoral Psychology Internship Program
                                        2017-2018

   short-term and long-term therapy, and can request certain types of clients to balance their
   learning such as couples, certain presenting issues, etc. Within the constraints and
   limitations, an attempt will be made to provide interns with a variety of clinical issues and
   concerns.
3. Psychological Testing: At Hamm Clinic, the function of psychological testing is to improve
   patient care. Psychology interns get experience with assessment that is conducted to help
   clarify diagnosis, increase understanding of personality and defensive structure, and identify
   a patient’s cognitive strengths or limitations. The majority of referrals are from Hamm Clinic
   psychiatrists, clinicians, and trainees.

   Initially, the psychological assessment supervisor works closely with the intern to develop a
   plan for psychometric evaluation. The plan typically incorporates a thorough clinical
   interview that includes meeting with both the patient and the referring provider. While the
   most frequently used assessment instrument at this time is the MMPI-2, a variety of
   personality and cognitive assessment tests and interview schedules are available. All
   doctoral psychology interns will be expected to complete written MMPI-2 reports and
   provide verbal feedback to the patient and referring provider. The assessment supervisor
   instructs interns on how to write psychological reports that provide a constructive response
   to the referral question(s).

   Each doctoral psychology intern is expected to have had academic coursework in
   psychological testing and assessment prior to entering the internship. Training at Hamm
   Clinic builds upon this with an emphasis on the administration, accurate scoring,
   interpretation, report writing, verbal feedback, and professional consultative aspects of
   psychological assessment. The training in psychological assessment is consistent with the
   clinic’s fundamental commitment that all clinic activities (assessment, therapy, medication
   evaluation, research, etc.) should support the provision of quality psychotherapy. In that
   light, trainees are expected to interpret the results of psychological assessments within a
   thoughtful framework of how the results may affect the process and dynamics of
   psychotherapy.

   The most common psychological assessment instruments administered at the clinic are the
   MMPI–2 and WAIS–IV. However, most often cognitive evaluations include additional
   neurocognitive measures selected based on the specific referral question. Personality
   measures such as the Rorschach or MCMI-III are also used to supplement specific batteries.
   Tests available at the clinic include:

                 Wechsler Adult Intelligence Scale – fourth edition (WAIS – IV)
                 Wechsler Abbreviated Scale of Intelligence (WASI)
                 Wide Range Achievement Test 4 (WRAT 4)
                 Trail Making Test

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Hamm Clinic
                         Doctoral Psychology Internship Program
                                       2017-2018

                 Wisconsin Card Sorting Test
                 Wide Range Assessment of Memory and Learning 2 (WRAML 2)
                 Porteus Maze Test
                 California Verbal Learning Test 2 (CVLT – 2)
                 Rey-Osterrieth Complex Figure Test
                 The Brief Neuropsychological Cognitive Examination
                 The Neuropsychological Impairment Scale (NIS)
                 Brown ADD Scales
                 Minnesota Multiphasic Personality Inventory – 2 (MMPI – 2)
                 Millon Clinical Multiaxial Inventory – III (MCMI – III)
                 Rorschach Projective Inkblot Test
                 Thematic Apperception Test (TAT)
                 Incomplete Sentence Test

4. Multi-disciplinary Consultation: Interns participate in a weekly, one-hour multidisciplinary
   Clinical Consultation Team of approximately 7 staff, which includes professionals and
   trainees in psychiatry, psychology, and social work. This is intended to enrich interns’ clinical
   experience. In this consultation team experience interns are exposed to a range of mental
   health issues that are managed in an outpatient psychotherapy setting. They participate as
   a team member, support team members, and gain experience with seeking professional
   consultation in their role as a therapist. Clinical staff model case presentation skills. Interns
   are expected to present their clinical work, and become familiar with seeking feedback from
   others to help navigate challenging clinical issues that arise, ethical concerns,
   transference/counter-transference, and individual and cultural diversity. In addition, interns
   are exposed to the work of a diverse range of professional and theoretical points of view.

   The psychology interns gain experience in the role of a consultant to the members of the
   team. Interns contribute their current and advanced academic training in clinical or
   counseling psychology for constructive clinical purposes. This consultative role is an
   important aspect of the internship; the intern is expected to take an increasingly active role
   as a consultant as the internship progresses. Interns contribute consultation, based on their
   academic knowledge of the science of psychology, psychological assessment, and unique
   clinical skills and interests, as is relevant to the cases discussed.

