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					Updated 11/8/11                                Version 10




                    PRACTICUM
                    BROCHURE
                           2011-2012
                   Nova Southeastern University
                  Center for Psychological Studies
                         Doctoral Programs
                                      TABLE OF CONTENTS
                                 Practicum Site Description                                  Page
1.   ADHD Assessment Consultation & Treatment (AACT) Program (Nova Site)                      5
2.   Adolescent Drug Abuse Prevention & Treatment (ADAPT) Program (Nova Site)                 8
3.   Adult Services Program (Nova Site)                                                       11
4.   Anxiety Treatment Clinic (Nova Site)                                                     14
5.   Barry University Counseling Center                                                       17
6.   Biofeedback and Health Psychology Center (Nova Site)                                     20
7.   Broward Children’s Center                                                                23
8.   Broward General Medical Center                                                           26
9.   Broward Sheriff’s Office, Employee Assistance program                                    29
10. Camillus Health Concern                                                                   32
11. Center for Assessment & Intervention at Human Services                                    35
12. Center for Group Counseling                                                               38
13. Child, Adolescent & family Services (CAFS) (Nova Site)                                    41
14. Child & Adolescent Traumatic Stress Program (CATSP) (Nova Site)                           44
15. Chrysalis Center                                                                          47
16. Cleveland Clinic                                                                          50
17. Consumer Recovery Center at Henderson                                                     53
18. Family Violence Program (Nova Site)                                                       56
19. Federal Detention Center                                                                  59
20. Florida Atlantic University Counseling Center – Boca Raton                                62
21. Florida Atlantic University Counseling Center – Broward                                   65
22. Forensic Psychology Practicum (Nova Site)                                                 68
23. The G.A.T.E. (Gerena and Associates Treatment and Evaluation for Diverted Juvenile Sex   71
    Offender Youths)
24. GEO Care South Florida State Hospital                                                    74
25. Health Lifestyles Guided Self-Change Program (GSC) (Nova Site)                           77
26. Henderson Mental Health Center                                                           80
27. Henderson Student Counseling Services                                                    83
28. House of Hope / Stepping Stones                                                          86
29. Institute for Child & Family Health                                                      89
30. Intensive Psychodynamic Psychotherapy Clinic (IPPC) (Nova Site)                          92
31. Joe DiMaggio Children’s Hospital Pediatric Psychology                                    95
32. Mailman Center for Child Development                                                  98
33. Mailman Segal & Unicorn Children’s Foundation Challenging Behavior Program            101
34. Mailman Segal Institute of NSU for Early Childhood Studies (Nova Site)                105
35. Memorial Regional Hospital                                                            108
36. Memorial Regional Hospital, Memorial Cancer Institute                                 111
37. Miami Children’s Hospital Brain Institute & Behavioral Medicine                       114
38. Miami Children’s Hospital – Department of Psychiatry                                  118
39. Miami Federal Correctional Institute                                                  121
40. Miami VA Medical Center – Healthcare System                                           124
41. Miami VA Medical Center – Neuropsychology                                             127
42. Miami VA Healthcare System – Sleep Clinic                                             130
43. Miami VA Healthcare System – Spinal Cord Injuries                                     133
44. Miami-Dade County Dept of Human Services Psychological Services                       136
45. Miami-Dade Police Department – Psychological Services Section                         139
46. Mount Sinai Medical Center / Comprehensive Cancer Center                              142
47. NSU Counseling Center for Older Adults (NCCOA) and NSU Health Professions Division    145
    – combined (Nova Site)
48. Neuropsychology Assessment Center (NAC) (Nova Site)                                   149
49. North Broward Medical Center – Rehabilitation Unit                                    152
50. Palm Beach County Detention Center                                                    155
51. Palm Beach County Division of Youth Affairs – Youth Service Bureau                    158
52. Program for Seriously Emotionally Disturbed (PSED) (Nova Site)                        162
53. Psychological Assessment Center (PAC) (Nova Site)                                     165
54. Renfrew Center                                                                        168
55. Ruth Rales Jewish Family Service                                                      172
56. School Psychology Assessment and Consultation Center (Nova Site)                      175
57. Sports Psychology Program at NSU Sports Medicine Clinic (Nova Site)                   178
58. Trauma Resolution Integration Program (TRIP) (Nova Site)                              182
59. University of Miami Anxiety Treatment Clinic                                          185
60. University of Miami Autism Spectrum Assessment Clinic (ASAC)                          188
61. University of Miami Jackson Memorial Medical Center – Adult Behavioral Medicine and   192
    Rehabilitation Psychology
62. University of Miami Jackson Memorial Medical Center – Department of Adult             195
    Neuropsychology
63. University of Miami Jackson Memorial Medical Center – Medical Psychology Service      198
64. University of Miami Jackson Memorial Medical Center – Pediatric Neuropsychology         201
65. University of Miami Miller School of Medicine – Department of Rehabilitation Medicine   204
66. University of Miami Miller School of Medicine – Psychiatry and Behavioral Medicine      207
67. University Pavilion Hospital                                                            210
68. West Palm Beach VA Medical Center                                                       213
                                                                                              5

        ADHD Assessment, Consultation & Treatment Program
                          - Nova Site
Date Last Modified             November 11, 2010
Program/Institution            ADHD Assessment Consultation & Treatment Program– Nova

Department                     Center for Psychological Services
Street # and address           3301 College Avenue
City, State, Zip               Fort Lauderdale, FL 33314
Web Address/Contact Email      www.nova.edu/adhd/ adhd@nsu.nova.edu


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 6

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 6

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___1st year practicum                   ____OK____ 1st year practicum
__n/a___2nd year practicum                   ____OK____ 2nd year practicum
__n/a___Elective (8 months)                  __n/a_____ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                 __√__Level 2 Screen Required
____Fingerprints Required                    __√__Do YOU conduct the background checks

____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                    __X_1 Spanish Speaker Preferred
__X__1 Male Preferred                        ____Other ___________________________
                                                                                                  6

_√__Are there mandatory training sessions before starting? If yes describe: PSC clinic
training. Intensive training (24 hours) in assessment and treatment will occur during the
summer prior to beginning the practicum.
Other Required Training Prerequisites (classes, degrees, experience, etc):
Required Courses: Child and Adolescent Psychopathology (PSY 1408), Professional Issues
and Ethics (PSY 1409). Assessment: Intelligence Testing (PSY 1501), Diversity in
Assessment (PSY 1605).
General: Good assessment skills (or a willingness to develop these skills) are required. Report
writing skills are vital. It would be helpful to have some familiarity with behavioral, cognitive-
behavioral, and family systems models. Students are expected to take their clinical duties
seriously, including attention to routine clinic details (e.g., file management) and client contact
(e.g., practicing to the highest ethical standards, being on time and prepared for clinic
sessions, etc.).
Suggested prerequisites: Courses and/or Experience in Behavioral Assessment and
Treatment, Parent Focused Interventions (PSY 4692), Child and Adolescent Development
(PSY 1405), Behavioral Assessment (PSY 2509), Child and Adolescent Intervention (PSY
2604), Case Conceptualization (PSY 2606) [These courses can be taken concurrently with the
practicum]. Experiences working with children in diverse settings (e.g., schools, extracurricular
activities such as sports or summer camps).

Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 10
hours/week                        2nd Year practicum: 15
Attendance at specific            Weekly group supervision at scheduled by semester.
meetings                          Individual supervision to be scheduled. Usually on Monday
                                  afternoons.
Other requirements                Reliable transportation.
List specific evening hours       Yes
required
# Direct clinical contact         About 4-7 hours depending upon practicum year
hours/week
Supervision Requirements          One supervisor. Supervision held in group (2-3 hours) and
(e.g., individual, group, time,   individual format (1 hour) each week. Multiple opportunities
day)                              for modeling, role-play, observation and feedback of various
                                  clinical skills will also occur throughout the practicum.


Contact                   Name: David Reitman, Ph.D.
Person/Supervisors        Email: reitmand@nova.edu
                          Phone: 954-262-5912
                                                                                                 7

Short Program Description
AACT serves children, adolescents, and young adults that demonstrate behavioral problems
consistent with a "diagnosis" of ADHD. Many children also meet DSM-IV criteria for
Oppositional Defiant Disorder or Conduct Disorder. Because many children exhibiting
externalizing symptoms also experience internalizing problems (e.g., anxiety and mood
disorders, etc.), clinical experiences are quite diverse. Empirically-supported forms of
assessment and treatment are emphasized and those seeking to conduct research in
conjunction with their clinical activities will be encouraged to present and publish their work.
Finally, the behavior-family systems orientation of the clinic will also provide opportunities for
the student to develop adult psychotherapy (with parents) and consultation (with teachers and
other professionals) skills. Students participating in this clinic will receive training in report
writing, treatment planning, and develop strong therapy skills. Training is intended to prepare
the student for a successful CCE defense. Opportunities exist to deliver parent training, staff
training, and provide consultation in a variety of settings. Students may function as "mental
health liaisons" to the Boys and Girls Clubs of Broward County and students may participate in
a unique Summer Camp designed for young children with ADHD.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                 √ Infants                    √ Children
      Adults                       Older Adults              X College Students
      Other ________

Assessment
 √ Personality                  √ Intelligence                   Neuropsychology

 √ Behavioral/Cognitive             Forensic                     Physiological

Treatment Modality
  √ Individual                   √ Group                     √ Brief (4 -12 sessions)

 √ Family                           Couples                  √ Short-term (3-6 months)

     Crisis Intervention         √ Other: Consultation       √ Long-term (6+ months)


Theoretical Orientation
    Eclectic                        Behavioral Medicine           Humanistic
 √ Cognitive                        Dynamic                   √ Systems
     Gestalt                     √ Behavioral                     Other: ___________
                                                                                              8

      Adolescent Drug Abuse Prevention & Treatment (ADAPT)
                           - Nova Site
Date Last Modified             November 11, 2010
Program/Institution            Adolescent Drug Abuse Prevention & Treatment – Nova
Department                     Center for Psychological Services
Street # and address           3301 College Avenue
City, State, Zip               Fort Lauderdale, FL 33314
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 3

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 3

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___1st year practicum                   ________ 1st year practicum
__n/a___2nd year practicum                   ________ 2nd year practicum
__n/a___Elective (8 months)                  __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  __√__Level 2 Screen Required
____Fingerprints Required                     __√__Do YOU conduct the background
                                              checks
____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            ____Interview Required
____Spanish Speakers Only                     __√__1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other ___________________________
_√__Are there mandatory training sessions before starting? If yes describe: PSC clinic
training
                                                                                                 9

Other Required Training Prerequisites (classes, degrees, experience, etc):
Prior experience with adolescents.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 13
hours/week                        2nd Year practicum: 20
Attendance at specific            Small group supervision and staff meetings TBA.
meetings
Other requirements                Foreign language skills are desirable.
List specific evening hours       Yes
required
# Direct clinical contact         Individual and family psychotherapy sessions 5-6 hours per
hours/week                        week. Intake evaluations of new clients 2 1/2 hours. Psycho-
                                  educational groups 1 1/2 hours.
Supervision Requirements          One supervisor per student for a total of 2 hours per week
(e.g., individual, group, time,   group supervision. One hour staff meeting includes case
day)                              assignment and training opportunities.


Contact Person/Supervisor Information
Contact                   Name: Vincent B. Van Hasselt, Ph.D.
Person/Supervisors        Email: vanhasse@nova.edu
                          Phone: 954-262-5854


Short Program Description
The Adolescent Drug Abuse Prevention and Treatment program serves adolescents who have
been arrested for minor offenses and have substance abuse problems, or are at risk for
developing such problems. Services include individual, group and family therapy. Training in
cognitive-behavioral, family systems, experiential and social-learning theory approaches is
provided. Students are required to attend weekly supervision and weekly staff meetings.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                      Infants                  √ Children
  √ Adults                           Older Adults                College Students
      Other ________
                                                                               10

Assessment
 √ Personality              Intelligence              Neuropsychology
 √ Behavioral/Cognitive   √ Forensic                  Physiological


Treatment Modality
  √ Individual            √ Group                  √ Brief (4 -12 sessions)

 √ Family                   Couples                √ Short-term (3-6 months)

 √ Crisis Intervention      Other: ____________      Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                  Behavioral Medicine   √ Humanistic
 √ Cognitive              √ Dynamic                √ Systems
 √ Gestalt                √ Behavioral                 Other: ___________
                                                                                             11

                       Adult Services Program - Nova Site
Date Last Modified          November 11, 2010
Program/Institution         Adult Services Program – Nova
Department                  Center for Psychological Services
Street # and address        3301 College Avenue
City, State, Zip            Fort Lauderdale, FL 33314
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
  Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 12-14


Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 0                (end of Aug through mid Aug) 12-14

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
__n/a___1st year practicum                  ________ 1st year practicum
__n/a___2nd year practicum                  ________ 2nd year practicum
__n/a___Elective (8 months)                 __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required               __√__Level 2 Screen Required
____Fingerprints Required                   __√__Do YOU conduct the background checks

____Drug Test Required?                     ____Do YOU conduct the drug tests
____Physical Required                       ____TB Screening Required
____Proof of Health Insurance Required      ____Physician's Statement of Readiness for
                                            Practicum Required
____Proof of Immunization Required          ____Interview Required
____Spanish Speakers Only                   __√__2 Spanish Speakers Preferred
__√__2 Males Preferred                      ____Other ___________________________
                                                                                               12

_√__Are there mandatory training sessions before starting? If yes describe: PSC clinic
training.
Other Required Training Prerequisites (classes, degrees, experience, etc):
Familiarity with interviewing techniques and knowledge of DSM-IV.
Suggested prerequisites: Experience with chronic mental illness, crisis intervention,
psychopharmacology and substance abuse.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 10-12
hours/week                        2nd Year practicum: 16-18
Attendance at specific            Case Conference Friday‘s 10-12, alternating weeks; weekly
meetings                          small group supervision with resident(s)/ interns
Other requirements                Reliable transportation.
List specific evening hours       Yes
required
# Direct clinical contact         50% of total hours
hours/week
Supervision Requirements          Case conferences, training seminars and a minimum of one
(e.g., individual, group, time,   hour of face to face supervision are provided from an eclectic,
day)                              integrated conceptual framework representing a rich variety of
                                  orientations including dynamic, cognitive, humanistic and
                                  psychoeducational. Students will receive a minimum of one
                                  hour of individual and/or group supervision per week.


Contact Person/Supervisor Information
Contact                   Name: Leonard Schnur, Psy.D.
Person/Supervisors        Email: schnur@nova.edu
                          Phone: 954-262-5731


Short Program Description
Adult Services provides treatment to a broad spectrum of adult clients ranging from
mild/moderately impaired clients with both Axis I and Axis II pathology. The treatment model is
a biopsychosocial approach utilizing a comprehensive biopsychosocial evaluation, individual
and group psychotherapy, as well as case management interventions.
                                                                                     13

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
      Adolescents              Infants                   Children
  √ Adults                  √ Older Adults               College Students
     Other ________


Assessment
 √ Personality              √ Intelligence               Neuropsychology

 √ Behavioral/Cognitive        Forensic                  Physiological


Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

    Family                   x Couples(often by       √ Short-term (3-6 months)
                               resident/interns)
 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                     Behavioral Medicine    √ Humanistic
 √ Cognitive                 √ Dynamic                 √ Systems
    Gestalt                  √ Behavioral                 Other: ___________
                                                                                              14

                       Anxiety Treatment Clinic - Nova Site
Date Last Modified             November 11, 2010
Program/Institution            Anxiety Treatment Clinic – Nova
Department                     Center for Psychological Services
Street # and address           3301 College Avenue
City, State, Zip               Fort Lauderdale, FL 33314
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 6

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 6

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___1st year practicum                   ____2____ 1st year practicum
__n/a___2nd year practicum                   _____4___ 2nd year practicum
__n/a___Elective (8 months)                  __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  __√__Level 2 Screen Required
____Fingerprints Required                     __√__Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            ____Interview Required
____Spanish Speakers Only                     __√__1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other ___________________________
_√__Are there mandatory training sessions before starting? If yes describe: PSC clinic
training. Students must attend intensive training (15-20 hours) in assessment and treatment
prior to beginning the practicum.
                                                                                                   15

Other Required Training Prerequisites (classes, degrees, experience, etc):
Good assessment and report writing skills are necessary. Report writing skills are vital. It
would be helpful to have familiarity with cognitive-behavioral treatment of anxiety. However,
training in this will take place. Students are expected to take their clinical duties seriously,
including attention to routine clinic details (e.g., file management) and client contact (e.g.,
practicing to the highest ethical standards, being on time and prepared for clinic sessions,
etc.).
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                  1st Year practicum: 10
hours/week                         2nd Year practicum: 15
Attendance at specific             Friday mornings
meetings
Other requirements                 Outside reading (e.g,, books, assessment and treatment
                                   manuals) will be required so that the student can function as
                                   a full member of the assessment and treatment team.

List specific evening hours        Generally required, but students are free to schedule as they
required                           wish.
# Direct clinical contact          1st Year practicum: 5
hours/week                         2nd Year practicum: 8
Supervision Requirements           One supervisor. Supervision will be held in group (about 2-3
(e.g., individual, group, time,    hours) and individual format (about 1 hour) each week.
day)


Contact Person/Supervisor Information
Contact                     Name: Jennifer , Psy.D.
Person/Supervisors          Email: j@nova.edu
                            Phone: 954-262-5822


Short Program Description
The Anxiety Treatment Clinic provides state-of-the-art anxiety assessment and treatment for
community members (children, adolescents, and adults) suffering from anxiety. In particular,
the clinic specializes in treatment of Panic Disorder, Social Anxiety Disorder, Obsessive-
Compulsive Disorder, and Generalized Anxiety Disorder.
Anxiety disorders are a serious health problem in the United States, with estimates of 15 to
25% of the population suffering from an anxiety disorder at any particular time. Empirically-
supported treatments of anxiety disorders have been found to be successful for treating these
                                                                                               16

disorders. These treatments have been well-documented and are constantly being refined.
The most current treatment protocols have been manualized and provide a nice structure for
new clinicians to learn about this type of treatment.
Student-practitioners in the Anxiety Treatment Clinic will be exposed to treatment
methodologies and assessments that are empirically-supported. They will also receive training
in report writing, treatment planning, and develop strong therapy skills. Training is intended to
prepare the student for a successful CCE defense and successful internship placement.
Opportunities exist to deliver talks to parents, educators, and local businesses on anxiety.
Furthermore, ongoing research on anxiety disorders will be conducted and students who have
an interest may also participate in those activities.
Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                    Infants                      Children
  √ Adults                      √ Older Adults                  College Students
      Other ________

Assessment
 √ Personality                     Intelligence                 Neuropsychology
 √ Behavioral/Cognitive            Forensic                     Physiological

Treatment Modality
  √ Individual                  √ Group                     √ Brief (4 -12 sessions)

 √ Family                       √ Couples                   √ Short-term (3-6 months)

     Crisis Intervention           Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                         Behavioral Medicine      √ Humanistic
 √ Cognitive                        Dynamic                      Systems
     Gestalt                    √ Behavioral                     Other: ___________
                                                                                              17

Barry University Center for Counseling and Psychological Services
Date Last Modified             November 11, 2010
Program/Institution            Barry University
Department                     Center for Counseling and Psychological Services
Street # and address           North Miami Avenue and 115th Street
City, State, Zip               Miami Shores, Florida
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 1

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 1

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___1st year practicum                   ___n/a___ 1st year practicum
__n/a___2nd year practicum                   ____1___ 2nd year practicum
__n/a___Elective (8 months)                  ___n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  ____Level 2 Screen Required
____Fingerprints Required                     ____Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other: foreign language skills
_√__Are there mandatory training sessions before starting? If yes describe: Student must
attend intensive training (16 hours) in assessment and treatment one month prior to beginning
practicum.
                                                                                                   18

Other Required Training Prerequisites (classes, degrees, experience, etc):
Good assessment and report writing skills are necessary. Report writing skills are vital. It
would be helpful to have familiarity with cognitive-ehavioral treatment of anxiety. However,
training in this will take place. Students are expected to take their clinical duties seriously,
including attention to routine clinic details (e.g., file management) and client contact (e.g.
practicing to the highest ethical standards, being on time and prepare for clinical sessions)
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 15
Attendance at specific            2-hour clinical meeting on Tuesdays, 10AM to noon (subject
meetings                          to change)
Other requirements                Foreign language skills desirable. Suggested interest in
                                  possible internship in college counseling center.

List specific evening hours       Expected to participate in after hours on call coverage
required                          rotation. While it is rare for CCPS staff to be called upon after
                                  hours, practicum students are expected to carry the on-call
                                  pager with them for 1 week every 4-6 weeks. Supervision
                                  and consultation is available for students while on-call.
# Direct clinical contact         1st Year practicum: n/a
hours/week                        2nd Year practicum: 8-10
Supervision Requirements          2 hours per week in individual format; 1-2 hours/week group
(e.g., individual, group, time,   supervision/case discussion as part of weekly clinical
day)                              meeting.


Contact Person/Supervisor Information
Contact                   Name: James Scott, Psy.D.
Person/Supervisors        Email: jscott@mail.barry.edu
                          Phone: 305-899-3656


Short Program Description

.
                                                                                     19

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                Infants                   Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality                 Intelligence              Neuropsychology
 √ Behavioral/Cognitive        Forensic                  Physiological

Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

    Crisis Intervention         Other: ____________ √ Long-term (6+ months)

Theoretical Orientation
 √ Eclectic                     Behavioral Medicine    √ Humanistic
 √ Cognitive                    Dynamic                   Systems
    Gestalt                  √ Behavioral                 Other: ___________
                                                                                               20

        Biofeedback and Health Psychology Center - Nova Site
Date Last Modified              December 17, 2010
Program/Institution             Biofeedback and Health Psychology Center
Department                      Center for Psychological Services
Street # and address            3301 College Avenue
City, State, Zip                Fort Lauderdale, Florida 33314
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 4

Of total # of students, # that are Summer     Of total # of students, # that are FALL starts
starts (May through April) 0                  (end of Aug through mid Aug) 4

Further description of # of SUMMER            Further description of # of FALL student
student starts                                starts
__n/a___1st year practicum                    _3-4_ ___1st year practicum
__n/a___ 2nd year practicum                   up to 1 __2nd year practicum
__n/a___ Elective (8 months)                  __n/a__ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required               √ Level 2 Screen Required
____Fingerprints Required                      ____Do YOU conduct the background checks

____Drug Test Required?                        ____Do YOU conduct the drug tests
____Physical Required                          ____TB Screening Required
____Proof of Health Insurance Required         ____Physician's Statement of Readiness for
                                               Practicum Required
____Proof of Immunization Required             √ Interview Required
____Spanish Speakers Only                      ____1 Spanish Speaker Preferred
____1 Male Preferred                           __√__ Other: 1 Health Psychology course

_√__Are there mandatory training sessions before starting? If yes describe: 2 full days for
PSC orientation and 3 two-hour training sessions for BHPC
                                                                                                      21

Other Required Training Prerequisites (classes, degrees, experience, etc):
Good assessment and report writing skills are necessary. Report writing skills are vital. It
would be helpful to have familiarity with cognitive-behavioral treatments. However, training in
this will take place. Students are expected to take their clinical duties seriously, including
attention to routine clinic details (e.g., file management) and client contact (e.g., practicing to
the highest ethical standards, being on time and prepared for clinic sessions, etc.)
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                1st Year practicum: 10
hours/week
                                 2nd Year practicum: 15
Attendance at specific           Program staff and group supervision meetings: TBD
meetings
Other requirements               Any one of 6 Health Psychology courses (i.e., (1) Pediatrics,
                                 (2) Health Psychology, (3) Psychological Interventions with
                                 Medical Patients (4) medical rounds, (5) substance abuse, (6)
                                 anatomy and physiology) should be completed or anticipated
                                 to be completed before practicum. Some knowledge of
                                 assessment techniques used in medical evaluation of
                                 psychophysiological disorders is helpful. Some knowledge of
                                 progressive muscle relaxation and/or cognitive behavioral
                                 therapy will be very helpful.
List specific evening hours      None required, but some available.
required
# Direct clinical contact        1st Year practicum: 4-7
hours/week                       2nd Year practicum: 4-7
Supervision Requirements
individual, group, time, day)


Contact Person/Supervisor Information
Contact                  Name: Jeffrey Kibler, Ph.D.
Person/Supervisors       Email: kibler@nova.edu
                         Phone: 954-262-5879


Short Program Description
Program offers psychological evaluation, intervention, and consultation for the optimum
management of an ongoing health related concern as well as for the optimum maintenance of
a healthy lifestyle. Biofeedback and other health psychology interventions can be provided to
assist individuals with the management of a chronic disease, headaches and other types of
                                                                                                   22

chronic pain, healthy eating and exercise, changing health compromising behaviors, coping
with aversive medical/dental procedures, and overall health promotion. When indicated and
with appropriate release of information, interaction with the clients‘ significant others and/or
other health care providers can be encouraged. Some clients may be seen in conjunction
with the Sport Medicine program at the Health Professions
Division.


