Rotations and Training

The Adult Health Psychology interns will each complete two of the following four Core rotations. Specific Core rotations will be selected after the Match, with intern preference taken into account. Each rotation may only be able to accommodate one intern per rotation. 

Adult Heart/Lung Transplant and Adult Behavioral Sleep Rotation
Supervisor: Yelena Chernyak, PhD, HSPP

The goal of this core rotation is for interns to have a breadth of experience in providing health psychology services to adults in a variety of outpatient clinical treatment settings, including cardiology and behavioral sleep medicine. The setting for this rotation is divided between the IU Health Adult Outpatient Psychiatry Clinic at the IU Health Neuroscience Center and the Advanced Heart & Lung Care Clinic at Methodist Hospital. 

Advanced Heart & Lung Care Clinic - Inpatient consultation is a component of the Advanced Heart/Lung rotation, with interns spending about 25 percent of their time inpatient, while the other 75 percent is outpatient. Approximately 50 percent of clinical time is spent on pre-surgical evaluations for heart transplants, lung transplants, and Ventricular Assist Devices. 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, interact with a multidisciplinary medical team and attend clinical case rounds in hospital-based clinics. Previous experience in transplant psychology not required. 

Behavioral Sleep Medicine - The intern will participate in an adult behavioral sleep medicine clinic in the IU Health Adult Outpatient Psychiatry Clinic in collaboration with the IU Sleep Disorders Center under the supervision of a psychologist with board certification in behavioral sleep medicine. The intern will provide assessment and treatment services to adults ages 18+ 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—exposure to pre-surgical evaluation for hypoglossal nerve stimulation for obstructive sleep apnea is available. Previous experience in behavioral sleep medicine is not required. Completing this rotation qualifies interns for the Certification in Cognitive Behavioral Therapy for Insomnia from the Board of Behavioral Sleep Medicine. 

All clinical settings have a teaching mission allowing interns to interact with residents and fellows from various departments. IU Health is a tertiary care facility with nationally and internationally recognized programs in specialized medical care. Please note: the two and a half days per week of this Core rotation must include a full day in the Adult Sleep Clinic and a full day on a Monday or Thursday (Heart/Lung Clinic). Friday mornings will be primarily dedicated to case review, consultation and documentation time. 
Psychology interns who have completed this rotation are encouraged to apply to the Postdoctoral Clinical Health Psychology Fellowship with a focus on Transplant and Cardio-thoracic Behavioral Medicine and are given special consideration in recruitment, with five completing the program in recent years and many staying on as Faculty. 

Adult Pain Clinic Rotation
Supervisors: Danielle Henderson, PhD, HSPP, and Amanda Wakefield, PhD, HSPP

Number of interns/rotaton: one

Interns will have the opportunity to gain a broad perspective on working with adult patients who have chronic pain. The intern will participate in group and individual therapy sessions within the interdisciplinary Pain Rehabilitation Program at IU Health; conduct psychological evaluations through the Pain Navigation Service; and conduct pain psychology assessments and interventions through the Adult Outpatient Clinic in Goodman Hall. Individual and group modalities will primarily utilize CBT and ACT along with other empirically supported treatments for chronic pain. Interns will have the opportunity to interact with providers from multiple specialty areas within pain management, and shadowing opportunities with multiple pain specialties will be available based on intern preferences and provider availability. The two and a half days of this Core rotation will include a full day on Tuesdays (Pain Navigation and Pain Rehabilitation), a full day on Thursdays (pain psych assessments and intervention), and a half-day on Friday mornings to complete any needed paperwork and/or readings. 

Adult Psycho-Oncology and Post-ICU Recovery Clinic Rotation

Supervisors: Tori Powers, PhD, HSPP, Kendra Hinton-Froese, PhD, HSPP, and Christina Wagner, PhD, HSPP

The intern will see approximately five patients per day on each of two days per week in clinic, with an additional half day on Friday mornings for paperwork. Interns will see patients on Mondays in the Simon Cancer Center (SCC) with Dr. Powers and/or Dr. Wagner and in the Post-ICU Recovery Clinic (PIRC) on Wednesdays with Dr. Hinton-Froese. 

The PIRC serves patients who have been hospitalized and are experiencing psychological sequelae after being discharged. Patients are hospitalized for a range of reasons such as a COVID-19 infection, sepsis, trauma, or respiratory failure. Interns rotating in this clinic may also have opportunities to diversify their caseload by treating patients who did not have an ICU stay but who are managing complex medical comorbidities. 

The Adult Psycho-Oncology clinic treats patients who are being seen at SCC for current cancer treatment or who are in survivorship. We serve patients with a variety of oncological statuses (different cancer types, in survivorship or current treatment, diverse prognoses). Many patients in this clinic present with concerns of adjustment to disease or fear of recurrence. Treatment at the SCC is short-term (12 sessions).

In both clinics, interns will provide evidence-based psychotherapy (this includes conducting a clinical interview and diagnostic assessment) that has been individualized to each patient’s needs. Interns will gain experience incorporating social factors (e.g., racism, sexism, loss of status, violence, disability, socioeconomic status) into their diagnostic assessments and in determining appropriate treatment goals. Interns will have the opportunity to provide care for patients with a variety of presenting concerns, including, but not limited to, ADHD; adjustment disorder; anxiety disorders; bipolar and related disorders; depressive disorders; and trauma-and stressor-related disorders. Interns will gain experience with a variety of modalities such as Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, and Dialectical Behavior Therapy skills, based on the patients’ needs. A significant portion of the patients have a trauma history, and as such interns may gain experience with trauma-informed care and in PIRC, and may provide trauma-focused treatments such as Cognitive Processing Therapy and Prolonged Exposure. Interns may also gain experience consulting with multidisciplinary team members. 

 

Adult Solid Organ Transplant (Inpatient and Outpatient)

Supervisors: Rachel Holmes, PhD, HSPP, and Anahli Patel, PsyD, HSPP 

Interns will have the opportunity to conduct diagnostic assessments, pre-transplant evaluations, post-transplant interventions and provide consultation to different specialty medical teams in both outpatient and inpatient hospital settings. There are also opportunities to participate in the transplant support groups and weekly transplant meetings for the liver, pancreas, kidney, and multi-visceral teams. The patient population is organ transplant candidates, recipients, and donors. Experience on this rotation will be partially determined by the intern’s learning objectives and prior training experience. The two full days of this core rotation will be on Mondays, Wednesdays or Thursdays, with Friday morning primarily reserved for paperwork, administrative tasks or reading. 

 

Adult Outpatient and Traumatic Stress Clinic

Supervisor: Michelle Miller, PhD, HSPP

In this rotation, interns will first be trained in the delivery of evidence-based treatments for the treatment of posttraumatic stress disorder (PTSD), including Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), and Narrative Exposure Therapy (NET). Interns will also be trained in how to assess PTSD through the use of the PCL-5 + Life Events Checklist and associated traumatic stress measures, including the Childhood Trauma Questionnaire (CTQ), Dissociative Subtype of PTSD Scale (DSPS), and the Posttraumatic Cognitions Inventory (PTCI). Cases are primarily short-term (8 to 20 sessions). There will most likely be opportunities to practice Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and Cognitive Behavioral Therapy (CBT) skills with patients alongside delivering manualized trauma-informed treatment. Skills training and ongoing learning experiences (e.g., readings, webinars) will be provided and matched to the level of intern experience. Interns will attend weekly individual supervision sessions as well as group supervision with other interns/advanced practicum students; opportunities for conducting supervision are available. Opportunities for scholarly work (e.g., scholarly articles for publication, submitting abstracts for conferences) may also be available. The intern will see approximately five patients per day on each of two days per week in clinic, with an additional half day on Friday mornings for paperwork. 

The HRSA GPE Adult Health Track intern will each complete one core rotation in Adult Addictions and one core Rotation in the Adult Outpatient and Traumatic Stress clinic. They will also train in interdisciplinary settings at least 50 percent of the time. 

