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Rotations

CORE ROTATIONS

Adult Outpatient Clinic 

Supervisor: Kristine Chapleau, PhD

At the Adult Outpatient Clinic, interns will learn to approach psychotherapy with an understanding of how social factors (e.g., belonging, racism, sexism, loss of status, interpersonal betrayal and violence) affect mental health.  That is, interns will gain experience incorporating social factors into their diagnostic assessments and in determining appropriate treatment goals.  Interns will provide individual psychotherapy (this includes conducting a clinical interview and diagnostic assessment) for approximately 6 patients per day.  Patients present with a range of mood and anxiety disorders and interns will provide psychotherapy that is evidence-based and individualized to increase patient’s understanding of self, ability to manage symptoms, interpersonal effectiveness, and well-being.  Interns will receive individual supervision and may have the opportunity provide supervision to practicum students.

Adult Health Psychology

Supervisor: Yelena Chernyak, PhD

The goal of this core rotation is for interns to have a breadth of experience in providing health psychology services to adults in a variety of outpatient clinical treatment settings including cardiology, oncology, and behavioral sleep medicine.  The setting for this rotation is divided between the IU Health Adult Outpatient Psychiatry Clinic and Study Center at the IU Health Neuroscience Center, the Simon Cancer Center Multidisciplinary Clinic, and Methodist Hospital’s Acute Heart and Lung Care Clinic.  Specialized services provided include assessment, consultation, individual and group psychotherapy primarily utilizing CBT/ACT and other empirically supported interventions to deliver behavioral medicine, psychosocial support, coping skills building, symptom management, and behavioral modification.  Interns will have the opportunity to work with a medically diverse clinical population experiencing acute and chronic medical conditions, provide consultation services, and interact with a multi-disciplinary medical team, and attend clinical case rounds in hospital based clinics.   All clinical settings have a teaching mission allowing interns to interact with residents and fellows from various departments.  IUH is a tertiary care facility with nationally and internationally recognized programs in specialized medical care.  Please note: the 2-1/2 days/week of this Core rotation must include a full day on Tuesdays (Adult Sleep Clinic) a half or full day on a Monday or Wednesday (Heart/Lung Clinic) and a half or full day on Thursdays (Oncology Clinic).

Child and Adolescent Outpatient

Supervisors: Bill Kronenberger, PhDAnn Lagges, PhD

The Riley Child and Adolescent Psychiatry Clinic offers outpatient mental health services to families with children and adolescents under the age of 19. Families present to the clinic with a wide range of psychiatric and co-morbid medical conditions and often with complex social situations. The child outpatient rotation is divided among a number of the specialty clinics that exist under the larger umbrella of this general clinic. Interns on this rotation will spend a full day a full day in the pediatric testing clinic (Thursdays) and 1-1/2 days in the TAC (Tics, Anxiety and Compulsions) Clinic and Mood/Tics, Anxiety and Compulsions (TAC) Clinic (Full or half day Mondays and Full or half day Wednesdays). 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% of cases) and at times, issues involving personality/symptom assessment (approximately 10% of cases) . The intern is responsible for some test administration, behavior observation and test interpretation.

In the Mood/Tics, Anxiety and Compulsions (TAC) clinic, interns will gain experience in working as part of a tiered psychology team, which includes practicum students, to provide the Evidence Based Practice of Psychology as applied to pediatric mood and anxiety disorders as well as OCD and tic disorders.  This may include use of ESTs, but the majority of the time, due to the complex nature of patients presenting to the clinic, will involve making use of the best available research to develop individualized treatment plans for each patient and family. 

