2.
to triage, assess, and stabilize adults entering the Colorado prison system
3. to assess and develop treatment plans for individual offenders
4. to work in a primarily non mental health setting while ensuring
the provision of appropriate services with due respect for the special
rights and problems of a corrections population
5. to work with offenders with chronic and terminal health
conditions
6.to provide intervention and stabilization for emergency
mental health needs.
Objectives
of the Training Program
Specific
Training Activities
Psychological
Assessments:
Each week the intern is expected to complete a minimum of three
diagnostic assessments of adult male offenders during the initial
evaluation period of incarceration. On a less frequent basis, female
offenders may also be evaluated. A determination will be made, in
consultation with mental health staff, whether more extensive or specialized
assessments are warranted. Full psychological batteries may be completed
as well as specialized assessments for developmental disabilities.
Familiarity with DSM-IVTR diagnoses will be developed.
Crisis
Intervention: The intern will be expected to assess
changing mental status of self destructive and violent offenders to
provide direction to security staff. Rapid assessment and clinical
intervention will be expected to ensure the safety and stability of
the offender. The level of intervention will be determined within
the limitations of a correctional facility.
Psychotherapy:
The intern will treat a number of offenders
during either their initial stay at DRDC or long-term placement at
DWCF within the Department of Corrections. There will be additional
opportunities to provide treatment for the seriously and chronically
medically ill adult male and female populations, The primary focus
in both facilities is diagnosis, crisis intervention, stabilization,
and referral for appropriate psychiatric care.
Educational
Activities: The intern will be expected to attend
staff meetings, clinical case consultations, supervision, as well
as initial orientation and ongoing facility wide training.
Inpatient
Treatment: The intern will be expected to develop
care plans for psychiatrically unstable individuals housed in the
DRDC infirmary. Assessment of the need for long term inpatient treatment
and referral to appropriate facilities will be made. Inpatient opportunities
will also be made available in DWCF’s Special
Needs program for Initial intake, treatment plan development, group
therapy, individual therapy, and reintegration to the general population.
Theoretical
Approaches
The
psychology staff works in a number of different modalities. Cognitive
behavioral approaches, including DBT, as well as assessments grounded
in an understanding of human development and cultural diversity, are
intrinsic parts of the program in DOC. The ability to problem solve,
negotiate, communicate clearly, and de-escalate difficult situations
with, unpredictable offenders are necessary skills to be developed.
Theory is important, but so is being efficient and practical given
the resources of the setting.
Types of Clinical
Approaches
- Assessment, formal and informal
- Cognitive behavioral therapy groups
- Individual psychotherapy: Eclectic approaches.
- Crisis intervention
- Dialectical Behavioral Treatment
Population
of Clients:
Individuals referred to the Mental Health Department are all sentenced
as adults, but may be as young as 14, and who may present with
a wide range of mental health diagnoses and related needs.. Department
of Corrections serves individuals of all ethnic, racial, economic,
educational, gender identities, and intellectual levels. Offenders
come from rural and urban settings throughout Colorado.
A significant percentage of the population has an additional diagnosis
of substance abuse disorders.
Supervision: The intern will receive supervision
for all clinical activities, including formal and informal psychological
assessment, triage, psychotherapy, and consultation with correctional
staff.
Site
Training Supervisor Todd Helvig, Ph.D., (Clinical Psychology,
Nova Southeastern University,
2000) Areas of expertise: forensic assessment/evaluation; treatment
of female offenders; DBT; solution-focused intervention; crisis negotiation,
Other
staff Psychologists at DRDC/DWCF include:
Amy
Flack, Ph.D. (Clinical Psychology, California School of Professional
Psychology, 1998) Areas of expertise: treatment of female offenders;
DBT; treatment of personality disorders
Trent
Engel, Psy.D. (Clinical Psychology,
University of Denver
- GSPP, 2003). Areas of expertise: adult forensic assessment &
evaluation; psychological testing & rapid assessment; treatment
of adult male offenders; individual & group psychotherapy.
Roz
Simon, Psy.D., JD (Clinical Psychology,
University of Denver, 1993) Areas of expertise: crisis intervention;
personality disorders; trauma; psychoanalysis; law and legal research.