Adolescent Substance Use and Addiction

Supervisor: Ally Dir, PhD, HSPP, Lindsay Flegg, PhD, HSPP,  and Amanda Wakefield, PsyD, HSPP

For one day per week, interns will receive training in the delivery of evidence-based substance use treatment in two settings: an intensive outpatient program (IOP) and an outpatient clinic treating substance use and comorbid mental health disorders. Evidence-based treatments include training in motivational interviewing and MET/CBT as well as other core skills for treating addiction, such as DBT. Interns will spend the morning in the IOP gaining experience conducting group therapy. In the afternoon, interns will get experience and training in conducting individual therapy across a range of severity of substance use as well as conducting assessments to diagnose substance use disorders. 

On the second day, the intern will gain pain psychology experience working and consulting on a multidisciplinary team in a specialty clinic performing evaluations, along with individual and group therapy. Interns will experience evaluations and interventions as part of IU Health’s Pain Rehabilitation Program, Pain Navigation Service, and Pain Psychology clinic. Interns will learn how to conduct intake assessments and intervention planning for patients with chronic pain and other health concerns, including clinical interviews and administering self-report objective questionnaires, and identify which pain psychology intervention is most appropriate. Interns will become proficient in using CBT-CP interventions; additional opportunities may include exposure to specialty pain-focused interventions, including Acceptance and Commitment Therapy (ACT), Empowered Relief^TM, hypnotherapy, Emotional Awareness and Expression Therapy (EAET), and biofeedback interventions for adults with chronic pain. Interns will develop skills in performing both in-person and virtual interventions. 

 

Adult Outpatient and Traumatic Stress Clinic

Supervisor: Michelle Miller, PhD, HSPP

In this rotation, interns will first be trained in the delivery of evidence-based treatments for treatment of posttraumatic stress disorder (PTSD), including Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), and Narrative Exposure Therapy (NET). Interns will also be trained in how to assess PTSD through use of the PCL-5 + Life Events Checklist and associated traumatic stress measures, including the Childhood Trauma Questionnaire (CTQ), Dissociative Subtype of PTSD Scale (DSPS), and the Posttraumatic Cognitions Inventory (PTCI). Cases are primarily short-term (8-20 sessions). There will most likely be opportunities to practice Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and Cognitive Behavioral Therapy (CBT) skills with patients alongside delivering manualized trauma-informed treatment. Skills training and ongoing learning experiences (e.g., readings, webinars) will be provided and matched to the level of intern experience. Interns will attend weekly individual supervision sessions as well as group supervision with other interns/advanced practicum students; opportunities for conducting supervision available. Opportunities for scholarly work (e.g., scholarly articles for publication, submitting abstracts for conferences) may also be available. The intern will see approximately five patients per day on each of two days per week in clinic, with an additional half day on Friday mornings for paperwork. 

Interns in the Child/Pediatric Track will complete two of the following three core rotations.

Child and Adolescent Outpatient
Supervisors: Melissa Hord, PhD, HSPP, Bill Kronenberger, PhD, HSPP, Ann Lagges, PhD, HSPP, ABPP, Allison Meyer, PhD, HSPP

The Child and Adolescent Psychiatry Clinic offers outpatient mental health services to families with children and adolescents under the age of 19. Families present to the clinic with a wide range of psychiatric and comorbid medical conditions and often with complex social situations. The child outpatient rotation is divided among a number of the clinics that exist under the larger umbrella of this general clinic. Interns on this rotation will participate in a combination of the following, tailored to meet their training goals: the pediatric testing clinic (full day on Thursdays – can only accommodate one intern per rotation), TAC (Tics, Anxiety and Compulsions) Clinic (full day Mondays or Wednesdays), and the Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic (full day Wednesdays). Friday mornings are utilized for chart review, note/report writing, supervision, and potentially add-on patient slots. 

In all components of this rotation, the intern may have the opportunity to supervise a practicum student.

The pediatric testing clinic provides interns with experience providing intensive, full-day assessments to children and adolescents with complex issues involving cognitive abilities (approximately 90 percent of cases) and, at times, issues involving personality/symptom assessment (approximately 10 percent of cases). The intern may be responsible for some test administration, but will most commonly provide supervision to one or more practicum students administering tests, and will also engage in behavior observation and test interpretation. 

In the Tics, Anxiety and Compulsions (TAC) clinic, interns will gain experience working with children, adolescents and their families presenting with primary diagnoses of OCD, Tourette’s Disorder and other tic disorders, as well as other anxiety disorders including selective mutism. Treatment will include Exposure and Response Prevention (ERP) for OCD and Comprehensive Behavioral Intervention for Tourette’s (CBIT), as well as other evidence-based interventions as appropriate. 

The Disruptive Behavior Disorders Rotation is a full day per week and occurs on Tuesdays. Interns will gain experience with children, adolescents and their families from two different clinics. Half of the intern’s patients will be from the Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic, and half of the patients will be from the Early Childhood Clinic. Patients present to the DBD Clinic with primary diagnoses including ADHD and/or ODD; ages typically range from 4 – 16 years. The treatment approach is most often behavioral parent training to manage disruptive behaviors, typically using the Modular Approach to Therapy for Children (MATCH-ADTC) manual. Patients present to the Early Childhood Clinic with concerns of behavior problems, anxiety, selective mutism, toileting refusal, and feeding challenges; ages range from 2-7. As this is a six-month rotation, interns will not be able to get certified in PCIT; however, this rotation will teach foundational skills that will aid in future certification and for any clinician interested in learning behavioral approaches that are helpful when working with children and parents. Given the presenting problems of many of our patients, collaboration with schools and primary care providers is common.

Child and Adolescent Consultation Liaison Service
Supervisors: Ashley Powell, PsyD, HSPP and Katherine Schwartzkopf, PsyD, HSPP

The Riley Psychiatry Consultation Liaison Service offers inpatient mental health services hospital-wide. Consultation requests are received from various services including Hospitalist, Gastroenterology, Neurology, Hematology/Oncology, Rehabilitation, Pulmonology, Surgery, Developmental Pediatrics, Critical Care, Endocrinology, and Adolescent Medicine. Psychology interns will be involved in consultation requests involving diagnostic assessment, somatoform disorders, coping with chronic illness, safety evaluations related to suicidality/self-harm, pain management, adherence difficulties, behavioral interventions, and eating/feeding issues. Interns will carry an average of 1-5 cases per day, including new initial assessments and follow-up therapeutic interventions. The CL team is a multidisciplinary team that includes psychologists, psychiatrists, and licensed clinical social workers. In addition, the intern will have the opportunity to work with administrative coordinators as well as psychiatry and triple board residents and medical students. Opportunities for research and supervision of medical students and psychology practicum students may be available upon request. Several items to note: 1) This rotation can likely only accommodate 1 intern per rotation (2 total). 2) this rotation is 2.5 days per week and includes on site clinical work every Friday from 8/8:30-10:30 a.m. 3) Clinical skills that can assist with the learning experience on the CL service include, but not limited to; strong flexibility, assertive communication and advocacy skills, boundary setting, awareness of hospital systems, foundational CBT and behaviorism skills, awareness of medical diagnoses, and focus on patient care/responsibility.

 

Pediatric Outpatient
Supervisors: Elaine Gilbert, PsyD, HSPP, Stephanie Hullmann, PhD, HSPP, Ashley Knol, PsyD, HSPP, Ashley Powell, PsyD, HSPP, Scott Wagoner, PhD, HSPP, and Amy Williams, PhD, HSPP, ABPP

Interns on this rotation will participate in the Pain Center Specialty Clinic, the Pediatric GI Clinic, and/or the Pediatric Health Psychology Clinic. Friday mornings are generally paperwork/administrative time, but there is the possibility for clinical work if needed. 

 

Riley Pain Center Specialty Clinic
Supervisor: Amy Williams, PhD, HSPP, ABPP and Ashley Powell, PsyD, HSPP

This rotation is a full day per week on Tuesdays or Thursdays, and can accommodate up to two interns per day per rotation total (core plus elective). Interns will gain experience in assessment and treatment of pediatric patients with chronic pain who present to the Riley Pain Center. Treatment involves CBT for chronic pain (and other evidence-based interventions) and exposure to biofeedback (may be limited due to continued virtual care). The pain center is an interdisciplinary treatment team comprised of pediatric anesthesiologists, a physician assistant, pediatric psychologists, a pediatric psychology fellow, and physical therapists. Interns may have the opportunity to gain experience in supervision of practicum students. 

