UCHSC Psychology Training Program

Introduction
Summary of Training Experiences
Major Rotations
Minor Rotations
Additional Required Rotations
Required Seminars
Optional Seminars
Application Procedures
Postdoctoral Fellowship Program
Psychology Faculty
Supplemental Application
Affirmative Action

For additional information about the UCHSC Psychology Predoctoral Internship, please call or write: 

Clinical Psychology 
UCHSC
Box C258-48
4200 E. 9th Ave.
Denver, CO 80262
(303) 315-8848

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AMERICAN INDIAN TRACK

The American Indian Track of the University Colorado Health Sciences Center, established in 1988, was the first internship in the United States to train American Indian, Alaska Natives, and others to serve Indian and Native communities.  Through this track, trainees obtain the substantive knowledge and skill areas necessary to adequately serve American Indian urban and reservation children and adolescents.  The training opportunities salient to urban Indian families are particularly strong.  Urban Indian families face the sequelae of separation from tribal people and homelands; relocation can be recent or as far back as two generations ago.  Urban families often face the challenges of interracial marriage and the struggle to develop identities within the young that honor their Indian and non-Indian heritage.  This training allows for greater understanding of the complexities and problems associated with living in an urban environment, and there are also opportunities to witness the strength and resiliency that urban Indian families develop.

American Indian trainees are strongly encouraged to apply to this unique program.  Non-Indian candidates will also be considered for this training if they demonstrate an interest in a career serving American Indians or Alaska Natives and have had previous experience with Indian or Native communities. 

Goals of the training program: 

The American Indian Track is a university-based and community-based training program with a commitment to the following goals for psychology trainees: 

1.      to provide predoctoral trainees with intensive and specialized training with a focus on the needs and strengths of emotionally disturbed children and adolescents; 

2.      to provide psychotherapeutic and consultation experiences and training with American Indian families with children and adolescents living in urban and rural communities; 

3.      to provide opportunities to understand the critical issues faced by Tribal, State, and Federal mental health systems that serve emotionally disturbed children and their families; 

4.      to provide opportunities to understand substance abuse services developed for American Indian adults with an emphasis on dual diagnosis; and 

5.      to provide trainees opportunities to enhance their health psychology knowledge.   

Objectives of the training program: 

1.      The psychology intern will assess the psychosocial functioning of Indian children, adolescents and their parents or guardians, utilizing information from other sources such as school and social services staff, as appropriate. 

2.      The psychology intern will learn to develop and implement intervention plans for Indian individuals and families that are culturally appropriate and psychotherapeutically effective. 

3.      The psychology intern will provide consultation to family members and other service providers on behalf of Indian clients. 

4.      The psychology intern will learn how a public school system responds to the unique needs of Indian families. 

5.      The psychology intern will learn about the delivery of mental health services on the two Colorado Indian reservations. 

6.      The psychology intern will learn about the assessment and treatment of co-occurring disorders (substance abuse and mental health) in a residential setting. 

Site Descriptions: 

The following sites were developed in partnership with urban and rural Indian communities under the auspices of the National Center for American Indian and Alaska Native Mental Health Research (NCAIANMHR), a program within the Psychiatry Department at UCHSC.  The NCAIANMHR was established in 1986 and is one of five minority group mental health research centers funded by the National Institute of Mental Health (NIMH).  It is the only one concerned with the mental health status of American Indians and Alaska Natives.  Among its goals are:  to study the primary psychiatric and psychological problems affecting American Indian and Alaska Native populations; and to promote and coordinate research systems. 

The major rotation training is offered in the following sequence:

September-February:

Counseling Services, Denver Public Schools

March:             

Ute Health Centers, Ute Reservations

April-May:                    

Counseling Services, Denver Public Schools

June-August:    

Counseling Services, DPS (2-3 cases) and Eagle Lodge, Denver

     Counseling Services, Project for Indian Education, Denver Public Schools:  The Denver Public Schools (DPS) established the Project for Indian Education in 1975 as a way to administer federal funds provided to the school district to support education to Indian students though the Johnson-O’Malley Indian Education Act.  In the Denver Public Schools over 900 Indian students have been identified.  The DPS is currently organizing the enrollment of Indian students into several focus schools (3 elementary schools, 3 middle schools, and 1 high school), thereby making the provision of services (tutoring, establishment of Indian clubs, counseling, etc.) more effective.  Interns will have the opportunity to become part of the Project’s team and DPS’s Psychology Services team to offer school-based counseling services to students, consultation with faculty and staff, and family support services.  Every August, a flyer announcing the counseling Services provided by the intern is mailed to the homes of the Indian students enrolled in DPS.  The large proportion of referrals to the Counseling Services are self-referrals; parents, guardians, and other family members are often very involved with the treatment.  The Counseling Services are generally provided September through May, although occasionally families may elect to continue services through the summer months.  (Candace Fleming, Ph.D. and Michelle Sarche, Ph.D.) 

     Behavioral Health Programs, Ute Health Centers, Ignacio & Towac, CO:   The Southern Ute and Ute Mountain Tribes have medical centers on their reservations that are administered by the Indian Health Service.  The two Behavioral Health Programs offer an array of clinic-based and community-based services.  The intern will have an excellent opportunity to witness firsthand culturally sensitive delivery systems at work in service of Ute people who have maintained the beauty and strength of their traditional cultures.  During the month-long rotation (typically March), trainees will provide direct service (in-patient and out-patient) in the form of evaluations, intakes, and consultations to staff of the Health Centers.  Local mentors will share how human service systems have developed on the Ute Reservations.  The internship pays for all expenses (travel, food, and lodging) related to this rotation.  (Myrna Jacobson, Ph.D., Andrew Czopek, Ph.D., and Candace Fleming, Ph.D.) 