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                     Infants                     √ Children
  √ Adults                       √ Older Adults                    College Students
      Other ________

Assessment
 √ Personality                   √ Intelligence                    Neuropsychology

 √ Behavioral/Cognitive             Forensic                    √ Physiological
     Biopsychosocial

Treatment Modality
  √ Individual                   √ Group                     √ Brief (4 -12 sessions)

     Family                         Couples                 √     Short-term (3-6 months)

     Crisis Intervention            Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                     √    Behavioral Medicine        √ Humanistic
 √ Cognitive/Behavioral              Dynamic                       Systems
     Gestalt                         Other ___________
                                                                                               23

                            Broward Children’s Center
Date Last Modified             December 16, 2010
Program/Institution            Broward Children‘s Center
Department
Street # and address           200 SE 19th Avenue
City, State, Zip               Pompano Beach, FL 33060
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 1

Of total # of students, # that are Summer     Of total # of students, # that are FALL starts
starts (May through April) 1                  (end of Aug through mid Aug) or 1

Further description of # of SUMMER            Further description of # of FALL student
student starts                                starts
__n/a___1st year practicum                    __n/a___1st year practicum
__n/a___ 2nd year practicum                   __n/a___2nd year practicum
___1____ Elective (8 months)                  __(or) 1__ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 ____Level 2 Screen Required
____Fingerprints Required                     __ √__Do YOU conduct the background
                                              checks
____Drug Test Required?                       ____Do YOU conduct the drug tests
__ √__Physical Required                       __ √__TB Screening Required
____Proof of Health Insurance Required        __√__Physician's Statement of Readiness for
                                              Practicum Required
__√__Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____No preference                             ____ Other: _____________________
_ __Are there mandatory training sessions before starting? If yes describe:
                                                                                              24

Other Required Training Prerequisites (classes, degrees, experience, etc):


Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                Elective practicum: negotiable
hours/week
Attendance at specific           Negotiable
meetings
Other requirements               General knowledge of objective assessment devices,
                                 child development and psychopathology, as well as
                                 associated ethics and counseling issues; maturity to
                                 deal with medically ill, disabled children, and associated
                                 quality of life, and death/dying issues.
List specific evening hours      Some required.
required
# Direct clinical contact        Elective practicum: negotiable
hours/week
Supervision Requirements         1-2 supervisors for a total of 1-2 hours a week.
(individual, group, time, day)   Individual supervision format.


Contact Person/Supervisor Information
Contact                  Name: Michael Carifio, Ph.D.
Person/Supervisors       Email: mcarifio@msn.com
                         Phone: 954-943-7638
Contact                  Name: Debbie Tompson, B.A.
Person/Supervisors       Email: debit@bcckids.org
                         Phone: 954-943-7638


Short Program Description
Pediatric-skilled, intensive care, medical/nursing center with two associated group homes.
English-speaking patients typically receive assessment and psychotherapeutic services
from a licensed psychologist for a variety of conditions, including behavioral, adjustment,
and depressive disorders. Currently 10% research hours required for either a Ph.D. or
very motivated Psy.D. student.
                                                                                     25

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents              √ Infants                 √ Children
  √ Adults                      Older Adults             College Students
     Other ________


Assessment
 √ Personality              √ Intelligence               Neuropsychology
    Behavioral/Cognitive        Forensic                 Physiological
    Biopsychosocial


Treatment Modality
  √ Individual                  Group                    Brief (4 -12 sessions)

    Family                      Couples                  Systems
 √ Crisis Intervention       √ Behavioral Medicine √     Short-term (3-6 months)

 √ Long-term (6+ months)        Other: ____________


Theoretical Orientation
 √ Eclectic                 X   Behavioral Medicine    √ Humanistic
 √ Cognitive/Behavioral      √ Dynamic                    Systems
    Gestalt                     Other ___________
                                                                                             26

                        Broward General Medical Center
Date Last Modified           November 11, 2010
Program/Institution          Broward General Medical Center
Department                   Behavioral Health - Fourth Floor, West Wing
Street # and address         1600 S. Andrews Avenue
City, State, Zip             Fort Lauderdale, FL 33316
Web Address/Contact Email    wbracker@browardhealth.org


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 4

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 0                (end of Aug through mid Aug) 4

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
__n/a___1st year practicum                  __n/a__ 1st year practicum
__n/a___ 2nd year practicum                 ___4___ 2nd year practicum
__n/a___ Elective (8 months)                __n/a__ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required               ____Level 2 Screen Required
____Fingerprints Required                   ____Do YOU conduct the background checks

__√__Drug Test Required?                    ____Do YOU conduct the drug tests
____Physical Required                       __√__TB Screening Required
____Proof of Health Insurance Required      ____Physician's Statement of Readiness for
                                            Practicum Required
__√__Proof of Immunization Required         __√__Interview Required
____Spanish Speakers Only                   ____1 Spanish Speaker Preferred
____1 Male Preferred                        ____ Other: _____________________
                                                                                                    27

_√__Are there mandatory training sessions before starting? If yes describe: Few reading
assignments and shadowing current students is highly encouraged before beginning. This can
be scheduled at the Practicum Student‘s convenience. Two to three ½ day observations is
usually enough.
Other Required Training Prerequisites (classes, degrees, experience, etc):
Familiarity with consultation and liaison within medical settings suggested.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                    1st Year practicum: n/a
hours/week                           2nd Year practicum: 15
                                     Elective practicum: n/a
Attendance at specific               In hospital as determined by placement, i.e., trauma rounds,
meetings                             pediatric rounds, treatment team, etc.
Other requirements                   Three days per week presence in hospital is required. Must be
                                     flexible and willing to work as a team.
List specific evening hours          As determined by placement or practicum student needs.
required                             Usually all work is completed during regular business hours.

# Direct clinical contact            1st Year practicum: n/a
hours/week                           2nd Year practicum: ___
                                     Elective practicum: n/a
Supervision Requirements             2-3 hours of group and individual supervision. Daily contact
(individual, group, time, day)       with supervisor. Current interns will assist in supervision.


Contact Person/Supervisor Information
Contact                     Name: Bill Bracker, Psy.D.
Person/Supervisors          Email: wbracker@browardhealth.org
                            Phone: 954-355-4401
Contact                     Name: Toby Kellk, MS/ Donna Antonello, MS (Current Interns)
Person/Supervisors          Email:
                            Phone: 954-355-5858
                                                                                               28



Short Program Description
Broward General Medical Center is a full service acute care hospital. There are a total of 4
placements available. All placements primarily involve Behavioral Medicine (psychological
consultation for Trauma Services, and on the Pediatric unit, NICU, PICU, RCU, ICU,
Maternity Unit, and General Medical/Surgery units; and brief psychotherapy at the Wellness
Center – an out-patient cardiac rehabilitation program). Placements secondarily involve
individual and group counseling on our adult acute inpatient psychiatric
units.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                √ Infants                      √ Children
  √ Adults                     √ Older Adults                 √ College Students
      Other ________

Assessment
    Personality                    Intelligence                 Neuropsychology
 √ Behavioral/Cognitive            Forensic                     Physiological
 √ Biopsychosocial             √

Treatment Modality
  √ Individual                  √ Group                    √ Brief (4 -12 sessions)

 √ Family                       √ Couples                 √     Short-term (3-6 months)

 √ Crisis Intervention             Other: ____________          Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                    √   Behavioral Medicine        √ Humanistic
 √ Cognitive/Behavioral            Dynamic                    √ Systems
     Gestalt                       Other ___________
                                                                                              29

       Broward Sheriff’s Office, Employee Assistance Program
Date Last Modified              January 29, 2010
Program/Institution             Broward Sheriff‘s Office
Department                      Employee Assistance Program
Street # and address            2601 W Broward Blvd
City, State, Zip                Fort Lauderdale, FL 33312
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 1

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 1

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___1st year practicum                   _______ 1st year practicum
__n/a___ 2nd year practicum                  _______ 2nd year practicum
__n/a___ Elective (8 months)                 __n/a__ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 ____Level 2 Screen Required

__√__Fingerprints Required                    ____Do YOU conduct the background checks

__√__Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
__√__Proof of Immunization Required           ____Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          __√__ Other: Security clearance
_____ Are there mandatory training sessions before starting? If yes describe:
                                                                                               30

Other Required Training Prerequisites (classes, degrees, experience, etc):
3 hours of therapy opportunity for observation (1st year)
5 hours of therapy opportunity for observation (2nd year)
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of hours/week        1st Year practicum: 10
                                    2nd Year practicum: 15
Attendance at specific meetings     Patient orientation 3 hrs/week; Training 2 hrs/week

Other requirements                  Preference to be available for possible 2-4 critical
                                    incident debriefings.
List specific evening hours         Yes, varies.
required
# Direct clinical contact           1st Year practicum: 3
hours/week                          2nd Year practicum: 5
Supervision Requirements (e.g.,     1 hour/week
individual, group, time, day)


Contact Person/Supervisor Information
Contact                 Name: Royce N. Jalazo, Psy.D.
Person/Supervisors      Email: DrRoyceJalazo@aol.com and Royce_jalazo@sheriff.org
                        Phone: 954-232-7092
Contact                 Name: Judy Cowells
Person/Supervisors      Email: Judy_Couwels@sheriff.org
                        Phone: 954-321-4180


Short Program Description
This practicum is a potential training site for aspiring police psychologists in that the work is
focused on providing psychological support services to Broward Sheriff‘s Office (BSO)‘s 5,800
employees, including more than 2,800 certified deputies and more than 600 fire rescue
professionals and their dependents. Candidates will provide Individual, Couple, and Family
therapy services, conduct psychological evaluations, and participate in critical incident stress
debriefings as necessary. This site provides the candidate with additional exposure to the
unique issues and situations involved in BSO employees‘ job duties. It includes in-vivo training
experiences as candidates ride-along with deputies, paramedics, and fire rescue, as they
                                                                                             31

protect and serve Broward County‘s citizens during regular patrols and calls. Opportunities to
participate in hostage negotiation training may be offered. Candidates may also have the
opportunity to lecture to undergraduate psychology students.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                    Infants                  √ Children
  √ Adults                         Older Adults                College Students
      Other ________

Assessment
 √ Personality                 √ Intelligence              √ Neuropsychology
 √ Behavioral/Cognitive            Forensic                    Physiological
     Biopsychosocial

Treatment Modality
  √ Individual                 √ Group                     √ Brief (4 -12 sessions)

 √ Family                      √ Couples                  √    Short-term (3-6
                                                               months)
     Crisis Intervention       √ Long-term (6+ months)         Other: ____________


Theoretical Orientation
 √ Eclectic                    √   Behavioral Medicine          Humanistic

 √ Cognitive/Behavioral            Dynamic                    √ Systems
     Gestalt                       Other ___________
                                                                                              32

                             Camillus Health Concern
Date Last Modified             December 29, 2010
Program/Institution            Camillus Health Concern
Department
Street # and address           336 NW 9th Street
City, State, Zip               Miami, FL 33128
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 7

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 7                 (end of Aug through mid Aug) or 8

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
________1st year practicum                   _______ 1st year practicum
________ 2nd year practicum                  _______ 2nd year practicum
__n/a___ Elective (8 months)                 __n/a__ Elective (8 months)
1st and 2nd year practicum students can
begin in the Summer or Fall


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                 ____Level 2 Screen Required
____Fingerprints Required                    ____ Do YOU conduct the background
                                             checks
____Drug Test Required?                      ____ Do YOU conduct the drug tests
____Physical Required                         Done at site TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                    __√__1 Spanish Speaker Preferred
____1 Male Preferred                         ____ Other:
____ Are there mandatory training sessions before starting? If yes describe:
                                                                                               33

Other Required Training Prerequisites (classes, degrees, experience, etc): None
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of hours/week        1st Year practicum: 15
                                    2nd Year practicum: 20
                                    There is flexibility in the number of hours, although we
                                    prefer as stated above.
Attendance at specific meetings     Case Conference Wednesdays 5:00 PM to 7:30 PM
Other requirements                  Spanish speaking welcomed, but not requirement.
List specific evening hours required Wednesday evening until 7:30 PM

# Direct clinical contact hours/week 1st Year practicum: ___
                                    2nd Year practicum: ___
                                    Approximately 10-15 patient caseload
Supervision Requirements (e.g.,     Supervision on Wednesdays 5:00 PM to 7:30 PM
individual, group, time, day)


Contact Person/Supervisor Information
Contact                 Name: Efrain A. Gonzalez, Psy.D., M.S. Clin Pharm, ABPP
Person/Supervisors      Email: eag21@bellsouth.net
                        Phone: 305-355-8247 or 305-218-5540
Contact                 Name: Lilliana Ramirez, Behavioral Health Clinic Coordinator
Person/Supervisors      Email: MLRamirez@HCNetwork.org
                        Phone: 305-577-4840 x 225


Short Program Description
Homeless Medical/Mental Health Clinic. Opportunity to work with a wide variety of
psychopathological conditions, ranging from mood disorders to psychotic conditions. Spanish-
speaking patients. Clinical intake interventions with Mental Status Exam (MSE), psychological
and neurocognitive testing, individual and group therapy, consultation with medical teams.
Opportunities for research, scientific presentations, and publications.
                                                                                     34

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
      Adolescents               Infants                    Children
  √ Adults                   √ Older Adults                College Students
     Other ________

Assessment
 √ Personality              √ Intelligence            √ Neuropsychology
 √ Behavioral/Cognitive         Forensic                   Physiological
    Biopsychosocial

Treatment Modality
  √ Individual              √ Group                   √ Brief (4 -12 sessions)

 √ Family                   √ Couples                 √    Short-term (3-6
                                                           months)
 √ Crisis Intervention      √ Long-term (6+ months)        Other: ____________


Theoretical Orientation
 √ Eclectic                 √   Behavioral Medicine         Humanistic

 √ Behavioral               √   Dynamic                   √ Systems
    Gestalt                  √ Cognitive                    Other ___________
                                                                                              35

        Center for Assessment and Intervention at Human Services
Date Last Modified             December 17, 2010
Program/Institution            Center for Assessment and Intervention at Human Services

Department
Street # and address           7600 SW 36th Street
City, State, Zip               Davie, FL 33328
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
 Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 5 or 6


Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 5 or 6

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
________1st year practicum                   _______ 1st year practicum
________ 2nd year practicum                  _______ 2nd year practicum
__n/a___ Elective (8 months)                 __n/a__ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 __√__Level 2 Screen Required
____Fingerprints Required                     __√__Do YOU conduct the background
                                              checks
____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     __√__1 Spanish Speaker Preferred
____1 Male Preferred                          ____ Other:
_____ Are there mandatory training sessions before starting? If yes describe:
                                                                                                36

Other Required Training Prerequisites (classes, degrees, experience, etc):
Completion of basic assessment courses, including: intelligence testing, behavioral
assessment, objective and projective testing, and psychological foundation courses
including child and adult psychopathology. Prior assessment experience and a basic
understanding of cognitive behavioral interventions are strongly recommended. Need
Spanish-speaking clinicians.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 16
hours/week                        2nd Year practicum: 20
Attendance at specific            Clinic orientation at start of practicum; weekly case
meetings                          conference meetings, including assessment/intervention;
                                  didactics (2 hours/week)
Other requirements                Foreign language skills strongly preferred (Spanish/Creole)

List specific evening hours       Not required but optional
required
# Direct clinical contact         1st Year practicum: 10
hours/week                        2nd Year practicum: 10
Supervision Requirements          Individual (1 hour/ week) and group supervision/assessment
(e.g., individual, group, time,   seminar (1 hour/week) are provided. Additional, individual
day)                              consultation with postdoctoral residents and predoctoral
                                  interns is provided (1 hour/week). Didactic trainings and
                                  case consultations on assessment and intervention
                                  techniques are also provided on a weekly basis.


Contact Person/Supervisor Information
Contact                   Name: Timothy Scala, Psy.D.
Person/Supervisors
                          Email: tscala@nova.edu
                          Phone: 954-262-8705


Short Program Description
The Center for Assessment and Intervention (CAI) at Nova Southeastern University, Human
Services is committed to enhancing the quality of life of individuals, families, and communities
by providing services aimed at promoting academic and workplace success.

The Center for Assessment and Intervention (CAI) trains predoctoral students, Interns, and
                                                                                               37

Postdoctoral Residents in assessment, intervention, and consultation. CAI primarily offers
comprehensive psychoeducational assessments for a wide variety of school based referrals
including, but not limited to: Developmental Delays & Disorders, Specific Learning Difficulties,
Language Delays/Issues, Intellectual Giftedness, Social/Emotional/Behavioral Problems,
Cognitive Impairment, Educational Programming, and Vocational Planning

In support of assessments, a variety of interventions are also provided to individuals, couples,
families, and groups. Through our collaboration with Gulf Coast Jewish Family Services, Inc.,
South Florida Survivors of Torture, CAI also offers the unique opportunity to work with
individuals who may have been victims of political torture in their home countries and are now
living in the United States as refugees, or are actively seeking political asylum.

Services are provided within the Center in Davie, Florida. The overall approach is holistic and
eclectic, recognizing the complex and wide range clients‘ presenting problems. Our services
are client- and family- driven and follow a best practices model based on research outcomes
and empirical support.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                 √ Infants                    √ Children
  √ Adults                      √ Older Adults                    College Students


Assessment
 √ Personality                  √ Intelligence               √ Neuropsychology
 √ Behavioral/Cognitive         √ Forensic                        Physiological


Treatment Modality
  √ Individual                      Group                   √ Brief (4 -12 sessions)

 √ Family                       √ Couples                   √    Short-term (3-6
                                                                 months)
     Crisis Intervention        √ Long-term (6+ months)          Other: ____________

Theoretical Orientation
 √ Eclectic                     √   Behavioral Medicine         √ Humanistic
 √ Behavioral                   √ Dynamic                       √ Systems
     Gestalt                    √ Cognitive                       Other ___________
                                                                                               38

                       Center for Group Counseling - Boca
Date Last Modified             November 11, 2010
Program/Institution            Center for Group Counseling – BOCA
Department
Street # and address           22455 Boca Rio Road
City, State, Zip               Boca Raton, FL 33433
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 6

Of total # of students, # that are Summer     Of total # of students, # that are FALL starts
starts (May through April) 0                  (end of Aug through mid Aug) 6

Further description of # of SUMMER            Further description of # of FALL student
student starts                                starts
__n/a___ 1st year practicum                   __n/a_1st year practicum
__n/a___ 2nd year practicum                   ___5 -6___ 2nd year practicum
__n/a___ Elective (8 months)                  _1__ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 __√__Level 2 Screen Required
____Fingerprints Required                     ____Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     _____1 Spanish Speaker Preferred
____1 Male Preferred                          ____ Other:
__√__ Are there mandatory training sessions before starting? If yes describe: Orientation is
required and is conducted at the beginning of each term (first week of September and
January)
                                                                                               39

Other Required Training Prerequisites (classes, degrees, experience, etc):
Knowledge of intelligence and projective testing suggested. Psychopathology and diagnosis
courses.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 15
hours/week                        2nd Year practicum: 20
Attendance at specific            Throughout the year, Wednesday or Friday morning 9-10:30
meetings                          and Wednesday 1-2PM (strongly suggested). One additional
                                  morning per week for Schools Preventive Program

Other requirements                All staff participate in an evening training program each
                                  semester.
List specific evening hours       One evening per week strongly preferred but not required
required
# Direct clinical contact         2-3 groups per week, 1-4 individuals per week, 1-2 intakes
hours/week                        per week
Supervision Requirements          1-2 supervisors per student for a total of 1-4 hours of
(e.g., individual, group, time,   supervision per week, Case Conferences, Case Staffing
day)


Contact Person/Supervisor Information
Contact                   Name: Holly Katz, Ph.D..
Person/Supervisors        Email: h.katz@groupcounseling.org
                          Phone: 561-483-5300


Short Program Description
The Center for Group Counseling is a not-for-profit agency providing psychological counseling
on a no-cost and low-cost basis. Many services are provided in a group format, though
individual, couples and family counseling are also provided. Psychological assessment is also
offered. Populations served include: 1) adults 2) senior adults in residential living
communities, and 3) children and adolescents, in public schools, as well as at our center. The
primary theoretical orientation of the center is humanistic, client-centered, although other
orientations are taught and utilized for non-group sessions.
                                                                                     40

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                 Infants               √ Children
  √ Adults                  √ Older Adults                  College Students
     Other ________

Assessment
 √ Personality              √ Intelligence                  Neuropsychology

 √ Behavioral/Cognitive         Forensic                    Physiological
    Biopsychosocial

Treatment Modality
  √ Individual              √ Group                   √ Brief (4 -12 sessions)

 √ Family                   √ Couples                 √    Short-term (3-6
                                                           months)
 √ Crisis Intervention      √ Long-term (6+ months)        Other: ____________


Theoretical Orientation
 √ Eclectic                 √   Behavioral Medicine       √ Humanistic
 √ Behavioral                √ Dynamic                    √ Systems
 √ Gestalt                   √ Cognitive                    Other ___________
                                                                                          41

      Child, Adolescent and Family Services (CAFS) - Nova Site
Date Last Modified             November 11, 2010
Program/Institution            Child Adolescent and Family Services (CAFS)
Department                     Center for Psychological Services
Street # and address           3301 College Avenue
City, State, Zip               Fort Lauderdale, FL 33314
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 4

Of total # of students, # that are Summer    Of total # of students, # that are FALL
starts (May through April) 2                 starts (end of Aug through mid Aug) 2

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
_______ 1st year practicum                   _______ 1st year practicum
_______ 2nd year practicum                   _______ 2nd year practicum
__n/a___ Elective (8 months)                 __n/a__ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                 __ √__Level 2 Screen Required
____Fingerprints Required                    __ √__Do YOU conduct the background
                                             checks
____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                    __ √__1 Spanish Speaker Preferred
__ √__1 Male Preferred                       ____ Other:
                                                                                                  42

__√__ Are there mandatory training sessions before starting? If yes describe: Two full days
of general clinic orientation (usually Fridays scheduled by clinical director) and one half day
for CAFS specific training scheduled by the CAFS coordinator
Other Required Training Prerequisites (classes, degrees, experience, etc):
Basic understanding of child development and childhood disorders; basic understanding of
therapeutic intervention with children, adolescents and families; basic knowledge of
personality and cognitive assessment of children; willingness and ability to relate to persons
from diverse backgrounds; sensitivity to family issues.
Suggested prerequisites: Basic knowledge of administration and interpretation of cognitive
and personality measures for children (i.e., WISC-IV, WIAT-II, Achenbach, CAT, TAT,
MMPI-A); basic knowledge of behavior therapy, play therapy and projective therapeutic
techniques for children; empathy for the difficulties children face in development as well as
factors which have a positive impact
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                1st Year practicum: 10
hours/week                       2nd Year practicum: 15
Attendance at specific           Biweekly one-hour therapists‘ group scheduled by the CAFS
meetings                         intern. Case conference.
Other requirements               Maintenance of accurate case records, some case
                                 management is required. Present cases at staffing.
List specific evening hours      Yes
required
# Direct clinical contact
hours/week
Supervision Requirements         1 hour of individual supervision
(individual, group, time, day)


Contact Person/Supervisor Information
Contact                  Name: Yukari Tomozawa, Psy.D.
Person/Supervisors       Email: tomozawa@nova.edu
                         Phone: 954-262-5755

________________________________________________________
Short Program Description
This program provides individual, group and family therapy to children, adolescents and their
families. The population ranges from children with initial symptoms of emotional disturbance to
children who are so disturbed they require residential treatment. Overall, students who have an
interest in childhood disorders would benefit from training in this program. Additional training
                                                                                          43

includes case conference, practice in assessment and consultation/ liaison with outside
agencies.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                   Infants                  √ Children
  √ Adults                        Older Adults                 College Students
      Other ________


Assessment
 √ Personality                 √ Intelligence                  Neuropsychology

 √ Behavioral/Cognitive           Forensic                     Physiological
     Biopsychosocial

Treatment Modality
  √ Individual                 Group                     √ Brief (4 -12 sessions)
 √ Family                      Couples                   √ Short-term (3-6 months)
 √ Crisis Intervention      √ Long-term (6+ months)         Other: ____________


Theoretical Orientation
 √ Eclectic                        Behavioral Medicine         Humanistic
 √ Behavioral                  √ Dynamic                    √ Systems
     Gestalt                   √ Cognitive                  √ Other: play therapy
                                                                                             44

Child & Adolescent Traumatic Stress Department (CATSP) - Nova
                             Site
Date Last Modified           November 11, 2010
Program/Institution          Child & Adolescent Traumatic Stress Department – Nova
Department                   Center for Psychological Services
Street # and address         3301 College Avenue
City, State, Zip             Fort Lauderdale, FL 33314
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 4

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 0                (end of Aug through mid Aug) 4

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
__n/a___ 1st year practicum                 _______ 1st year practicum
__n/a___ 2nd year practicum                 _______ 2nd year practicum
__n/a___ Elective (8 months)                __n/a__ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                ____Level 2 Screen Required
____Fingerprints Required                    ____Do YOU conduct the background checks

____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                    __√__1 Spanish Speaker Preferred
____1 Male Preferred                         ____ Other:
                                                                                                  45

__√__ Are there mandatory training sessions before starting? If yes describe: Supervision and
training sessions are required approximately 1 month prior to start date. Mandatory attendance
at NSU PSC Orientation.
Other Required Training Prerequisites (classes, degrees, experience, etc):
Basic assessment skills required, and report writing skills are a must. Helpful to have
knowledge in psychodynamic and/or family systems and/or behavior therapy. Important to be
self-confident, mature, responsible, open, highly motivated, dedicated, and receptive to
supervision, as well as available to put in extra hours. Outside work must not be the student's
first priority.
Can students tape sessions with clients with an informed consent?      Yes ____ No ____.
The referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                1st Year practicum: 10-15
hours/week                       2nd Year practicum: 15-18
Attendance at specific meetings Program meetings once every 2 weeks are required.

Other requirements               Practicum site is eclectic in its orientation. Only students
                                 who are flexible and open-minded in this approach to human
                                 behavior should apply. Students will be required to carry
                                 clients at both sites. Outside readings are required. Forensic
                                 involvement (e.g. writing reports, testifying in court) may be
                                 required.
List specific evening hours      Required.
required
# Direct clinical contact        1st Year practicum: 7
hours/week                       2nd Year practicum: 10
Supervision Requirements         Supervision on Mondays 8:30-10:00
(individual, group, time, day)


Contact Person/Supervisor Information
Contact                  Name: Jan Faust, Ph.D.
Person/Supervisors       Email: jfaust@nova.edu
                         Phone: 954-262-5713


Short Program Description
CATSP serves children and adolescents (and their families) who demonstrate symptoms of a
traumatic stress reaction in response to a variety of traumatic events: child abuse, natural
disasters, man-made disasters, etc. In addition, we serve children (and their families) who are
surviving their parents‘ contentious divorce. Consequently, there is a forensic element involved
                                                                                           46

with this practicum. The majority of children have experienced sexual, physical, and/or
psychological abuse and neglect. Many have witnessed traumatic events including domestic
violence. Most meet DSM-IV criteria for PTSD and many have somatic symptoms (enuresis,
encopresis, eating/feeding problems, mood disorders, etc.)