 

Pediatric GI Clinic
Supervisors: Scott Wagoner, PhD, HSPP, and Ashley Knol, PsyD, HSPP

This rotation is available on Mondays, Tuesdays, Wednesdays and Thursdays with a maximum of four interns (core plus elective) per rotation. Interns may see patients in the outpatient Pediatric GI clinics at IU North, Meridian Crossing, or on the Riley campus at the Riley Outpatient Center or Pediatric Care Center. Interns will learn research-informed care for children and adolescents referred by their GI physicians for a multitude of presenting concerns, including nonadherence, coping with chronic medical conditions, disorders of the gut-brain interaction, pain management, encopresis, as well as comorbid attention deficit hyperactivity disorder, anxiety, and mood issues. Beyond outpatient care, this rotation has the potential to involve trainees in integrated clinics including the Motility Clinic and Disorders of the Gut-Brain Interaction clinic. Specialty skills that may be taught include brief assessment of patients with GI symptoms, CBT interventions for chronic medical conditions and pain management, as well as basic and advanced biofeedback skills.

 

Pediatric Outpatient

Supervisors: Elaine Gilbert, PsyD, HSPP, and Stephanie Hullmann, PhD, HSPP

This rotation is available on Mondays-Thursdays with a maximum of 4 interns per rotation. Interns will see patients on the Riley campus at the Riley Pediatric Care Center (PCC). Interns will learn research-informed care for children and adolescents referred by their physicians, consulting psychologist, or care team member for a multitude of presenting concerns including nonadherence, coping with chronic medical conditions, acute injury, disorders of the gut-brain interaction, pain management, encopresis, as well as comorbid attention deficit hyperactivity disorder, anxiety, and mood symptoms. Specialty skill proficiency in brief assessment of patients with co-occurring physiological and psychological symptoms interfering with developmental norms and /or day-to-day functioning. CBT interventions for chronic medical conditions and pain management, including MI and ACT integrated with flexibility and fidelity to the Children’s Health and Illness Recovery Program. Additional opportunity for training in basic and advanced biofeedback skills will be offered.

The HRSA GPE Child/Pediatric Track interns will each complete one core rotation in Adolescent Addictions and one of the three core rotations described under the Child/Pediatric Track. They will also complete at least one elective rotation in a trauma-focused area and will train in interdisciplinary settings at least 50 percent of the time. 

Adolescent Substance Use and Addiction

Supervisors: Zachary Adams, PhD, HSPP, Amanda Broderick, PhD, HSPP, and Stephanie Strong, PhD, HSPP

This rotation is 2.5 full days per week (Monday, Thursday, and Friday mornings) within the Adolescent Dual Diagnosis Clinic in the Riley Child & Adolescent Outpatient Psychiatry Clinic. Interns will join an established treatment team and gain experience working with adolescents and their families in the evaluation and treatment of co-occurring substance use and mental health disorders. Interns will be trained in the delivery of ENCOMPASS, an integrated, evidence-based treatment model that involves standardized diagnostic assessment, motivational interviewing (MI), cognitive behavioral therapy (CBT), contingency management and family sessions. Interns will also be trained in brief interventions for mild to moderate substance use. Youth receive both therapy and medication management through this clinic, and interns will have opportunities to interact and coordinate care with an interdisciplinary team of psychiatrists, psychologists, nurse practitioners, social workers, psychiatric residents, graduate students, and medical students in this rotation. Interns will attend team meetings and weekly supervision. Opportunities for scholarly work such as case studies, journal reviews, and manuscript preparation are also available, and interns will be invited to participate in pertinent campus and departmental learning series (e.g., Addiction Psychiatry Symposium).

Supervisors: Jill Fodstad, PhD, HSPP, BCBA-D, Ann Lagges, PhD, HSPP, ABPP, and Noha Minshawi, PhD, HSPP

The Child/Autism Track intern will spend 1-1/2 days per week for each of the 6-month rotations training with Drs. Minshawi and Fodstad in the Autism Spectrum and Developmental Disorders Clinic which is a pediatric multi-disciplinary outpatient clinic affiliated with Riley Hospital for Children of psychiatrists and psychologists who engage in clinical care, research, education and outreach activities in the state of Indiana creating opportunities for co-treatment and collaboration. We are actively serving over 800 pediatric patients with autism spectrum disorders (ASD) and other neurodevelopmental disabilities (NDD) of all abilities and developmental levels and their families. Interns receive extensive training and supervision in both the assessment and differential diagnosis of ASD (ages 5 – 17 years old) within complex neuropsychiatric and/or medical presentations, as well as evidenced-based neurodevelopmental treatments (e.g., modified CBT, ABA-based parenting coaching, adaptive skills training, social skills training) via individual, family, or group formats. Track interns will have exposure to all experiences in the Autism Track, but with less intensity due to more diverse experiences. Friday mornings are typically paperwork and administrative time but may also include group tele-supervision. 

During Core rotation A, the intern will spend 1 day per week with Dr. Lagges (Wednesdays) in the Tics, Anxiety and Compulsions (TAC) clinic. The intern will gain experience working with children, adolescents and their families presenting with primary diagnoses of OCD, Tourette’s Disorder and other tic disorders, as well as other anxiety disorders including selective mutism. Treatment will include Exposure and Response Prevention (ERP) for OCD and Comprehensive Behavioral Intervention for Tourette’s (CBIT) as well as other evidence-based interventions as appropriate. The clinic is multidisciplinary in nature which allows patients to receive therapy and medication management services at the same visit. The team, including a psychologist, psychiatrist, psychiatric residents, psychology interns and psychology practicum students will meet prior to the afternoon clinic to discuss patients. 

During Core rotation B, the intern will spend 1 day per week (Wednesdays) with Dr. Hord in the Disruptive Behavior Disorders Rotation, which is a full day per week and occurs on Tuesdays. Interns will gain experience with children, adolescents and their families from two different clinics. Half of the intern’s patients will be from the Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic and half of the patients will be from the Early Childhood Clinic. Patients present to the DBD Clinic with primary diagnoses including ADHD and/or ODD; ages typically range from 4 – 16 years. Treatment approach is most often behavioral parent training to manage disruptive behaviors, typically using the Modular Approach to Therapy for Children (MATCH-ADTC) manual. Patients present to the Early Childhood Clinic with concerns of behavior problems, anxiety, selective mutism, toileting refusal, and feeding challenges; ages range from 2-7. As this is a six-month rotation, interns will not be able to get certified in PCIT; however, this rotation will teach foundational skills that will aid in future certification and for any clinician interested in learning behavioral approaches that are helpful when working with children and parents. Given the presenting problems of many of our patients, collaboration with schools and primary care providers is common. 

Training Supervisors: Liz Begyn, PhD, HSPP, ABPP-CN, Jana Chan, PhD, HSSP, Anne-Marie Fleckenstein, PhD, HSPP, and Sarah Koch, PhD, HSPP
Other agency/institution supervisor:  Brenna McDonald, PsyD, HSPP, ABPP-CN

Structure of Track:
The pediatric neuropsychology track intern completes two 6-month core rotations in pediatric neuropsychology. This amounts to 50 percent of their overall training time in pediatric neuropsychology, consistent with the Taxonomy for Education and Training in Clinical Neuropsychology as well as the training guidelines provided by the Houston Conference to qualify as a Major Area of Study in neuropsychology. The overarching goal of this track is to prepare interns for a competitive post-doctoral fellowship in pediatric neuropsychology, future board certification in clinical neuropsychology, and leadership in the field. This is accomplished through a diverse range of clinical activities, supervision, and didactics. 

