Clinical Mental Health Counseling Internship Orientation

1. Presented by: Jack McWay, Ph.D. and Marsha Boveja Riggio, Ph.D. Clinical Mental Health Counseling Internship Orientation Department of Counseling and Human Services

2. Agenda Key Internship Personnel Purpose of Internship Orientation Internship Program Academic Honesty and Professional Integrity Internship Sites Key Information Required TK20/Experiential Learning Community (ELC) Questions 2

3. Key Internship Personnel Jack McWay, Ph.D. Internship Director Licensed Psychologist Jmcway1@jhu.edu Oversees the program and is also available to assist students, faculty and site supervisors in matters beyond the scope of the Experiential Learning Coordinator. Students should also contact their advisor if they have questions. Marsha Boveja Riggio, Ph.D., LPC, NCC Experiential Learning Coordinator mriggio@jhu.edu Helps to clarify questions and offers guidance to students, faculty and site supervisors. 3

4. Purpose of Internship Orientation • This orientation provides detailed information about preparations, requirements and guidelines for the Clinical Mental Health Counseling (CMHC) internship experience. • This orientation complements the CMHC Internship Manual and Program Manual.

5. Internship Program • Successfully complete at least 42 credits in the CCC/CMHC program including all core courses and lab courses designated as core courses for the program. You need to receive at least a “B” grade in all lab courses. • Introduction to Counseling as a Helping Profession • Counseling Theory and Practice (Lab Course) • Diagnosis in Counseling • Career/Life Development and Planning • Human Growth and Development: A Lifespan Perspective • Research and Evaluation for Counselors • Appraisal and Testing for Counselors • Group Counseling and Group Experience (Lab Course) • Couple and Family Counseling (Lab Course) • Counseling Practicum/Advanced Techniques in Counseling (Lab Course) • Cross Cultural Counseling: Issues and Interventions • Ethical and Legal Issues in CCC • Appropriate Elective Courses (total at least 6 credits) • Two interrelated components comprise the internship course: the supervision class experience and the field placement. • Purchase and read: The Counselor Intern’s Handbook. Guides you through the internship process and offers resources that will prove valuable even after your internship is over. For example, complete the Self Assessment on pages 14-15 to help you evaluate why you want to be a Counselor.

6. Internship Program, cont. • Internship Documentation: Students shall use the online CCC/CMHC Internship TK20 program to enter and upload all internship documentation. The only exception is the Student Information Form which should be uploaded into the online CCC/CMHC Internship ELC discussion thread (scanners are available at all JHU campuses): • Student Information Form – Due ELC January 23, 2012 • Course Eligibility Information (see previous form used) – Due TK20 March 30, 2012 • Internship Site Information and Approval Information (see previous Existing or New Site forms used) – Due TK20 March 30, 2012 • Student’s Resume – Due TK20 March 30, 2012 • Proof of Liability Insurance (August 2012-May 2013) – Due TK20 July 15, 2012 • On-Site Supervisor’s Resume (only for supervisors new to an existing site or for supervisors of a new site) – Due TK20 March 30, 2012

7. Internship Program, cont. • Course Registration : You are responsible for your own registration. If you attempt to register for a course section and it is full, you must select another section as students will not be allowed to be waitlisted. All students should plan to register for the same section, instructor, date and time for both fall and spring semesters. Once students are enrolled into an internship section and begin the semester, they may not transfer to a different section. Students who transfer to another internship section risk forfeiting their internship for that semester; students may only begin their internship during the fall semester. • Six/Twelve Credit Internship Courses: A 6 credit internship course is the minimum requirement that students must fulfill to complete the program; 3 credits and 300 internship hours each semester for a total of 600 hours. A 12 credit internship course is 6 credits and 500 internship hours each semester for a total of 1000 hours. Those students taking 12 credits of internship need to contact the Experiential Learning Coordinator immediately to arrange for a separate course registration number.

8. Internship Program, cont. • Specific Requirements: • Establish a time schedule that is compatible with the site supervisor’s schedule and assures you will be able to acquire the appropriate number of clinical internship hours. • Get acquainted: The first couple of visits to the site may be spent getting acquainted with staff, organizing schedules, identifying potential clients, understanding paperwork , discussing ethical/legal guidelines of the site and securing permission for tape recording . You may/can participate in any site orientation, training and other activities a maximum of 2 weeks prior to the first class meeting. You can not begin working with clients until after the first internship meeting of the fall semester. • Meetings: Attend and participate in university class meetings and submit all assignments on time. Also attend and participate in staff meetings and weekly individual supervision/bi-weekly group supervision at the internship site. • Clients: Establish and maintain an on-going relationship with a minimum of 4 -7 clients, individual, couple or family (at least 50 minutes in length) a weekand organize/lead (co-lead) at least one 6-8 session counseling group. • Tapes: Audio-tape or video-tape counseling sessions and submit tapes and tape critiques for supervision to the university course instructor as required. • Case Study: Prepare a written case study of at least one client per semester. • Maintain a log of all activities to be submitted to the university instructor ; signed by site supervisor. • Consult with other counseling professionals as part of the case conceptualization process.

