8-10 Hours in Group Services
4 ½ Hours providing skill-focused
group therapies
1 Hour providing group psychotherapy
¾ Hour Group Services Team meeting
¾ Hour Dialectical Behavior Therapy Consultation Team
1 Hour meeting with co-facilitators for planning/debriefing
1 Hour administrative duties and documentation
Psychological Services
Meetings
INDIVIDUAL SUPERVISION
Students schedule a regular weekly meeting time with their primary supervisor
at the start of the practicum. Individual supervision is a primary aspect
of the practicum experience and is intended to support and guide students
through all facets of their training experience. A central focus of
supervision is the students’ individual psychotherapy work and
the various interactions and clinical dilemmas that arise. Students
are encouraged to discuss their reactions in detail and understand how
their experience relates to the clients organization and engagement
in interpersonal situations including the therapy relationship. Students are expected to audio tape therapy sessions to facilitate the supervision process. Supervision
is also a place for students to discuss professional development, and
issues or concerns regarding Trilogy and their training experience.
GROUP SUPERVISION
All the therapy externs meet in group supervision each week to present
cases, discuss various clinical dilemmas, give and receive peer feedback,
and address other issues related to working in a multi-disciplinary
setting. Some of the time in the group is structured around presentations
of psychotherapy evaluations. These evaluations are clinical interviews
with clients who are interested in therapy, and the purpose of the evaluation
is to determine whether the client is a good candidate for individual
psychotherapy. Overall, students not only learn and practice case presentation
skills but also share their understandings of clients and the workings
of therapy with each other in a supportive and collegial environment.
CASE CONFERENCE
The purpose of this meeting is to help students jump right into conceptualizing
clients from a psychodynamic perspective. During the first 2-3 months,
we read and discuss Nancy McWilliams book, Psychoanalytic Case Formulation.
It is recommended that participants pick up this book prior to the first
meeting. For the following months, students will have the opportunity
to present their work with clients and with the collaboration of the
group, put together a case conceptualization.
Group Services Meetings
DBT CONSULTATION TEAM
We offer a wide range of groups from process groups to more structured
groups such as Dialectical Behavior Therapy, which focuses on helping
others manage affect, impulsivity, and interpersonal relationships.
Since we all struggle with our work some times, the DBT Consultation
Team is an opportunity to get feedback and support from peers and examine
factors that interfere with the progress of treatment, using a DBT framework.
Members of the treatment team share perspectives, consult on specific
cases, and collaborate in treatment planning. Since some members of
this team are new to DBT or may not be providing DBT treatment, time
is also devoted to training in DBT. It helps clinicians to stay balanced
in their approach by developing and examining skills and preventing
“burn out” when working with difficult and often high risk
clients.
GROUP SERVICES TEAM MEETING
Our team meeting is a forum for discussing clinical and administrative
issues relating to work in group services. Agenda items include collaborative
consultation, group updates, curriculum development, general announcements,
planning, training topics, and team concerns.
MILIEU/COMMUNITY ACTIVITIES
In addition to Trilogy providing comprehensive wrap-around services,
it is a community. With that in mind, your training experience will
provide you with the opportunity to participate as members of both the
Psychological Services and Group Services teams and be a part of the
agency in a larger sense. Participating in interdisciplinary staffing,
all staff meeting, socializing in the milieu and planning and participating
in holidays and special events are all a part of this experience. This
will help you to become more familiar with clients and colleagues, understand
how the agency functions, and collaborate with entire treatment teams
in order to provide more effective treatment.