Outpatient Assessment:
The Neuropsychology Intern receives advanced training in neuropsychological assessment of children and adolescents with medical conditions that carry associated cognitive sequelae. Our clinic is located in the Neuroscience Center and is the only pediatric neuropsychology service housed within an academic medical center in the state of Indiana. As such, patients seen in our clinic are required to have a documented medical history with implications for neurological and cognitive development. Patients range in age but are typically between 4-18. Common populations include brain tumor, leukemia, epilepsy, concussion, moderate-severe traumatic brain injury, brain infection, myelomeningocele, cardiac disease, sickle cell disease, and genetic syndromes. 

Evaluations are conducted in a same-day model, with interview, testing, supervision, case conceptualization, and feedback happening in the same day-long appointment. The Neuropsychology Intern participates in every aspect of the evaluation, with increasing independence over time. In preparation for fellowship and eventual independent practice, the goal is for the Neuropsychology Intern to take the clinical lead in two outpatient cases per week. We employ five full-time technicians who provide testing/scoring support to meet this goal. Our service utilizes a standardized report format with approximately 5-6 pages of text followed by a score table appendix. 

Multidisciplinary Clinical Activities:

• Outpatient Medical Clinic Consultation-Liaison
  Outpatient medical clinics provide multidisciplinary care at Riley Hospital for Children at IU Health. The Neuropsychology Intern provides year-long consultation services in the Neuro-Oncology Multidisciplinary Clinic at Riley Hospital for Children. This clinic provides interdisciplinary care to medically and psychosocially complex brain tumor patients. The Neuropsychology Intern is also provided with preferential consideration for the 6-month elective rotation in Inpatient/Outpatient Rehabilitation, which includes clinical consultation in the TBI Clinic as well as the Spina Bifida Clinic (see description). 
  
  
• Multidisciplinary Team Conferences/Boards
  The Neuropsychology Intern is invited to participate in the Tumor Board and Epilepsy Surgery Conference. The Tumor Board team includes neuro-oncology, radiology, neurosurgery, and neuropsychology. Tumor Board meets weekly to confer on diagnosis and treatment approaches for pediatric brain tumor patients. The Epilepsy Surgery Conference team includes neurology, radiology, neurosurgery, and neuropsychology. Epilepsy Surgery Conference occurs bimonthly to confer on a surgical plan for pediatric patients with intractable epilepsy.
  
  
• Inpatient Consultation
  The Neuropsychology Intern provides year-long consultation on the inpatient rehabilitation unit at Riley Hospital for Children. Consultation activities include providing psychoeducation on brain injury, conducting abbreviated bedside evaluations prior to discharge, and coordinating on a plan of care for discharge through school re-entry meetings and interdisciplinary consultation. Typical patient populations seen on the inpatient rehabilitation unit include severe traumatic brain injury, anoxic/hypoxic brain injury, stroke, brain tumor, meningitis/encephalitis, and non-accidental trauma. 

Multidisciplinary Clinical Activies:
Outpatient Medical Clinic Consultation-Liaison
Outpatient medical clinics provide multidisciplinary care at Riley Hospital for Children at IU Health. The Neuropsychology Intern provides year-long consultation services in the Neuro-Oncology Multidisciplinary Clinic at Riley Hospital for Children. This clinic provides interdisciplinary care to medically and psychosocially complex brain tumor patients. The Neuropsychology Intern will also participate in the Sickle Cell Disease Clinic, providing brief, targeted neurocognitive screening to patients with suspected attention and executive functioning difficulties related to their medical presentation. The Neuropsychology Intern is also provided with preferential consideration for the 6-month elective rotation in Inpatient/Outpatient Rehabilitation, which includes clinical consultation in the TBI Clinic as well as the inpatient rehabilitation unit.

Multidisciplinary Team Conferences/Boards
The Neuropsychology Intern is invited to participate in the Tumor Board and Epilepsy Surgery Conference. The Tumor Board team includes neuro-oncology, radiology, neurosurgery, and neuropsychology. Tumor Board meets weekly to confer on diagnosis and treatment approaches for pediatric brain tumor patients. The Epilepsy Surgery Conference team includes neurology, radiology, neurosurgery, and neuropsychology. Epilepsy Surgery Conference occurs bimonthly to confer on a surgical plan for pediatric patients with intractable epilepsy.

Inpatient Consultation
The Neuropsychology Intern provides year-long consultation on the inpatient rehabilitation unit at Riley Hospital for Children. Consultation activities include providing psychoeducation on brain injury, conducting abbreviated bedside evaluations prior to discharge, and coordinating on a plan of care for discharge through school re-entry meetings and interdisciplinary consultation. Typical patient populations seen on the inpatient rehabilitation unit include severe traumatic brain injury, anoxic/hypoxic brain injury, stroke, brain tumor, meningitis/encephalitis, and non-accidental trauma. 

Emerging Specialization:
The goal of the internship is to provide breadth training and strengthen the foundation in general practice in pediatric neuropsychology. Through outpatient evaluation and the ancillary clinical activities included in this track, the Neuropsychology Intern will also gain emerging specialization with three populations: neuro-oncology, epilepsy surgery, and inpatient rehabilitation. 

Supervision and Didactics:
Individual supervision is provided by the pediatric neuropsychology faculty listed above. Group supervision occurs weekly for inpatient rehabilitation activities and includes learners at all stages from various disciplines, including psychology. Group supervision is also provided for Tumor Board, Epilepsy Surgery Conference, and Multidisciplinary Neuro-Oncology Clinic. In addition to receiving supervision, the Neuropsychology Intern may have opportunities to provide supervision of junior trainees in a vertical model. 

Didactics specific to pediatric neuropsychology occur bi-monthly. There is a faculty-led didactic component where topics relevant to the practice of pediatric neuropsychology are formally presented and discussed. There is also a case conference/group supervision component where specific cases are presented to discuss clinical, professional, and ethical issues. Through this didactic, the Neuropsychology Intern also practices ABPP-style fact-finding. 

Research:
The focus of research efforts during internship should be on dissertation completion and defense. If the Neuropsychology Intern has additional bandwidth, they may elect to contribute to ongoing research projects helmed by faculty or post-doctoral fellows. Other research activities embedded within the track include literature searches conducted in preparation for clinical case supervision or case presentations and opportunities to co-review journal articles submitted for publication.

The Autism Track intern will complete two core rotations in the Autism Spectrum and Developmental Disorders Clinic.

Supervisors: Jill Fodstad, PhD, HSPP, BSCBA-D and Noha Minshawi-Patterson, PhD

The Autism Spectrum and Developmental Disorders Clinic is a pediatric multi-disciplinary outpatient clinic affiliated with Riley Hospital for Children. Faculty-level providers include psychiatrists and psychologists who engage in clinical care, research, education and outreach activities in the state of Indiana, creating opportunities for co-treatment and collaboration. We are actively serving over 800 pediatric patients with autism spectrum disorders (ASD) and other neurodevelopmental disabilities (NDD) of all abilities and developmental levels and their families. Interns receive extensive training and supervision in both the assessment of ASD and other NDDs, as well as behavioral interventions grounded in Positive Behavioral Interventions and Supports (PBIS), Applied Behavior Analysis, and modified Cognitive Behavioral Therapy. Interns will spend two full days in clinic per week; Friday mornings are typically paperwork/administrative time but may also include group tele-supervision. 

Who We Serve: The Autism Spectrum and Developmental Disorders Clinic serves individuals from birth through age 17 years old. Our patients often have complicated presentations that include genetic syndromes (e.g., Fragile X, Down’s Syndrome, Angelman’s Syndrome) and medical complications (e.g., feeding disorders, childhood cancer, seizure disorders, mitochondrial disorders). 

Services We Provide: The Autism Spectrum and Developmental Disorders Clinic provides families with comprehensive evaluations and ongoing clinical care for concerns that interfere with the child’s success. We receive referrals from across the state and surrounding states for our complex diagnostic decision-making and behavioral and medical treatment expertise. Services provided include:

• Complex Diagnostic Assessment Program – Provides comprehensive evaluation of children and teens (ages 5 – 17 years) with interfering behaviors and skill deficits and concerns for autism spectrum disorder with presentations complicated by medical and/or psychiatric complexity. Visits include a diagnostic interview, behavioral observations, record review, and individually tailored testing plans which can include ADOS-2, behavior/psychiatric rating scales, cognitive testing, and adaptive behavior assessment. Families return later for diagnostic feedback. 