In the Tics, Anxiety and Compulsions (TAC) clinic, interns will gain experience working with children, adolescents and their families presenting with primary diagnoses of OCD, Tourette’s Disorder and other tic disorders, as well as other anxiety disorders 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 clinic to the afternoon clinic discuss patients.  
Simon Skjodt Child and Adolescent Behavioral Health Unit

Supervisors: Jill Fodstad, PhD, BCBA-D, Melissa Butler, PhD

The Simon Skjodt Child and Adolescent Behavioral Health Unit opened in November 2016 in Riley Hospital for Children.  It is a 12 bed inpatient unit with an additional partial hospitalization (day treatment) program with a maximum census of 20. The population served includes children, adolescents, and young adults aged 5-21 years experiencing a mental health/severe behavioral crisis. Average length of inpatient stay is 3-6 days. However for patients with a comorbid developmental disability, length of stay could be up to 2-3 weeks.  The unit programming is divided between two distinct but complementary programming tracks:

  1. WAVES Program – adolescents and older children with a mental/behavioral health diagnosis; group and individualized programming using a modified DBT skills training curriculum
  1. ZONES Program: younger children with a mental/behavioral health diagnosis OR children, adolescents, and young adults with a mental/behavioral health diagnosis and a neurodevelopmental disability (e.g., autism spectrum disorder, intellectual disabilities); group and individualized programming using a modified socio-emotional regulation training curriculum and/or individualized programming utilizing ABA-based interventions

As a CORE rotation, experiences are for 2 ½ days per week.  Interns will participate in morning huddles and interdisciplinary team meetings. They will assist with assessing newly admitted patients and developing behavioral interventions and treatment goals. They may have the opportunity to co-lead groups and participate in family therapy or caregiver training meetings.  They may be assigned patients to work with individually and participate in milieu programming. Interns may also assist in conducting individualized ABA programming for patients with ASD/DD including functional analyses/functional behavior assessments, and reinforcement interventions relying on replacement behavior training, social skills training, antecedent strategies, and functional communication training. 

Child and Adolescent Consultation Liaison Service

Supervisors: Hillary Blake, PsyD, Julianne Giust, MDAmy Williams, PhD

The Riley Pediatric Consultation and Liaison services offers inpatient mental health services hospital-wide. Consultation requests are received from various services including Hematology/Oncology, Rehabilitation, Gastroenterology, Neurology, Pulmonology, Neurosurgery, General Surgery, Developmental Pediatrics, Critical Care, Endocrinology, Emergency Medicine, Hospitalist and Adolescent services, and the burn unit. Our service also consults for various acute psychiatric emergencies in the outpatient pediatric specialty clinics. Psychology interns will be involved in consultation requests involving diagnostic assessment, pain management, behavioral interventions, family conflict, biofeedback, coping with chronic or terminal illness, feeding issues, pre- and post-transplant evaluations, somatoform disorders, altered mental status and psychosis, and overdose/ingestion cases. Interns will carry an average of 2-6 cases per day, including new initial assessments and follow-up therapeutic interventions. The Pediatric Consultation and Liaison team is a multidisciplinary team which includes a full-time psychologist, psychiatrist, and two social workers. In addition, the intern will have the opportunity to work with psychiatry and triple board residents and medical students. Opportunities for supervision of graduate students and medical students are available.

Pediatric Neuropsychology Clinic

Supervisors: Liz Begyn, PhD, HSPP, ABPP-CN, Rachel Jensen, PsyD, HSPP

The pediatric neuropsychology rotation is a core rotation with the primary goal of providing interns with exposure to outpatient neuropsychological evaluation of children with medical conditions and associated cognitive sequelae. Patients ages 4 years through college age are seen in our clinic, and the most common medical diagnoses for these children and adolescents include brain tumors, leukemia, epilepsy, traumatic brain injury, concussion, genetic disorders, spina bifida, and hydrocephalus. Referrals are most commonly received from neuro-oncology, hematology-oncology, neurosurgery, neurology, physical medicine and rehabilitation, and developmental pediatrics. Evaluations (including interview, testing, and feedback) are conducted in entirety in one day. Interns on this rotation will observe and participate in diagnostic interviews with caregivers and patients, observe and conduct neuropsychological testing, observe feedback of test results to families, write neuropsychological evaluation reports, and work with postdoctoral fellows and graduate students in pediatric neuropsychology.