9. Internship Program, cont. • Clinical Hour Requirements: Conduct 600/1000 hours of counseling and related activities for six/twelve academic credits: • Face-to-Face Hours – 125/210 • 600 hours: 125 hours (4-5 clients a week for 30 semester weeks). • 1000 hours: 210 hours (7 clients a week for 30 semester weeks). • These hours count toward MD licensure. • Individual Supervision Hours – 30 • 1 hour of individual supervision each week for 30 semester weeks=30 hours. • These hours DO NOT count toward MD licensure for supervision hours. • Group Supervision Hours – 15 • 1 hour of group supervision at least every other week • These hours DO NOT count toward MD licensure for supervision hours. • Adjunctive (Indirect) hours – 430/770 • 600 hours: 430 hours • 1000 hours: 770 hours • Adjunctive hours in MD are defined as Creative arts counseling; Hypnotherapy; School Guidance Counseling; Career, Counseling; Rehabilitation Counseling; Hospice and Grief Counseling; Assessment and Testing; Crisis Intervention or Support therapy services including, referral, intake assessment, leadership in self-help, groups, supervision, consultation, treatment planning and file notes or hospital rounds. Students who have more than the required face-to-face, individual and group hours can have less adjunctive hours as long as the total hour requirement is met.

10. Internship Program, cont. • Paid Internships: Internships are usually not paid. However, if a student finds a site where there is compensation, a student is allowed to take the position as long as it begins only a month prior to the internship cycle (September-May), that is, by August 1st or after. • Counseling Jobs and Internship Requirements: Students are not allowed to use their jobs as internships due to the conflict of interest and the dual relationships that can potentially develop in this situation. Exceptions will be considered only if a student is promoted to a position that is converted to an internship by the site and where there is a new supervisor overseeing the internship experience for the student. • Tape Recording Policy: You are required to obtain at least 3 tape recordings of clinical sessions per semester. However, if a faculty supervisor deems necessary that a student brings more tapes to supervision, students must follow the faculty’s request. You should consult with the on-site supervisor regarding policies and procedures for securing this permission. • Proof of Liability Insurance: You are required to obtain Professional Liability Insurance and upload proof of this insurance into TK20. Whichever carrier you choose for your liability insurance, the policy should be at least $1,000,000 / $3,000,000 which means you are covered for up to $1,000,000 for each professional liability coverage claim and up to $3,000,000 aggregate for professional liability coverage. • Counselor Preparation Comprehensive Examination (CPCE). The CPCE is a mandatory exam that is required of all counseling master degree candidates in order to graduate.  The CPCE exit exam is typically scheduled on two dates in September and January of the internship year at the Montgomery and Columbia campuses; a third date may be scheduled in June for those students who need to retake the exam. Time and location details will be emailed to students in the summer semester.

11. Academic Honesty and Professional Integrity The CMHC program expects integrity in all aspects of academic and professional work from its students.  The ultimate responsibility for understanding and adhering to the Academic Honesty and Professional Integrity Policy lies with the student. In addition to the School of Education academic integrity policies, the CMHC requires the following from students: • Papers, case presentations, or other individual projects: • Students will not present another author’s work as their own • Students will properly attribute distinctive ideas or words obtained from other sources. • Students will follow all guidelines set forth by the instructor for an assignment. • Collaborative projects • Students will exhibit integrity in their interactions with partners and members of groups assigned to collaborative projects. • Students will exhibit integrity in fulfilling the requirements of the program or internship, including truthful reports of their activities, specifically: • Students will report only Face-to-Face Hours for direct hours (i.e., individual, family, group). • Students who report ANY clinical hours that were not conducted, use their job as an internship site, perform any dishonest/unprofessional act or mislead the university or internship site/site supervisor in any way, will receive an “F” grade for the internship course and may be dismissed from the program. • Reporting of academic dishonesty: • Students will report instances of academic dishonesty that they observe to the instructor, Experiential Learning Coordinator or Internship Director.