• Individual/Family-based Brief Therapy Program – A short-term, solutions-focused program for children (ages 3 – 17 years) on the autism spectrum or other neurodevelopmental disabilities. Children present with a wide variety of concerns including interfering behaviors (e.g., tantrums, self-injury), adaptive skill difficulties (e.g., toileting, sleep), and co-occurring mood/anxiety concerns. Families meet weekly to bi-weekly with their therapist to develop targeted treatment plans and learn skills that facilitate the child’s success. In-person and virtual individual- or family-based therapy is provided using modified cognitive behavioral therapy, parent coaching, and adaptive skills training. 

• PEERS Bootcamp Program – This program provides consolidated seven-week virtual bootcamps based upon the PEERS teen curriculum (i.e., Friendship Skills; Conversational Skills). Teens (ages 12 – 17 years) with social skill difficulties and their parent(s) attend weekly virtual group meetings. 
  
  
• RUBI Parent Coaching Program – An evidenced-based 12-15 week curriculum for parents of children (ages 5 – 12 years) on the autism spectrum or with other neurodevelopmental disabilities. Parents learn behavioral parenting skills and strategies to decrease interfering behaviors (e.g., mild/moderate aggression, tantrums, noncompliance) and teach their child adaptive skills. Parents meet weekly to bi-weekly with their therapist via either virtual parent group or individual family therapy format. Families are triaged into which format is best for their unique needs. 

• Medication Management – Psychiatrists and psychiatry residents manage behavior problems through psychotropic medications

Intern Responsibilities: Interns receive intensive training in both assessment and treatment of ASD and NDDs. Including: 

Intern Time Breakdown:
• 2.5 days per week for 12 months in the pediatric autism clinic, two days per week in elective rotations, and a half day per week in didactics.
• Average of two comprehensive diagnostic assessments and one feedback session per week.
• Average of three therapy patient slots per week (average caseload of 9-12 therapy patients at a time).
• Average of one group per week.

Additional Intern Opportunities: In addition to the above experiences, the intern in the Autism Track will also receive Crisis Prevention Intervention Training, ADOS-2 training through an ADOS-2 Clinical Workshop, exposure to the ADOS-2 administrations and scoring, and the opportunity to do case presentations. There are also opportunities for interns to advance their scholarly development within the Autism Track through optional work on case studies, chart reviews, journal reviews, book chapter and manuscript preparation, as well as poster presentations at regional and national conferences. The clinic also provides a one-year Post-Doctoral Fellowship in Autism Spectrum and Developmental Disabilities. This fellowship program includes continued and broadening standardized testing experience with ADOS-2 clinical reliability, positive behavioral support interventions and parent coaching, contact hours and supervision necessary for licensure, and the opportunity to supervise various types of trainees. 

Supervisors: Zack Adams, PhD, HSPP, Amanda Broderick, PhD, HSPP, Allyson Dir, PhD, HSPP, and Stephanie Strong, PhD,  HSPP

While more than 40 million people in the U.S. had a substance use disorder (SUD) in the last year, only 10 percent of people with SUDs received any substance use treatment. One barrier to care is a lack of providers with specialized training in clinical management of SUDs and related disorders. Therefore, the primary goal of this core rotation is to train psychology interns in best practice, evidence-based practices for assessment and treatment of substance use and SUDs in adolescents and adults.

Interns in the HRSA GPE Substance Use and Addiction track will complete two core rotations in adolescent and adult substance use clinical service settings (i.e., 2.5 days per week for 12 months) and at least one elective rotation in a trauma focused area. At least 50 percent of training will occur in interdisciplinary settings. Tuesday and Thursdays will be full days in person in clinic and Friday mornings will typically be time for paperwork, administrative tasks or work on scholarly products, but may at times be used for rescheduled supervision or a virtual patient visit. The balance of time between the adolescent and adult services will be determined based on intern goals and preferences, as well as supervisor capacity within each of the clinics over the training year. Opportunities for scholarly work such as case studies, journal reviews, and manuscript preparation are also available and interns will be invited to participate in pertinent campus and departmental learning series (e.g., Addiction Psychiatry Symposium).

Adolescent Services: The primary site for work with adolescents and families will be the Adolescent Dual Diagnosis Clinic in the Riley Child & Adolescent Outpatient Psychiatry Clinic. Interns will join an established treatment team and gain experience working with adolescents and their families in the evaluation and treatment of co-occurring substance use and mental health disorders. Interns will be trained in delivery of ENCOMPASS, an integrated, evidence-based treatment model that involves standardized diagnostic assessment, motivational interviewing (MI), cognitive behavioral therapy (CBT), contingency management and family sessions. Interns also will be trained in brief interventions for mild to moderate substance use. Youth receive both therapy and medication management through this clinic, and interns will have opportunities to interact and coordinate care with an interdisciplinary team of psychiatrists, psychologists, nurse practitioners, social workers, psychiatric residents, graduate students, and medical students in this rotation. Interns will attend team meetings and weekly supervision. 

Adult Services: The primary sites for work with adults in this rotation will be the Addiction Treatment & Recovery Center at IU Health Methodist Hospital and the Outpatient Addictions Clinic at Goodman Hall. Interns will gain experience in conducting substance use assessments for adults and determining appropriate level of care, as well as in delivering group and individual therapy to adults with a range of substance use disorders and across varying levels of severity. In addition to training in evidence-based practice for substance use treatment, individuals will also gain experience in working with a multidisciplinary team in a hospital-based setting and outpatient clinic. Interns will attend team meetings and weekly supervision. 

Supervisors: Casey Pederon, PhD, HSPP, and Lauren O'Reilly, PhD, HSPP

Interns on this rotation will engage in training in both the Collaborative Assessment and Management of Suicidality (CAMS) program and Dialectical Behavior Therapy (DBT) program.

Suicide Prevention Clinic: CAMS Program
The CAMS Program provides short-term, outpatient treatment for teens aged 10 to 17 experiencing suicidal thoughts and behavior. Using the CAMS framework, this program works closely with patients to understand and address the specific issues contributing to their suicidality with the goal of achieving long-term remission of suicidal thoughts and behaviors. Patients are referred to long-term care providers once these goals are met. Families are actively engaged in the treatment process, with efforts to provide education and support for managing suicidality. Services include telehealth and hybrid models to accommodate patient needs.

Suicide Prevention Clinic: DBT Program
The DBT Program offers full model services for youth aged 13–17 with high-risk behaviors such as emotional instability, impulsivity, and chronic suicidal thoughts and behaviors, as well as frequent psychiatric hospitalizations. Full model DBT includes weekly individual therapy, weekly multifamily skills training groups, and participation in a consultation team for clinicians. This program emphasizes stabilization, emotional regulation, and the development of adaptive behaviors through structured DBT protocols. All DBT services are delivered in person.

Supervisor: Yelena Chernyak, PhD, HSPP

This rotation is a full day per week and can accommodate up to two interns as an elective per rotation. The intern will participate in an adult behavioral sleep medicine clinic in the IU Health Adult Outpatient Psychiatry Clinic in collaboration with the IU Sleep Disorders Center under the supervision of a psychologist with board certification in behavioral sleep medicine. The intern will provide assessment and treatment services to adults ages 18+ 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. Exposure to pre-surgical evaluation for hypoglossal nerve stimulation for obstructive sleep apnea available. Previous experience in behavioral sleep medicine is not required. Completing this rotation qualifies interns for the Certification in Cognitive Behavioral Therapy for Insomnia from the Board of Behavioral Sleep Medicine.

Supervisor: Yelena Chernyak, PhD, HSPP

The goal of this core rotation is for interns to have a breadth of experience in providing health psychology services to adults in a variety of outpatient clinical treatment settings, including cardiology, pulmonology, transplant and Ventricular Assist Device patient settings. The setting for this rotation is Methodist Hospital’s Advanced Heart and Lung Care Clinic. Inpatient consultation is a component of the Advanced Heart/Lung rotation, with interns spending about 25 percent of their time inpatient, while the other 75 percent is outpatient. Approximately 50 percent of clinical time is spent on presurgical evaluations for heart transplants, lung transplants, and Ventricular Assist Devices. 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. Inpatient consultation is a component of this rotation, with interns spending about 25 percent of their time inpatient. Interns will have the opportunity to work with a medically diverse clinical population experiencing acute and chronic medical conditions, provide consultation services, interact with a multidisciplinary 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. This elective is full-day on Mondays or Thursdays. Previous experience in transplant psychology is not required. 