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents               √ Infants                  √ Children
  √ Adults                       Older Adults                 College Students
     Other ________

Assessment
 √ Personality                √ Intelligence                  Neuropsychology

 √ Behavioral/Cognitive       √ Forensic                      Physiological
 √ Biopsychosocial

Treatment Modality
  √ Individual                √ Group                   √ Brief (4 -12 sessions)

 √ Family                     √ Couples                 √     Short-term (3-6
                                                              months)
 √ Crisis Intervention        √ Long-term (6+ months)         Other: ____________

Theoretical Orientation
 √ Eclectic                  √   Behavioral Medicine        √ Humanistic
 √ Behavioral                 √ Dynamic                     √ Systems
     Gestalt                  √ Cognitive                   √ Other: play therapy
                                                                                             47

                                The Chrysalis Center
Date Last Modified           November 11, 2010
Program/Institution          The Chrysalis Center
Department
Street # and address         3521 West Broward Blvd, Third Floor
City, State, Zip             Fort Lauderdale, FL 33312
Web Address/Contact Email    jnunez@chrysaliscenter.org


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 2                (end of Aug through mid Aug) 2

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
_______ 1st year practicum                  _______ 1st year practicum
_______ 2nd year practicum                  _______ 2nd year practicum
__n/a___ Elective (8 months)                __n/a__ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required               __√__Level 2 Screen Required

__√__Fingerprints Required                  __√__Do YOU conduct the background
                                            checks

__√__Drug Test Required?                    __√__Do YOU conduct the drug tests
____Physical Required                       __√__TB Screening Required
____Proof of Health Insurance Required      __√__Physician's Statement of Readiness for
                                            Practicum Required
____Proof of Immunization Required          __√__Interview Required
____Spanish Speakers Only                   __√__1 Spanish Speaker Preferred
____1 Male Preferred                        __√__ Other: TB Test
                                                                                             48

__√__ Are there mandatory training sessions before starting? If yes describe: 40 hours/5
days initially, times are variable. Approx/40 hours. Monday – Friday. 10 to 4pm

Other Required Training Prerequisites (classes, degrees, experience, etc): sexual specific
training that will be provided by Chrysalis once they start.

Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                1st Year practicum: 12-15
hours/week                       2nd Year practicum: 15-20
Attendance at specific
meetings
Other requirements
List specific evening hours      None required, but may be available.
required
# Direct clinical contact        1st Year practicum: ___
hours/week                       2nd Year practicum: ___
Supervision Requirements         Group Supervision Thursdays 1-2pm
(individual, group, time, day)   Individual Supervision TBA


Contact Person/Supervisor Information
Contact                  Name: Jeannie Chandler Nunez, Psy.D.
Person/Supervisors       Email: jnunez@chrysaliscenter.org
                         Phone: 954-587-1008 ext. 1016


Short Program Description
The Chrysalis Center is a community mental health center serving adults, children,
adolescents, and families. We work with a broad array of psychological and behavioral
problems. We specialize in assessment and treatment of children who are sexually reactive,
sexually aggressive, and juvenile sex offenders. We have one group homes for adolescents
with sexual behavior problems. We also have an independent living group home, an
emergency shelter for adolescent boys, and an adult day treatment program. We offer ongoing
supervision and training. Students may also participate in psychosexual evaluations and full
battery psychological evaluations.
                                                                                     49

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                Infants                √ Children
  √ Adults                     Older Adults                 College Students
     Other ________


Assessment
 √ Personality              √ Intelligence                  Neuropsychology

 √ Behavioral/Cognitive     √ Forensic                      Physiological
    Biopsychosocial

Treatment Modality
  √ Individual              √ Group                   √ Brief (4 -12 sessions)

 √ Family                      Couples                √    Short-term (3-6
                                                           months)
 √ Crisis Intervention      √ Long-term (6+ months)        Other: ____________


Theoretical Orientation
 √ Eclectic                     Behavioral Medicine       √ Humanistic
 √ Behavioral                √ Dynamic                    √ Systems
 √ Gestalt                   √ Cognitive                    Other:
                                                                                           50

                             Cleveland Clinic Florida
Date Last Modified             December 21, 2010
Program/Institution            Cleveland Clinic Florida
Department                     Bariatric Surgery
Street # and address           2950 Cleveland Clinic Blvd
City, State, Zip               Weston, FL 33331
Web Address/Contact Email      www.clevelandclinic.org / alexanc3@ccf.org


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer    Of total # of students, # that are FALL
starts(May 1 through Dec. 31)1               starts(Sept 1 through April 30) and 1

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  __n/a___ 1st year practicum
__n/a___ 2nd year practicum                  __n/a___ 2nd year practicum
___√____ Elective (8 months)                 ___√____ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  __√__Level 2 Screen Required
____Fingerprints Required                     ____ Do YOU conduct the background checks

__√__Drug Test Required?                      _____ DoYOU conduct the drug tests
__ _Physical Required                         __√__TB Screening Required
__√__ Proof of Health Insurance Required      ____Physician's Statement of Readiness for
(School needs to verify in contract)          Practicum Required

__√__Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                     ____ Spanish Speaker Preferred
____1 Male Preferred                          __√__ Other: TB Test
__√__ Are there mandatory training sessions before starting? If yes describe: 1 day/TBA
/Orientation
                                                                                                 51

Other Required Training Prerequisites (classes, degrees, experience, etc):
Group therapy experience desirable. Sensitivity and nonjudgmental attitude toward obesity
and related issues. Prior experience in a medical setting, and/or emphasis on behavioral
medicine in classroom experience, suggested.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of               2 full days. Monday and Tuesday required.
hours/week
Attendance at specific meetings None

Other requirements               Must purchase own lab coat
List specific evening hours      Mandatory attendance one Monday of every month for the
required                         bariatric support group from 4:00 to 6:30 PM. One Tuesday
                                 per month until 6:00 PM
# Direct clinical contact        Elective practicum: 6
hours/week
Supervision Requirements         1 hour/week of individual supervision
(individual, group, time, day)


Contact Person/Supervisor Information
Contact                  Name: Cynthia L. Alexander, Psy.D.
Person/Supervisors       Email: alexanc3@ccf.org
                         Phone: 954-659-5267


Short Program Description
Cleveland Clinic is a multidisciplinary medical outpatient clinic and hospital with a national
reputation for excellence. Experience will consist of group therapy, and teaching weekly pre-
surgery classes at the Bariatric Institute. Opportunity to learn about pre-surgery assessments
for bariatric surgery, and to learn the important role of psychologists in a medical setting.
Students will also participate in weight loss groups. Approximately half time spent in research,
with opportunity to publish. Will meet briefly with post-op patients in hospital for support. Will
work with database updating. Will have the opportunity to develop own time-limited group.

Students are encouraged to attend weekly grand rounds (lunch included).
                                                                                     52

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
     Adolescents               Infants                   Children
 √ Adults                    √ Older Adults              College Students
    Other ________

Assessment
    Personality                Intelligence              Neuropsychology
 √ Behavioral/Cognitive        Forensic                  Physiological
    Biopsychosocial


Treatment Modality
    Individual              √ Group                      Brief (4 -12 sessions)
    Family                     Couples                   Short-term (3-6
                                                         months)
    Crisis Intervention        Long-term (6+ months)     Other: ____________

Theoretical Orientation
 √ Eclectic                  √ Behavioral Medicine     √ Humanistic
 √ Behavioral                   Dynamic                √ Systems
    Gestalt                  √ Cognitive                  Other:
                                                                                             53

                   Consumer Recovery Center at Henderson
Date Last Modified            November 11, 2010
Program/Institution           Consumer Recovery Center at Henderson: Community
                              Mental Health Center
Department
Street # and address          4740 North State Road 7, Building C, Suite 201
City, State, Zip              Lauderdale Lakes, FL 33319
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
       THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 5

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 0                (end of Aug through mid Aug) 5

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
__n/a___ 1st year practicum                 _______ 1st year practicum
__n/a___ 2nd year practicum                 _______ 2nd year practicum
__n/a___ Elective (8 months)                __n/a__ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                __√__Level 2 Screen Required
__√__ Fingerprints Required                  __√__Do YOU conduct the background checks

__√__ Drug Test Required?                    __√__ Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                    ____1 Spanish Speaker Preferred
____1 Male Preferred                         ____ Other:
                                                                                                    54

__√__ Are there mandatory training sessions before starting? If yes describe: Monday,
Tuesday and Wednesday of the second week of each month. Students must complete this
orientation prior to starting at the end of August.
Other Required Training Prerequisites (classes, degrees, experience, etc):
Treatment of Seriously Mentally Ill Elective Course, suggested. Interest in working with clients
who have severe mental illness and positive attitude regarding their potential for improvement.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 10-12
hours/week                        2nd Year practicum: 15-18
Attendance at specific            Attend Clinic orientation and all required compliance
meetings                          trainings. Attend on campus program meetings once per
                                  month on Friday mornings. Available on specified mornings
                                  to do intakes at the clinics (each clinic has a different day).
                                  Students must be available to attend weekly supervision
                                  Tuesday mornings on campus.
Other requirements                Willingness to collaborate with outside providers such as
                                  psychiatrists, vocational rehabilitation providers, etc.
List specific evening hours       All clinics close at 5PM
required
# Direct clinical contact         1st Year practicum: 6-8
hours/week                        2nd Year practicum: 6-8
Supervision Requirements          Individual format. Students complete a written case summary
(e.g., individual, group, time,   for each client including formal diagnosis and a thorough
day)                              history. Students will be instructed in case conceptualization,
                                  treatment planning, and the implementation of evidence
                                  based interventions within the context of a supportive,
                                  empowering therapeutic relationship. Must present audio
                                  taped material of the sessions. Didactic instruction and
                                  required readings regarding treatment modalities will be
                                  provided.


Contact Person/Supervisor Information
Contact                   Name: Jean M. Bratcher, Psy.D.
Person/Supervisors        Email: jeanbrat@nova.edu
                          Phone: 954-262-5847
                                                                                                55



Short Program Description
This program provides psychotherapy and psychosocial rehabilitation services to adults
diagnosed with recurrent major depression, bipolar disorder, schizophrenia or schizoaffective
disorder. Emphasis is placed on the principles of the recovery model used in conjunction with
evidence-based practices. Treatment components may include motivational counseling to
increase insight, psycho-education, collaborative goal setting, clinical case coordination, social
skills training, cognitive-behavioral treatment for psychotic symptoms, dual diagnosis
interventions, and the strengthening of natural support systems. Students will be placed at
either the central (Fort Lauderdale) or south (Hollywood) branches.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
      Adolescents                  Infants                        Children
  √ Adults                      √ Older Adults                    College Students
      Other ________

Assessment
 √ Personality                  √ Intelligence                    Neuropsychology

 √ Behavioral/Cognitive             Forensic                      Physiological
     Biopsychosocial

Treatment Modality
  √ Individual                  √ Group                          Brief (4 -12 sessions)

     Family                         Couples                 √    Short-term (3-6
                                                                 months)
 √ Crisis Intervention          √ Long-term (6+ months)          Other: ____________


Theoretical Orientation
 √ Eclectic                         Behavioral Medicine         √ Humanistic
 √ Behavioral                    √ Dynamic                        Systems
     Gestalt                     √ Cognitive                      Other:
                                                                                           56

                             Family Violence Program
Date Last Modified             November 14, 2010
Program/Institution            Interpersonal Family Violence Program
Department                     Center for Psychological Services
Street # and address           3301 College Avenue
City, State, Zip               Fort Lauderdale, FL 33314
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 3

Of total # of students, # that are Summer    Of total # of students, # that are FALL
starts (May through April) 0                 starts (end of Aug through mid Aug) 3

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  ________ 1st year practicum
__n/a___ 2nd year practicum                  ________ 2nd year practicum
__n/a___Elective (8 months)                  __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  __√__Level 2 Screen Required
____Fingerprints Required                     __√__Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            ____Interview Required
____Spanish Speakers Only                     __√__1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other ___________________________
_√__Are there mandatory training sessions before starting? If yes describe: PSC clinic
training
                                                                                                  57

Other Required Training Prerequisites (classes, degrees, experience, etc):
Second practicum-year students preferred.
Suggested prerequisites: Group facilitator experience or course work in group psychotherapy.
Prior contact with clinical populations.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                  1st Year practicum: 12-14
hours/week                         2nd Year practicum: 15-20
Attendance at specific             Case conference supervision on Mondays from 1:00 to 2:30
meetings                           PM. Individual supervision to be scheduled with Dr. Van
                                   Hasselt. Small group supervision TBS.
Other requirements                 Foreign language skills are desirable.
List specific evening hours        Required.
required
# Direct clinical contact          Individual and group psychotherapy sessions – 10 hours.
hours/week                         Intake evaluations of new clients 2.5 hours. Psycho-
                                   educational groups 1.5 to 2 hours.
Supervision Requirements           4.5 – 5 weekly hours of supervision and training; 1 hr/week
(e.g., individual, group, time,    individual supervision with Program Director; 2-3 hours case
day)                               conference training and staff meeting; .5-1 hour Case
                                   assignment conferences.


Contact Person/Supervisor Information
Contact                   Name: Vincent B. Van Hasselt, Ph.D.
Person/Supervisors        Email: vanhasse@nova.eud
                          Phone:


Short Program Description
The Family Violence Program serves adult victims and batterers involved in abusive
relationships. Services include individual and group therapy for victims, and primarily group
therapy for batterers. Therapeutic service is also provided to children, ages 4 to 17, who have
witnessed domestic violence. Other modalities include couples and family therapy. Extensive
training concerning victimization issues is provided in addition to training in cognitive-
behavioral, family systems, experiential, and social-learning theory approaches. Students are
required to attend weekly staff meetings and supervision. Training is available in forensic
assessment of clients.
                                                                                     58

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                Infants                √ Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality                 Intelligence              Neuropsychology
    Behavioral/Cognitive    √ Forensic                   Physiological


Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                     Behavioral Medicine    √ Humanistic
 √ Cognitive                 √ Dynamic                    Systems

 √ Gestalt                   √ Behavioral                 Other: ___________
                                                                                               59

                        Federal Detention Center - Miami
Date Last Modified             November 11, 2010
Program/Institution            Federal Detention Center – Miami
Department                     Psychology Services
Street # and address           33 N.E. 4th Street
City, State, Zip               Miami, FL 33101
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 3

Of total # of students, # that are Summer     Of total # of students, # that are FALL starts
starts (May through April) 0                  (end of Aug through mid Aug) 3

Further description of # of SUMMER            Further description of # of FALL student
student starts                                starts
__n/a___ 1st year practicum                   __n/a__ 1st year practicum
__n/a___ 2nd year practicum                   _______ 2nd year practicum (with Masters)
__n/a___ Elective (8 months)                  _______ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  __√__Level 2 Screen Required
____Fingerprints Required                     __√__Do YOU conduct the background checks

__√__Drug Test Required?                      __√__Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            ____Interview Required
____Spanish Speakers Only                     __√__1 Spanish Speaker Preferred
____1 Male Preferred                          ____ Other:
__√__ Are there mandatory training sessions before starting? If yes describe:
                                                                                                 60

Other Required Training Prerequisites (classes, degrees, experience, etc):
Must have a Master's degree. Knowledge of the MMPI-II and the WAIS-IV for the Forensics
Studies Program. Knowledge of adult psychopathology and DSM-IV diagnoses.
Neuropsychology screenings available for those interested in the Forensics Studies Program.
Case conceptualization, crisis intervention, cognitive/behavioral therapy and cross cultural
counseling experience is also suggested.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                 2nd Year practicum: 15-18
hours/week                        Elective practicum: _____
Attendance at specific            Departmental Seminar; Comprehensive Programs Unit Case
meetings                          Conference
Other requirements                Neuropsychology screenings available for those interested in
                                  the Forensics Studies Program. Case conceptualization,
                                  crisis intervention, cognitive/behavioral therapy and cross
                                  cultural counseling experience is also suggested. Please
                                  apply early; background security clearance will delay
                                  attendance.
List specific evening hours       May be available on an individual basis.
required
# Direct clinical contact         2nd Year practicum: ____
hours/week
                                  Elective practicum: ____
Supervision Requirements          One primary supervisor and 4 auxiliary supervisors per
(e.g., individual, group, time,   student for a total of 2 hours per week of supervision. One
day)                              hour of group and one hour of individual supervision will be
                                  provided. Students will also receive supervision during
                                  weekly staff meetings, weekly case conferences and when
                                  conducting research.



Contact Person/Supervisor Information
Contact                   Name: Rudy Buigas, Ph.D.
Person/Supervisors        Email: rbuigas@bop.gov
                          Phone: 305-982-1495


Short Program Description
FDC-Miami is one of the largest federal jails in the United States with a capacity to house over
1,600 detainees. The population is comprised of individuals from a wide variety of geographic,
socioeconomic and cultural backgrounds. Psychology services are provided under three major
programmatic divisions, the Mental Health Services Program, the Forensics Studies Program
                                                                                                   61

and the Drug and Alcohol Treatment Program. These programs provide an opportunity for
trainees to gain experience in intake screening and differential diagnoses, crisis intervention,
suicide prevention, brief adjustment counseling, chronic case management, forensic
background studies, psychological assessments, case conceptualization, report composition,
and court presentation.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
      Adolescents                   Infants                      Children
  √ Adults                      √ Older Adults                   College Students
      Other ________

Assessment
 √ Personality                  √ Intelligence               √ Neuropsychology
 √ Behavioral/Cognitive         √ Forensic                       Physiological


Treatment Modality
  √ Individual                      Group                       Brief (4 -12 sessions)

     Family                         Couples                     Short-term (3-6
                                                                months)
 √ Crisis Intervention              Long-term (6+ months)       Other: ____________


Theoretical Orientation
 √ Eclectic                     √   Behavioral Medicine           Humanistic

 √ Behavioral                       Dynamic                       Systems
     Gestalt                     √ Cognitive                      Other:
                                                                                          62

                      Florida Atlantic University - Boca Raton
Date Last Modified           December 17, 2010
Program/Institution          Florida Atlantic University – Boca Raton Campus
Department                   Counseling and Psychological Services
Street # and address         777 Glades Road, Building 8, Room 229
City, State, Zip             Boca Raton, FL 33431
Web Address/Contact Email www.fau.edu/student/counsel


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer    Of total # of students, # that are FALL
starts (May through April) 0                 starts (end of Aug through mid Aug) 2

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___1st year practicum                   __n/a___ 1st year practicum
__n/a___2nd year practicum                   __2_____ 2nd year practicum
__n/a___Elective (8 months)                  __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                ____Level 2 Screen Required

____Fingerprints Required                    __√__ Do YOU conduct the background
                                             checks (CPS needs to do and charge
                                             student)
____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                    ____1 Spanish Speaker Preferred
____1 Male Preferred                         ____Other: ___________________
_√__Are there mandatory training sessions before starting? If yes describe: August 19,
2011
                                                                                                 63

Other Required Training Prerequisites (classes, degrees, experience, etc):
Student must have at least one prior practicum experience. Exception: We would consider a
first year practicum student if the candidate has related experience from prior professional
work.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 20
Attendance at specific            Thursdays, 12:00 – 3:00 PM
meetings
Other requirements
List specific evening hours
required
# Direct clinical contact         1st Year practicum: n/a
hours/week                        2nd Year practicum: 11 approximately
Supervision Requirements          A minimum of one hour individual face to face supervision
(e.g., individual, group, time,   per week and two hours of small group supervision will be
day)                              provided for each practicum student. Additional support and
                                  collaboration with staff will be provided in weekly clinical
                                  meetings with the entire staff, including opportunities for
                                  case presentation and consultation. Informal interactions
                                  with staff are encouraged and consultation for emergent
                                  situations is available as needed.


Contact Person/Supervisor Information
Contact                   Name: Rhonda F. Seiman, Ph.D.
Person/Supervisors        Email: rseiman@fau.edu
                          Phone: 561-297-3540


Short Program Description
FAU Counseling and Psychological Services provides counseling and psychiatric services for
a diverse student population, including commuters and residential students with a wide range
of age, socioeconomic/cultural background, and diagnostic category. Services currently focus
primarily on individual and couple counseling/psychotherapy, with group therapy, outreach and
psycho-educational workshops.
                                                                                     64

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                  Infants                  Children
  √ Adults                       Older Adults          √ College Students
     Other ________


Assessment
 √ Personality              √ Intelligence                Neuropsychology

 √ Behavioral/Cognitive          Forensic                 Physiological


Treatment Modality
  √ Individual             √     Group                 √ Brief (4 -12 sessions)

 √ Family                  √     Couples                 Short-term (3-6 months)

 √ Crisis Intervention           Other: ____________     Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                      Behavioral Medicine   √ Humanistic
 √ Cognitive                     Dynamic               √ Systems
    Gestalt                    √ Behavioral            √ Other: Psychodrama
                                                                                              65

                       Florida Atlantic University - Broward
Date Last Modified             November 11, 2010
Program/Institution            Florida Atlantic University – Broward
Department                     Counseling Center
Street # and address           3200 College Ave SD 206 Davie FL 33314. T
City, State, Zip               Davie, FL 33314
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
       THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 2

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___1st year practicum                   __n/a___ 1st year practicum
__n/a___2nd year practicum                   ___2_____ 2nd year practicum
__n/a___Elective (8 months)                  __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
_√__ Level 1 Screen Required                 ____Level 2 Screen Required

____Fingerprints Required                    _√__ Do YOU conduct the background
                                             checks
____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           _√__ Interview Required
____Spanish Speakers Only                    ____1 Spanish Speaker Preferred
____1 Male Preferred                         ____Other ___________________________
                                                                                                 66

_√__Are there mandatory training sessions before starting? If yes describe:
One orientation day Aug 19th 2011 from 9AM-5PM on Boca Campus
Other Required Training Prerequisites (classes, degrees, experience, etc):
Previous practicum training in individual psychotherapy with adults is required. Prior work
with depression, anxiety disorders, relationship conflicts, and developmental issues is
desirable. Couples, group, and/or family therapy experience is desirable. Experience working
with diversity (cultural, racial, social economics status) is a plus.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 20
Attendance at specific            Weekly supervision – flexible times.
meetings                          Weekly case conferences.
Other requirements                Desire for growth as both a person and therapist, openness to
                                  feedback and ability to utilize constructive feedback are
                                  essential. Important to possess a non-judgmental attitude
                                  toward clients with sensitivity to diversity issues. Good
                                  organizational skills/reliability.
List specific evening hours       Must work until 7:00 PM a minimum of one night per week.
required
# Direct clinical contact         Mainly individual, with some couples and possible family and
hours/week                        group – minimum of 11-12 client hours/week.
Supervision Requirements          Will receive a minimum of 1 hour of individual and 1 hour of
(e.g., individual, group, time,   group supervision weekly. Co-therapy with supervisor for
day)                              couples and groups may be possible.


Contact Person/Supervisor Information
Contact                   Name: Dr. Victoria Dodman
Person/Supervisors        Email: vdodman@fau.edu
                          Phone: 954-236-1210


Short Program Description
The FAU BROWARD Counseling Center serves a non-traditional-aged (older than average)
student body. Individual and couples therapy are often requested and outreach presentations
and trainings are a component of this position. Assessment/psychological testing experiences
are also available. Typical client presenting issues include depression, anxiety, relationship
issues, sexual abuse recovery, and family of origin issues. Supervisors are both trained as
scientist-practitioners from counseling psychology doctoral programs and consequently place
                                                                                               67
value upon seeking social justice and upon conceptualizing cases systemically taking into
account personal, social, and societal factors that may contribute to client functioning and
welfare. Approach to treatment tends to be strength and resilience based helping clients
capitalize on resources to make positive life changes.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                     Infants                  √ Children
  √ Adults                      √ Older Adults               √ College Students
      Other ________

Assessment
 √ Personality                  √ Intelligence                  Neuropsychology

 √ Behavioral/Cognitive             Forensic                    Physiological


Treatment Modality
  √ Individual                 √     Group                  √ Brief (4 -12 sessions)

 √ Family                      √     Couples                   Short-term (3-6 months)

 √ Crisis Intervention               Other: ____________       Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                     √ Behavioral Medicine        √ Humanistic
 √ Cognitive                       √ Dynamic                 √ Systems
 √ Gestalt                      √ Behavioral                     Other ___________
                                                                                             68

                   Forensic Psychology Practicum - Nova Site
Date Last Modified            November 11, 2010
Program/Institution           Forensic Psychology Practicum – Nova
Department                    Center for Psychological Services
Street # and address          3301 College Avenue
City, State, Zip              Fort Lauderdale, FL 33311
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
  Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 10-12

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 0                (end of Aug through mid Aug) 10-12

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
__n/a___1st year practicum                  __n/a___ 1st year practicum
__n/a___2nd year practicum                  _10-12_ 2nd year practicum
__n/a___Elective (8 months)                 ____2___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required               ____Level 2 Screen Required

__√__Fingerprints Required                  ___√_Do YOU conduct the background checks

_√___Drug Test Required?                    __√__Do YOU conduct the drug tests
____Physical Required                       ____TB Screening Required
____Proof of Health Insurance Required      ____Physician's Statement of Readiness for
                                            Practicum Required
____Proof of Immunization Required          __√__Interview Required
____Spanish Speakers Only                   ____1 Spanish Speaker Preferred
____1 Male Preferred                        ____Other ___________________________
_√__Are there mandatory training sessions before starting? If yes describe: Wednesday
afternoons from 12:00 to 2:00 PM all semester.
                                                                                                      69

Other Required Training Prerequisites (classes, degrees, experience, etc):
Second year or elective practicum students only. Must have skills in formal and informal
assessment techniques and training in cognitive, personality testing, and forensic testing in
particular. Neuropsychological testing is helpful but not essential. Therapy opportunities are
possible. Good communication skills, interest in the legal system, particularly criminal and
juvenile cases. Skills working with children are encouraged, but not required. Ability to work
with a sometimes arbitrary and capricious setting with little control over court requirements.
Suggested prerequisites: Administration, scoring and interpretation of MMPI-2, PAI, WAIS-3/4,
Rorschach (preferred), TAT (preferred), trauma scales, course in forensic psychology helpful,
especially criminal law.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                 2nd Year practicum: 15-18
hours/week                        Elective practicum: 20
Attendance at specific            Wednesday from 12:00 to 2:00 PM. Individual and group
meetings                          supervision. Multi-disciplinary and trans-disciplinary staffing;
                                  court observations and testimony at times.
Other requirements                Students may be asked to make biopsychosocial case
                                  presentations and encourage to engage in research.
                                  Acceptance through successful interviews only for non-
                                  forensic concentration students.
List specific evening hours       None.
required
# Direct clinical contact         Individual and group psychotherapy as well as psychological
hours/week                        testing on emotionally disturbed patients; approximately 5-10
                                  hours per week.
Supervision Requirements          Both individual and group supervision are available from
(e.g., individual, group, time,   clinical psychologists experienced in the areas of
day)                              psychology/mental health/law.