12. Objectives • At the end of the internship year, students must demonstrate proficiency, at the novice clinician level, in the following skill areas: • Clinical Objectives: Comfort in the role of therapist with a variety of therapy formats, distinguishing between therapist behavior and friend behavior, distinguishing between content and process, setting therapeutic goals, attending to all aspects of social location-based influences in therapy (i.e. ethnicity, Gender, class, sexual orientation, ability, religion), understanding and applying the DSM-IV individual diagnostic system, following up with supervision suggestions from instructor, etc. • Ethical and Legal Objectives: Managing therapeutic boundaries, balancing “client’s best interest” with legal and value constraints, integrating the ACA Code of Ethics with clinical judgment, professional role behavior skills (i.e. addressing supervisors, clients and faculty respectfully), is professionally appropriate (i.e. dress appropriate to setting and role), etc. • Professional Setting Objectives: Addressing others (faculty, supervisors, client and community members) respectfully, keeping appointments with clients, attending timely to phone calls and other administrative duties, attending to clients’ culture and expectations of service in the organization, writing of reports in a complete manner and using correct grammar and vocabulary, etc. • Personal Development Objectives: Initiative in general participation, ability to assess one’s own strength and limitations, ability to examine how one’s personal experience and issues influence behavior in therapy, ability to accept praise as feedback, ability to accept criticism and recommendations for change as feedback, incorporate feedback from supervisor, etc.

13. Internship Sites Best Site for You: See Chapter One in The Counselor Intern’s Handbook to help you reflect on the types of people you enjoy working with, where you would like to work after graduation and what populations you want to serve. Qualifying Sites: The following is a minimum set of criteria for a site to be accepted as an internship placement: • Provide therapy with individuals, couples, families and groups with a variety of client situations from culturally diverse backgrounds and allow at least 3 taped clinical sessions each semester. • Provide a primary supervisor who is Licensed Professional Counselor, Licensed Clinical Social Worker, Licensed Psychiatric Nurse, Licensed Psychologist, Licensed Psychiatrist or a Licensed Marriage and Family Therapist with at least two years of experience in clinical supervision. • Hours:Offer a minimum of 600 /1000 hours of on-site experience with a range of 4-17direct client hours weekly. Also offer one hour of individual supervision each week and one hour of group supervision at least every other week. • Sites are non-profit organizations and charitable corporations, governmental entities, schools, colleges, universities, licensed health facilities, hospitals and private practice settings. • Orientation:Provide a thorough orientation to the agency, administrative policies, standards and practices, emergency procedures and medical/ safety back up. • Evaluation: Site supervisors will evaluate the intern’s competencies at least once a semester in writing, oversee all internship professional activities conducted at the site and provide guidance throughout the intern’s development.

14. Internship Sites, cont. • Finding a Site • Attend internship orientation. • Read the CMHC Internship Manual before pursuing any internship arrangements. • Prepare a resumé and cover letter. • Begin your search for internship prior to the fall when the internship will commence. • Apply to several sites. • New site requests will be evaluated and approved by June 15th. • Enter and upload your documentation into TK20 by March 30th. • The program provides a list of internship sites that have been approved as internship places. The program updates this list on an ongoing basis. However, sites may change polices at any time without informing the university. The CMHC program is not responsible for changes in sites that result in their lack of eligibility as internship sties. Students are responsible for following up with sites in regards to the fulfillment of university requirements.

15. Key Information • January 23, 2012 • Student Information Form • March 30, 2012 • Course Eligibility Information • Site Information and Approval Information • Student’s Resume • On-Site Supervisor’s Resume • July 15, 2012 • Liability Insurance • November 30, 2012 • Supervisor Evaluation of Student • Activity Log/Documentation of Clinical Hours • April 30, 2013 • Supervisor Evaluation of Student & Student Evaluation of Supervisor • Activity Log/Documentation of Clinical Hours 15

16. TK20 -Tk20 is our Department of Education campus-wide assessment, management, and reporting system and will allow for a single-source, seamless view of the all our internship documentation. -You will receive a TK20 link with registration, password, and directional information in mid/late February.

17. Experiential Learning Community (ELC) • ELC is where you will submit your Student Information Form by Monday, have access to internship information, and stay informed about current events. • Register to become a part of ELC, http://cte.jhu.edu/enroll & ALERTS • Login to ELC, http://cte.jhu.edu/login

18. Experiential Learning Community (ELC) cont. • Access Internship Website/Documentation Information (see old forms) • Go to Internship Site via “Internship Tab” in ELC or go to http://cte.jhu.edu/counselinginternship for the actual website.

19. Experiential Learning Community (ELC) cont. • Click on: Programs/Clinical Community • Download manual, internship sites, required internship information via old forms and other documents

20. Student InformationForm

21. Questions?