Psychology interns who have completed this rotation are encouraged to apply to the Postdoctoral Clinical Health Psychology Fellowship with a focus on Transplant and Cardio-thoracic Behavioral Medicine and are given special consideration in recruitment, with five successfully completing the program in recent years and many staying on as Faculty.

Supervisor: Danielle Henderson, PhD, HSPP

This rotation is available for up to one intern per rotation on Wednesdays. Interns will provide evidence-based psychotherapy (this includes conducting a clinical interview and diagnostic assessment) that has been individualized to each patient’s needs. Interns will gain experience incorporating social factors (e.g., racism, sexism, loss of status, violence, disability, socioeconomic status) into their diagnostic assessments and in determining appropriate treatment goals. Interns will have the opportunity to provide care for patients with a variety of presenting concerns, including, but not limited to ADHD; adjustment disorder; anxiety disorders, bipolar and related disorders; depressive disorders; obsessive-compulsive and related disorders; and trauma-and stressor-related disorders. Many patients’ presentations are complex. Interns will gain experience with a variety of modalities such as Acceptance and Commitment Therapy, Cognitive-Behavioral therapy, and Dialectical Behavior Therapy skills, based on the patients’ needs. 

Supervisors: Lindsay Flegge, PhD, HSPP and Amanda Wakefield, PsyD, HSPP

Interns will gain pain psychology experience working and consulting on a multidisciplinary team in a specialty clinic performing evaluations, along with individual and group therapy. Interns will experience evaluations and interventions as part of IU Health’s Pain Rehabilitation Program, Pain Navigation Service, and Pain Psychology clinic. Interns will learn how to conduct intake assessments and intervention planning for patients with chronic pain and other health concerns, including clinical interview and administrating self-report objective questionnaires, and identify which pain psychology intervention is most appropriate. Interns will become proficient in using CBT-CP interventions; additional opportunities may include exposure to specialty pain-focused interventions, including Acceptance and Commitment Therapy (ACT), Empowered Relief^TM, hypnotherapy, Emotional Awareness and Expression Therapy (EAET), and biofeedback interventions for adults with chronic pain. Interns will develop skills in performing both in-personal and virtual interventions. This rotation can accommodate one intern per rotation on Thursdays with Dr. Flegge and one intern on Thursdays with Dr. Wakefield. 

Supervisors: Rachel Holmes, PhD, HSPP and Anahli Patel, PsyD, HSPP

This rotation is one full day per week on Mondays, Wednesdays or Thursdays and can accommodate up to three interns per rotation if another intern has not elected this rotation as a Core; if an intern has elected this as a Core, it will be available to one additional intern as an elective. Interns will have the opportunity to conduct diagnostic assessments, pre-transplant evaluations, post-transplant interventions, and provide consultation to different specialty medical teams in both outpatient and inpatient hospital settings. There are also opportunities to participate in the transplant support groups and weekly transplant meetings for the liver, pancreas, kidney, and multi-visceral teams. The patient population is organ transplant candidates, recipients, and donors. Experience in this rotation will be partially determined by the intern’s learning objectives and prior training experience. 

Supervisor: Ann Lagges, PhD, HSPP, ABPP and Allison Meyer PHD, HSPP

Please note: This rotation is an option as part of the Child/Pediatric Track Child Outpatient Core Rotation and is part of Core Rotation A for the Child/Autism Track

This rotation is a full day per week and occurs on Mondays with Dr. Meyer or Dr. Lagges and Wednesdays with Dr. Lagges. The rotation can accommodate up to four interns total (core plus elective) on Mondays, and three on Wednesdays during each rotation. 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 the afternoon clinic on Mondays to discuss patients and engage in didactic activities, with interns having the opportunity to present. Interns will most likely have the opportunity to assist in the supervision of practicum students. 

Supervisors: Amanda Broderick, PhD, HSPP, Allison Meyer, PhD, HSPP, and Stephanie Strong, PhD, HSPP

This rotation occurs on Mondays and can accommodate up to three interns per rotation. In this rotation, interns will provide evidence-based assessment and therapy for youth (ages 3-17) who have experienced trauma and exhibit posttraumatic stress symptoms. Interns will develop skills in differential diagnosis, selection and administration of trauma and symptom assessments (e.g., CATS, CPSS-5), case conceptualization, provision of treatment recommendations for complex cases, and delivery of evidence-based trauma treatments. Interns will be trained in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and will learn how to deliver treatments to a wide range of family configurations. Youth who present to this clinic have varied traumatic experiences, including single incident traumas, child maltreatment, sexual abuse, and exposure to chronic or repeated traumatic stress. There may be opportunities to complete advanced TF-CBT training and consultation and to learn additional modalities for cases in which TF-CBT is not indicated. Interns will also gain an understanding of the child welfare system within the state of Indiana. Interns will receive weekly individual supervision, attend weekly clinic group supervision meetings, and may participate in supervised supervision of practicum students.

Supervisor: Melissa Hord, PhD, HSPP

Please note: This rotation is an option as part of the Child/Pediatric Track Child Outpatient Core Rotation and is part of Core Rotation B for the Child/Autism Track

This rotation is a full day per week and occurs on Tuesdays for up to 3 interns. Interns will gain experience with children, adolescents and their families from two different clinics. Half of the intern’s patients will be from the Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic, and half of the patients will be from the Early Childhood Clinic. Patients present to the DBD Clinic with primary diagnoses including ADHD and/or ODD; ages typically range from 4 – 16 years. The treatment approach is most often behavioral parent training to manage disruptive behaviors, typically using the Modular Approach to Therapy for Children (MATCH-ADTC) manual. Patients present to the Early Childhood Clinic with concerns of behavior problems, anxiety, selective mutism, toileting refusal, and feeding challenges; ages range from 2-7. As this is a six-month rotation, interns will not be able to get certified in PCIT; however, this rotation will teach foundational skills that will aid in future certification and for any clinician interested in learning behavioral approaches that are helpful when working with children and parents. Given the presenting problems of many of our patients, collaboration with schools and primary care providers is common.

Supervisor: Melissa Hord, PhD, HSPP

This rotation is a full day per week and occurs on Mondays with Dr. Hord. This rotation is offered as a year-long elective for 1-2 interns who would like to get certified in Parent-Child Interaction Therapy (PCIT). If no interns elect to seek certification, there will not be an ECC elective rotation. 

Patients typically consist of young children (ages 2-8) who are struggling with anxiety, behavioral challenges, trauma, selective mutism, feeding/eating difficulties, voiding issues, or a combination of these problems. Treatment emphasizes parenting skills training and live coaching of parent-child interactions, as informed by Parent-Child Interaction Therapy (PCIT), a gold standard, empirically supported treatment for disruptive behavior. The Early Childhood Clinic uses PCIT as a foundation for several treatments for a broad range of early childhood anxiety and behavioral disorders. Interns will learn the PCIT protocol and develop skills for coaching caregivers and coding both verbal and behavioral interactions that occur during sessions. 

Supervisor: Jana B. Chan, PhD HSPP

Description of Clinical Activities: The intern on this elective rotation would provide consultation services to patients admitted to the inpatient rehabilitation unit at Riley Hospital for Children at IU Health. The intern would provide brain injury education to the patient’s family, medical team, and patient (as appropriate). The intern would also be involved in helping to implement the unit-wide patient engagement program that has been designed to facilitate patient cooperation and participation in all rehab activities, including therapies and nursing cares. The intern would also be actively involved in co-treatment session with therapies to provide serial neurocognitive assessment of recovery. The intern would also provide consultation in the multidisciplinary outpatient TBI Clinic, which sees patients who have recently been discharged from the inpatient rehabilitation unit. 

