Interns provide approximately 20 service hours each week to interventions for a variety of client concerns. These concerns can be broadly categorized as: 1) the complex developmental and adult transition issues specific to the older female student; 2) the developmental issues characteristic of the young adult female student; and 3) the concerns, conditions, and life experiences of both young adult and older students. The latter concerns (more commonly seen among CAPS’ clients) include depression, substance abuse, suicidal thoughts and attempts, physical and sexual abuse, sexual assault, and loss (death, divorce, abortion, physical impairments, etc.). Although students are limited to 12 individual sessions per academic year, longer-term counseling is available in a group setting.
Interns provide crisis consultation to students, faculty, staff, and students’ families. The majority of crisis consultation is provided to "walk-in" clients during regular business hours. On a weekly rotating basis, senior staff and interns are on-call to provide after-hours crisis intervention and may respond as a team when appropriate. CAPS staff provide crisis intervention services on a 24-hours-a-day, 7-days-a-week basis when the University is open.
Typically, interns co-lead therapy groups with senior staff and (if experienced in group leadership) with other interns. Therapy groups which are typically offered each semester include Healthy Relationships, Personal Growth Group, Body Image, and Trauma Recovery. Interns may also develop and conduct support and/or psychoeducational groups such as Mindfulness, LGBTQ Support Group, Increasing Self Esteem, and Assertiveness Training. Supervision for group therapy is provided weekly individually by the group co-facilitator senior staff as well as in a group format by senior staff and is supplemented with articles and literature on group dynamics. Group therapy sessions may be videotaped and/or observed for supervision purposes, with the written permission of the members.
Individual and Relationship Counseling/Psychotherapy
About half of the intern’s weekly direct service activities are spent in individual or relationship counseling/psychotherapy. The substantial number of non-traditionally aged students at TWU provides opportunities to develop knowledge and skills with clients who are able to function relatively well while they work on fairly serious issues within a brief therapy model.
Interns and senior staff conduct brief, 30 minute intake interviews which provide a preliminary basis for differentially assigning clients to groups, senior staff, interns, or practicum students, and for determining the urgency of clients’ needs. Initial diagnostic assessment and clinical impressions are also provided by clinicians. In-depth assessments, when necessary, may include the use of psychological testing, psychiatric examination, or both. Medical consultation is provided by the Student Health Services staff. Every senior staff and intern is assigned 2-3 intakes per week.
Outreach Presentations/Program Consultation
Interns have numerous opportunities to present programs and conduct workshops for the campus community at large and for a variety of University departments and campus organizations. Ongoing consultative involvement is also available with campus organizations and Student Life programs (e.g., diversity focused student organizations, family housing). In addition, interns (along with senior staff) represent the Center and the Division of Student Life at many University functions (e.g., New Student Orientation). Interns receive supervision individually (from senior staff present at outreach) as well as in a group format from the Outreach Coordinator 2 hours per month.
Practicum Student Supervision
Skills in supervision are developed by supervising master’s and doctoral practicum students (typically from the TWU Counseling Psychology program) both individually and in small groups. Group supervision of supervision is provided during which interns and senior staff discuss their supervision of practicum students, present video of their supervision work, and examine issues related to effective supervision. Practicum student supervision and training for this supervision occurs from August to May.
Training in formal full battery psychological assessments is not provided at this site. Psychological Assessment is practiced from an integrative perspective including intake assessment, risk/crisis assessment, and diagnostic assessment. Attention is also provided to multicultural and feminist perspectives to the assessment process.