Devereux Beneto
Pre-doctoral Internship |
| Mapleton Programs encompasses two campuses. The Main campus is located in Malvern, and Manor is located 15 minutes from Malvern in Devon. Intern offices are located on the Main campus, but all caseloads are split between campuses; thus interns are required to divide their time between both campuses. |
| Client Population |
The Devereux Beneto Mapleton Programs serves approximately 70 adolescents between the ages of 12 and 18. About 2/3 of the client population is female. Client diagnoses vary widely, but generally are encompassed in one of three categories:
- Mood Disorders
- Disruptive Behavior Disorders
- Psychotic Disorders
- Thought Disorders
- Pervasive Developmental Disorders
- Emerging traits of Personality Disorders (e.g., Borderline, Antisocial)
Treatment of choice for this populations is mainly:
- Cognitive Behavioral Therapy (CBT)
- Dialectic Behavioral Therapy (DBT)
- Multisystemic Family Therapy
- Milieu treatment that incorporates a behavioral modification system
Guidelines for treatment interventions are data driven and based on efficacy studies. Devereux philosophy emphasizes clinical accountability. Treatment goals are behaviorally defined in terms of measurable outcomes. |
| Typical Week |
A Typical week for the Mapleton Interns involves:
- Attend team meetings during which client issues are discussed.
- Facilitate monthly treatment plan review meetings for their clients.
- Approximately 8 hours per week is spent in individual therapy with clients, and an additional 6 hours conducting family therapy with clients and their families. C
- onduct social skills training in the school together with teachers.
- Conduct assessments as requested by members of the treatment team.
- Responsible for case management which will include contact with adolescent case workers, utilization reviews, and coordination of service planning and after care disposition.
- Regular consultation with residential staff, educational staff, and team members, case management duties, and daily writings of progress notes.
- Receive individual supervision with primary supervisor, secondary supervisor, and team supervision.
- Interns also attend weekly clinical team meetings on Thursdays from 10:00 a.m. to 11:00am. A typical workday is from 8:00 a.m. to 6:00 p.m. but interns are expected to provide clinical coverage one evening per week until 8:00 p.m. Periodically, interns' clients require crisis intervention after normal working hours and it is encouraged that interns provide or coordinate interventions at that time.
- A full day on Friday is spent attending seminar at ICTR.
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| Training Supervision |
| Howard Jarden, Ph.D. provides 2 hours of individual supervision, primarily focusing on individual and family therapy cases. Dr. Jarden also supervises interns on assessment, general internship issues, and the research project. Reid Fontaine, Ph.D. provides interns with 2 hours of individual supervision on individual and family therapy cases and case management. |
| Caseload |
| Interns hold a caseload of 8 clients throughout the year. Interns meet with clients individually for a least 1-hour per week and with the client's family (by phone or in person) for 1 hour per week. The intern is expected to be available for crisis intervention as needed for his or her clients. Interns carry pagers, which facilitates availability. |
| Psychological Assessments |
| Mapleton interns are required to complete 3 assessments during the year. Assessments are tailored to meet referral questions and encompass many forms such as assessments of cognitive functioning, academic skills, functional skills, comprehensive assessments, diagnostic evaluations, functional behavioral assessments, and intake evaluations. |
| Group Therapy |
The intern for Mapleton generally leads or co-leads one therapeutic group one skills training group in the school. Therapeutic group format, topics, and treatment modalities are often tailor to the intern's skills or interests.
Mapleton Programs highly encourages family involvement in treatment of clients, and as such interns conduct family therapy as part of their regular responsibilities. In cases where families are not readily available for treatment, sessions can be conducted by phone. |
| Research Project |
| The intern research projects on the Mapleton campus are related to existing initiatives or ongoing research within the program. Some interns have used existing data from Mapleton's vast store of client data; other projects require data collection. Recent research projects have examined factors related to client therapeutic holds, and validity of diagnosis. These outcome studies are an important component of Devereux' mission to provide continued quality improvement. |
| Consultation |
| Mapleton Interns provide consultation during team meetings and on individual basis with all disciplines within the therapeutic milieu. Interns are responsible for both clinical care and case management for clients, and therefore it is highly beneficial for them to coordinate treatment approaches for clients across clinical, psychiatry, residential, educational, and nursing areas. |
| Children's Behavioral Health Center |
| The Devereux Children's Behavioral Health Center is an acute and sub-acute psychiatric hospital serving clients ages 2 through 18. |
| Suggested Readings |
Recommended books for treatment interventions:
- Linehan, M. M. (1993). Cognitive Behavioral Treatment of Borderline Personality Disorders. New York, NY. Guilford Press.
- Kendall, P. C. (2000). Child & Adolescent Therapy: Cognitive Behavioral Procedures. New York, NY. Guilford Press.
- Walsh, F. (1993). Normal Family Processes. New York, NY. Guilford Press.
- Kendall, P. C. et al. (1992). Anxiety Disorders in Youth: Cognitive Behavioral Interventions. Needham Heights, MA. Allyn & Bacon.
- Nichols, M. P. & Schwartz, R. C. (1998). Family Therapy: Concepts and Methods. Needham Heights, MA. Allyn & Bacon.
- Beckham, E. E. & Leber, W. R. (1995). Handbook of Depression. New York, NY. Guilford Press.
- Nichols W. C. (1996). Treating People in families: An Integrative Framework. New York, NY. Guilford Press.
- March, J. S. (1995). Anxiety Disorders in Children and Adolescents. New York, NY. Guilford Press.
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