Population: Patients admitted to the inpatient rehabilitation unit have experienced a decline in functioning and are deemed likely to benefit from receiving intensive therapies (occupational, physical, and speech-language therapy). Often, the medical condition that precipitated admission to the unit includes traumatic or acquired brain injury, such as traumatic brain injury, stroke, brain infection (i.e., encephalitis, meningitis, meningoencephalitis), empyema, anoxic brain injury, non-accidental trauma, and epilepsy. Other medical conditions include cerebral palsy (s/p dorsal rhizotomy), Guillain-Barre syndrome, spinal cord insult/injury, muscular dysfunction. Patients span the age range, from a few months of age to early 20s.

Site: Clinical activities will take place on the Pediatric Inpatient Rehabilitation Unit at Riley Hospital for Children at IU Health (RI3B). Intern workspace is on the first floor of the Simon Family Tower and will be a shared work space.

Days: Tuesday

Supervision Structure: Individual supervision 30 minutes weekly. Weekly one hour group supervision with Rehab Psychology/Neuropsychology team (Drs. Chan and Schwartzkopf and psychology/neuropsychology learners).

Anticipated Hours: Four direct patient contact hours per week

Prerequisites: Interns considered for this rotation must have previous experience with assessment (child assessment preferred) and brain injury (traumatic or acquired).

Supervisor: Kate Lyn Walsh, PsyD, HSPP

This rotation is offered on Thursdays at IUH North in Carmel and can accommodate one intern per rotation. A half-day clinic on Tuesday mornings may also be possible for one intern per rotation, but would include only telehealth patients and utilize telesupervision. 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 licensed psychologist and in collaboration with several sleep physicians, they 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 may 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 in conducting co-therapy with patients. Treatments are typically short-term (two to four 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, hypersomnias, and adherence to PAP therapy for sleep apnea. In addition to developing a strong foundation and understanding of normal sleep and behavioral sleep medicine treatments, the intern will gain familiarity with actigraphy as a clinical assessment tool, observe part of an overnight polysomnogram, shadow a sleep physician in clinic, and learn to screen for medical sleep disorders. The training experience further includes opportunities to work with infants and toddlers. Previous experience in behavioral sleep medicine is desirable but not required.

Supervisor: Michelle Tsai Owens, PhD, HSPP

This rotation is a full day per week; the intern can choose between Tuesdays or Thursdays.

Clinical Opportunity 1: Tuesdays – Riley Outpatient Center and Riley Hospital for Children
One day per month, the intern will work with the supervising psychologist in the interdisciplinary pediatric Pulmonary Hypertension Clinic. Within this clinic, patients are seen by a pediatric cardiologist, a pediatric pulmonologist, nurses, a dietitian, a social worker and a pediatric cardiac psychologist. The intern will gain experience conducting brief assessments of patient/family coping with and management of the patient’s pulmonary hypertension and co-occurring chronic medical conditions and/or screening for developmental and psychosocial needs, as well as providing targeted recommendations to the family and interdisciplinary team. The intern will first observe the supervising psychologist and progress to co-leading these brief consultations. 

Patient Population Served: Youth ages 0-25 with pulmonary hypertension.

Three days per month, the intern will work with the supervising psychologist to provide inpatient consultation/liaison services on the cardiac intensive care unit and cardiac stepdown unit. Consult requests may include assessing and supporting patient/family coping with lengthy hospital admission and cardiac surgeries/procedures, assessing and treating internalizing and externalizing symptoms, assessing and addressing barriers to patient engagement in medical care and rehab therapies, and conducting pre-/post-cardiac transplant/VAD psychological evaluations (note that these pre-/post-transplant/VAD evaluations occur infrequently). The intern will start by observing the supervising psychologist, progress to co-leading initial consults and targeted interventions, and progress to seeing some consults independently. On this consult service, the intern will have opportunities to coordinate with some or all of the following: the cardiac and CVICU medical teams, the cardiac and transplant/VAD social workers, transplant and VAD nurse coordinators, palliative care team, child life specialist, educational liaison, rehab therapists, and creative arts therapists. 

Patient Population Served: Youth ages 0-17 and (young) adults medically admitted to the CVICU or cardiac stepdown unit. Caregivers of infants/young children admitted to the CVICU or cardiac stepdown unit.

Note: Previous training on an inpatient pediatric psychology consultation/liaison service is required for the Tuesday option.

Clinical Opportunity 2: Thursdays – Meridian Crossing Clinic
One day per week, the intern will participate in a rotation in the Pediatric Cardiac Psychology Clinic. Patients are referred to this clinic by their outpatient cardiologist or from the inpatient pediatric cardiac psychology consult service for follow-up after hospital discharge. Presenting concerns may include patient and family coping with the patient’s cardiac condition, adjusting to transition back to home and school following lengthy hospitalization, procedure- and health-related anxiety, internalizing and externalizing symptoms, challenges with medical regimen adherence, and developing adolescents’/young adults’ chronic medical condition self-management skills. The intern will gain experience conducting assessments of presenting concerns, providing short-term interventions focused on behavioral health concerns related to patients’ cardiac condition, and connecting families with mental health services for psychiatric comorbidities requiring longer-term interventions.

Patient Population Served: Youth ages 4-17 and young adults 18-30 with congenital heart disease or other pediatric-onset cardiac conditions.

Supervisor: Kelly Donahue, PhD, HSPP

This rotation occurs on Wednesdays and can accommodate one intern per rotation. The intern will participate in clinical care provided as part of the Riley Gender Health Program, conducted through the Department of Pediatrics in the Division of Adolescent Medicine. The adolescent medicine clinic is located in the Pediatric Care Center.  

The intern will participate in intake assessments for youth and young adults as well as return visits for patients engaged in care in the clinic. Return visits occur on an intermittent basis (e.g., quarterly to annually) depending on patient needs and how long they have been established in our clinic. Return visits generally focus on providing psychosocial support and reviewing patients’ needs related to social support, mental health, and gender health. Caregiver-only visits occur as needed with a focus on addressing family questions or concerns about how to best support their child in this process. Occasionally, visits will focus on a young-adult patient’s decision-making regarding surgical intervention, as letters of support are typically required for a patient to be able to receive these medical interventions. 

As of 2024, there are various restrictions and prohibitions in place impacting access to medical intervention for minors in Indiana, as well as other important components of gender affirmation. As the state and national landscape is rapidly changing, we will continually visit these topics during supervision so that interns feel prepared and confident navigating these discussions with patients and families. 

Supervisors: Scott Wagoner, PhD, HSPP and Ashley Knol, PsyD, HSPP

Please note: This rotation is an option as part of the Child/Pediatric Track Pediatric Outpatient Core Rotation and Elective Rotation

This rotation is available on Mondays, Tuesdays, Wednesdays, and Thursdays with a maximum of four interns (core plus elective) per rotation. Interns may see patients in the outpatient Pediatric GI clinics at IU North, Meridian Crossing, or on the Riley campus at the Riley Outpatient Center or Pediatric Care Center. Interns will learn research-informed care for children and adolescents referred by their GI physicians for a multitude of presenting concerns, including nonadherence, coping with chronic medical conditions, disorders of the gut-brain interaction, pain management, encopresis, as well as comorbid attention deficit hyperactivity disorder, anxiety, and mood issues. Beyond outpatient care, this rotation has the potential to involve trainees in integrated clinics, including the Motility Clinic and Disorders of the Gut-Brain Interaction clinic. Specialty skills that may be taught include brief assessment of patients with GI symptoms, CBT interventions for chronic medical conditions and pain management, as well as basic and advanced biofeedback skills.

Supervisors: Elaine Gilbert, PsyD, HSPP and Stephanie Hullmann, PhD, HSPP

This rotation is available on Mondays-Thursdays with a maximum of four interns per rotation. Interns will see patients on the Riley campus at the Riley Pediatric Care Center (PCC). Interns will learn research-informed care for children and adolescents referred by their physicians, consulting psychologist, or care team member for a multitude of presenting concerns, including nonadherence, coping with chronic medical conditions, acute injury, disorders of the gut-brain interaction, pain management, encopresis, as well as comorbid attention deficit hyperactivity disorder, anxiety, and mood symptoms. Specialty skill proficiency in brief assessment of patients with co-occurring physiological and psychological symptoms interfering with developmental norms and /or day-to-day functioning. CBT interventions for chronic medical conditions and pain management, including MI and ACT integrated with flexibility and fidelity to the Children’s Health and Illness Recovery Program. Additional opportunity for training in basic and advanced biofeedback skills will be offered. 