Contact Person/Supervisor Information
Contact                   Name: M. Ross Seligson, Ph.D.
Person/Supervisors        Email: mross@aol.com
                          Phone: 954-563-2800


Short Program Description
Students will be assigned to several different treatment facilities to administer full batteries of
psychological tests to assist in treatment planning. Students will also work with the Legal Aid
                                                                                             70

and Guardian ad Litem programs, conducting assessments and consulting with attorneys
about custody, termination of parental rights, and family issues. They will also participate in
assessment and treatment programs at the Juvenile Detention Facility. Research opportunities
are available within each of these settings.


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                √ Infants                    √ Children
  √ Adults                     √ Older Adults                  College Students
      Other ________

Assessment
 √ Personality                 √ Intelligence              √ Neuropsychology
 √ Behavioral/Cognitive        √ Forensic                      Physiological


Treatment Modality
     Individual                    Group                      Brief (4 -12 sessions)

     Family                        Couples                    Short-term (3-6 months)

     Crisis Intervention           Other: ____________        Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                        Behavioral Medicine          Humanistic
 √ Cognitive                    √ Dynamic                   √ Systems
     Gestalt                    √ Behavioral                √ Other: Forensic
                                                                                             71

                                 G.A.T.E. Program
Date Last Modified            March 12, 2011
Program/Institution           Gerena and Associates Treatment and Evaluation for Diverted
                              Juvenile Sex Offender Youths (The G.A.T.E. Program)
Department
Street # and address          9600 West Sample Road, Suite 200
City, State, Zip              Coral Springs, FL 33065
Web Address/Contact Email     www.gerena-associates.com / gerena202@aol.com


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 3

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 3                (end of Aug through mid Aug) or 3

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
_____1st year practicum                     _____ 1st year practicum
_____2nd year practicum                     _____ 2nd year practicum
_____Elective (8 months)                    _____ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__ __ Level 1 Screen Required               __√__Level 2 Screen Required
__√__ Fingerprints Required                 __√__Do YOU conduct the background checks
__√__Drug Test Required?                    __√__Do YOU conduct the drug tests
____Physical Required                       __ __TB Screening Required
____Proof of Health Insurance Required      ____Physician's Statement of Readiness for
                                            Practicum Required
____Proof of Immunization Required          __√__Interview Required
____Spanish Speakers Only                   __ __1 Spanish Speaker Preferred
____1 Male Preferred                        ____Other ___________________________
                                                                                               72

_√__Are there mandatory training sessions before starting? If yes describe: General in house
training is provided to all students on an ongoing basis. Trainings include ethics, abuse
reporting, incident reporting, treatment-specific trainings, and office policy and procedures.
Other Required Training Prerequisites (classes, degrees, experience, etc):
A minimum of a Master‘s degree (either terminal or en route to doctorate) is required. In-house
training is provided for all students on sexual-specific treatment and juvenile sex offender
therapy.
Can students tape sessions with clients with an informed consent? Yes __√__ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                1st Year practicum: 10-12
hours/week                       2nd Year practicum: 15-20
                                 Elective practicum: 15-20
Attendance at specific           In-house trainings will be provided as well as community
meetings                         agency meetings on an as needed basis.
Other requirements               n/a

List specific evening hours      Not required, but opportunities are available.
required
# Direct clinical contact        1st Year practicum: 5-7
hours/week                       2nd Year practicum: 10-15
                                 Elective practicum: 10-15
Supervision Requirements         Individual and group with Clinical Director, date and time to be
(individual, group, time, day)   determined by student and Director‘s schedule


Contact Person/Supervisor Information
Contact                  Name: Juliana Gerena, Psy.D.
Person/Supervisors       Email: gerena202@aol.com
                         Phone: 954-340-0560
Contact                  Name: Quina H. Munson, Psy.D.
Person/Supervisors       Email: drharrismunson@aol.com
                         Phone: 954-340-0560
                                                                                               73

Short Program Description
The G.A.T.E. Progra is a community-based agency that specializes in the treatment and
assessment of children and adolescents who have been diverted through the State Attorney‘s
office secondary to having allegedly engaged in sexually offensive/inappropriate behaviors.
Clinicians within the G.A.T.E. Program possess an expertise in working with children and
adolescents who exhibit sexually reactive, sexually aggressive, and sex offender-type
behaviors. Our clients receive a multitude of in-home and on-site services, including individual,
group, and family therapy. In addition, students will have opportunities to participate in the
administration and assessment of psychosexual evaluations, sexual-behavior specific
evaluations, psychological evaluations, psychosocial evaluations, delinquency assessments,
capacity to parent, adoption, as well as intelligence and adaptive functioning evaluations.
Continuous supervision and training is always offered by licensed psychologists.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                    Infants                   √ Children
  √ Adults                      √ Older Adults               √ College Students
      Other ________

Assessment
 √ Personality                  √ Intelligence               √ Neuropsychology
 √ Behavioral/Cognitive         √ Forensic                      Physiological


Treatment Modality
  √ Individual                  √ Group                     √ Brief (4 -12 sessions)
 √ Family                       √ Couples                   √ Short-term (3-6 months)
 √ Crisis Intervention              Other: ____________ √ Long-term (6+ months)

Theoretical Orientation
 √ Eclectic                         Behavioral Medicine      √ Humanistic
 √ Cognitive                    √ Dynamic                    √ Systems
 √ Gestalt                      √ Behavioral                     Other: ___________
                                                                                               74

                     GEO Care / South Florida State Hospital
Date Last Modified             November 11, 2010
Program/Institution            GEO Care/ South Florida State Hospital
Department
Street # and address           800 East Cypress Drive
City, State, Zip               Pembroke Pines, FL 33025
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer     Of total # of students, # that are FALL starts
starts (May through April) 0                  (end of Aug through mid Aug) 2

Further description of # of SUMMER            Further description of # of FALL student
student starts                                starts
__n/a___1st year practicum                    __n/a___ 1st year practicum
__n/a___2nd year practicum                    ___2_____ 2nd year practicum
__n/a___Elective (8 months)                   __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                  __√__Level 2 Screen Required
   __√__ Fingerprints Required                 __√__Do YOU conduct the background
                                               checks
__√__Drug Test Required?                       __√__Do YOU conduct the drug tests
____Physical Required                          __√__TB Screening Required
____Proof of Health Insurance Required         ____Physician's Statement of Readiness for
                                               Practicum Required
____Proof of Immunization Required             __√__Interview Required
____Spanish Speakers Only                      __√__1 Spanish Speaker Preferred
____1 Male Preferred                           ____Other ___________________________
_√__Are there mandatory training sessions before starting? If yes describe: 7 days (first
week of August)
                                                                                                     75

Other Required Training Prerequisites (classes, degrees, experience, etc):
Overall practicum: differential diagnostic skills, personality and intellectual assessment skills,
adult psychopathology.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                1st Year practicum: n/a
hours/week                       2nd Year practicum: 15-20
Attendance at specific
meetings
Other requirements               Minimum of 1 didactic presentation; case conference
                                 presentation approximately once every two months.
List specific evening hours      None
required
# Direct clinical contact
hours/week
Supervision Requirements         Individual supervision with psychologist. Group supervision
(individual, group, time, day)   with psychologist and psychology interns.


Contact Person/Supervisor Information
Contact                  Name: Sheila Schmitt, Psy.D.
Person/Supervisors       Email: sschmitt@geocareinc.com
                         Phone: 954-2-3120


Short Program Description
South Florida State Hospital is a 355 adult inpatient psychiatric treatment facility run by GEO
Care. Persons served encompass a broad range of ethnic backgrounds and mental health
needs. Practicum experience will include individual and group therapy, consultations and
psychological assessments. Students will have the opportunity to participate in the psychology
seminar, and psychology case conference.
                                                                                     76

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
      Adolescents              Infants                   Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence               Neuropsychology

 √ Behavioral/Cognitive        Forensic                  Physiological


Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

    Family                      Couples               √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                     Behavioral Medicine       Humanistic
 √ Cognitive                    Dynamic                   Systems
    Gestalt                  √ Behavioral                 Other: ___________
                                                                                              77

         Healthy Lifestyles Guided Self-Change (GSC) Program
                               - Nova Site
Date Last Modified             December 18, 2010
Program/Institution            Healthy Lifestyles Guided Self-Change (GSC) Program –
                               Nova
Department                     Center for Psychological Services
Street # and address           3301 College Avenue,
City, State, Zip               Fort Lauderdale, FL 33314
Web Address/Contact Email      www.nova.edu/gsc


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 9

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 9

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___1st year practicum                   ___8_____ 1st year practicum
__n/a___2nd year practicum                   __n/a____ 2nd year practicum
__n/a___Elective (8 months)                  ___1____ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                 __√__Level 2 Screen Required
____Fingerprints Required                    __√__Do YOU conduct the background
                                             checks
____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           ____Interview Required
____Spanish Speakers Only                    __√__2 Spanish Speakers Preferred
__√__2 Males Preferred                       ____Other ___________________________
                                                                                               78

_√__Are there mandatory training sessions before starting? If yes describe: See Supervision
Description.
Other Required Training Prerequisites (classes, degrees, experience, etc):
Assessment: Interviewing. Courses may be taken concurrently with practicum. Therapy:
Theories of Intervention; Adult Psychopathology; Cognitive/Behavior Therapy; Professional
Issues and Ethics.
Suggested prerequisites: Behavioral Assessment; Research practicum in substance abuse;
Substance Abuse, Health and Mental Health, preferably in the Winter semester while taking
practicum.

Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions.


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 12-15
hours/week                        2nd Year practicum: 15-18
List specific evening hours       Yes, per PSC policy
required
# Direct clinical contact
hours/week
Supervision Requirements          From September through December, 7 hours of group
(e.g., individual, group, time,   supervision; from January through August 4 or more hours of
day)                              group supervision, plus individual supervision as required.
                                  MUST have Tuesdays from 12pm-7pm free from late August
                                  through December and Tuesdays from 4pm-8pm free for
                                  January through August. Also, intensive training will be
                                  conducted all day Monday through Friday the week before
                                  classes start. Attendance is mandatory for training on Fridays
                                  from 10 am to 4 pm for September and October. Finally,
                                  during summer students must shadow (i.e., sit in and
                                  observe) one case with a current practicum trainee. This task
                                  MUST be completed before the fall semester begins.


Contact Person/Supervisor Information
Contact                   Name: Linda C. Sobell, Ph.D. and Mark Sobell, Ph.D.
Person/Supervisors        Email: sobelll@nova.edu and sobellm@nova.edu
                          Phone: 954-262-5811 and 954-262-5747


Short Program Description
The Healthy Lifestyles Guided Self-Change (GSC) Program offers an outpatient evidence-
based cognitive-behavioral motivational intervention for individuals ages 14 and older who are
                                                                                             79

concerned with their use of alcohol, drugs, cigarettes, gambling, internet, or lifestyle issues
such as eating, exercising, or increasing motivation. Guided Self-Change, an evidence-based
program developed in 1984, is non confrontational and emphasizes helping people help
themselves. Individuals evaluate their motivation to change and develop their own
individualized change plans. All services are available in Spanish. Practicum experiences
will include assessment for substance use, gambling, and lifestyle issues including weight
control, conducting individual and group treatment, case conferences, and smoking cessation
services. On occasion, couples therapy sessions can also be provided for clients in the
program. Group therapy services are conducted for homeless individuals with substance use
problems at the Broward Outreach Center in Hollywood on Thursdays from 5 to 8 pm, and
group therapy for Drug Court referred clients are conducted at The Starting Place on Thursday
evenings as well. Other opportunities include: (a) providing group smoking cessation services
through the AHEC Quit Smoking Now program; (b) serving as motivational coaches for NSU‘s
Biggest Loser‘s Program; and (c) providing healthy lifestyle services to community programs
(e. g., National Alcohol Screening Day; Employee Wellness Challenges).


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                   Infants                      Children
  √ Adults                     √ Older Adults               √ College Students
      Other ________

Assessment
    Personality                   Intelligence                 Neuropsychology
 √ Behavioral/Cognitive           Forensic                     Physiological

Treatment Modality
  √ Individual                  √ Group                    √ Brief (4 -12 sessions)

     Family                        Couples                 √ Short-term (3-6 months)

 √ Crisis Intervention             Other: ____________        Long-term (6+ months)


Theoretical Orientation
    Eclectic                    √ Behavioral Medicine           Humanistic

 √ Cognitive                       Dynamic                      Systems
     Gestalt                    √ Behavioral                    Other: ___________
                                                                                          80

                      Henderson Mental Health Center, Inc.
Date Last Modified            November 11, 2010
Program/Institution           Henderson Mental Health Center, Inc.
Department
Street # and address          330 SW 27th Avenue
City, State, Zip              Fort Lauderdale, FL 33312
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 3

Of total # of students, # that are Summer   Of total # of students, # that are FALL
starts (May through April) 0                starts (end of Aug through mid Aug) 3

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
__n/a___1st year practicum                  ________ 1st year practicum
__n/a___2nd year practicum                  ________ 2nd year practicum
__n/a___Elective (8 months)                 __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                __√__Level 2 Screen Required
__√__ Fingerprints Required                  __√__Do YOU conduct the background
                                             checks
__√__Drug Test Required?                     __√__Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           __√__ Interview Required
____Spanish Speakers Only                    __√__ 1 Spanish Speaker Preferred
____1 Male Preferred                         ____Other ___________________________
                                                                                                 81

_√__Are there mandatory training sessions before starting? If yes describe: Three days
(Monday, Tuesday and Wednesday) of the second week of each month there is a new
employee orientation. All students must complete this training prior to beginning practicum at
the end of August.
Other Required Training Prerequisites (classes, degrees, experience, etc):


Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of hours/week         1st Year practicum: 10-12
                                     2nd Year practicum: 15-17
Attendance at specific meetings      None
Other requirements                   Expected to participate in doing intake at their assigned
                                     centers one day per week.
List specific evening hours required All clinics close at 5 PM

# Direct clinical contact hours/week 50% of clinical hours in direct client contact

Supervision Requirements (e.g.,      One to two hours per week.
individual, group, time, day)


Contact Person/Supervisor Information
Contact                  Name: Jean M. Bratcher, Psy.D.
Person/Supervisors       Email: jeanbrat@nova.edu
                         Phone: 954-262-5847


Short Program Description
Henderson Mental Health Center provides treatment to a broad array of adult clients across
the age spectrum who present with problems ranging from mild/moderate impairments on Axis
I and Axis II to long-term debilitating serious mental illnesses. The treatment model is a
biopsychosocial approach utilizing individual and group psychotherapy, as well as
psychosocial rehabilitative and case management interventions. A multidisciplinary treatment
team approach is employed.
                                                                                     82

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
      Adolescents              Infants                   Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence               Neuropsychology

 √ Behavioral/Cognitive        Forensic                  Physiological

Treatment Modality
  √ Individual               √ Group                    Brief (4 -12 sessions)

    Family                   √ Couples                √ Short-term (3-6 months)

    Crisis Intervention         Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                     Behavioral Medicine    √ Humanistic
 √ Cognitive                 √ Dynamic                 √ Systems
    Gestalt                  √ Behavioral                 Other: ___________
                                                                                             83

     Henderson Mental Health Center, Inc. - Henderson Student
                      Counseling Services
Date Last Modified           December 22, 2010
Program/Institution          Henderson Mental Health Center, Inc.
Department                   Henderson Student Counseling Services
Street # and address         3538 S. University Drive
City, State, Zip             Davie, FL 33328
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 1

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 0                (end of Aug through mid Aug) 1

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
__n/a___1st year practicum                  ___ n/a __ 1st year practicum
__n/a___2nd year practicum                  ___1_____ 2nd year practicum
__n/a___Elective (8 months)                 __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required               __√__Level 2 Screen Required
____Fingerprints Required                   __√__Do YOU conduct the background
                                            checks
__√__Drug Test Required?                    __√__Do YOU conduct the drug tests
____Physical Required                       ____TB Screening Required
____Proof of Health Insurance Required      ____Physician's Statement of Readiness for
                                            Practicum Required
____Proof of Immunization Required          __√__Interview Required
____Spanish Speakers Only                   _____1 Spanish Speaker Preferred
____1 Male Preferred                        ____Other _________________________
                                                                                                 84

_√__Are there mandatory training sessions before starting? If yes describe: Three days
(Monday, Tuesday and Wednesday) of the second week of each month there is a new
employee orientation. All students must complete this training prior to beginning practicum at
the end of August.
Other Required Training Prerequisites (classes, degrees, experience, etc):


Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                1st Year practicum: 10-12
hours/week                       2nd Year practicum: 15-17
Attendance at specific           None – but staff has both staff meetings and a case
meetings                         consultation every Thursday morning from 8a – 9a.
Other requirements               Expected to participate in doing intake at their assigned
                                 centers one day per week.
List specific evening hours      None – but every Tuesday from 5p – 8p is open for
required                         availability
# Direct clinical contact        50% of clinical hours in direct client contact
hours/week
Supervision Requirements         One to two hours per week.
(individual, group, time, day)


Contact Person/Supervisor Information
Contact                  Name: Denise A. Vazquez, Psy.D.
Person/Supervisors
                         Phone: 954-424-6911 X108
                         Email: dvazquez@hendersonmhc.org


Short Program Description
Henderson Mental Health Center provides counseling services for the student body of Nova
Southeastern University through Henderson Student Counseling Services. The center
provides treatment to a broad array of adult students across the age spectrum who present
with problems ranging from mild/moderate impairments on Axis I and Axis II to situational
issues. The Counseling Center employs a non-diagnostic model due to the population served.
The treatment model is a biopsychosocial approach utilizing individual, family, and couples
psychotherapy. Psychiatric services are also available.
                                                                                     85

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
      Adolescents              Infants                     Children
  √ Adults                     Older Adults                College Students
     Other ________

Assessment
 √ Personality                 Intelligence                Neuropsychology
 √ Behavioral/Cognitive        Forensic                    Physiological

Treatment Modality
  √ Individual                  Group                 √    Brief (4 -12 sessions)

 √ Family                    √ Couples                     Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________        Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                     Behavioral Medicine         Humanistic
 √ Cognitive                    Dynamic                   √ Systems
    Gestalt                  √ Behavioral                   Other: ___________
                                                                                                86

                        House of Hope - Stepping Stone
Date Last Modified              November 11, 2010
Program/Institution             House of Hope - Stepping Stones
Department
Street # and address            908 SW 1st Street
City, State, Zip                Fort Lauderdale, FL 33312
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 4

Of total # of students, # that are Summer     Of total # of students, # that are FALL starts
starts (May through April) 2                  (end of Aug through mid Aug) 2

Further description of # of SUMMER            Further description of # of FALL student
student starts                                starts
________ 1st year practicum                   ________ 1st year practicum
________ 2nd year practicum                   ________ 2nd year practicum
__n/a___Elective (8 months)                   __n/a___ Elective (8 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                  ____Level 2 Screen Required
____Fingerprints Required                      ____Do YOU conduct the background checks

__√__Drug Test Required?                       __√__Do YOU conduct the drug tests
____Physical Required                          ____TB Screening Required
____Proof of Health Insurance Required         ____Physician's Statement of Readiness for
                                               Practicum Required
____Proof of Immunization Required             ____Interview Required
____Spanish Speakers Only                      __√__1 Spanish Speaker Preferred
____1 Male Preferred                           ____Other ___________________________
_√__Are there mandatory training sessions before starting? If yes describe: Orientation first
day at facility.
                                                                                              87

Other Required Training Prerequisites (classes, degrees, experience, etc):
A basic understanding of the use of standardized measures as well as the ability to complete
a questionnaire that includes a mental status examination. Also, some experience in
conducting a didactic group. Familiarity with the DSM-IV R and the ICD 9 Crosswalk or Codes.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                1st Year practicum: 10
hours/week                       2nd Year practicum: 20
Attendance at specific           Weekly combined staffing with the counseling and
meetings                         supervisory staff as well as meeting with the Clinical
                                 Supervisor.
Other requirements               Spanish speaking applicants preferred but not required.
                                 Interested students must want to work with individuals that
                                 are indigent, homeless and have been involved in the criminal
                                 justice system.
List specific evening hours      Yes, as determined by the Clinical Supervisor
required
# Direct clinical contact        70% of hours at the residential setting will be devoted to
hours/week                       direct service, didactic educational groups, individual
                                 psychotherapy sessions, small therapeutic process groups,
                                 and rapport developing activities.
Supervision Requirements         Two different supervisors with a minimum of 2 hours of
(individual, group, time, day)   supervision per week. Both group and individual formats.



Contact Person/Supervisor Information
Contact                  Name: Stephen Campbell, Ph.D.
Person/Supervisors       Email: stephcam@nova.edu
                         Phone: 954 262-5759
Contact                  Name: Geraldine Pipitone, MBA, CAP CEO
Person/Supervisors       Email: geri@houseofhopeonline.org
                         Phone: 954-524-8989


Short Program Description
The House of Hope and Stepping Stones provide residential treatment to individuals suffering
from substance abuse and co-occurring disorders (mental illness & substance abuse). The
program is a six (6) month, modified therapeutic community housed within a local community
                                                                                             88

residential treatment facility. Some clients with serious mental illness in addition to their
substance abuse may require extra time for treatment. House of Hope has ninety two (92)
slots and provides services to men. Stepping stones has thirty two (32) slots and provide
services to women. A number of services are provided by House of Hope and Stepping
Stones. The following are some of the services provided: Cognitive Behavioral Therapy,
Substance Abuse Counseling, Family Therapy, Medication Management, Vocational
assessment/training, Addiction and Mental Illness Education, Self-help/Peer Support Groups.
Our mission is to help individuals, in Broward County, recovering from addictive disorders and
mental illness to return to the community with a comprehensive body of knowledge that allows
them to maintain stable employment, develop personal responsibility, build family relationships
and develop a support system utilizing 12-step programs.


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
      Adolescents                 Infants                      Children
  √ Adults                     √ Older Adults                  College Students
      Other ________

Assessment
 √ Personality                 √ Intelligence               √ Neuropsychology
 √ Behavioral/Cognitive        √ Forensic                   √ Physiological

Treatment Modality
  √ Individual                  √ Group                    √ Brief (4 -12 sessions)

 √ Family                       √ Couples                  √ Short-term (3-6 months)

 √ Crisis Intervention             Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                     √ Behavioral Medicine       √ Humanistic
 √ Cognitive                       Dynamic                  √ Systems
     Gestalt                    √ Behavioral                    Other: ___________
                                                                                              89

                       Institute for Child and Family Health
Date Last Modified             November 14, 2010
Program/Institution            Institute for Child and Family Health
Department
Street # and address           9380 Sunset Drive #B235
City, State, Zip               Miami, FL 33173
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 2

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  ________ 1st year practicum
__n/a___ 2nd year practicum                  ________ 2nd year practicum
__n/a___Elective (8 months)                  __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 __√__Level 2 Screen Required
____Fingerprints Required                     __√__Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            ____Interview Required
___√__Spanish Speakers Only                   ____1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other ___________________________
_√__Are there mandatory training sessions before starting? If yes describe: One day –
August 12, 2009 from 9:00AM to 5:00PM
                                                                                              90

Other Required Training Prerequisites (classes, degrees, experience, etc):
Suggested prerequisites: work with children/adolescents
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                1st Year practicum: 10
hours/week                       2nd Year practicum: 20
Attendance at specific           1 Case Conference; 2 Seminars on Wednesday mornings
meetings
Other requirements               Foreign language skills are desirable.
List specific evening hours      Necessary
required
# Direct clinical contact        12 hours
hours/week
Supervision Requirements         One hour of individual supervision on-site with a clinical
(individual, group, time, day)   supervisor and 1 hour provided by a doctoral intern.