                                           SUPERVISION:

Individual Supervision (2+ hours/week): Interns meet twice a week for one-hour (each
meeting) with their primary supervisor. The primary supervisor is the point person for the
intern, and available to consult with the intern outside of scheduled supervision. The intern’s
individual supervisor is responsible for supervising the majority of the intern’s clinical activities.
Hamm Clinic has an ‘open-door policy,’ in which trainees are encouraged to seek out ongoing
supervision and consultation with their individual supervisor as issues and concerns arise – to

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Hamm Clinic
                        Doctoral Psychology Internship Program
                                      2017-2018

aid in continuity of their training experience. In an attempt to support this, the individual
supervisor makes efforts to coordinate schedules with the intern, such that the intern’s
schedule overlaps as much as possible with the times that the individual supervisor is onsite.
Individual supervision at Hamm is comprehensive. Focus is paid to examining a range of issues
on an ongoing basis.

Psychological Assessment Supervision (1-2 hours/week): Interns meet as a group with the
Psychological Assessment Supervisor for 1-2 hours per week to discuss and review their
psychological assessment work and to receive didactic training. Additional supervision hours
are determined by the psychological assessment supervisor based on the intern’s level of
competency in psychological assessment.

Multi-disciplinary Team Psychology Supervision (1+ hours/week): Interns participated in
weekly multi-disciplinary team, and receive targeted supervision by a doctoral psychologist who
is a member of the intern’s team (and different from the intern’s primary supervisor). In
addition to the hour per week that is spent together in team, the intern and team supervisor
meet together individually to develop learning goals and objectives for the intern’s
participation in the weekly team meeting. As a part of this process, the intern is presented with
specific training goals and objectives to accomplish during their time on the team. The team
supervisor and interns then meet periodically to discuss and monitor the intern’s development
as a consultant, as guided by the collective goals and objectives.

                                  EDUCATIONAL ACTIVITIES:

Training Seminar (3-hours/week): Interns attend a weekly, 3-hour seminar to provide didactic
training to all Hamm Clinic trainees (i.e. psychology, psychiatry, and social work). Seminars are
open to the public, and mental health trainees and professionals from the community are often
in attendance. They are taught by Hamm Clinic staff as well as external mental health experts.
The seminars are both didactic and experiential, intended to help trainees to integrate theory
and practice. Seminar topics are scheduled in an order that addresses more concrete,
immediate issues such as assessment, mental status, crisis intervention in the early part of the
training year, and more conceptual issues such as transference, countertransference, resistance
and termination later in training. Sample topics have included: Personality Disorders;
Assessment and Diagnosis; Working with Latino/Latina Clients; Introduction to Dialectical
Behavior Therapy; Cognitive Behavioral Therapy to Treat Panic Disorder; and Psychodynamic
Psychotherapy.

Dissertation/Research (2-hours/week): Interns may use 2 hours per week to work on their
dissertations or research of their choice.
PCOMS (1-hour/week): Psychology interns receive initial and ongoing training in Partners for
Change Outcomes Management System (PCOMS), which is a program that utilizes client

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Hamm Clinic
                         Doctoral Psychology Internship Program
                                       2017-2018

feedback to inform and improve the treatment process. PCOMS training will provide a
framework for therapeutic work that is informed by ongoing, cumulative research on treatment
outcome, which identifies the therapeutic alliance as a central variable in client success in
therapy. Interns gain experience tracking clients’ session-by-session response to treatment, as a
gauge to understand treatment effectiveness. They also monitor clients’ ratings of their therapy
experience and therapeutic alliance, to encourage open discourse about the client’s
experiences of treatment.

Group Didactic (2-hour/month): Interns attend group supervision twice a month to address
professional growth and clinical issues. Group supervision provides psychology interns to with
discipline specific training, specific to their development as a Health Service Psychologist. Topics
covered include: providing supervision, navigating ethical conflicts, professional development,
and cultural responsiveness.

Journal Club (1-hour/month): Interns attend a monthly 1-hour journal club. The purpose is to
engage psychology intern’s in the collaborative process of examining and evaluating evidence-
based literature/research. Journal articles and readings pertaining to client care are distributed
and discussed. Past readings have included readings related to treatment and research of
various clinical diagnoses, ethics, clinical and professional boundaries, multi-cultural therapy,
and supervision. Articles often compliment the topics covered in the weekly didactic seminars.