In addition, interns will attend a weekly neuropsychology case conference series (on Thursday mornings), which includes lectures related to the field of clinical neuropsychology and fact findings where interns can observe a postdoctoral fellow preparing for this aspect of board certification in neuropsychology. Additional educational opportunities may include attending a monthly pediatric epilepsy case conference, attending bi-monthly neuro-oncology case conference, observing an fMRI evaluation, and/or shadowing the pediatric neuropsychology fellows on the inpatient rehabilitation unit and neuro-oncology multi-disciplinary clinic. Interns may also have the opportunity to receive supervised experience supervising practicum students. The greater part of this rotation takes place in our outpatient clinic at the IU Health Neuroscience Center/Goodman Hall, with some of the additional opportunities taking place at Riley Hospital for Children at IU Health.

Autism Core Rotation

Supervisors: Jill Fodstad, PhD, Noha Minshawi, PhD

The Christian Sarkine Autism Treatment Center (CSATC) is a comprehensive, hospital-based and university-affiliated treatment center engaging in clinical care, research, education and outreach activities in the state of Indiana. We are actively serving over 1,000 individuals with Autism Spectrum Disorders (ASD) and other neurodevelopmental disabilities (NDD) of all ages, abilities, and developmental levels. The CSATC was one of only five sites in the country involved in a research study funded by the National Institute of Mental Health that was focused on parent management training for individuals with autism. The mission of the CSATC is to provide evidence-based interventions to individuals with ASD and NDD, including gold-standard assessment and diagnosis, behavioral interventions, and medication management. 

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

Integrated Care – CHOICE Program – AVAILABILTY IN 2018-2019 WILL BE DEPENDENT ON FUNDING – PLEASE CHECK BACK OR CONTACT US FOR UPDATES

Supervisors: Lezlie Blackford, PhD, Melissa Butler, PhDSarah Landsberger, PhD, John Spanke, PhDJen Vohs, PhD

The CHOICE program— Changing Health Outcomes through Integrated Care Excellence is an integrated care program providing specialized behavioral health services in primary care adult and pediatric clinics.  The CHOICE program strives to improve patient health and access to mental and behavioral health services through the integration of psychologists and psychiatrists into primary care practices.  The CHOICE program is currently located at three separate IU Health locations:  IU-Methodist Family Medicine Center, Georgetown Medical Plaza, and the Riley General Pediatric Clinic located in Riley Hospital. 

Interns on this rotation will become a part of the CHOICE team at least one of the three CHOICE program locations.  Depending on the intern interests’ and supervisor availability interns may choose to split their CORE between two CHOICE locations.  CHOICE teams are comprised of psychologists, psychiatrists, psychiatry residents, and psychology interns.  Interns will spend approximately 50% of their time in scheduled face-to-face therapy sessions and diagnostic evaluations with patients referred by primary care physicians and pediatricians.  The other 50% of the time, interns will be available along with other CHOICE team members for consultations and “warm-hand offs” from primary care physicians and pediatricians.  Many referrals tend to be for common psychiatric conditions, such as depression and anxiety, however a number of referrals also deal with adjustment difficulties, health behavior change (including management of chronic health conditions), and more severe forms of mental illness. Pediatric referrals tend to focus on depression, anxiety, and behavioral and developmental problems.  Interns will use Evidence Based Practice methodology to provide appropriate evaluation and treatment for patients seen in these settings.