Contact Person/Supervisor Information
Contact                  Name: Timothy Razza, Psy.D.
Person/Supervisors       Email: trazza@icfhinc.org
                         Phone: 305-274-8367
Contact                  Name: Olga Rodriguez
Person/Supervisors       Email: orodriguez1@icfhinc.org
                         Phone: 305-27400841


Short Program Description


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                  √ Infants                   √ Children
  √ Adults                         Older Adults                  College Students
      Other ________
                                                                               91

Assessment
 √ Personality            √ Intelligence              Neuropsychology

 √ Behavioral/Cognitive     Forensic                  Physiological

Treatment Modality
  √ Individual            √ Group                  √ Brief (4 -12 sessions)

 √ Family                 √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention       Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                  Behavioral Medicine   √ Humanistic
 √ Cognitive              √ Dynamic                √ Systems
 √ Gestalt                √ Behavioral                 Other: ___________
                                                                                              92

        Intensive Psychodynamic Psychotherapy Clinic (IPPC)
                            - Nova Site
Date Last Modified             November 11, 2010
Program/Institution            Intensive Psychodynamic Psychotherapy Clinic (IPPC) –
                               Nova
Department                     Center for Psychological Services
Street # and address           3301 College Avenue
City, State, Zip               Fort Lauderdale, FL 33314
Web Address/Contact Email      badyq@nova.edu / asohutc@nova.edu


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 8

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 4                 (end of Aug through mid Aug) 4

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
________ 1st year practicum                  ________ 1st year practicum
________ 2nd year practicum                  ________ 2nd year practicum
__n/a___Elective (8 months)                  __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                 __√__Level 2 Screen Required
____Fingerprints Required                    __√__Do YOU conduct the background checks

____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                    __√__2 Spanish Speaker Preferred
____1 Male Preferred                         ____Other ___________________________
                                                                                                   93

_√__Are there mandatory training sessions before starting? If yes describe: PSC clinic
training, peer group supervisor meeting to orient new clinicians to psychodynamic practice

Other Required Training Prerequisites (classes, degrees, experience, etc):
Psychometric and projective testing coursework. Courses on Advanced Full Battery, Analytic
Approaches to Assessment, Integrated Report Writing would be helpful. Enrollment in a
psychodynamic psychotherapy course is strongly encouraged. Must be open and receptive to
direction and supervision, acceptance of the PSC rules and regulations, the filing of all
necessary forms, the commitment of hours, and have a dedication to the psychodynamic
approach.
Suggested prerequisites: Experience in Rorschach and full battery is encouraged. Also the
course in psychodynamic therapy in analytical approaches to assessment, intervention
courses and psychopathology courses (e.g., narcissism & borderline) are encouraged.
Understanding of psychopathology from a psychodynamic point of view, unconscious
motivation, knowledge of psychodynamic procedures, the therapeutic alliance, nature of
transference/countertransference, resistance, the phases of therapy, including termination,
and understanding the meaning of supervision are all encouraged.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 10-15
hours/week                        2nd Year practicum: 15-20
Attendance at specific            Every Friday morning
meetings
Other requirements                Language skills in Spanish would be helpful.
List specific evening hours       Some evening and weekend hours should be expected as
required                          the majority of our patients will be adults plus ―intensive‖
                                  treatment creates scheduling problems.
# Direct clinical contact         1st Year practicum: 8-10
hours/week                        2nd Year practicum: 10-12
Supervision Requirements          Dr. Quintar will provide 1 hour individual supervision as well
(e.g., individual, group, time,   as a 3 hour Friday morning in service and case synthesis
day)                              presentation. Modality of supervision is both in a group and
                                  individual format. There will be an opportunity for peer group
                                  supervision lead by an advanced student/coordinator.



Contact Person/Supervisor Information
Contact                     Name: Bady Quintar, Ph.D., ABPP
Person/Supervisors          Email: badyq@nova.edu
                            Phone: 954-262-5751
                                                                                                94

Short Program Description
IPPC provides diagnostic and in-depth treatment services to clients with moderate to severe
characterological disorders who would benefit optimally from a more intensive psychodynamic
treatment modality. These include adults, adolescents, and families with neurotic conditions
and characterological disorders including narcissistic and borderline states. The clinic strives to
meet the need for intensive psychotherapy with this population by offering frequent sessions
and a lengthier therapeutic experience. Treatment will emphasize the use of a variety of
techniques derived from modern and traditional dynamic theories including ego-psychology,
self-psychology, object-relations, drive-psychology and others. The goal of therapy will be to
increase the patient's understanding of the etiology and motivation of symptomatology, the
dynamics that maintain the symptoms that interfere with their productivity, and the realization
of their inherent potential. The clinic's training goal is the development of a skilled, empathic
therapist familiar with a variety of treatment modalities, capable of working effectively with the
characterologically disturbed patients in long term settings. As part of training experience, the
trainee will learn to make use of psycho-diagnostic instruments in formulating a treatment plan,
and subsequently use psychodynamic techniques in understanding and treatment of patients.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                     Infants                   √ Children
  √ Adults                       √ Older Adults                  College Students


Assessment
 √ Personality                   √ Intelligence                  Neuropsychology
     Behavioral/Cognitive           Forensic                     Physiological

Treatment Modality
  √ Individual                   √ Group                     √ Brief (4 -12 sessions)

 √ Family                        √ Couples                   √ Short-term (3-6 months)

     Crisis Intervention            Other: ____________ √ Long-term (6+ months)

Theoretical Orientation
    Eclectic                         Behavioral Medicine          Humanistic
     Cognitive                   √ Dynamic                        Systems
     Gestalt                         Behavioral                   Other: ___________
                                                                                               95

                        Joe DiMaggio Children’s Hospital
Date Last Modified             November 14, 2010
Program/Institution            Joe DiMaggio Children's Hospital
Department                     Pediatric Psychology
Street # and address           1150 North 35th Avenue, Suite 490
City, State, Zip               Hollywood, FL 33021
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer     Of total # of students, # that are FALL starts
starts (May through April) 0                  (end of Aug through mid Aug) 2

Further description of # of SUMMER            Further description of # of FALL student
student starts                                starts
__n/a___ 1st year practicum                   __n/a___ 1st year practicum
__n/a___ 2nd year practicum                   ___2____ 2nd year practicum
__n/a___Elective (8 months)                   __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 __√__Level 2 Screen Required
____Fingerprints Required                     ____Do YOU conduct the background checks

__√__Drug Test Required?                      __√__Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
__√__Proof of Immunization Required           ____Interview Required
____Spanish Speakers Only                     __√__1 Spanish Speaker Preferred
____1 Male Preferred                          __√__Other: Physical completed at hospital
_√__Are there mandatory training sessions before starting? If yes describe: 2 days of hospital
orientation prior to start of practicum
                                                                                            96

Other Required Training Prerequisites (classes, degrees, experience, etc):
Child and Adolescent Development, Child & Adolescent Interventions, and Pediatric
Psychology.
Suggested prerequisites: Health psychology courses related to interventions and consultation-
liaison work.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                1st Year practicum: n/a
hours/week                       2nd Year practicum: 20
Attendance at specific           Depends on rotation placement.
meetings
Other requirements               Previous practicum experience working with children and
                                 adolescents.
List specific evening hours      None
required
# Direct clinical contact
hours/week
Supervision Requirements         Weekly individual supervision with site supervisor.
(individual, group, time, day)



Contact Person/Supervisor Information
Contact                  Name: Lissette Perez-Lima, Ph.D.
Person/Supervisors       Email: Lisperez@mhs.net
                         Phone: 954-265-3649


Short Program Description
Children‘s Hospital.
                                                                                     97

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents              √ Infants                √ Children
  √ Adults                     Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence               Neuropsychology

 √ Behavioral/Cognitive        Forensic                  Physiological

Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
    Eclectic                 √ Behavioral Medicine        Humanistic

 √ Cognitive                    Dynamic                √ Systems
    Gestalt                  √ Behavioral                 Other: ___________
                                                                                               98


                      Mailman Center for Child Development
Date Last Modified             November 14, 2010
Program/Institution            Mailman Center for Child Development
Department                     University of Miami Department of Pediatrics
Street # and address           1601 NW 12th Avenue
City, State, Zip               Miami, FL 33136
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 3-4


Of total # of students, # that are Summer     Of total # of students, # that are FALL starts
starts (May through April) 0                  (end of Aug through mid Aug) 3-4

Further description of # of SUMMER            Further description of # of FALL student
student starts                                starts
__n/a___ 1st year practicum                   __n/a___ 1st year practicum
__n/a___ 2nd year practicum                   __3-4___ 2nd year practicum
__n/a__Elective (8 months)                    __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  ____Level 2 Screen Required
____Fingerprints Required                     ____Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other:
___Are there mandatory training sessions before starting? If yes describe:
                                                                                             99

Other Required Training Prerequisites (classes, degrees, experience, etc):
Ph.D. Students only. Coursework in child psychopathology, child development, child
assessment, and child therapy. At least one practicum with children.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                2nd Year practicum: 15
hours/week                       Elective practicum: >5
Attendance at specific           Wednesday noon
meetings
Other requirements               Spanish/Creole/French skills desirable, but not required.

List specific evening hours      None required.
required
# Direct clinical contact        Depends on rotation – 6-8 clinical hours/week minimum.
hours/week
Supervision Requirements         Individual supervision for 1-2 hours/week with 3 to 6
(individual, group, time, day)   supervisors per student over the course of practicum.



Contact Person/Supervisor Information
Contact                  Name: Neena Malik, Ph.D.
Person/Supervisors       Email: nmalik@med.miami.edu
                         Phone: 305-243-6857


Short Program Description
Trainees generally will have two to three main rotations over the year, in six month blocks.
The main ones are: Psychological Assessment Services; Behavioral Pediatrics Clinic;
Interdisciplinary Developmental Evaluation Service; Diabetes; Child Protection Team;
Hematology/Oncology; Endocrine Clinic. Minor rotations include: Early Steps Program,
Developmental Services, Pediatric Mobile Clinic, Craniofacial Clinic. Please see our internship
brochure for a list of all rotations at www.mailmancenter.org/Internship_Program.htm, and click
on 2010 Internship Brochure.
                                                                                     100

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents              √ Infants                √ Children
  √ Adults                     Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence            √ Neuropsychology
 √ Behavioral/Cognitive        Forensic                  Physiological

Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                  √ Behavioral Medicine        Humanistic

 √ Cognitive                 √ Dynamic                 √ Systems
    Gestalt                  √ Behavioral                 Other: ___________
                                                                                          101

    Mailman Segal & Unicorn Children’s Foundation Challenging
                        Behavior Program
Date Last Modified             December 28, 2010
Program/Institution            Mailman Segal Center for Human Development
Department                     Unicorn Children‘s Foundation Challenging Behavior Program

Street # and address           7600 SW 36th Street
City, State, Zip               Ft. Lauderdale, FL 33314
Web Address/Contact Email      www.nova.edu/msi fcmace@nova.edu


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: _6_

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) _0__              (end of Aug through mid Aug) __6_

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
________ 1st year practicum                  ________ 1st year practicum
________ 2nd year practicum                  ________ 2nd year practicum
___na_____ Elective (8 months)               ___na_____ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                 __√__Level 2 Screen Required
____Fingerprints Required                    __√_Do YOU conduct the background checks

____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       __√__Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                    ____1 Spanish Speaker Preferred
____1 Male Preferred                         ____Other: _________________________
                                                                                                102

____Are there mandatory training sessions before starting? If yes describe:
Other Required Training Prerequisites (classes, degrees, experience, etc):


Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                1st Year practicum: _10-15
hours/week                       2nd Year practicum: _15-20
                                 Elective practicum: _10-15
Attendance at specific           Weekly peer review meetings
meetings
Other requirements               After training, work with aggressive and disruptive children
                                 with autism and related disorders
List specific evening hours      None
required
# Direct clinical contact        1st Year practicum: ___
hours/week                       2nd Year practicum: ___
                                 Elective practicum: ___
                                 Clinical contact hours will increase after students have been
                                 trained to implement clinical protocols
Supervision Requirements         A minimum of 1 hr per week of direct supervision. Students
(individual, group, time, day)   will work closely with the supervisor.


Contact Person/Supervisor Information
Contact                  Name: F. Charles Mace, PhD
Person/Supervisors       Email: fcmace@nova.edu, facmace@gmail.com
                         Phone: 954-262-6910


Short Program Description
Population Served

The Challenging Behavior Program serves children ages 3 to 17 who present with challenging
behaviors secondary to autism and other developmental disabilities. The behavioral difficulties
include aggressive behavior, various disruptive behavior, and self-injurious behavior.
Clinical Protocols
Most clinical cases follow an integrated progression of diagnostic and treatment phases that
are aimed at identifying the environmental and/or biologic basis for the behavior disorder, the
development and evaluation of individualized treatment protocols, parent training to implement
behavioral treatment protocols correctly and effectively, transfer of treatment protocols to
                                                                                                 103

home, school and community settings to ensure treatment gains generalize and are
maintained, and long term intermittent out-patient follow-up monitoring. These phases are
briefly described below.
        Functional behavioral assessment. This is the diagnostic phase of the program and its
purpose is to identify the specific interactions each child has with his parents/teachers/care
providers that may both motivate and reinforce the challenging behaviors. Functional
behavioral assessment is widely accepted as the Best Practices approach to diagnosing the
environmental basis for behavior disorders in children with developmental disabilities, having
amassed over 30 years of empirical studies to support its efficacy. The diagnostic phase
begins by taking several hours of systematic observations of adult-child interactions under a
variety of environmental situations to determine which are more and less likely to be
associated with problem behavior. These data are then used to generate specific hypotheses
regarding the ‗causes‘ of the behavior. These hypotheses are then tested by systematically
exposing the child to different situations in therapist-run sessions. These sessions are of brief
duration and are conducted repeatedly until patterns of behavior emerge to indicate the
specific motivations and reinforcers that are maintaining the behaviors.
        Treatment development and evaluation. Based on the results of the functional
behavioral assessment, individualized treatment protocols are designed. Although there are
numerous treatment protocols and variations available, they have several things in common.
First, most emphasize teaching the child to communicate his or her needs through pro-social
means. This can involve spoken language or some form of nonverbal augmentative
communication. Another common treatment component is to greatly increase the availability
of reinforcing activities in the environment to reduce his or her motivation to resort to extreme
measures to get the things he or she may desire. A third common component is to teach a
variety of social skills that will allow them to negotiate, compromise, cooperate and otherwise
have successful interactions with adults and peers. All of these ‗new‘ behaviors are taught
systematically using state-of-the-art behavioral teaching procedures that also have strong
scientific validation. The effects of treatment are carefully monitored through the collection of
response frequencies and durations such that measurable outcomes of treatment are available
on an on-going basis.
        Parent/caregiver training. Following the identification of effective individualized
treatment protocols, parents, teachers and other care providers are systematically trained to
use the interventions. Training involves multiple modalities including review of written
procedures, demonstrations of how to implement the procedures, coaching care providers to
implement the interventions with close supervision, and post-session reviews of what went well
and what can be improved in subsequent training sessions. This process progresses to the
point where parents/caregivers are fully implementing the protocols and the therapists have
been faded from the treatment environment.
        Treatment generalization. It is vital that treatment gains produced in the clinic generalize
to home, school, and community settings. This is accomplished by having therapists continue
their training in non-clinic settings. Because these settings have been correlated with prior
reinforcement of problem behavior, initial treatment relapse is common, but with ongoing
training, generalization of treatment gains is often accomplished.
                                                                                          104

       Outpatient follow-up. To ensure maintenance and generalization of treatment gains,
children are seen on an out-patient basis (1-hour sessions) to evaluate the maintenance of
progress and to intervene early should there be recurrences of the original behaviors or the
development of new forms of challenging behavior. The outpatient follow-up period lasts from
3 to 6 months.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                   Infants                 √ Children
     Adults                       Older Adults               College Students
  √ Other: Parents

Assessment
    Personality                   Intelligence               Neuropsychology
 √ Functional Behavioral          Forensic                   Physiological
     Assessment

Treatment Modality
  √ Individual                    Group                     Brief (4 -12 sessions)

 √ Family - Parent Training       Couples                 √ Short-term (3-6
                                                            months)—in a day
                                                            treatment format
     Crisis Intervention          Other: ____________       Long-term (6+ months)


Theoretical Orientation
    Eclectic                    Behavioral Medicine       Humanistic

     Cognitive                  Dynamic                   Systems
     Gestalt                  √ Behavioral            √ Other: Applied Behavior
                                                          Analysis (ABA)
                                                                                            105

         Mailman Segal Center for Human Development of NSU
Date Last Modified             December 16, 2010
Program/Institution            Mailman Segal Center for Human Development of NSU
Department                     Unicorn Clinic, Baudhuin Preschool, Starting Right, Family
                               Center Preschool, Infant-Toddler Program
Street # and address           7600 SW 36th Street
City, State, Zip               Fort Lauderdale, FL 33314
Web Address/Contact Email      www.nova.edu/msi      tanyduff@nova.edu; kabot@nova.edu


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 6

Of total # of students, # that are Summer     Of total # of students, # that are FALL starts
starts (May through April) 6                  (end of Aug through mid Aug) or 6

Further description of # of SUMMER            Further description of # of FALL student
student starts                                starts
________1st year practicum                    ________1st year practicum
________2nd year practicum                    ________ 2nd year practicum
__n/a___Elective (8 months)                   __n/a___ Elective (8 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  __√__Level 2 Screen Required
____Fingerprints Required                     __√__Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        __√__Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            ____Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other:
___Are there mandatory training sessions before starting? If yes describe:
                                                                                                 106

Other Required Training Prerequisites (classes, degrees, experience, etc):
Masters and/or doctoral level coursework in assessment and child development.
Suggested prerequisites: doctoral level coursework covering behavioral intervention
strategies.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 15
hours/week                        2nd Year practicum: 20
Attendance at specific
meetings
Other requirements
List specific evening hours
required
# Direct clinical contact
hours/week
Supervision Requirements          One hour per week and is available on an ongoing basis.
(e.g., individual, group, time,   Supervision is eclectic; however, the primary orientation is
day)                              cognitive behavioral.


Contact Person/Supervisor Information
Contact                   Name: Sue Kabot, Ed.D.
Person/Supervisors        Email: kabot@nova.edu
                          Phone: 954-262-7129


Short Program Description
Housed in the Jim & Jan Moran Family Center Village, the Mailman Segal Center achieves its
mission through direct services to families and children, development and implementation of
early childhood education and training programs, community outreach, and advocacy. The
Mailman Segal Center's Baudhuin Preschool is an internationally recognized, model program
for children with autism spectrum disorder. The Unicorn Child Development Clinic provides
integrated multi-disciplinary services to children birth through five years of age and their
families. It also provides consultation to teachers and aides regarding in-class behavior.
Specialized intervention and assessment services are provided to meet the needs of children
and their families presenting with more significant emotional concerns or developmental
delays.
                                                                                     107

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
      Adolescents            √ Infants                √ Children
  √ Adults                     Older Adults              College Students
     Other ________

Assessment
    Personality             √ Intelligence            √ Neuropsychology
 √ Behavioral/Cognitive        Forensic                  Physiological

Treatment Modality
  √ Individual               √ Group                    Brief (4 -12 sessions)

 √ Family                       Couples                 Short-term (3-6 months)

    Crisis Intervention         Other: ____________     Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                  √ Behavioral Medicine        Humanistic

 √ Cognitive                    Dynamic                √ Systems
    Gestalt                  √ Behavioral                 Other: ___________
                                                                                          108

                            Memorial Regional Hospital
Date Last Modified             November 14, 2010
Program/Institution            Memorial Regional Hospital
Department
Street # and address           3501 Johnson Street
City, State, Zip               Hollywood, FL 33021
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
       THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 1

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 1

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___1st year practicum                   __n/a___ 1st year practicum
__n/a___2nd year practicum                   ___1____ 2nd year practicum
__n/a___Elective (8 months)                  __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 ____Level 2 Screen Required
____Fingerprints Required                     __√__Do YOU conduct the background
                                              checks
__√__Drug Test Required?                      __√__Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        __√__Physician's Statement of Readiness for
                                              Practicum Required
__√__Proof of Immunization Required           ____Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other:
__√_Are there mandatory training sessions before starting? If yes describe: 2 days
                                                                                              109

Other Required Training Prerequisites (classes, degrees, experience, etc):
Experience with individual and/or group therapy, as well as motivated to work in acute
psychiatric settings with both adults & adolescents. Need to be part of a multidisciplinary
team in a hospital setting.
There is a risk of infectious diseases in the Hospital setting and the Hospital is not
responsible for exposures to infectious diseases that occur beyond the Hospital‘s
reasonable control. Students must be prepared to verify either immunity, or lack of immunity
to varicella, measles, mumps and rubella through a titer, or documented positive history of
chicken pox, measles, mumps and rubella. They must furnish proof that they have
undergone drug testing and annual screening to tuberculosis. Students are required to be
vaccinated against Hepatitis B and must be prepared to provide documentation of the same.
Suggested prerequisites: Need to have a good knowledge base of psychopathology, crisis
intervention as well as knowledge of different therapeutic modalities.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 20
Attendance at specific            Supervision and treatment team meetings.
meetings
Other requirements
List specific evening hours       None
required
# Direct clinical contact         60% of clinical hours are individual, 10% are family, and 30%
hours/week                        are group
Supervision Requirements          One hour of individual supervision per week. Students need
(e.g., individual, group, time,   to go on rounds and treatment team meeting within different
day)                              departments/programs. Supervision with site supervisors also
                                  provided.


Contact Person/Supervisor Information
Contact                   Name: Marcy Girolamini-Smith, Psy.D.
Person/Supervisors        Email: mgirolaminismith@mhs.net
                          Phone: 954 265-4298


Short Program Description
MRH has a wide variety of patient populations on an inpatient, day treatment and outpatient
basis. Opportunities for family, individual and/or group therapy are available with both adults
and adolescents.
                                                                                     110

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                Infants                   Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence            √ Neuropsychology
 √ Behavioral/Cognitive        Forensic                  Physiological

Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________     Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                  √ Behavioral Medicine     √ Humanistic
 √ Cognitive                 √ Dynamic                 √ Systems
 √ Gestalt                   √ Behavioral                 Other: ___________
                                                                                           111

                   Memorial Regional Hospital Cancer Institute
Date Last Modified            November 14, 2010
Program/Institution           Memorial Regional Hospital
Department                    Cancer Institute
Street # and address          1150 N. 35th Avenue, Suite 170
City, State, Zip              Hollywood, FL 33021
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 1

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 1

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___1st year practicum                   __n/a___ 1st year practicum
__n/a___2nd year practicum                   ___1____ 2nd year practicum
__n/a___Elective (8 months)                  __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 ____Level 2 Screen Required
____Fingerprints Required                     __√__Do YOU conduct the background checks

__√__Drug Test Required?                      __√__Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
__√__Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other:
__√_Are there mandatory training sessions before starting? If yes describe: 2 days
                                                                                                112

Other Required Training Prerequisites (classes, degrees, experience, etc):
Experience with individual and/or group therapy, as well as motivated to work in a medical
setting as part of a multidisciplinary team. Trainees will be exposed to patients and families
enduring chronic as well as severe existential crises and end-of-life concerns. Trainees must
be able to tolerate being in the presence physical illness and disfigurement. Patients are seen
as inpatients and outpatients.
There is a risk of infectious diseases in the Hospital setting and the Hospital is not responsible
for exposures to infectious diseases that occur beyond the Hospital‘s reasonable control.
Students must be prepared to verify either immunity, or lack of immunity to varicella, measles,
mumps and rubella through a titer, or documented positive history of chicken pox, measles,
mumps and rubella. They must furnish proof that they have undergone drug testing and
annual screening to tuberculosis. Students are required to be vaccinated against Hepatitis B
and must be prepared to provide documentation of the same.
Suggested prerequisites: Need to have a good knowledge base of psychopathology, crisis
intervention as well as knowledge of different therapeutic modalities.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 15
Attendance at specific            Supervision and treatment team meetings.
meetings
Other requirements
List specific evening hours       None
required
# Direct clinical contact         70% of clinical hours are individual, 30% are family. There are
hours/week                        opportunities for group therapy as well.
Supervision Requirements          One hour of individual supervision per week. Students need to
(e.g., individual, group, time,   go on rounds and attend relevant team meetings to provide
day)                              patient care. Supervision with site supervisors also provided.


Contact Person/Supervisor Information
Contact                   Name: Sameet Kumar, Ph.D.
Person/Supervisors        Email: skumar@mhs.net
                          Phone: 954-265-6363


Short Program Description
MCI has a wide variety of inpatient and outpatient populations. Opportunities for adult
individual, family and/or group therapy are available. Students will be exposed to people
suffering from a wide range of cancer diagnoses ranging from high-risk conditions requiring
routine follow-up to end-stage disease requiring palliation/hospice.
                                                                                     113

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
      Adolescents              Infants                   Children
  √ Adults                  √ Older Adults               College Students
     Other ________

Assessment
    Personality                Intelligence              Neuropsychology
 √ Behavioral/Cognitive        Forensic                  Physiological

Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                  √ Behavioral Medicine     √ Humanistic
 √ Cognitive                 √ Dynamic                 √ Systems
 √ Gestalt                   √ Behavioral                 Other: Mindfulness-
                                                          based therapies.
                                                                                           114

      Miami Children’s Hospital - Brain Institute and Behavioral
                             Medicine
Date Last Modified             November 14, 2010
Program/Institution            Miami Children's Hospital
Department                     Brain Institute & Behavioral Medicine
Street # and address           3100 SW 62nd Avenue
City, State, Zip               Miami, FL 33155
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 5

Of total # of students, # that are Summer     Of total # of students, # that are FALL starts
starts (May through April) 1 to 5             (end of Aug through mid Aug) 1 to 5


Further description of # of SUMMER            Further description of # of FALL student
student starts                                starts
____0 to 1____1st year practicum              ___0 to 1_____1st year practicum
___ 1 to 3_____2nd year practicum             ___1 to 3_____ 2nd year practicum
____1 to 4____Elective (8 months)             ___1 to 4_____Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  ____Level 2 Screen Required
____Fingerprints Required                     ____Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
__√__Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other:
                                                                                             115

_√_Are there mandatory training sessions before starting? If yes describe: A brief online
hospital orientation and two full days of group training at the beginning of the rotation.

Other Required Training Prerequisites (classes, degrees, experience, etc):
Prior assessment experience, a solid knowledge of intellectual and neuropsychological test
administration and scoring, and basic coursework in neuropsychology. A typical battery
includes the following measures: WISC-IV, Expressive Vocabulary Test-2, PPVT-4, Beery
VMI, WRAML-2 Word List Learning, WRAML-2 Story Memory, NEPSY-2 Memory for Faces,
NEPSY-2 Verbal Fluency, FAS, Grooved Pegboard Test, Woodcock Johnson-III Tests of
Achievement, Trails A and B; Achenbach, Conner‘s, and BASC-II Questionnaires, Vineland
Scales. Knowledge in writing integrative reports.
Suggested prerequisites: Significant experience with WISC-IV administration and familiarity
with at least some of the above tests.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 15
hours/week                        2nd Year practicum: 15
                                  Elective practicum: 15
Attendance at specific            Two-hour Case Conference every second Tuesday of the
meetings                          month in the evening (obligatory). Epilepsy surgery
                                  conference Wednesdays at noon (optional but
                                  recommended).
Other requirements
List specific evening hours       None
required
# Direct clinical contact         6
hours/week
Supervision Requirements          Students undergo an intensive orientation period that includes
(e.g., individual, group, time,   a review of all instruments typically utilized for the
day)                              neuropsychological evaluations. Following this initial period,
                                  students ―shadow‖ and observe supervisors and intern in the
                                  assessment of patients. Once deemed prepared to start
                                  actual testing, students receive intensive supervision 3-4
                                  hours per week or more. Supervision is provided on a weekly
                                  basis by the pre-doctoral intern, Dr. Rey, and Dr. Korman.