CORC (1-hour/month): Psychology interns attend the monthly Clinical Outcomes Research
Committee (CORC) meetings. Interns participate in discussions about ongoing treatment
outcome research projects. They become familiar with how outcome research is conducted at
Hamm Clinic, and are expected to reflect on how to clinic-based conduct research in an ethical
manner. They are encouraged to contribute their unique perspective, drawing upon any
knowledge acquired from their previous learning or experiences.

HMPC Staff In-service trainings (1.5-hours/month): Once per month (the 4th Wednesday of the
month), the Clinic sponsors monthly in-services for the staff and trainees on issues related to
psychotherapy. The speaker for the in-service is usually a professional from outside the clinic
and presents on his/her area of interest and expertise.
Case Presentations (biannual): During the year, interns give two clinical case presentations to
the clinical staff and other clinic trainees. These presentations include: a thorough case
conceptualization based in a psychological theory; description and rationale, informed by
research and culturally relevant best practices, for the specified clinical intervention; and
evaluation of the treatment outcome.

Research Presentation (annual): Psychology interns will present dissertation research or other
related scholarly activities to HMPC staff. They also have the option to present at a case
conference, or presentation at the regional, or national level.

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Hamm Clinic
                         Doctoral Psychology Internship Program
                                       2017-2018

Observation of Initial Psychiatric Evaluation (annual): Psychology interns will observe an initial
psychiatric evaluation by a Hamm Clinic psychiatrist and patient. The purpose is to enhance the
intern’s understanding of the role of psychiatry.

Conferences (annual): Hamm Clinic sponsors an annual day-long conference during the year
featuring a nationally recognized speaker. Topics presented are relevant to the work as a
therapist, and frequently address cultural responsiveness.

MAAPIC (biannual): Through the Minneapolis AAPIC collaborative, HMPC interns participate in
two, day-long training events, alongside psychology interns training/practicing within the
extended Minneapolis/Saint Paul surrounding area. Common topics of the seminars include
ethics, supervision, and cultural responsiveness. Trainings are provided by experts in these
areas. The purpose is to provide concentrated trainings in these areas, to supplement onsite
learning.

Self-Reflection: As a supplement to individual supervision and team case consultation, and in
accordance with Hamm Clinic’s philosophy and practice of psychotherapy, interns are given
time in their schedules to reflect on their therapy sessions and clients. Hamm Clinic believes
that the trainee’s own processing of his/her work is a crucial skill to be supported in the training
process. Interns are encouraged to process their own feelings and thoughts about clients, to
take time to read literature about various psychotherapy topics, and to consult with colleagues
about their clinical work. Interns are given dedicated time throughout the month to formally
meet with other trainees for support and professional development.

OPTIONAL TRAINING and SUPERVISION (based on trainee interest and availability):

Cultural Responsiveness Committee: Cultural Responsiveness Committee: Interns are
invited to participate in Hamm Clinic’s version of a diversity and inclusion effort which is called
the Cultural Responsiveness Committee (CRC). This committee used to be called the Cultural
Competency Committee but was changed to Cultural Responsiveness Committee in an effort to
stay current with the multicultural movement that one is never fully “competent” in
multicultural issues, as it is a constant, life-long journey. Hamm Clinic’s vision for cultural
inclusion is to “value and respect every person’s culture and life story” by being a “healing
space that is culturally responsive, inclusive, reflective and constantly evolving.” The CRC
committee is charged to “provide leadership and support as Hamm Clinic embraces culture in
all facets of our work”. This committee meets once a month for an hour in addition to events
and trainings sponsored by the committee which occur throughout the year. Interns ideas are
taken seriously by Hamm Clinic and have resulted in numerous changes made at our
clinic. There is also great focus in the beginning months of the committee on addressing power
dynamics and creating an environment where interns feel safe to share opinions, learn and
grow on all matters of diversity and inclusion.

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Hamm Clinic
                        Doctoral Psychology Internship Program
                                      2017-2018

Couple’s Therapy Supervision: Interns work with our couple’s therapists to provide couple’s
therapy. Interns meet with a supervisor to review couple’s therapy cases. The number of hours
and frequency of meetings is determined by the supervisor; this takes into consideration the
intern’s level of competency in providing couples therapy, and the number of couple/family
cases the intern is serving. This supervision would be in addition to baseline supervision of four-
hours per week, provided for the practice areas of individual therapy and psychological
assessment.