ELECTIVE ROTATIONS

Adult Outpatient

Supervisor: Kristine Chapleau, PhD

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

Adult Psychosocial Oncology
Please note: this elective is also part of the Adult Health Psychology Core

Supervisor: Yelena Chernyak, PhD

This rotation is a full day per week and is available only on Thursdays.  Outpatient psychosocial services are provided as part of the Indiana University Simon Cancer Center Complete Life Program. The treatment team, which consists of a psychiatrist, psychologist, social worker, dietitian, and chaplain, meets on a weekly basis for rounds and staffing. Psychological services provided include individual, family, and group therapy using CBT and other empirically-supported interventions for skills building, symptom management, behavior modification, and psychosocial support. 

Cardiac Psychology
Please note: this elective is also part of the Adult Health Psychology Core

Supervisor: Yelena Chernyak, PhD

This rotation is a full day per week and occurs on Mondays and Wednesdays.  Specialized psychological services are provided to the Acute Heart and Lung Care Clinic at Methodist Hospital including individual therapy using CBT and other empirically-supported interventions for skills building, symptom management, behavior modification, and support. Interns will have the opportunity to work with a medically diverse clinical population, provide consultation services, and interact with a multi-disciplinary medical team in a hospital-based outpatient cardiology clinic.  One hour of weekly individual supervision will be provided as part of this specialty rotation.

Adult Behavioral Sleep Medicine
Please note: this elective is also part of the Adult Health Psychology Core

Supervisor: Yelena Chernyak, PhD

This rotation is a full day per week and is available only on Tuesdays.  The intern will participate in an adult behavioral sleep medicine clinic in the IU Health Adult Outpatient Psychiatry Clinic in collaboration with the IU Sleep Disorders Center the under supervision of a psychologist with board certification in behavioral sleep medicine. The intern will provide assessment and treatment services to adults ages 18+ for sleep related presenting problems including insomnia, hypersomnia, circadian rhythm disorders,  narcolepsy, anxiety disorders, and noncompliance with medical treatments such as CPAP for sleep apnea as well as possible coexisting psychiatric disorders. Skills training, education, and structured learning experiences (e.g. readings, webinars) will be provided to develop skills and knowledge in behavioral sleep medicine respective to intern experience.   Initially the intern will shadow the supervising psychologist and then gradually provide more services independently.  Treatments are typically short-term (4-8 sessions), are highly focused and specific to sleep problems, and have a strong basis in cognitive-behavioral psychology.  Previous experience in behavioral sleep medicine is desirable but not required.

Adult Solid Organ Transplant (Inpatient and Outpatient)

Supervisors: Rachel Holmes, PhD, Audrey Krause, PhD

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

Adult Neuropsychology 

Supervisors: Courtney Johnson, PhD, Dan Rexroth, PsyD, Fred Unverzagt, PhD

This elective rotation is a full day per week.  Interns can expect to participate in 1 to 2 outpatient neuropsychological evaluations a day. This includes exposure to clinical interview, test selection, test administration, report writing, and feedback to the patient, family, and referral source (as appropriate to level of training).

Diagnoses include:  traumatic brain injury, Alzheimer disease, Lewy Body disease, frontotemporal degeneration, multiple sclerosis, stroke, brain tumor, brain infection, epilepsy, occupational exposures, cancer, chronic medical conditions, and psychiatric disorders.

Interns will interact closely with a resident (post-doctoral fellow) in neuropsychology for portions of their training time and participate in group supervision. 

This experience is available any day of the week Monday to Friday.  On Thursdays, the residency program has a Neuropsychology Seminar and Case Conference series (90 minutes) which provides topical lectures and case review.

Pediatric Psychology Testing Clinic
Please note: this elective is also part of the Child Outpatient Core

Supervisor: Bill Kronenberger, PhD

This rotation is a full day per week and is only available on Thursdays.  Please note, this rotation is part of the Child Outpatient Core Rotation, and so interns who complete that core rotation will already have this specialty rotation included.  Psychological testing is conducted two days per month, with one patient per day.  Contact hours average 6-8 hours per child.  Approximately 90% of testing cases involve evaluation of cognitive abilities (intelligence, achievement, memory, executive functioning, etc.), and 10% of testing cases involve personality testing (projective and/or objective).  The other two days per month are used for didactics, additional supervision, learning new tests, test interpretation, and review of results.  The intern is responsible for some test administration, supervision of a graduate student, behavior observation, and test interpretation; there is no report-writing.  Supervision is provided by live observation of test administration, individual meetings to discuss results, and didactics covering major topics.