Contact Person/Supervisor Information
Contact                   Name: Gustavo Rey, Ph.D. or Brandon Korman, Psy.D.
Person/Supervisors        Email: gustavo.rey@mch.com/brandon.korman@mch.com
                          Phone: 305-666-6511, ext. 8549 and 2469
                                                                                               116


Short Program Description
The Neuropsychology section of the MCH Psychiatry Department and Brain Institute in
association with the Departments of Neurology and Neurosurgery provide neuropsychological
services for children with a wide range of neurological and neurodevelopmental disorders. The
service offers state-of-the-art neuropsychological evaluations focused on children with
neurological conditions and/or other medical disorders that affect brain functioning, behavior
and cognition. The neuropsychological battery utilized is eclectic in nature and hypothesis-
driven. Measures are selected to provide detailed information regarding cognitive skills
including intellect, attention, language and communication skills, memory and learning, motor
and sensory functions, academic achievement, and ―executive‖ processes. The information
obtained from these evaluations serve to determine the presence or absence of brain
dysfunction, assist in differential diagnosis, obtain baseline levels to monitor change over time,
and assist in formulating intervention and treatment strategies.
The neuropsychology service also has an active role in the epilepsy program at Miami
Children‘s Hospital. This program is considered among the best and has a world-renowned
epilepsy surgery program, specializing in the treatment of complex epileptic disorders.
Neuropsychological assessments are an integral part of the work-up of epilepsy surgery
candidates and test results are discussed in weekly multi-disciplinary surgical conferences in
conjunction with neurology, neurosurgery, radiology, and neuropathology. As part of this
program, we are also involved in clinical research and have active clinical and research
activities with functional magnetic resonance imaging in order to ―map‖ the location of cognitive
skills pre- and post-surgically. The service also collaborates with the hematology-oncology
group in the evaluation of children with brain tumors and leukemia survivors. Outpatient
consults are also performed in the assessment of children with ADHD, Learning Disorders and
PPD.
Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                 √ Infants                    √ Children
  √ Adults                         Older Adults              √ College Students
      Other ________

Assessment
 √ Personality                  √ Intelligence               √ Neuropsychology
 √ Behavioral/Cognitive         √ Forensic                       Physiological


Treatment Modality
     Individual                     Group                       Brief (4 -12 sessions)
     Family                         Couples                     Short-term (3-6 months)
     Crisis Intervention            Other: __________           Long-term (6+ months)
                                                                     117

Theoretical Orientation
    Eclectic              Behavioral Medicine   Humanistic
    Cognitive             Dynamic               Systems
    Gestalt               Behavioral            Other: ___________
                                                                                          118

          Miami Children’s Hospital - Department of Psychiatry
Date Last Modified             November 14, 2010
Program/Institution            Miami Children's Hospital
Department                     Department of Psychiatry
Street # and address           3100 SW 62nd Avenue
City, State, Zip               Miami, FL 33155
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
       THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 2

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___1st year practicum                   __n/a___ 1st year practicum
__n/a___2nd year practicum                   ___2____ 2nd year practicum
__n/a___Elective (8 months)                  __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  ____Level 2 Screen Required

__√__Fingerprints Required                    __√__Do YOU conduct the background
                                              checks
____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         __√__TB Screening Required
____Proof of Health Insurance Required        __√__Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     ___√_1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other:
                                                                                                 119

_√_Are there mandatory training sessions before starting? If yes describe: A one week
orientation to the Miami Children‘s Hospital and Department of Psychiatry is provided either
the last week of August or first week of September.
Other Required Training Prerequisites (classes, degrees, experience, etc):
Students must be able to administer and write full battery assessments. The student must
also have experience, prior knowledge, and a theoretical base in individual psychotherapy.
Family therapy theory and therapy experience would be beneficial.
Suggested prerequisites: An overview of a psychodynamic/systems approach to case
conceptualization, intervention and treatment would be beneficial. Previous work with
assessment of children would also be helpful, as well as experience or interest in group
therapy. All therapies provided are based on evidence based practices.

Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 20
Attendance at specific            Must attend one of two Multidisciplinary Staff Meetings:
meetings                          Monday 10-11 or Thursday 10-11AM. Group supervision on
                                  Wednesdays from 1-2PM. Must attend one Family Therapy
                                  Seminars: Thursday 11-1, , or 3-                -vivo
                                  supervision of family therapy cases.
Other requirements                Foreign language skills desirable. Videotaped supervision,
                                  especially with family work, is encouraged and utilized as an
                                  integral part of supervision. Other in-service training
                                  opportunities available in assessment, intake admission
                                  procedures, and developmental disorders.

List specific evening hours       Five days per week, can use a Saturday/Sunday to fulfill the
required                          5 day requirement. Minimal evening hours are required.
                                  Weekend rotation hours may be required.
# Direct clinical contact
hours/week
Supervision Requirements          Students receive 1 hour of individual supervision each week
(e.g., individual, group, time,   and 1 hour of Clinical Group Supervision. Students also
day)                              participate in multi-disciplinary treatment team at least once
                                  per week. A Family Therapy Seminar with live case
                                  presentations and supervision for 2 hours/week is also
                                  required. Seminars and specialized supervision in Family
                                  Systems Theory, Assessment, and Group Therapy are also
                                  available.
                                                                                             120



Contact Person/Supervisor Information
Contact                  Name: Janet P. Rosen
Person/Supervisors       Email: janet.rosen@mch.com
                         Phone: 305-666-6511, ext. 2465


Short Program Description
The program is designed to provide a wide range of clinical experiences with children,
adolescents and families. The student will be responsible for providing individual, group, and
family psychotherapy in both the inpatient and outpatient settings, as well as participating in,
intake interviews, and psychological evaluations. The theoretical orientation of the Department
of Psychiatry is primarily influenced by a psychodynamic, systems oriented approach. A heavy
emphasis is placed on using a developmental model and object relations approach to
conceptualization and treatment. Psychological Assessment experience is available.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                 √ Infants                   √ Children
      Adults                       Older Adults                 College Students
      Other ________

Assessment
 √ Personality                  √ Intelligence                  Neuropsychology

 √ Behavioral/Cognitive            Forensic                     Physiological

Treatment Modality
  √ Individual                  √ Group                     √ Brief (4 -12 sessions)
 √ Family                       √ Couples                   √ Short-term (3-6 months)
 √ Crisis Intervention             Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                     √ Behavioral Medicine        √ Humanistic
 √ Cognitive                    √ Dynamic                    √ Systems
     Gestalt                        Behavioral                   Other: ___________
                                                                                           121

                       Miami Federal Correctional Institute
Date Last Modified             November 11, 2010
Program/Institution            Miami Federal Correctional Institute
Department
Street # and address           15801 SW 137th Avenue
City, State, Zip               Miami, FL 33177
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 6

Of total # of students, # that are Summer     Of total # of students, # that are FALL starts
starts (May through April) 3                  (end of Aug through mid Aug) 3

Further description of # of SUMMER            Further description of # of FALL student
student starts                                starts
__n/a___ 1st year practicum                   __n/a___ 1st year practicum
________ 2nd year practicum                   ________ 2nd year practicum
________ Elective (12 months)                 ________ Elective (12 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 ____Level 2 Screen Required

__√__ Fingerprints Required                   __√__Do YOU conduct the background checks

__√__Drug Test Required?                      __√__Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     ____ Spanish Speaker Preferred
____ Male Preferred                           ____Other: _________________________
___Are there mandatory training sessions before starting? If yes describe:
                                                                                                  122

Other Required Training Prerequisites (classes, degrees, experience, etc):


Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 16
Attendance at specific            If staff/clinical meetings fall on days the student is here, they
meetings                          are encouraged to attend
Other requirements                Foreign language skills are helpful, but not necessary.
                                  Students are required to complete intake screenings on new
                                  arrivals and will be asked to do brief mental status exams on
                                  inmates in the Special Housing Unit.
List specific evening hours       None
required
# Direct clinical contact         Hours of direct service will vary based on student‘s interest
hours/week                        level.
Supervision Requirements          2 supervisors per student for a total of 2 hour per week;
(e.g., individual, group, time,   individual format or group format depending on how many
day)                              students are working on the same day.


Contact Person/Supervisor Information
Contact                   Name: Sherri Skibinski, Psy.D.
Person/Supervisors        Email: sskibinski@bop.gov
                          Phone: 305-259-2255


Short Program Description
The population at the Miami Federal Correctional Institution consists of adult males, 18 years
of age and older who come from a wide variety of geographic, socioeconomic, and cultural
backgrounds. Their sentences range from a few months to life imprisonment. Typical problem
areas include, but are not limited to, anxiety, depression, dual diagnosis, substance abuse,
adjustment disorders, and Antisocial and Borderline Personality disorders. The population is
diverse with regard to age, ethnicity, race, religion, and culture. Students have the opportunity
to utilize language skills in Spanish, French, Creole, and occasionally American Sign
Language. Students are encouraged to create their own experience based on their areas of
interest. Possibilities include, but are not limited to, creating and facilitating groups, short-
and/or long-term individual therapy, forensic testing, biofeedback, research, and crisis
intervention.
                                                                                     123


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
      Adolescents              Infants                   Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence            √ Neuropsychology
 √ Behavioral/Cognitive     √ Forensic                √ Physiological

Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)
    Family                      Couples               √ Short-term (3-6 months)
 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                     Behavioral Medicine       Humanistic
 √ Cognitive                 √ Dynamic                    Systems
    Gestalt                  √ Behavioral                 Other: ___________
                                                                                              124

                            Miami VA Healthcare System
Date Last Modified             November 11, 2010
Program/Institution            Miami VA Healthcare System
Department
Street # and address           1201 NW 16th Street
City, State, Zip               Miami, FL 33125
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 5

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 1                 (end of Aug through mid Aug) 4

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  __n/a___ 1st year practicum
________ 2nd year practicum                  ________ 2nd year practicum
________ Elective (12 months)                ________ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 __√__Level 2 Screen Required
____Fingerprints Required                     ____Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        __√__Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other: _________________________
__√__Are there mandatory training sessions before starting? If yes describe: Varies but are
easily completed online.
                                                                                                   125

Other Required Training Prerequisites (classes, degrees, experience, etc):
Experienced with MMPI-2 is required for some placements.
Suggested prerequisites: Report writing.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 15-20
Attendance at specific            Arranged with each supervisor.
meetings
Other requirements                Must abide by federal VA requirements and guidelines
                                  especially with regard to patient privacy and confidentiality.

List specific evening hours       None
required
# Direct clinical contact
hours/week
Supervision Requirements          Individual supervision for minimum of 1 hour.
(e.g., individual, group, time,
day)


Contact Person/Supervisor Information
Contact                   Name: Regina Pavone, Ph.D.
Person/Supervisors        Email: Regina.Pavone@va.gov
                          Phone: 305-575-7000, ext. 3077


Short Program Description
   1)   Rehabilitation Unit
   2)   Chronic Mentally Ill Residential Program
   3)   Acute Inpatient Psychiatry
   4)   Day Activity Center
   5)   Substance Abuse/Dependence Outpatient Program
   6)   Weight Management Program
   7)   Neuropsychology Clinic
   8)   Geropsych/Nursing Home
                                                                                     126

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
      Adolescents              Infants                   Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence            √ Neuropsychology
 √ Behavioral/Cognitive        Forensic                  Physiological

Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                  √ Behavioral Medicine     √ Humanistic
 √ Cognitive                 √ Dynamic                    Systems
    Gestalt                  √ Behavioral                 Other: ___________
                                                                                          127

             Miami VA Healthcare System - Neuropsychology
Date Last Modified                   December 31, 2010
Program/Institution                  Miami VA Healthcare System
Department                           Neuropsychology
Street # and address                 1201 NW 16th Street
City, State, Zip                     Miami, FL 33125
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 8

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 4                 (end of Aug through mid Aug) 4

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
________ 1st year practicum                  ________ 1st year practicum
________ 2nd year practicum                  ________ 2nd year practicum
__n/a___ Elective (12 months)                __n/a___ Elective (12 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 __√__Level 2 Screen Required
__√__Fingerprints Required (take onsite)      _√__Do YOU conduct background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         __√__TB Screening Required
____Proof of Health Insurance Required        __√__Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other: _________________________
__√__Are there mandatory training sessions before starting? If yes describe: Varies
                                                                                               128

Other Required Training Prerequisites (classes, degrees, experience, etc):
Wechsler Adult Intelligence Scale-III/IV. General testing skills. Good interpersonal skills.

Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                1st Year practicum: 16
hours/week                       2nd Year practicum: 16+
Attendance at specific           7:45am Neuropsychology team meeting
meetings
Other requirements
List specific evening hours      None
required
# Direct clinical contact
hours/week
Supervision Requirements         Group and individual supervision is provided each week for 2
(individual, group, time, day)   hours.


Contact Person/Supervisor Information
Contact                  Name: Carlton Gass, Ph.D.
Person/Supervisors       Email: Carlton.Gass@va.gov
                         Phone: 305-575-3215


Short Program Description
Assessment of patients with known or suspected brain damage, wide range of diagnoses.
Adults, English-speaking, diagnostic and treatment planning, neuropsychological test
administration, scoring, and interpretation, case conferences, Medical school (UM) lectures,
and brain cutting (weekly).


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
      Adolescents                   Infants                       Children
  √ Adults                       √ Older Adults                   College Students
      Other ________
                                                                               129

Assessment
 √ Personality            √ Intelligence           √ Neuropsychology
 √ Behavioral/Cognitive     Forensic                 Physiological

Treatment Modality
  √ Individual               Group                   Brief (4 -12 sessions)

    Family                   Couples                 Short-term (3-6 months)

    Crisis Intervention      Other: ____________     Long-term (6+ months)


Theoretical Orientation
    Eclectic                 Behavioral Medicine      Humanistic
    Cognitive                Dynamic                  Systems
    Gestalt                  Behavioral               Other: ___________
                                                                                         130

                   Miami VA Healthcare System - Sleep Clinic
Date Last Modified         12/16/2010
Program/Institution        Sleep Disorders Center/Miami VAMC
Department                 Psychology Service
Street # and address       1201 N.W. 16th St.
City, State, Zip           Miami, Florida 33125
Web Address/Contact        www.miami.va.gov/william.wohlgemuth@va.gov
Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 1

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) _0__             (end of Aug through mid Aug) _1__

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
____0____ 1st year practicum                ___0____ 1st year practicum
____0____ 2nd year practicum                ___1____ 2nd year practicum
____0____ Elective (12 months)              ___0____ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required             ___√_Level 2 Screen Required

__ Fingerprints Required                     __Do YOU conduct the background checks

__ Drug Test Required?                       __    Do YOU conduct the drug tests

__ Physical Required                         __TB Screening Required
____Proof of Health Insurance Required       __√__Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           √    Interview Required
____Spanish Speakers Only                    ____1 Spanish Speaker Preferred
____1 Male Preferred                         ____Other: _________________________
                                                                                            131

√   Are there mandatory training sessions before starting? If yes describe:
Other Required Training Prerequisites (classes, degrees, experience, etc):
Behavioral Medicine classes and practicum experience are helpful
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: ___
hours/week                        2nd Year practicum: 15_
                                  Elective practicum: ___
Attendance at specific            N/A
meetings
Other requirements                Clinic is 9:30am-5:30pm on Wednesdays and 9:00am-4pm
                                  on Thursdays.
List specific evening hours       N/A
required
# Direct clinical contact         1st Year practicum: ___
hours/week                        2nd Year practicum: _8_
                                  Elective practicum: ___
Supervision Requirements          Supervision occurs during clinic hours.
(e.g., individual, group, time,
day)


Contact Person/Supervisor Information
Contact                   Name: William Wohlgemuth, Ph.D., C.B.S.M.
Person/Supervisors        Email: william.wohlgemuth@va.gov
                          Phone: (305) 575-3192


Short Program Description
The sleep disorders will provide the student with experience working with a multi-disciplinary
team comprised of physicians (neurologists, pulmonologists, ENT), and a psychologist.
Experiences will include becoming familiar with the diagnostic nosology in sleep medicine
(International Classification of Sleep Disorders) interviewing and diagnosing patients in the
sleep disorders clinic, becoming familiar with polysomnography (PSG), understanding the
results of overnight PSG, and learning about appropriate treatment for a wide range of sleep
disorders. Of particular relevance to psychology interns will be training in behavioral sleep
medicine. This training entails applying behavioral therapy to sleep disorders, for example,
CBT for insomnia or therapy to enhance compliance with continuous positive airway pressure
(CPAP).
                                                                                         132

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
      Adolescents                    Infants                   Children

  √   Adults                     √   Older Adults              College Students

  √   Other veterans

Assessment
    Personality                      Intelligence              Neuropsychology

 √    Behavioral/Cognitive           Forensic                  Physiological

Treatment Modality
 √ Individual                    √   Group                 √   Brief (4 -12 sessions)

      Family                         Couples                   Short-term (3-6 months)

      Crisis Intervention            Other: ____________       Long-term (6+ months)


Theoretical Orientation
    Eclectic                 √   Behavioral Medicine       Humanistic

 √    Cognitive                  Dynamic                   Systems
      Gestalt                √   Behavioral                Other:
                                                           ________________
                                                                                          133


            Miami VA Healthcare System - Spinal Cord Injuries
Date Last Modified            December 28, 2010
Program/Institution           Miami VA Healthcare System
Department                    Spinal Cord Injuries
Street # and address          1201 NW 16th Street
City, State, Zip              Miami, FL 33125
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 3

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 1-3               (end of Aug through mid Aug) or 1-3

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  __n/a___ 1st year practicum
__1-3___ 2nd year practicum                  _or 1-3_ 2nd year practicum
__n/a___ Elective (12 months)                __n/a___ Elective (12 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 __√__Level 2 Screen Required
____Fingerprints Required                     ____Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        __√__Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other: _________________________
__√__Are there mandatory training sessions before starting? If yes describe: Varies
                                                                                                 134

Other Required Training Prerequisites (classes, degrees, experience, etc):
Experience with screening instruments for intake evaluations (i.e., Folstein Mini Mental
Status Exam; Beck Depression Scale-II)
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                1st Year practicum: n/a
hours/week                       2nd Year practicum: 15-20
Attendance at specific           Arranged with each supervisor
meetings
Other requirements               Must abide by federal VA requirements and guidelines
                                 especially with regard to patient privacy and confidentiality

List specific evening hours      None
required
# Direct clinical contact
hours/week
Supervision Requirements         Individual supervision for a minimum of 1 hour per week.
(individual, group, time, day)


Contact Person/Supervisor Information
Contact                  Name: Salome Perez, Ph.D.
Person/Supervisors       Email: Salome.Perez@va.go
                         Phone: 305-575-7000, ext. 3717
Contact                  Name: Maria Pilar Somoza, Ph.D.
Person/Supervisors       Email: Maria.Somoza@va.go
                         Phone: 305-575-7000, ext. 3717


Short Program Description
Provide individual, group, family and/or couples psychotherapy to patients with spinal cord
injury and/or disorders. Participate in treatment team meetings and rounds, and conduct initial
intake evaluations. Patients range in age from young adults to geriatrics.
                                                                                     135

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
      Adolescents              Infants                   Children
  √ Adults                  √ Older Adults               College Students
     Other ________

Assessment
 √ Personality              √ Intelligence               Neuropsychology

 √ Behavioral/Cognitive        Forensic                  Physiological

Treatment Modality
  √ Individual               √ Group                    Brief (4 -12 sessions)

    Family                   √ Couples                  Short-term (3-6 months)

    Crisis Intervention         Other: ____________     Long-term (6+ months)


Theoretical Orientation
    Eclectic                 √ Behavioral Medicine     √ Humanistic
 √ Cognitive                 √ Dynamic                    Systems
    Gestalt                     Behavioral                Other: ___________
                                                                                          136


           Miami-Dade County Department of Human Services
Date Last Modified             November 11, 2010
Program/Institution            Miami-Dade County Department of Human Services
Department                     Psychological Services
Street # and address           2525 NW 62nd Street, 4th Floor
City, State, Zip               Miami, FL 33147
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 4-6


Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) _1-2_             (end of Aug through mid Aug) 2-5_

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
________ 1st year practicum                  ________ 1st year practicum
________ 2nd year practicum                  ________ 2nd year practicum
__n/a___ Elective (8 months)                 __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  __√__ Level 2 Screen Required
____Fingerprints Required                     ______ Do YOU conduct the background
                                              checks
____Drug Test Required?                       __√__ Do YOU conduct the drug tests
____Physical Required                         __√__ TB Screening Required
____Proof of Health Insurance Required        __√__ Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__ Interview Required
____Spanish Speakers Only                     __√__1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other ___________________________
                                                                                               137

___Are there mandatory training sessions before starting? If yes describe:
Other Required Training Prerequisites (classes, degrees, experience, etc):


Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 10-15
hours/week                        2nd Year practicum: 15-20
Attendance at specific            Clinical meetings
meetings
Other requirements                Testing opportunities
List specific evening hours       No
required
# Direct clinical contact
hours/week
Supervision Requirements          Face to face supervision with main supervisor. Exposure to
(e.g., individual, group, time,   more than one supervisor/professional in their area of
day)                              expertise and other informal supervision from other
                                  professionals (Clinical Social Worker)


Contact Person/Supervisor Information
Contact                   Name: Ana M. Faraci, Ph.D., LMFT
Person/Supervisors        Email: laj@miamidade.gov
                          Phone: 305-514-6086


Short Program Description
Clinical Services delivered to the pre-schoolers at the Head Start and Early Head Start
programs. Clinical Services delivered at the various Departmental divisions, such as: Domestic
Violence, Elderly and Disability Bureau, Refugee Services, and Rehabilitative Services.
                                                                                     138

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
      Adolescents            √ Infants                √ Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence               Neuropsychology

 √ Behavioral/Cognitive        Forensic                  Physiological

Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                     Behavioral Medicine    √ Humanistic
 √ Cognitive                    Dynamic                √ Systems
    Gestalt                  √ Behavioral                 Other: ___________
                                                                                          139


       Miami-Dade Police Department - Psychological Services
Date Last Modified             February 17, 2011
Program/Institution            Miami-Dade Police Department
Department                     Psychological Services
Street # and address           8525 NW 53rd Terrace, Suite 215
City, State, Zip               Miami, FL 33166
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
       THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 1

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 1

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  __n/a___ 1st year practicum
__n/a___ 2nd year practicum                  __n/a___ 2nd year practicum
__n/a___ Elective (12 months)                ___X_____ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                 ____Level 2 Screen Required
____Fingerprints Required                    __√_Do YOU conduct the background checks

____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                    ____1 Spanish Speaker Preferred
____ Male Preferred                          __√__Other: criminal background check
__No_Are there mandatory training sessions before starting? If yes describe:
                                                                                                140

Other Required Training Prerequisites (classes, degrees, experience, etc):
Basic skills in non-projective (MMPI, CPI, & BDI). Basic assessment skills as they relate to
case conceptualization and treatment. Recognition of verbal and non-verbal cues in
interviewing process. Brief therapy skills (cognitive-behavioral). The practicum student is
expected to be an independent individual with much initiative. Also, it is imperative the
individual be honest with high integrity. Knowledge and understanding of APA Ethics, esp.
confidentiality. A police background check is mandatory. Only 2nd and 3rd practicum
experience students will be considered and preference will be given to students (if any) living
in Miami-Dade County. This will optimize placement experiences of responding to traumas
and hostage rescue operations. Student may be expected to respond to trauma and hostage
rescue operations. Imperative that student has knowledge of crisis intervention, especially
post-trauma and suicide
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                1st Year practicum: n/a
hours/week                       2nd Year practicum: 15-20
Attendance at specific           Monday from 1:00 to 2:00 PM
meetings
Other requirements               Willingness to initially read about, understand, and interact
                                 with law enforcement community. Potential availability to ride-
                                 along with on-duty police officers, and respond with PSS staff
                                 to hostage/barricaded subjects, and some police traumas.

List specific evening hours      Required as it relates to scheduling of patients.
required
# Direct clinical contact        8-12 hours
hours/week
Supervision Requirements         Individual supervision with one supervisor for 2 hours/week.
(individual, group, time, day)   Optional hour with another staff psychologist.