Group Therapy Supervision: Interns co-facilitate a group with a staff clinician. The tasks of
therapy groups range from exploring interpersonal relationships to providing psycho-education.
Groups meet weekly. Interns meet regularly for at least one half-hour per week with their
group co-facilitator. The co-facilitator serves as the intern’s group therapy supervisor.

Psychoanalytic Case Formulation: Interns are encouraged to engage in a monthly reading
group that studies Nancy McWilliams’ book, “Psychoanalytic Case Formulation.” The group runs
throughout the course of the training year. It is intended to enrich and broaden interns’
capacity to conceptualize their work with clients, and to assist with treatment planning.

March 15, 2018                                                                        Page 14 of 22
Hamm Clinic
                         Doctoral Psychology Internship Program
                                       2017-2018

                                         Training Experiences

 Supervision:                                      Required Hours/Week:
 Individual Supervision                            2+
 Psychological Assessment Supervision              1-2
 Multi-disciplinary Team Supervision               1+

 Weekly Educational Activities:                    Required Hours/Week:
 Training Seminar                                  3
 Dissertation/Research                             2
 PCOMS                                             1

 Monthly Educational Activities:                   Required Hours/Month:
 Group Didactic                                    2
 Journal Club                                      1
 CORC                                              1
 In-services                                       1.5

 Additional Training Events:                       Required Hours
 Case Presentations                                5
 Research Presentation                             3
 Observation of Psychiatric Evaluation             1
 HMPC Annual Conference                            8
 MAAPIC trainings                                  16

 Total:                                            Total Required Training Hours/Week:
                                                   11-13+

March 15, 2018                                                                       Page 15 of 22
Hamm Clinic
                        Doctoral Psychology Internship Program
                                      2017-2018

                                          EVALUATION:
•   Psychology interns complete a self-assessment of skills at the beginning and end of their
    internship. The self-assessment of skills is based on the training program’s competencies
    and objectives. This tool is utilized to help develop the intern’s specific goals for their
    supervision and training.

•   Psychology interns complete a learning contract at the beginning of their internship. The
    learning contract is updated and revised periodically as determined by the individual
    supervisor and intern. It is focused on the intern’s training needs, and progress towards the
    program’s competencies and objectives.

•   Psychology interns attend and participate in training seminars, in-service trainings, group
    didactics, journal club, CORC, and PCOMS.

•   Interns must complete two formal case presentations, a research presentation, and an
    observation of an initial psychiatric evaluation.

•   Interns must complete a range of tasks within their multi-disciplinary team, which involve
    seeking and providing consultation. This is signed off on by their team supervisor.

•   Interns receive ongoing feedback from their individual supervisor. Formal evaluation is
    conducted by the intern’s individual and psychological assessment supervisor at 4-months,
    8-months, and 12-months. The evaluation is based on the intern’s attainment of objectives
    within each of the nine competency areas (i.e. research, ethical and legal standards,
    individual and cultural diversity, professional attitudes, values, and behaviors,
    communication and interpersonal skills, theories and methods of psychological assessment,
    psychotherapy and psychological intervention, providing supervision, and consultation). To
    complete internship, interns must meet threshold criteria in each of the competency areas,
    which determine the intern’s preparedness for independent practice. This evaluation is
    informed by the following:

       o Written evaluation by the multi-disciplinary team supervisor, and written feedback
         from a staff member and teammate on intern’s performance in team.

       o Written evaluation by the chair of the research committee about participation in
         CORC and PCOMS

       o Verbal feedback from the group didactic instructors, which is discussed during
         monthly Psychology Training Committee meetings

March 15, 2018                                                                        Page 16 of 22
Hamm Clinic
                        Doctoral Psychology Internship Program
                                      2017-2018

       o Written feedback by staff in attendance of case presentations, and research
         presentation

       o Verbal feedback from HMPC training staff, which is discussed during monthly
         Supervisors’ Meeting

•   Alongside the psychology intern’s 4-, 8-, and 12-month evaluation, intern’s complete
    written evaluation of their primary supervisor. This information is reviewed by the
    individual supervisor and the Psychology Training Committee.