     Behavioral Health, Zuni-Ramah Comprehensive Community Health Center, Zuni, New Mexico:   The Pueblo at Zuni and the Diné (Navajo) at Ramah share health services through this Indian Health Service’s Health Center.  During the four-week (March) rotation on the Ute Reservations, the intern will spend three days with the behavioral health program staff discussing local conceptualizations of how mental health theoretical modeling of Western Psychology blends with the Zuni and Diné world views.  (Robert Curier, Psy.D., Andrew Czopek, Ph.D., and Candace Fleming, Ph.D.) 

     Eagle Lodge, Inc., Denver, CO:   Eagle Lodge, Inc. was established in 1972 to provide culturally appropriate substance abuse in-patient and out-patient treatment to American Indian adults living in the Rocky Mountain region.  The In-Patient Program consists of 16 beds for males and females.  Its chemical dependency programming primarily focuses on alcohol and the behavioral health approach also allows for a focus on depression, anxiety, and post-traumatic stress syndrome, among other disorders.  The intern will spend ten (10) weeks in the summer at this site, providing evaluation and consultation services as well as co-leading a psychoeducational group.  (Candace Fleming, Ph.D.) 

Specific Training Activities:

Required Activities:

            Mental health evaluation:  Across the sites, the intern will conduct intake interviews to develop formulations and treatment recommendations for individual children and families.  Formal psychological assessment of children, adolescents, and/or adults will be part of the intern’s work.

            School consultation:  Each month the intern will attend the meeting of the Parent Advisory Committee for the Project for Indian Education (Denver Public Schools).  The intern can have an active role in promoting educational opportunities for Indian and Native children.

            Psychotherapy:  Across the sites, the intern will treat a number of therapy clients, ranging in age from young children to adults, presenting with a variety of problems.  Family treatment predominates, and group treatment with children is a possibility.  Leading psychoeducational groups can be an intervention strategy available to the intern.

            Case management:  Indian families who are referred often are involved with one or more health and human service agencies.  The intern will work collaboratively with other professionals to support the therapeutic plan developed with the clients.

            Health PsychologyThe intern will create a Health Psychology Project within the major rotation.

            Educational activities at sites:  The intern is expected to attend clinic meetings, supervisory sessions, lectures, courses, and special workshops as scheduled.

Theoretical Approaches:

A developmental orientation and family systems perspective are the major ways of understanding Indian clients, although the faculty at the sites also hold other theoretical orientations, including dynamically-oriented clinical psychology and cognitive-behavioral psychology.  The overarching philosophy is to provide culturally competent, family-focused interventions that consider the community contexts that are salient to the Indian families. 

Types of Clinical Approaches:

·        Family therapy

·        Child and adult individual psychotherapy

·        School and community consultation

·        Psychological diagnostic services

·        Cognitive-behavioral therapy groups 

Population of Clients:

Counseling Services of the Project for Indian Education is the major rotation of the Indian Track and was established for Indian families whose children (grades K-12) are enrolled in the Denver Public Schools. The tribal nations most numerous in the Denver metro area are Lakota, Navajo, and Pueblo.  Referring problems include behavior problems at school, parent-child relationship problems, depression, anxiety, and substance use.

Supervision:

The intern receives supervision for all clinical activities, including psychological assessment, psychotherapy, and case consultation.  Casework for the Counseling Services of the Project for Indian Education is reviewed by one supervisor for the entire year.  Additional on-site supervision at the various training sites is also provided.

Supervisors:

The key faculty represents a range of disciplines in addition to psychology, drawing upon the UCHSC Department of Psychiatry’s considerable cross-cultural expertise.  The other disciplines include medical anthropology, psychiatry, and pediatrics.  Faculty members with primary roles in this internship training program follow:

     Candace M. Fleming, Ph.D. (Kickapoo/Cherokee/Oneida) is a psychologist who received her degree from the University of North Carolina in 1979.  Areas of expertise:  diagnosis and treatment of American Indians and Alaska Natives, parent training, and substance abuse prevention and treatment.

     Spero M. Manson, Ph.D. (Pembina Chippewa) is a medical anthropologist who received his degree from the University of Minnesota in 1977.  Areas of expertise:  Indian and Native mental health, culturally informed diagnosis, and prevention interventions.

     Andrew Czopek, Ph.D., ABPP is a psychologist who graduated from the University of Illinois with a Ph.D. in 1974.  He has served as a mentor for the reservation rotation since 1990.  Areas of expertise:  forensic psychology.

     Myrna Jacobson, Ph.D. is a psychologist who graduated from Oklahoma State University in 1973.  She has served the Ute people as director of Behavior Health Program since 1985.  Areas of expertise:  diagnosis and treatment of American Indians.

     Robert Currier, Psy.D. is a psychologist who graduated from the University of Denver with a Psy.D. in 1981.  He has directed the mental health program for the Zuni-Ramah Health Center since 1983.  Areas of expertise:  diagnosis and treatment of American Indians. 

     Jeff King, Ph.D. (Muscogee Creek) is a psychologist who received his degree from Pennsylvania State University in 1989.  He established Native American Counseling and Consultation, a non-profit agency serving metro Denver Indians.  Areas of expertise:  diagnosis and treatment of American Indians.