Contact Person/Supervisor Information
Contact                  Name: Scott W. Allen, Ph.D.
Person/Supervisors       Email: sallen@mdpd.com
                         Phone: 305-591-1106


Short Program Description
The Psychological Services Section (PSS) of Miami-Dade Police Dept. is a highly functioning
professional clinical Practice which serves a potential client population of approx. 3,000 sworn
police officers and 1,200 civilian support personnel. PSS is on 24-hour call for any crisis
                                                                                         141

inclusive of post-trauma, post-shooting, suicide, and substance abuse. PSS responds to all
hostage negotiation calls. PSS is responsible for short-term (and some long-term) clinical
intervention with individuals, couples, marital, and family therapy. PSS is involved with
training, consultation, psychological evaluation, some team building, and some research. PSS
fully supports local training, seminars, grand rounds opportunities for all staff.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                  Infants                  √ Children
  √ Adults                       Older Adults                College Students
     Other ________

Assessment
 √ Personality                √ Intelligence              √ Neuropsychology

 √ Behavioral/Cognitive       √ Forensic                     Physiological


Treatment Modality
  √ Individual                 √ Group                   √ Brief (4 -12 sessions)

 √ Family                      √ Couples                 √ Short-term (3-6 months)

 √ Crisis Intervention            Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                    √ Behavioral Medicine      √ Humanistic
 √ Cognitive                      Dynamic                 √ Systems
 √ Gestalt                     √ Behavioral                   Other: ___________
                                                                                         142

    Mount Sinai Medical Center - Comprehensive Cancer Center
Date Last Modified             December 21, 2010
Program/Institution            Comprehensive Cancer Center at Mount Sinai (MSCCC)
Department                     Oncology Supportive Care Service
Street # and address           4306 Alton Road
City, State, Zip               Miami Beach, FL 33140
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: _1_

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) ___              (end of Aug through mid Aug) _1__

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
___n/a____ 1st year practicum               ___n/a____ 1st year practicum
___n/a___ 2nd year practicum                ____1____ 2nd year practicum
___n/a___ Elective (12 months)              ___n/a___ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                ____Level 2 Screen Required
____Fingerprints Required                   ____Do YOU conduct the background checks

____Drug Test Required?                     ____Do YOU conduct the drug tests
____Physical Required                       __√__ TB Screening Required
____Proof of Health Insurance Required      ____Physician's Statement of Readiness for
                                            Practicum Required
__√__Proof of Immunization Required         __√__ Interview Required
____Spanish Speakers Only                   __√__ 1 Spanish Speaker Preferred
____1 Male Preferred                        ____Other: _________________________
                                                                                              143

__√__ Are there mandatory training sessions before starting? If yes describe: A hospital
orientation is required prior to beginning the practicum. Reading materials will be distributed
at the onset and throughout the practicum
Other Required Training Prerequisites (classes, degrees, experience, etc): Familiarity with
psychosocial oncology and consultation/ liaison within a medical setting is suggested.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: ___
hours/week                        2nd Year practicum: _10__
                                  Elective practicum: ___
Attendance at specific            As determined by placement and schedule may include-
meetings                          medical grand rounds, tumor board, and breast cancer
                                  conference
Other requirements                2 days per week, must be flexible and willing to work as part
                                  of a team
List specific evening hours       As determined by placement and student needs
required
# Direct clinical contact         1st Year practicum: ___
hours/week                        2nd Year practicum: ___
                                  Elective practicum: ___
Supervision Requirements          Individual supervision, 1 hour per week, however there will be
(e.g., individual, group, time,   daily contact with the supervisor
day)


Contact Person/Supervisor Information
Contact                   Name: Lisa Gonzalez-Alpizar, Psy. D.
Person/Supervisors        Email: lgonzalez-alpizar@aptiumoncology.com
                          Phone: (305) 535-3362


Short Program Description
The Mount Sinai Comprehensive Cancer Center is a full service cancer care facility, which
houses medical oncology, radiation oncology, surgical oncology and a breast center. Students
will have the opportunity to work with patients and their families throughout entire course of
care and will be exposed to all aspects of cancer center.
                                                                                     144

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
      Adolescents              Infants                   Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
    Personality                Intelligence              Neuropsychology
    Behavioral/Cognitive       Forensic                  Physiological

Treatment Modality
  √ Individual                  Group                 √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________     Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                √ Behavioral Medicine      Humanistic

 √ Cognitive                  Dynamic                 Systems
    Gestalt                √ Behavioral               Other:
                                                      _______________
                                                                                         145

       NCCOA and NSU Health Professions Division - Nova Site
Date Last Modified           November 11, 2010
Program/Institution          NCCOA & NSU Health Professions Division – Nova
Department                   Center for Psychological Services
Street # and address         3301 College Avenue
City, State, Zip             Fort Lauderdale, FL 33314
Web Address/Contact Email    http://www.nova.edu/healthcare/psychology/coa.html


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 4

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 1                (end of Aug through mid Aug) 3

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
________ 1st year practicum                 ___1-2__ 1st year practicum
________ 2nd year practicum                 ___1-3___2nd year practicum
__n/a___ Elective (12 months)               ____1____ Elective (12 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required               __√__Level 2 Screen Required
____Fingerprints Required                   ____Do YOU conduct the background checks

____Drug Test Required?                     ____Do YOU conduct the drug tests
____Physical Required                       ____TB Screening Required
____Proof of Health Insurance Required      ____Physician's Statement of Readiness for
                                            Practicum Required
____Proof of Immunization Required          __√__Interview Required
____Spanish Speakers Only                   __1__ Spanish Speaker Preferred
At least 1 Male Preferred                   ____Other: _________________________
                                                                                               146

__√__Are there mandatory training sessions before starting? If yes describe: Training takes
place during 2 days, usually during the days and time when supervision would be provided.
Also, all students are required to complete a reading list prior to practicum start.
Other Required Training Prerequisites (classes, degrees, experience, etc):
Basic understanding of cognitive-behavioral treatment, humanistic, and existential psychology
is important. Familiarity with health & aging psychology is also important.
Suggested prerequisites: Experience in health psychology services. Psycho-educational and
support group therapy experience. Health Psychology concentration or courses.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 10
hours/week                        2nd Year practicum: 15
Attendance at specific            Interdisciplinary Geriatric Journal Club (bi-monthly)
meetings
Other requirements                Availability on Wednesday mornings (10 – 12:00 PM) during
                                  at least one semester of the practicum year is essential in
                                  order to work with the NSU Parkinson‘s Support Groups.
                                  Also, NSU Caregiver Alliance Program support group occurs
                                  2nd Wed of each month @ 12 – 1pm.
                                  Students may opt to work in the NSU Geriatric Medicine clinic
                                  under a geriatrician.
                                  Students may wish to shadow Dr. Gagnon Blodgett on
                                  Thursday afternoons (1p – 5p) in the NSU Interdisciplinary
                                  Fall Prevention Team Clinic.
List specific evening hours       Optional, Monday – Thursday evening appointment hours.
required
# Direct clinical contact         Group clinical contact time = 2+ hours/weekly. Individual
hours/week                        clinical contact time = 3+ hours/weekly
Supervision Requirements          One hour of individual supervision OR 3 - 4 hours of group
(e.g., individual, group, time,   supervision per week. Also, additional supervision time is
day)                              available on an appointment basis.


Contact Person/Supervisor Information
Contact                   Name: Michelle Gagnon Blodgett, Psy.D.
Person/Supervisors        Email: gagnonmi@nova.edu
                          Phone: 954-262-5611
                                                                                             147



Short Program Description
The practicum student will engage in clinical activities at both NCCOA & HPD sites. In general,
the student will spend about 2-5 clinical hours per week with HPD clinic, and remaining clinical
hours with NCCOA clinic.
NCCOA provides outpatient psychological evaluation and treatment to individuals 55 years or
older. Clients served in this program may be experiencing anxiety, depression, psychosexual
dysfunction, marital/familial discord, or some other form of psychopathology or adjustment
difficulty. NCCOA trains pre-doctoral clinical psychologists in the skills of assessment,
consultation, and treatment of psychological disorders and adjustment issues in older
individuals. NCCOA's clinical research component is designed to identify the unique features
of psychopathology in older adults and evaluate comparatively the most effective remedial
approaches for treatment. Orientation is provided during the first week of placement.
Additionally, students are involved in the development and administration of all aspects of the
clinic.
NSU Health Professions Division: Emphasis of this program is to provide training experience
for practicum students interested in the health psychology domain. Students will gain
experience with co-leading (with the Director) a support and psychoeducational group for
patients with Parkinson‘s Disease and their caregivers. Opportunities are also available for
individual and possibly couples therapy with the Parkinson‘s patients and their caregivers. The
student is also encouraged to participate in the NSU Interdisciplinary Fall Prevention Clinic
(Thursday afternoons) with the Director and/or the NSU Caregiver Alliance Program support
group with the Director (2nd Wednesday of each month at lunchtime). Students may also
function as a psychology-trainee consultant in the NSU Geriatric Medicine clinic under the
direction of a geriatrician.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
      Adolescents                  Infants                      Children
  √ Adults                      √ Older Adults                  College Students
      Other ________

Assessment
 √ Personality                  √ Intelligence              √ Neuropsychology
 √ Behavioral/Cognitive            Forensic                 √ Physiological
                                                                              148

Treatment Modality
  √ Individual             √ Group                √ Brief (4 -12 sessions)

 √ Family                  √ Couples              √ Short-term (3-6 months)

    Crisis Intervention       Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic               √ Behavioral Medicine √ Humanistic

 √ Cognitive                Dynamic            √ Systems
    Gestalt               √ Behavioral            Other: ______________
                                                                                           149

       Neuropsychology Assessment Center (NAC) - Nova Site
Date Last Modified            November 11, 2010
Program/Institution           Neuropsychology Assessment Center – Nova
Department                    Center for Psychological Services
Street # and address          3301 College Avenue
City, State, Zip              Fort Lauderdale, FL 33314
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
       THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 16

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 8                 (end of Aug through mid Aug) 8

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
________ 1st year practicum                  ________ 1st year practicum
________ 2nd year practicum                  ________ 2nd year practicum
__n/a___ Elective (12 months)                __n/a___ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required             __√__Level 2 Screen Required
____Fingerprints Required                     __√__Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            ____Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other: _________________________
____Are there mandatory training sessions before starting? If yes describe: PSC Clinic
Training
                                                                                             150

Other Required Training Prerequisites (classes, degrees, experience, etc):


Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 18
hours/week                        2nd Year practicum: 18
Attendance at specific            Regular weekly meetings (2 hours) to be arranged; Friday
meetings                          morning meeting at 8 AM required for everyone
Other requirements                Monthly 3-hour staff meeting, evening or weekend. Must have
                                  free at least one full day. May arrange in some cases
                                  additional evening or Saturday hours. May involve
                                  consultation to sites outside Davie.
List specific evening hours       Encouraged
required
# Direct clinical contact         Individual (5-10 hours/week)
hours/week
Supervision Requirements          Group supervision (2 hours) is provided each week. Individual
(e.g., individual, group, time,   consultation with Dr. Golden and staff as needed or
day)                              requested.


Contact Person/Supervisor Information
Contact                   Name: Charles J. Golden, Ph.D.
Person/Supervisors        Email: goldench@nova.edu
                          Phone: 954-262-5715


Short Program Description
The program offers clinical work with clients with suspected neurological dysfunction at all age
levels. The program covers formal and informal evaluation, assessment, therapy, consultation,
and forensic opportunities. The overall focus is holistic and eclectic, recognizing the wide
range of problems seen with brain injured clients. Opportunities are available at all levels of
prior experience. Open to all students whether or not they are in the neuropsychology
program.
                                                                                     151

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                Infants                √ Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence            √ Neuropsychology
 √ Behavioral/Cognitive     √ Forensic                √ Physiological

Treatment Modality
     Individual                 Group                   Brief (4 -12 sessions)
    Family                      Couples                 Short-term (3-6 months)
    Crisis Intervention         Other: ____________     Long-term (6+ months)

Theoretical Orientation
 √ Eclectic                √ Behavioral Medicine      Humanistic

 √ Cognitive                  Dynamic                 Systems
    Gestalt                √ Behavioral            √ Other:
                                                      neuropsychological
                                                                                          152

           North Broward Medical Center - Rehabilitation Unit
Date Last Modified             November 11, 2010
Program/Institution            North Broward Medical Center
Department                     Rehabilitation Unit
Street # and address           201 East Sample Road
City, State, Zip               Deerfield Beach, FL 33064
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are        Of total # of students, # that are FALL starts (end
Summer starts (May through April) 1       of Aug through mid Aug) 1
                                          Note: 1 starts end of Aug and 1 starts Oct
Further description of # of SUMMER        Further description of # of FALL student starts
student starts                            __n/a___ 1st year practicum
__n/a___ 1st year practicum               ___2 ___ 2nd year practicum
__n/a___ 2nd year practicum               __n/a___ Elective (12 months)
__n/a___ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required             ____Level 2 Screen Required

__√__ Fingerprints Required               ____Do YOU conduct the background checks

__√__Drug Test Required?                  ____Do YOU conduct the drug tests
___Physical Required                      ____TB Screening Required
____Proof of Health Insurance Required    ____Physician's Statement of Readiness for
                                          Practicum Required
__√__Proof of Immunization Required       __√__Interview Required
____Spanish Speakers Only                 ____1 Spanish Speaker Preferred
____1 Male Preferred                      _ √__Other: CPR Certification required
__√__Are there mandatory training sessions before starting? If yes describe: PSC Clinic
Training
                                                                                                 153

Other Required Training Prerequisites (classes, degrees, experience, etc):
Adult Psychopathology, Assessment: Interviewing.
Suggested prerequisites: Assessment: Behavioral Assessment, Case conceptualization.
Therapy: Cognitive/Behavior Therapy, Cross-Cultural Counseling, Brief Therapy, Substance-
use Intervention
Developmental: Gerontology
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of              1st Year practicum: n/a
hours/week                     2nd Year practicum: 16-20
Attendance at specific         Either Tuesday or Wednesday mornings from 8-10 am for
meetings                       interdisciplinary team conference.
Other requirements             Scheduled on site for 2 full days; Provide one in-service to
                               rehab. staff on psychological topic relevant to medical services.

List specific evening hours     None
required
# Direct clinical contact       8-10 hours of clinical hours per week
hours/week
Supervision Requirements        1 hour of individual supervision per week
(e.g., individual, group, time,
day)


Contact Person/Supervisor Information
Contact            Name: Madelin W. Westerfeld, Psy.D.
Person/Supervisors Email: mwesterfeld@browardhealth.org

                         Phone: 954-786-6423


Short Program Description
This is a rehabilitation unit in an acute hospital setting. The setting is medical, involving
psychological services to patients receiving physical rehabilitation for stroke, spinal cord injury,
head injury, amputation, and a number of other neurological, medically degenerative, and
psychiatric conditions. There is some behavioral medicine consult-liaison work throughout the
hospital. As a large county hospital, the ethnic, language, and socioeconomic status are very
diverse. Interdisciplinary case conferences are held weekly. There are various opportunities to
attend medical staff and medical student seminars. Student‘s experience will involve
psychotherapy & psychoeducation services to facilitate patients and their family‘s
psychological adjustment to devastating illness or injury. Basic neuropsychological and
psychological assessments are routine practice. Advanced neuropsychological experience is
available, per student interest.
                                                                                     154


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
     Adolescents             Infants                 Children
 √ Adults                 √ Older Adults             College Students
     Other ________

Assessment
 √ Personality            √ Intelligence          √ Neuropsychology
 √ Behavioral/Cognitive      Forensic                Physiological


Treatment Modality
 √ Individual              √ Group                √ Brief (4 -12 sessions)

 √ Family                  √ Couples              √ Short-term (3-6 months)

    Crisis Intervention      Other:                 Long-term (6+ months)
                             ____________

Theoretical Orientation
 √ Eclectic                √ Behavioral Medicine √ Humanistic

 √ Cognitive                 Dynamic              √ Systems
 √ Gestalt                 √ Behavioral             Other: ____________
                                                                                          155

                      Palm Beach County Detention Center
Date Last Modified            November 15, 2010
Program/Institution           Palm Beach County Detention Center
Department
Street # and address          3228 Gun Club Road
City, State, Zip              West Palm Beach, FL 33406
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 2

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  __n/a___ 1st year practicum
__n/a___ 2nd year practicum                  __n/a___ 2nd year practicum
__n/a___ Elective (12 months)                ___2____ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                __√__Level 2 Screen Required
____Fingerprints Required                    __√__Do YOU conduct the background checks

____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           ____Interview Required
____Spanish Speakers Only                    __√__1 Spanish Speaker Preferred
____1 Male Preferred                         __√__Other: 1 Creole Speaker Preferred
__√__Are there mandatory training sessions before starting? If yes describe: 1-2 days
                                                                                             156

Other Required Training Prerequisites (classes, degrees, experience, etc):
Assessment: Ability to conduct a basic psychosocial and mental status examination. Therapy:
Ability to conduct person-centered counseling. Familiarity with crisis intervention theory and
brief treatment models. General familiarity with personality theory in general and personality
disorders in particular.
Suggested prerequisites: Assessment: ability to administer neuropsychology and other
screening tests. Therapy: Familiarity with psychodynamic and cognitive-behavioral theory and
treatment strategies/approaches. Familiarity with a correctional or forensic setting.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: n/a
                                  Elective practicum: 16
Attendance at specific            Attend at least one multidisciplinary treatment team meeting
meetings                          (9:30 – 10:30 AM each week)
Other requirements                Spanish and Creole preferred.
List specific evening hours       None
required
# Direct clinical contact
hours/week
Supervision Requirements          One supervisor for total of 1-2 hours per week. Group (based
(e.g., individual, group, time,   on enrollment) and individual.
day)


Contact Person/Supervisor Information
Contact                   Name: Adam White, Ph.D.
Person/Supervisors        Email: adwhite@geocareinc.com
                          Phone: 561-688-4538


Short Program Description
THIS IS AN ASSESSMENT ONLY PRACTICUM. The Palm Beach County Detention Center is
a maximum security facility located in central Palm Beach County. Auxiliary sites include the
Stockade (located near the Fairgrounds) and the West County facility (located in Belle Glade).
Inmates are pre-trial and other (e.g., INS) detainees, individuals who are county sentenced, or
are awaiting placement in a state hospital or in the Department of Corrections prison. The full
range of offenders are served (violent, non-violent, sex offenders, drug offenders, domestic
offenders, etc.). The population is primarily white, African-American, Hispanic and Haitian
(languages spoken include English, Spanish and Creole). Ability to speak Spanish and/or
Creole is highly desirable. Services include emergency and supportive mental health
                                                                                              157

assistance, crisis intervention, suicide prevention and risk assessment, individual and group
counseling, both ―inpatient‖ (for inmates housed in mental health units, crisis and transitional)
and ―outpatient‖ (for inmates housed in general population, Drug Dorm and Drug Farm). The
emphasis is on providing high quality mental health services within the constraints of managed
care and a detention setting. All students are required to attend some Multi-disciplinary
Treatment Team meetings which are held daily, Safety and Security orientation, and
professional staff orientation. Sessions cannot be audio or videotaped for security reasons.
Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                    Infants                      Children
  √ Adults                      √ Older Adults                  College Students
      Other ________

Assessment
 √ Personality                  √ Intelligence               √ Neuropsychology
 √ Behavioral/Cognitive         √ Forensic                      Physiological


Treatment Modality
  √ Individual                  √ Group                     √ Brief (4 -12 sessions)

     Family                         Couples                 √ Short-term (3-6 months)

 √ Crisis Intervention              Other: ____________        Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                      Behavioral Medicine        Humanistic

     Cognitive                   Dynamic                    Systems
     Gestalt                     Behavioral                 Other:
                                                                                            158


                   Palm Beach County Youth Affairs Division
Date Last Modified             December 20, 2010
Program/Institution            Palm Beach County Youth Affairs Division
Department
Street # and address           100 Australian Avenue
City, State, Zip               West Palm Beach, FL 33406
Web Address/Contact Email      http://www.pbcgov.com/publicsafety/youthaffairs/ or email:
                               dkelly@pbcgov.org


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 2

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  __n/a____ 1st year practicum
__n/a___ 2nd year practicum                  ___2_____ 2nd year practicum
__n/a___ Elective (12 months)                __n/a___ Elective (12 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  __√__Level 2 Screen Required
____Fingerprints Required                     __√__Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other: ______________________
                                                                                               159

__√__Are there mandatory training sessions before starting? If yes describe: ½ day; TBS

Other Required Training Prerequisites (classes, degrees, experience, etc):
Coursework in intellectual assessment, intervention, and ethics; experience with
biopsychosocial interviews (may be concurrent with practicum).
Suggested prerequisites: Coursework in projective assessment, child development, child
psychopathology, and family therapy (may be concurrent with practicum).
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions


Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 15
hours/week                        2nd Year practicum: 20
Attendance at specific            Thursdays 10:30 AM to 12:00 PM for group supervision;
meetings                          Wednesdays 9:30 AM to 11:30 AM for Didactic trainings for
                                  first 10 weeks
Other requirements                Completion of psychological evaluation batteries and
                                  integrated reports, conduct family therapy and intake
                                  assessment, and co-facilitate groups. When making changes
                                  to class schedules each semester, maintaining ongoing client
                                  appointments should be prioritized.
List specific evening hours       Minimum of 2 evenings until 7PM
required
# Direct clinical contact         Half time on site
hours/week
Supervision Requirements          Minimum of 1 hour face-to-face individual and 1.5 hours of
(e.g., individual, group, time,   group supervision
day)


Contact Person/Supervisor Information
Contact                   Name: Diane Kelly, Ph.D.
Person/Supervisors
                          Email: dkelly@pbcgov.org
                          Phone: 561-233-4460


Short Program Description
The Palm Beach County Youth Affairs Division provides family therapy, residential care, and
psychological services to children and adolescents who are at risk for entering into the Florida
Department of Juvenile Justice. The Division offers varying levels of care to families who need
professional support in their efforts to develop healthy functioning children.
                                                                                                       160



Education Center/Youth Service Bureau

The Education Center is a community resource for primary prevention through education, training,
and professional development. Located within the Youth Service Bureau offices, the Education Center
provides free services to parents, children, families, school personnel, and mental health professionals in
Palm Beach County. The Education Center facilitates practicum and field placements for graduate
students.
The Youth Service Bureau serves families with children through age 17 years who are
residents of Palm Beach County. Families seek services through the Youth Service Bureau for
a variety of reasons, including behavioral disorders, school/academic problems, parent-child
relational problems, adjustment to parental separation or divorce, grief/loss issues, abuse or
neglect, and to fulfill requirements for diversionary programs. Therapists providing family,
individual, and group therapy utilize a Brief Therapy model. There are three area offices and
several satellite offices located throughout the county. Staff includes Bachelor‘s, Master‘s, and
Doctoral level counselors and therapists from various mental health fields. Students typically
conduct intake assessments, provide family therapy services, co-facilitate a parent education
group, and complete psychological evaluations.
Residential Treatment: Highridge Family Center is a residential facility serving adolescents
ages 11 to 16. Typically, families seeking services have been struggling with conflicted family
relations, poor academics, disruptive behavior, drug experimentation, poor peer group choices,
and emotional difficulties. Residents are provided family, group, and individual therapy in
conjunction with behavior management, therapeutic milieu activities, and alternative education
while they live at the facility Monday through Friday, returning to their homes on weekends to
practice newly learned skills with their families. Students typically conduct intakes and
psychological evaluation with Highridge residents.


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                       Infants                      √ Children
  √ Adults                            Older Adults                    College Students
  √ Other: Families

Assessment
 √ Personality                     √ Intelligence                     Neuropsychology

  √ Behavioral/Cognitive               Forensic                       Physiological
                                                                                  161

Treatment Modality
  √ Individual as needed    √ Group                   √ Brief (4 -12 sessions)

 √ Family                      Couples                √ Short-term (3-6 months)

 √ Crisis Intervention      √ Other: _Parent            Long-term (6+ months)
                               Education Group

Theoretical Orientation
    Eclectic                 Behavioral Medicine      Humanistic

 √ Cognitive                 Dynamic               √ Systems
    Gestalt                √ Behavioral            √ Other: Integrative
                                                                                         162

  Program for the Seriously Emotionally Disturbed (PSED) - Nova
                              Site
Date Last Modified           November 11, 2010
Program/Institution          Program for the Seriously Emotionally Disturbed (PSED) –
                             Nova
Department                   Center for Psychological Services
Street # and address         3301 College Avenue
City, State, Zip             Fort Lauderdale, FL 33314
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 5

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 0                (end of Aug through mid Aug) 5

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
__n/a___ 1st year practicum                 ________ 1st year practicum
__n/a___ 2nd year practicum                 ________ 2nd year practicum
__n/a___ Elective (12 months)               ________ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required               ____Level 2 Screen Required
____Fingerprints Required                   ____Do YOU conduct the background checks

____Drug Test Required?                     ____Do YOU conduct the drug tests
____Physical Required                       ____TB Screening Required
____Proof of Health Insurance Required      ____Physician's Statement of Readiness for
                                            Practicum Required
____Proof of Immunization Required          ____Interview Required
____Spanish Speakers Only                   ____1 Spanish Speaker Preferred
____1 Male Preferred                        ____Other: _________________________
                                                                                               163

__√__Are there mandatory training sessions before starting? If yes describe: PSC Clinic
Training
Other Required Training Prerequisites (classes, degrees, experience, etc):
Coursework or related practicum experience in psychodynamic foundations and family
therapy. High level of commitment, motivation, and a great capacity for empathy and
interpersonal sensitivity.
Suggested prerequisites: Experiencing writing full battery reports. Psychodynamic therapy I, II
courses, play therapy, family therapy.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 10-15
hours/week                        2nd Year practicum: 18
                                  Elective practicum: 15
Attendance at specific            Four Training meetings; (2X per week for 2 weeks), during
meetings                          evening for 3-4 hours each meeting. PSED Program
                                  meetings.
Other requirements
List specific evening hours       Required.
required
# Direct clinical contact         Individual – 2 hours per week per patient. Family – 1 hour
hours/week                        every 4 weeks per patient.
Supervision Requirements          Group format for 3 hours/week
(e.g., individual, group, time,
day)


Contact Person/Supervisor Information
Contact                   Name: Jan Faust, Ph.D.
Person/Supervisors        Email: jfaust@nova.edu
                          Phone: 954-262-5713



Short Program Description
This is a highly intensive and challenging, albeit rewarding, practicum wherein children,
adolescents, and adults with psychotic disorders are treated with psychotherapy - twice per
week for one year. In addition, family systems oriented therapy is also conducted with these
families. An intensive training session is held one month prior to case assignments and
                                                                                         164

includes viewing 11 videotapes of Dr. Karon conducting psychotherapy with a schizophrenic
patient (Discussion seminars regarding the tapes will be held). Patients served comprise a
wide range of ethnic backgrounds. Assessment experiences and research opportunities are
available.