March 15, 2018                                                                     Page 17 of 22
Hamm Clinic
                         Doctoral Psychology Internship Program
                                       2017-2018

                                     STIPEND and BENEFITS:

Hamm Clinic provides 2 full-time doctoral psychology internship positions. The current stipend
is $22,500 for the training year. Interns receive up to $130 per month for parking throughout
the training year, in accordance with current clinic policies. Interns are allowed to use two
hours per week to work on their dissertations or research of their choice. Interns can arrange to
take 2 weeks of personal time off (PTO) in addition to time off for each clinic-scheduled holiday.
No health insurance is provided. In recent years, interns have attained affordable health care
coverage through the Minnesota Department of Human Services MinnesotaCare program.

                              ELIGIBILITY and SELECTION PROCESS:

Applicants must meet the following prerequisites to be considered for our program:

    1.   Passed their comprehensive examinations
    2.   Have dissertation proposals approved by graduate program
    3.   Approval for internship status by graduate program training director
    4.   Completed at least one therapy practicum
    5.   Completed at least one assessment practicum
    6.   A minimum of 100 hours conducting adult psychotherapy
    7.   A minimum of 350 direct service practicum hours at application time
    8.   A minimum of 600 direct service practicum hours at internship start date

                                   SUCCESSFUL COMPLETION:

•   Complete 2,000 hours during the internship year
•   Complete a minimum of 450-hours of face-to-face clinical contact with clients
•   Complete a minimum of six formal psychological assessment batteries.
•   Attainment of threshold criteria in each of the competency areas, which determine the
    intern’s preparedness for independent practice. Psychology interns need a passing level of
    competence in each of the nine competency areas (i.e. research, ethical and legal
    standards, individual and cultural diversity, professional attitudes, values, and behaviors,
    communication and interpersonal skills, theories and methods of psychological assessment,
    psychotherapy and psychological intervention, providing supervision, and consultation).
•   Routine attendance and participation in required educational activities
•   Successful completion of two case presentations
•   Successful completion of a research presentation

March 15, 2018                                                                       Page 18 of 22
Hamm Clinic
                         Doctoral Psychology Internship Program
                                       2017-2018

                                        TRAINING STAFF:

Robert Mantell, RN, Ph.D., L.P.
University of Minnesota, Twin Cities Campus, Department of Educational Psychology
Internship at Brockton/West Roxbury VAMC in Brockton, Mass.
Area of specialization: Individual psychotherapy with adults and geriatric clients

Nancy Hammond, Ph.D., L.P.
University of Minnesota, Twin Cities Campus, in Clinical Psychology
Internship at Minneapolis VAMC
Area of specialization: Psychological assessment

Anesh Patel, Psy.D., L.P.
University of St. Thomas
Internship at University of Minnesota University Counseling and Consulting Services
Areas of specialization: Multi-cultural and group psychotherapy

Barbara Benner, Ph.D., L.P.
University of North Dakota, in Clinical Psychology
Area of specialization: Individual therapy with adults and older adolescents; Axis II issues: Cross-
cultural issues
Nicole Wolf, Ph.D., L.P.
University of Tennessee, Knoxville, Clinical Psychology
Internship at Allendale Association
Post-doctoral Fellowship at Institute of Living
Area of specialization: Individual and family psychotherapy; Psychodynamic psychotherapy

Yvonne Nobles, Psy.D., L.P.
University of St. Thomas
Internship at Human Services Incorporated (HSI) in Washington County (Canvas Health)
Areas of specialization: Multicultural Counseling

Michael Wilke, MA, LP
University of St. Thomas
Internship at The City, Inc., Minneapolis
Areas of specialization: Couples, Family, Cross-cultural therapy

March 15, 2018                                                                         Page 19 of 22
Hamm Clinic
                          Doctoral Psychology Internship Program
                                        2017-2018

                                  ADDITIONAL TRAINING STAFF:

Toni Magnuson, MD
Medical Director
University of Minnesota

Su Sethna, MSW, LICSW
Director of Clinical Services
Training Coordinator
University of Minnesota, Twin Cities Campus

Rachel Richardson, MSW, LICSW
University of St. Thomas/College of St. Catherine

Inquiries regarding Hamm Clinic’s Psychology Doctoral Internship Program should be addressed
to:

Nicole Wolf, Ph.D., L.P.
Director of Psychology Training
Hamm Memorial Psychiatric Clinic
408 St. Peter Street, Suite 429
St. Paul, Minnesota, 55102-1119
E-mail: nwolf@hammclinic.org

More information about the clinic, application processes, deadlines, etc., is available here.