Child and Adolescent Mood/Tics, Anxiety and Compulsions (TAC) Clinic
Please note: this elective is also part of the Child Outpatient Core

Supervisor: Ann Lagges, PhD

This rotation is a half or full day per week and occurs on Wednesdays.  Interns will gain experience in the Evidence Based Practice of Psychology as applied to pediatric mood, anxiety, OCD and tic disorders.  This may include use of ESTs, but the majority of the time, due to the complex nature of patients presenting to the clinic, will involve a modular approach to therapy making use of the best available research to develop individualized treatment plans for each patient and family.  Experiences will include diagnostic assessments and therapy.  Interns will most likely have the opportunity to assist in supervision of practicum students.  Patients present with a wide range of primary diagnoses including depressive disorders, anxiety disorders, OCD, and tic disorders as well as comorbid secondary diagnoses including ADHD, ODD, Autism Spectrum Disorder, and intellectual disabilities.  Co-occurring medical conditions and complex social situations in families are very common.  

Child and Adolescent Tics, Anxiety and Compulsions (TAC) Clinic
Please note: this elective is also part of the Child Outpatient Core

Supervisor: Ann Lagges, PhD

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

Headache Clinic

Supervisor: Hillary Blake, PsyD

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

Pain Center Specialty Clinic

Supervisor: Amy Williams, PhD

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

Pediatric Behavioral Sleep Medicine

Supervisor: Sarah Morsbach Honaker, PhD

The intern will participate in pediatric behavioral sleep medicine clinics conducted through the Section of Pulmonology, Allergy, and Sleep Medicine in the Department of Pediatrics.  Under the supervision of a psychologist with board certification in behavioral sleep medicine and in collaboration with several sleep physicians, he/she will provide assessment and treatment services for youth ages 0-18 presenting with sleep problems.  Initially the intern will shadow the supervising psychologist and then gradually provide more services independently.  The intern will also make follow-up phone calls to families to discuss treatment progress and engage in structured learning experiences (e.g. webinars, readings) to develop skills and knowledge in behavioral sleep.  During the second half of the rotation, the intern will take the lead conducting co-therapy with patients.  Treatments are typically short-term (2-4 sessions), are highly focused and specific to sleep problems, and have a strong basis in cognitive-behavioral psychology.  While the most frequent presenting complaint will be insomnia, treatment will also address problems such as nightmares, circadian rhythm disorders, and hypersomnias.   In addition to developing a strong foundation and understanding of normal sleep and behavioral sleep medicine treatments, the intern will gain experience using actigraphy, observe part of an overnight polysomnogram, and learn to screen for medical sleep disorders.  The training experience further includes opportunities to work with infants and toddlers.  This rotation is offered on Wednesdays in the IU North location and/or Thursday mornings at Riley. A full day experience is preferred, though half-day will be considered. Previous experience in behavioral sleep medicine is desirable but not required.

Simon Skjodt Child and Adolescent Behavioral Health Unit

Supervisors: Jill Fodstad, PhD, BCBA-D, Melissa Butler, PhD

The Simon Skjodt Child and Adolescent Behavioral Health Unit opened in November 2016 in Riley Hospital for Children.  It is a 12 bed inpatient unit with an additional partial hospitalization (day treatment) program with a maximum census of 20. The population served includes children, adolescents, and young adults aged 5-21 years experiencing a mental health/severe behavioral crisis. Average length of inpatient stay is 3 - 6 days. However, for patients with a comorbid developmental disability length of stay could be up to 2-3 weeks.  The unit programming is divided between two distinct but complementary programming tracks:

  1. WAVES Program – adolescents and older children with a mental/behavioral health diagnosis; group and individualized programming using a modified DBT skills training curriculum
  2.  ZONES Program – younger children with a mental/behavioral health diagnosis OR children, adolescents, and young adults with a mental/behavioral health diagnosis and a neurodevelopmental disability (e.g., autism spectrum disorder, intellectual disabilities); group and individualized programming using a modified socio-emotional regulation training curriculum and/or individualized programming utilizing ABA-based interventions

As an ELECTIVE rotation, experiences are for 1 full day per week.  Interns will participate in morning huddles and interdisciplinary team meetings. They will assist with assessing newly admitted patients and developing behavioral interventions and treatment goals. They may have the opportunity to co-lead groups and participate in family therapy or caregiver training meetings.  They may be assigned patients to work with individually and participate in milieu programming. Interns may also assist in conducting individualized ABA programming for patients with ASD/DD including functional analyses/functional behavior assessments, and reinforcement interventions relying on replacement behavior training, social skills training, antecedent strategies, and functional communication training. 

Adolescent Dual Diagnosis Clinic

Supervisor: Zack Adams, PhD

This rotation may occur on one full or two half days per week.  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 (using the KSADS structured interview), motivational enhancement, CBT, contingency management, and family sessions.  Youth receive both therapy and medication management through this clinic, and interns will have ample opportunities to interact and coordinate care with an interdisciplinary team of psychiatrists, psychologists, psychiatric residents, social workers, and medical students in this rotation.  Interns will attend weekly team meetings and weekly individual supervision sessions. There may be opportunities to obtain training in delivery of services outside the conventional in-person clinic setting (e.g., school-based services; telemedicine). Opportunities for scholarly work such as didactic material development, patient handouts, and scholarly articles for publication are also available.

Integrated Care – CHOICE Program AVAILABILTY IN 2018-2019 WILL BE DEPENDENT ON
FUNDING – PLEASE CHECK BACK OR CONTACT US FOR UPDATES

Supervisors: Lezlie Blackford, PhD, Melissa Butler, PhDSarah Landsberger, PhDJohn Spanke, PhDJen Vohs, PhD

The CHOICE program— Changing Health Outcomes through Integrated Care Excellence is an integrated care program providing specialized behavioral health services in primary care adult and pediatric clinics.  The CHOICE program strives to improve patient health and access to mental and behavioral health services through the integration of psychologists and psychiatrists into primary care practices.  The CHOICE program is currently located at three separate IU Health locations:  IU-Methodist Family Medicine Center, Georgetown Medical Plaza, and the Riley General Pediatric Clinic located in Riley Hospital. 

As an elective rotation, Interns will become a part of the CHOICE team at one of the three CHOICE program locations, depending on the intern interests’ and supervisor availability.  CHOICE teams are comprised of psychologists, psychiatrists, psychiatry residents, and psychology interns. Elective experiences are for 1 full day per week.  Interns will spend approximately 50% of their day in scheduled face-to-face therapy sessions and diagnostic evaluations with patients referred by primary care physicians and pediatricians.  The other 50% of the day, interns will be available along with other CHOICE team members for consultations and “warm-hand offs” from primary care physicians and pediatricians.  Many referrals tend to be for common psychiatric conditions, such as depression and anxiety, however a number of referrals also deal with adjustment difficulties, health behavior change (including management of chronic health conditions), and more severe forms of mental illness. Pediatric referrals tend to focus on depression, anxiety, and behavioral and developmental problems.  Interns will use Evidence Based Practice methodology to provide appropriate evaluation and treatment for patients seen in these settings.

Department of Psychiatry | 355 W. 16th St., Suite 4800 | Indianapolis, IN 46202 | Ph: (317) 963-7288 | Fax: (317) 963-7313