Supervisor: Stephanie Hullmann, PhD, HSPP

Please note: This rotation is an option as part of the Child/Pediatric Track Pediatric Outpatient Core Rotation

This rotation is one full day per week on Mondays or Tuesdays and can accommodate up to two interns per rotation (core and elective). Interns will have the opportunity to conduct intake assessments, psychotherapy, and consultations with children and adolescents with cancer and their families. Interns may see patients in the outpatient Pediatric Hematology/Oncology clinic, infusion center, and/or inpatient medical unit at Riley. Presenting problems include: adjustment disorder, anxiety, depression, behavior problems, nonadherence, symptom management, and end-of-life issues. Treatment is primarily cognitive-behavioral. This rotation takes a developmental approach; initially, the intern will shadow the supervising psychologist and gradually gain more independence. There may also be opportunities to attend weekly interdisciplinary team meetings in which the interns may collaborate with Pediatric Hematology/Oncology medical and psychosocial staff. 

Supervisor: Bill Kronenberger, PhD, HSPP
Please note: This rotation is an option as part of the Child/Pediatric Track Child Outpatient Core Rotation, and so if it is elected as part of that core rotation by two Child/Pediatric Track interns, it will not be available as an elective.  

This rotation is a full day per week and is only available on Thursdays; this rotation can accommodate one intern per rotation including Child-Pediatric Track interns who elect this as part of a core rotation and so may not be available as an elective to interns from other tracks. Psychological testing is conducted two or three days per month, with one patient per day. Contact hours average 6-8 hours per child. Approximately 90 percent of testing cases involve evaluation of cognitive abilities (intelligence, achievement, memory, executive functioning, etc.), and 10 percent of testing cases involve personality testing (projective and/or objective). The other one or 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 but will primarily provide supervised supervision of a graduate student administering tests, behavior observation, and test interpretation; there is no report-writing. Supervision is provided by live observation of test administration, individual meetings focusing on test interpretation, and didactics covering major topics.

Supervisor: Julia LaMotte, PhD, HSPP

The intern will participate in a full-day rotation (Thursday) in the pediatric comprehensive Sickle Cell Disease (SCD). The rotation can accommodate one intern per rotation. Interns will gain experience providing brief interventions in the context of an interdisciplinary outpatient medical clinic for youth ages 0-22. Presenting problems include coping with medical condition, pain, challenges adhering to the medical regimen, internalizing symptoms, developmental delays, sleep hygiene, behavior problems, and executive functioning concerns. Interns will learn how to effectively communicate and collaborate across disciplines. The medical team includes a pediatric hematologist & advanced practice provider, nurse coordinator, transition nurse navigator, social work, education liaison, neurologist, pulmonologist, research coordinators and medical assistants. While most services are provided alongside medical appointments, the intern may have the opportunity to follow patients in the infusion center and/or inpatient medical unit depending on clinic cadence. Interns interested in health equity and literacy are strongly encouraged to consider this rotation. This rotation generally takes a developmental approach such that the intern will shadow the supervising psychologist and gradually gain more independence, and it can be tailored based on the intern’s past experiences.

Supervisor: Julia LaMotte, PhD, HSPP

The intern will participate in a full-day rotation (Monday) in the pediatric comprehensive Sickle Cell Disease (SCD) Neurocognitive Screening Clinic; the rotation can accommodate one intern per rotation. The testing model is based on protocols developed by colleagues at Children’s Hospital of Wisconsin and Children’s National and is designed to serve as a longitudinal screener for neurocognitive changes in pediatric patients with SCD. Screening timepoints are at ages 4, 6-7, 11-12, and 15-16. Interns will gain experience with test administration, interpretation, and developing recommendations in an abbreviated manner to better serve the patient population and their needs. Typical schedule includes two testing patients (approximately 1.5-2 hours) with adequate report writing time. Patients are also seen by their SCD medical provider on the day of testing; therefore, opportunities to provide care coordination through interdisciplinary care will be a key aspect of the rotation. Additional opportunities to provide brief health & behavior interventions both in the outpatient clinic and during inpatient admissions may present as schedule allows (e.g., patient cancellations). Interns interested in health equity are strongly encouraged to consider this rotation. This rotation generally takes a developmental approach such that the intern will shadow the supervising psychologist and gradually gain more independence, and it can be tailored based on the intern’s past experiences. 

Supervisors: Michelle Miller, PhD, HSPP and Tiffany Williams, PhD, HSPP

In this elective rotation, interns will have the opportunity to receive training and clinical hours in the assessment and treatment of perinatal mental health concerns during pregnancy and the first two years postpartum. A strong focus on perinatal PTSD and birth trauma will be included, alongside cases focused on perinatal OCD, anxiety, and/or depression. Interns will receive the same training in PTSD modalities as the Adult Outpatient Clinic + Traumatic Stress Clinic (Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), and Narrative Exposure Therapy (NET)) in addition to perinatal-specific didactics and cases. Other utilized modalities will be primarily short-term (8-20 sessions), and evidence based (Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), and Cognitive Behavioral Therapy (CBT)). Skills training and ongoing learning experiences (e.g. readings, webinars) will be provided and matched on level of intern experience. Interns will attend weekly individual supervision sessions as well as group supervision with other interns/advanced practicum students; opportunities for conducting supervision available. Opportunities for scholarly work (e.g., scholarly articles for publication, submitting abstracts for conferences) may also be available. 

Supervisor: Kendra Hinton-Froese, PhD, HSPP

This rotation is available for up to two interns per rotation on Wednesdays. Please note: Dr. Hinton-Froese can only accommodate two interns total per rotation on Wednesdays across this and the Adult Outpatient Clinic. The PIRC serves patients who have been hospitalized and are experiencing psychological sequelae after being discharged. Patients are hospitalized for a range of reasons such as a COVID-19 infection, sepsis, trauma, or respiratory failure. Interns rotating in this clinic may also have opportunities to diversify their caseload by treating patients who did not have an ICU stay but who are managing complex medical comorbidities. Interns will provide evidence-based psychotherapy (this includes conducting a clinical interview and diagnostic assessment) that has been individualized to each patient’s needs. Interns will gain experience incorporating social factors (e.g., racism, sexism, loss of status, violence, disability, socioeconomic status) into their diagnostic assessments and in determining appropriate treatment goals. Interns will have the opportunity to provide care for patients with a variety of presenting concerns, including, but not limited to, ADHD, adjustment disorder, anxiety disorders, bipolar and related disorders, depressive disorders, obsessive-compulsive and related disorders, and trauma-and stressor-related disorders. Interns will gain experience with a variety of modalities such as Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, and Dialectical Behavior Therapy skills, based on the patients’ needs. A significant portion of the patients have a trauma history, and as such, interns may gain experience with trauma-informed care and trauma-focused treatments such as Cognitive Processing Therapy and Prolonged Exposure. Interns may also gain experience consulting with multidisciplinary team members.

Supervisors: Amy Williams, PhD, HSPP, ABPP and Ashley Powell, PsyD, HSPP

Please note: This rotation is an option as part of the Child/Pediatric Track Pediatric Outpatient Core Rotation

This rotation is a full day per week on Tuesdays or Thursdays and can accommodate up to two interns per day per rotation total (core plus elective). Interns will gain experience in assessment and treatment of pediatric patients with chronic pain who present to the Riley Pain Center. Treatment involves CBT for chronic pain (and other evidence-based interventions) and exposure to biofeedback (may be limited due to continued virtual care). The pain center is an interdisciplinary treatment team comprised of pediatric anesthesiologists, a physician assistant, pediatric psychologists, a pediatric psychology fellow, and physical therapists. Interns may have the opportunity to gain experience in the supervision of practicum students.