Hamm Clinic is committed to fully utilizing our human resources through a policy of
equal employment opportunity. We will not knowingly discriminate on the basis of any
legally protected category, including race, age, color, religion, creed, sex, marital status,
national origin, handicap / disability, veteran status, sexual orientation or public
assistance.

March 15, 2018                                                                          Page 20 of 22
Hamm Clinic
                           Doctoral Psychology Internship Program
                                         2017-2018

 WHERE ARE OUR INTERNS?

Year      Graduate Program             Program      Degree   Post Intern Experience           Gender
2016.01   Brigham Young University     Counseling   Ph.D.    Faculty position at University   M
                                                             of Arkansas
2016.02   Roosevelt University         Clinical     Psy.D.                                    F

2015.01   University of Wisconsin,     Counseling   Ph.D.    Post doc, Hennepin County        F
          Milwaukee                                          Medical Center, Mpls.
2015.02   University of Minnesota,     Counseling   Ph.D.    Employment in human              F
          Twin Cities Campus                                 resources, Twin Cities area

2014.01   University of Minnesota,     Counseling   Ph.D.    Post doc, VAMC, Waco,            F
          Twin Cities Campus                                 Texas
2014.02   Hawaii School of             Clinical     Psy.D.   Community Clinic, Wisconsin      F
          Professional Psychology

2013.01   University of Indianapolis   Clinical     Psy.D.   Post doc at Meridian             M
          School of Psychological                            Psychological Associates, IN
          Sciences
2013.02   Minnesota School of          Clinical     Psy.D.   Post doc at the Program in       F
          Professional Psychology                            Human Sexuality, University
                                                             of Minnesota, Minneapolis,
                                                             MN
2012.01   Rosemead School of           Clinical     Psy.D.   Post doc at the Menninger        M
          Psychology                                         Clinic in Houston, Texas
2012.02   Illinois School of           Clinical     Psy.D.   Post doc at Yankton State        F
          Professional Psychology                            Hospital, in Yankton South
                                                             Dakota
2011.02   Nova Southeastern            Clinical     Psy.D.   Post doc and employment in       F
          University                                         CMHC, Philadelphia, PA
2011.01   John F. Kennedy University   Clinical     Psy.D.   Post doc, Toronto, Canada        M

2010.02   Pacific University           Clinical     Psy.D.   Post doc State University        F
                                                             College Counseling Program,
                                                             California
2010.01   University of St. Thomas     Counseling   Psy.D.   Post doc Emily Program, St.      F
                                                             Paul, MN
2009.03   Chicago School of            Clinical     Psy.D.   Private practice, Chicago, Ill   M
          Professional Psychology
2009.02   Minnesota School of          Clinical     Psy.D.   Post doc, Hamm Clinic            F
          Professional Psychology

 March 15, 2018                                                                         Page 21 of 22
Hamm Clinic
                          Doctoral Psychology Internship Program
                                        2017-2018

2009.01   Chicago School of            Clinical     Psy.D.   Private practice, Mpls, MN         F
          Professional Psychology
2008.04   Loyola College In Maryland   Clinical     Psy.D.   Private practice, MN               F

2008.03   Minnesota School of          Clinical     Psy.D.   Private practice, MN               F
          Professional Psychology
2008.02   Minnesota School of          Clinical     Psy.D.   Post doc, Private Hospital,        F
          Professional Psychology                            California
2008.01   University of St. Thomas     Counseling   Psy.D.   Post doc, Hamm Clinic              F

2007.01   Chicago School of            Clinical     Psy.D.   Post doc, CMHC, MN                 F
          Professional Psychology
2007.02   Minnesota School of          Clinical     Psy.D.   Private practice, MN               F
          Professional Psychology
2006.02   University of St. Thomas     Counseling   Psy.D.   Post doc, Hamm Clinic              M
2006.01   Minnesota School of          Clinical     Psy.D.   Post doc, Autism Center, MN        M
          Professional Psychology
2005.03   Chicago School of            Clinical     Psy.D.   Post doc, CMHC, MN                 F
          Professional Psychology
2005.02   California School of         Clinical     Psy.D.   CMHC, MN                           M
          Professional Psychology
2005.01   University of St. Thomas     Counseling   Psy.D.   Private practice, MN               F

 March 15, 2018                                                                            Page 22 of 22
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