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                  Infants                  √ Children
  √ Adults                    √ Older Adults                 College Students
     Other ________

Assessment
 √ Personality                √ Intelligence                 Neuropsychology

 √ Behavioral/Cognitive       √ Forensic                     Physiological


Treatment Modality
  √ Individual                 √ Group                      Brief (4 -12 sessions)

 √ Family                      √ Couples                 √ Short-term (3-6 months)

 √ Crisis Intervention            Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                     Behavioral Medicine      Humanistic

     Cognitive               √ Dynamic                √ Systems
     Gestalt                    Behavioral               Other: ______________
                                                                                          165

               Psychological Assessment Center - Nova Site
Date Last Modified            November 11, 2010
Program/Institution           Psychological Assessment Center – Nova
Department                    Center for Psychological Services
Street # and address          3301 College Avenue
City, State, Zip              Fort Lauderdale, FL 33314
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 18

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 9                 (end of Aug through mid Aug) 9

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
________ 1st year practicum                  ________ 1st year practicum
________ 2nd year practicum                  ________ 2nd year practicum
__n/a___ Elective (12 months)                __n/a___ Elective (12 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    √ Please check all requirements that apply to your site for practicum students
_√___ Level 1 Screen Required             __√__Level 2 Screen Required
____Fingerprints Required                     _√__ Do YOU conduct the background
                                             checks
____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           ____Interview Required
____Spanish Speakers Only                    ____1 Spanish Speaker Preferred
____1 Male Preferred                         ____Other: _________________________
__√__Are there mandatory training sessions before starting? If yes describe: PSC Clinic
Training
                                                                                                   166

Other Required Training Prerequisites (classes, degrees, experience, etc):


Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 18
hours/week                        2nd Year practicum: 18
Attendance at specific            Regular weekly meetings (2 hours) to be arranged; Friday
meetings                          morning meeting at 8 AM required for everyone
Other requirements                Monthly 3-hour staff meeting, evening or weekend. Must have
                                  free at least one full day. May arrange in some cases
                                  additional evening or Saturday hours. May involve
                                  consultation to sites outside Davie.
List specific evening hours       Encouraged
required
# Direct clinical contact         Individual (5-10 hours/week)
hours/week
Supervision Requirements          Two different supervisors per student for a total of 1 hour of
(e.g., individual, group, time,   supervision per week both group and individual.
day)



Contact Person/Supervisor Information
Contact                   Name: Charles J. Golden, Ph.D.
Person/Supervisors        Email: goldench@nova.edu
                          Phone: 954-262-5715



Short Program Description
The Assessment Center will give practicum students a wide range of experience with a battery
of psychological tests which will include intelligence testing, objective and projective
personality testing, achievement testing, and neuropsychological screening. Students will see
a wide range of children, adults and gerontological populations as well as a wide range of
diagnoses including normals, schizophrenics, depressed, behavioral disturbances, mentally
retarded, brain injured, personality disorders, and other disorders commonly seen in outpatient
and in-patient psychological settings. Students will test both at CPS as well as community
sites. Students will be trained across a wide variety of testing instruments and in psychological
report writing as well as case interviewing and conceptualization techniques. Students will
also learn how to consult with other professionals.
                                                                                     167

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                Infants                √ Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence            √ Neuropsychology
 √ Behavioral/Cognitive     √ Forensic                √ Physiological

Treatment Modality
     Individual                 Group                   Brief (4 -12 sessions)

    Family                      Couples                 Short-term (3-6 months)

    Crisis Intervention         Other: ____________     Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                √ Behavioral Medicine      Humanistic

    Cognitive                 Dynamic                 Systems
    Gestalt                √ Behavioral            √ Other:
                                                      neuropsychological
                                                                                            168

                                    Renfrew Center
Date Last Modified             December 23, 2010
Program/Institution            Renfrew Center
Department                     Clinical / Residential
Street # and address           7700 Renfrew Lane
City, State, Zip               Coconut Creek, FL 33073
Web Address/Contact Email      www.renfrewcenter.com / hmaio@renfrewcenter.com


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 7

Of total # of students, # that are Summer     Of total # of students, # that are FALL
starts(May through April) 0                   starts(end of Aug through mid Aug) 7

Further description of # of SUMMER            Further description of # of FALL student
student starts                                starts
__n/a___ 1st year practicum                   __n/a___ 1st year practicum
__n/a___ 2nd year practicum                   ________ 2nd year practicum
__n/a___ Elective (12 months)                 ________ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                   __√___Level 2 Screen Required
__X__Fingerprints Required                     ____Do YOU conduct the background checks

____Drug Test Required?                        ____Do YOU conduct the drug tests
__X__Physical Required (within last year)      __√___TB Screening Required
____Proof of Health Insurance Required         ____Physician's Statement of Readiness for
                                               Practicum Required
____Proof of Immunization Required             __√___Interview Required
____Spanish Speakers Only                      __√___1 Spanish Speaker Preferred
____1 Male Preferred                           __√__Other: Security clearance
                                                                                                169

__√__Are there mandatory training sessions before starting? If yes describe: New employee
orientation. Typically there is a 1-2 week orientation at the start of the year, this may occur
before the semester start date (we do work to accommodate students schedules as much as
possible)
Other Required Training Prerequisites (classes, degrees, experience, etc): Experienced
with women‘s issues, treating adults and group experience encouraged. Students are
required to eat meals with the patients. Working on a team and w/ in a therapeutic Milieu is
required.
Suggested prerequisites: Clinical interview experience, work with personality disorders,
personal psychotherapy, experience with full battery report writing.
Note: Students struggling with eating disorder behaviors should not apply
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 20
                                  Elective practicum: _20__
Attendance at specific            Group supervision on Thursdays from 2:00 to 4:00 PM.
meetings
Other requirements                Eating with residents to provide support (staff eats same
                                  meals as patients). Schedule will include 2 full days and one
                                  half day at the facility. Hours will be Monday – Friday 9:00AM
                                  – 5:00PM for full day and 9:00AM – 1:00PM or 1:00PM –
                                  5:00PM on a half day. There may be the option/need for a
                                  student to work 8a-4p. Due to the nature of residential
                                  treatment, Renfrew works to accommodate holiday and
                                  vacations, however staff may be required to work on holidays
                                  and during winter/spring break.
List specific evening hours       None
required
# Direct clinical contact         Group therapy 4-6 hours/week. Individual therapy 4-6
hours/week                        hours/week. Support therapy 2-3 hours/week.
Supervision Requirements          Group and individual supervision will be provided for a total of
(e.g., individual, group, time,   2-3 hours per week. In addition to team meetings, in-services
day)                              may be provided 1-2 times each month. Will attempt to meet
                                  students‘ special interests and provides supervision in those
                                  areas.
                                                                                                170




Contact Person/Supervisor Information
Contact                  Name: Heather P. Maio, Psy.D.; Assistant Clinical Director, Director
Person/Supervisors       of Post Doctoral / Practicum training
                         Email: hmaio@renfrewcenter.com
                         Phone: 954-698-9222 ext 2023



Short Program Description
The Renfrew Center is a residential treatment center for women. Focus is on treatment of
eating disorders, abuse survivor issues, dissociative disorders, chemical dependency,
depression, and anxiety disorders. Population is primarily English speaking. Treatment
includes individual, group, family therapy, and expressive therapy. Orientation is eclectic,
including dynamic, cognitive-behavioral, and behavioral. Opportunity for observing other
therapy modalities: Art, Movement, Psychodrama. The practicum student will provide group
therapy, meal-time support therapy, and some individual therapy. Another large part of this
practicum in milieu management and crisis intervention with patients. Students will have the
opportunity to work as part of a treatment team and will be afforded the opportunity to
participate in weekly treatment team rounds as well as ―mini-teams‖ that occur. Students may
have limited opportunities to observe utilization reviews (insurance reviews) – Limited testing
opportunities.
Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                    Infants                     Children
  √ Adults                      √ Older Adults              X College Students
      Other ________

Assessment
 √ Personality (limited         √ Intelligence (very           Neuropsychology
    formal assessments)            limited)
 √ Behavioral/Cognitive            Forensic                    Physiological

Treatment Modality
  √ Individual                  √ Group                     √ Brief (4 -12 sessions)
 √ Family                       √ Couples                   √ Short-term (3-6 months)
 √ Crisis Intervention             Other: ____________         Long-term (6+ months)
                                                                            171


Theoretical Orientation
 √ Eclectic                 Behavioral Medicine   √ Humanistic

 √ Cognitive              √ Dynamic               √ Systems
 √ Gestalt                √ Behavioral              Other:_______________
                                                                                           172


                       Ruth Rales Jewish Family Service
Date Last Modified             November 11, 2010
Program/Institution            Ruth Rales Jewish Family Service
Department
Street # and address           21300 Ruth & Baron Coleman Drive
City, State, Zip               Boca Raton, FL 33428
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 2

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  __n/a___ 1st year practicum
__n/a___ 2nd year practicum                  ___2____ 2nd year practicum
__n/a___ Elective practicum                  __n/a___ Elective practicum


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
_√__ Level 1 Screen Required                  ____Level 2 Screen Required

_√__Fingerprints Required                     _√__Do YOU conduct the background checks

_√__Drug Test Required?                       _√__Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            _√__Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Suggested
____1 Male Preferred                          ____Other: _______________
____Are there mandatory training sessions before starting? If yes describe:
                                                                                               173

Other Required Training Prerequisites (classes, degrees, experience, etc):
Knowledge of, and experience with, intellectual assessment as well as objective and
projective personality assessment. Experience in therapeutic relationships and maintaining
case records is required.
Suggested prerequisites: course in assessment of children and adolescents is suggested, as
well as coursework in clinical diagnosis.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                1st Year practicum: n/a
hours/week                       2nd Year practicum: 20
                                 Elective practicum: 20
Attendance at specific           Students are required to attend monthly staff meetings and
meetings                         weekly case conferences on Friday mornings as well as
                                 group supervision of all trainees Friday mornings.

Other requirements               Some psychological testing. Co-facilitate at least 1 weekly
                                 group.
List specific evening hours      Tuesday, Wednesday or Thursday evening until 8:30PM (at
required                         least one evening preferably two)
# Direct clinical contact        Minimum 7 hours.
hours/week
Supervision Requirements         Individual supervision 1-2 hours/week. Group consultation 1-
(individual, group, time, day)   2 hours/week.




Contact Person/Supervisor Information
Contact                  Name: Jill Schwartzberg, Psy.D.
Person/Supervisors
                         Email: jills613@gmail.com
                         Phone: (561) 852-3343



Short Program Description
Ruth Rales Jewish Family Service is a private, non-profit outpatient agency serving the needs
of children, adolescents, adults, and seniors in individual, group, marital, family, and
therapeutic and psychoeducational group modalities. A broad range of diagnostic problems are
treated. Other services provided include psychological and psychoeducational testing.
                                                                                      174




Clinical Description of Program
     √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                Infants                 √ Children
  √ Adults                   √ Older Adults               College Students
     Other ________

Assessment
 √ Personality               √ Intelligence            √ Neuropsychology
 √ Behavioral/Cognitive         Forensic               √ Physiological

Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                   Behavioral Medicine   √ Humanistic

 √ Cognitive               √ Dynamic                √ Systems
 √ Gestalt                 √ Behavioral               Other: ______________
                                                                                          175

      School Psychology Assessment and Consultation Center
                      (SPACC) - Nova Site
Date Last Modified             December 21, 2010
Program/Institution            School Psychology Assessment and Consultation Center
                               (SPACC)
Department                     Center for Psychological Services
Street # and address           3301 College Avenue
City, State, Zip               Fort Lauderdale, FL 33314
Web Address/Contact Email      spacc@nova.edu


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 5

Of total # of students, # that are Summer Of total # of students, # that are FALL starts
starts (May through April) 0              (end of Aug through mid Aug) 5

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a__ 1st year practicum                   ___1____ 1st year practicum
__n/a___ 2nd year practicum                  ___ 2 ___ 2nd year practicum
__n/a___ Elective (8 months)                 ___ 2___ _Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                 __ √__Level 2 Screen Required
____Fingerprints Required                    __ √__Do YOU conduct the background checks

____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                    __ √__1 Spanish Speaker Preferred
____1 Male Preferred                         ____ Other:
                                                                                               176

__√__ Are there mandatory training sessions before starting? If yes describe: Two full days of
general clinic orientation (usually Fridays scheduled by clinical director).
Other Required Training Prerequisites (classes, degrees, experience, etc):
Basic assessment and report-writing skills required. One year commitment (except for elective
practica)
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                 1st Year practicum: 10-15
hours/week                        2nd Year practicum: 15-20
Attendance at specific            One hour of individual supervision and two-hour group
meetings                          supervision weekly. Attendance at 8 selected Saturday clinic
                                  sessions is required during the Winter and Summer semesters
                                  (8 sessions each).
Other requirements                Attendance at one-hour didactic sessions (EIEIOS) weekly.

List specific evening hours       None
required
# Direct clinical contact         8-10 hours weekly
hours/week
Supervision Requirements          1 or more hours of individual supervision plus up to 5 hours of
(e.g., individual, group, time,   group supervision and 1 hour of assessment-related didactics
day)                              are available weekly.



Contact Person/Supervisor Information
Contact                   Name: Ralph E. (Gene) Cash, Ph.D.
Person/Supervisors        Email: spacc@nsu.nova.edu
                          Phone: 954-262-5755



Short Program Description
SPACC offers comprehensive psycho-educational evaluations for school-related academic,
behavioral, developmental, and learning problems. Assessment batteries are individualized to
the needs of the case. These evaluations are performed by advanced school psychology
trainees, doctoral clinical psychological trainees, and post-doctoral residents. SPACC employs
a supervision model which trains advanced residents and trainees to participate in the
collaborative, hierarchical, intensive, programmatic supervision (CHIPS) process.
                                                                                             177

Opportunities for supervised consultation, treatment, and intervention are also available on a
limited basis.

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                    Infants                  √ Children
  √ Adults                         Older Adults             v College Students
      Other ________

Assessment
 √ Personality                 √ Intelligence                  Neuropsychology

 √ Behavioral/Cognitive            Forensic                    Physiological
  v   Biopsychosocial          √   Academic


Treatment Modality
 √ Individual                  Group                        Brief (4 -12 sessions)
 √ Family                      Couples                      Short-term (3-6 months)

 √ Crisis Intervention         Long-term (6+                Other: ____________
                               months)

Theoretical Orientation
 √ Eclectic                     √ Behavioral Medicine       √ Humanistic
 √ Behavioral                   √ Dynamic                   √ Systems
 √ Gestalt                      √ Cognitive                 √ Other: Existential,
                                                                Integrative
                                                                                           178

                   Sports Psychology Program - Nova Site
Date Last Modified             December 30, 2010
Program/Institution            Sports Psychology Program – Nova
Department                     NSU Sports Medicine Clinic
Street # and address           3301 College Avenue
City, State, Zip               Fort Lauderdale, FL 33314
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 2

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  __ n/a __ 1st year practicum
__n/a___ 2nd year practicum                  __ n/a __ 2nd year practicum
__n/a___ Elective (12 months)                __2 Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  ____Level 2 Screen Required
____Fingerprints Required                     ____Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     ____1 Spanish Speaker Preferred
____1 Male Preferred                          __√__Other: Starts on 8/1/10_
__√__Are there mandatory training sessions before starting? If yes describe: PSC clinic
training
                                                                                           179

Other Required Training Prerequisites (classes, degrees, experience, etc):
Suggested prerequisites: General knowledge of sports, athletic training, and health
psychology as well as associated ethics and counseling issues are preferred. Successful
completion of courses within the Health Psychology Track (in particular the Sport Psychology
course) as well as assessment and therapy courses with medical, health, and rehabilitation
experiences is recommended.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                1st Year practicum: n/a
hours/week                       2nd Year practicum: n/a
                                 Elective practicum: ___
Attendance at specific           Wednesdays, 8:00 AM – Multidisciplinary team meeting.
meetings
Other requirements               Office space available only on Tuesday and Thursday
                                 afternoons beginning at 1:00PM
List specific evening hours      Attendance at practice and during competitive events of the
required                         team the practicum student is assigned to is both encouraged
                                 and expected. Because many athletic teams practice at
                                 unique times and at distant locations, practicum students
                                 should be prepared to work during odd hours, including early
                                 mornings, evenings, and weekends.
# Direct clinical contact
hours/week
Supervision Requirements         One supervisor, group supervision to be determined based on
(individual, group, time, day)   students‘ and supervisor‘s respective schedules.




Contact Person/Supervisor Information
Contact                  Name: Stephen Russo, Ph.D.
Person/Supervisors       Email: stepruss@nova.edu
                         Phone: 954-262-5807



Short Program Description
The Sport Psychology Program offers outpatient, cognitive-behavioral intervention and
motivational consultation services for athletes, coaches, and teams within the Nova
Southeastern University Athletic Department. The clinic began providing state-of-the-art
                                                                                             180

assessment and intervention services for the athletes, coaches, and teams within NSU
Athletics in the Fall of 2008. And in January of 2009, the program expanded to begin providing
similar services within the South Florida community.
The specialty program provides individual and team consultation services in the broad areas of
sport psychology and sports medicine. Student-practitioners in the Sport Psychology Program
will be exposed to treatment methodologies and assessments that are empirically-supported,
with practicum experience including, but not being limited to, physical training and
rehabilitation, recovery from injury; performance enhancement and coaching consultation;
anxiety, anger, and emotional regulation; counseling college student-athletes; and working with
all issues related to performance and the pursuit of athletic excellence. They will also receive
training in report writing, treatment planning, and the development of strong interpersonal and
therapy skills. Training is intended to provide graduate-level practitioners with the unique
opportunity of working in the field of athletics and to begin honing the skills necessary to
function successfully as an applied sport psychologist.
Ongoing research in sport psychology is conducted within the Sport Psychology Program and
students who have an interest may also participate in those activities. Opportunities may also
be present for consultation with other programs inside and outside the NSU community.
Furthermore, it is expected that opportunities to conduct psycho-educational lectures to
athletes, parents, and athletic organizations in the community will be available as the Sport
Psychology Program evolves. CCE defense and successful internship placement will be
considered, but due to the special population and the relative youth of the practicum
placement, this practicum will continue to function solely as an elective practicum placement
during the 2010-2011 Academic Year.


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                   Infants                      Children
  √ Adults                        Older Adults              √ College Students
      Other ________


Assessment
 √ Personality                  √ Intelligence              √ Neuropsychology
 √ Behavioral/Cognitive            Forensic                    Physiological

Treatment Modality
  √ Individual                  √ Group                     √ Brief (4 -12 sessions)
     Family                        Couples                  √ Short-term (3-6 months)
 √ Crisis Intervention             Other: ____________        Long-term (6+ months)
                                                                          181

Theoretical Orientation
    Eclectic              √ Behavioral Medicine √ Humanistic

 √ Cognitive                Dynamic               Systems
 √ Gestalt                √ Behavioral            Other: ______________
                                                                                           182

               Trauma Resolution Integration Program (TRIP)
                               - Nova Site
Date Last Modified             November 11, 2010
Program/Institution            Trauma Resolution Integration Program (TRIP) – Nova
Department                     Center for Psychological Services
Street # and address           3301 College Avenue
City, State, Zip               Fort Lauderdale, FL 33314
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 5
Of total # of students, # that are Summer Of total # of students, # that are FALL starts
starts (May through April) 0              (end of Aug through mid Aug) 5

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  __n/a___ 1st year practicum
__n/a___ 2nd year practicum                  ___5____ 2nd year practicum
__n/a___ Elective (12 months)                __n/a___ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  __√__Level 2 Screen Required
_√___Fingerprints Required                    __√__Do YOU conduct the background
                                              checks
____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            ____Interview Required
____Spanish Speakers Only                     __√_1 Spanish Speaker Preferred
_√__1 Male Preferred                          ____Other: ____________________
_√__Are there mandatory training sessions before starting? If yes describe: required reading
list
                                                                                                 183

Other Required Training Prerequisites (classes, degrees, experience, etc):
Completion of a first year practicum with therapy experience. Strong basic clinical skills and
commitment to client welfare. Crisis intervention skills; willingness to work with severe
trauma; willingness to examine own personal and interpersonal functioning and its impact on
the therapeutic process; openness to issues of diversity, and complete required reading (re:
trauma, abuse, and dissociative disorders) before practicum begins.
Suggested prerequisites: Ability to identify/differentially diagnose PTSD, Dissociative
symptoms. Some familiarity with treatment of trauma. Familiarity with anxiety management
skills.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 15
Attendance at specific            Group supervision on Mondays 9:00 to 12:00PM.
meetings
Other requirements
List specific evening hours       Required at least one night per week
required
# Direct clinical contact         Minimum 8 hours/week individual therapy. Group therapy will
hours/week                        be 2 hours/week, co-led.
Supervision Requirements          One supervisor, 1/2 hour weekly individual supervision plus 3
(e.g., individual, group, time,   hours weekly group supervision and didactic experiences, for
day)                              a total of 3 1/2 hours/week. Program coordinator available to
                                  review and provide feedback on session tapes.



Contact Person/Supervisor Information
Contact                   Name: Steve Gold, Ph.D.
Person/Supervisors        Email: gold@nova.edu
                          Phone: 954-262-5714



Short Program Description
Site provides individual and group therapy (and couples and family therapy as indicated) to
men and women ages 18 and above who: 1) are experiencing adjustment problems resulting
from childhood sexual or physical abuse or neglect; 2) have posttraumatic stress disorder or
other difficulties in response to any kind of trauma (e.g. crime, natural disaster, serious injury)
in adulthood; or 3) manifest serious dissociative symptoms.
                                                                                     184


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
      Adolescents              Infants                   Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence             √ Neuropsychology
 √ Behavioral/Cognitive     √ Forensic                   Physiological


Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                   Behavioral Medicine   √ Humanistic

 √ Cognitive               √ Dynamic                √ Systems
 √ Gestalt                 √ Behavioral               Other:
                                                      _______________
                                                                                             185

University of Miami Anxiety Research and Treatment Clinic
Date Last Modified             April 9, 2011
Program/Institution            University of Miami
Department                     Psychology
Street # and address           2nd Floor, Flipse Building, 5665 Ponce De Leon BLVD,
City, State, Zip               Fort Lauderdale, FL 33314
Web Address/Contact Email      marker@miami.edu


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 4

Of total # of students, # that are Summer      Of total # of students, # that are FALL starts
starts (May through April)                     (end of Aug through mid Aug) 4

Further description of # of SUMMER             Further description of # of FALL student
student starts                                 starts
__n/a___1st year practicum                     ________ 1st year practicum
__n/a___2nd year practicum                     ________ 2nd year practicum
__n/a___Elective (8 months)                    __n/a___ Elective (8 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                   __√__Level 2 Screen Required
____Fingerprints Required                      ____Do YOU conduct the background checks

____Drug Test Required?                        ____Do YOU conduct the drug tests
____Physical Required                          ____TB Screening Required
____Proof of Health Insurance Required         ____Physician's Statement of Readiness for
                                               Practicum Required
____Proof of Immunization Required             ____Interview Required
____Spanish Speakers Only                      __√__1 Spanish Speaker Preferred
____1 Male Preferred                           ____Other ___________________________
_√__Are there mandatory training sessions before starting? If yes describe: Students must
attend intensive training (15-20 hours) in assessment and treatment prior to beginning the
practicum.
                                                                                                  186

Other Required Training Prerequisites (classes, degrees, experience, etc):
Good assessment and report writing skills are necessary. Report writing skills are vital. It
would be helpful to have familiarity with cognitive-behavioral treatment of anxiety. However,
training will take place. Students are expected to take their clinical duties seriously, including
attention to routine clinic details (e.g., file management) and client contact (e.g., practicing to
the highest ethical standards, being on time and prepared for clinic sessions, etc.).

Can students tape sessions with clients with an informed consent? Yes _XX___ No ____.
The referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                  1st Year practicum: 10
hours/week                         2nd Year practicum: 15
Attendance at specific             Friday morning supervision
meetings
Other requirements                 Outside reading (e.g,, books, assessment and treatment
                                   manuals) will be required so that the student can function as
                                   a full member of the assessment and treatment team.

List specific evening hours        Generally required, but students are free to schedule as they
required                           wish.
# Direct clinical contact          1st Year practicum: 5
hours/week                         2nd Year practicum: 7
Supervision Requirements           One supervisor. Supervision will be held in group (about 2-3
(e.g., individual, group, time,    hours) and individual format (about 1 hour) each week.
day)



Contact Person/Supervisor Information
Other Required Training Prerequisites (classes, degrees, experience, etc):


Can students tape sessions with clients with an informed consent? Yes __XX__ No ____.
The referring agency must also provide written consent to permit the student to tape sessions.
Contact                     Name: Craig D. Marker, Ph.D., Director
Person/Supervisors          Email: marker@miami.edu
                            Phone: 305-284-4265.
                                                                                                 187

Short Program Description
The Anxiety Research and Treatment Clinic at the University of Miami provides state-of-the-art
anxiety assessment and treatment for community members (children, adolescents, and adults)
suffering from anxiety. In particular, the clinic specializes in treatment of Panic Disorder, Social
Anxiety Disorder, Obsessive-Compulsive Disorder, and Generalized Anxiety Disorder.
Anxiety disorders are a serious health problem in the United States, with estimates of 15 to
25% of the population suffering from an anxiety disorder at any particular time. Empirically-
supported treatments of anxiety disorders have been found to be successful for treating these
disorders. These treatments have been well-documented and are constantly being refined.
The most current treatment protocols have been manualized and provide a nice structure for
new clinicians to learn about this type of treatment.
Student-practitioners in the Anxiety Treatment Clinic will be exposed to treatment
methodologies and assessments that are empirically-supported. They will also receive training
in report writing, treatment planning, and develop strong therapy skills. Training is intended to
prepare the student for a successful CCE defense and successful internship placement.
Opportunities exist to deliver talks to parents, educators, and local businesses on anxiety.
Furthermore, ongoing research on anxiety disorders will be conducted and students who have
an interest may also participate in those activities.


Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                     Infants                    √ Children (some)
  √ Adults                       √ Older Adults                   College Students
      Other ________

Assessment
 √ Personality                      Intelligence               √ Neuropsychology
 √ Behavioral/Cognitive             Forensic                      Physiological

Treatment Modality
  √ Individual                   √ Group                      √ Brief (4 -12 sessions)

 √ Family                        √ Couples                    √ Short-term (3-6 months)

     Crisis Intervention             Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                          Behavioral Medicine       √ Humanistic
                                                  188

√ Cognitive     Dynamic      Systems
  Gestalt     √ Behavioral   Other: ___________
                                                                                         189

       University of Miami Autism Spectrum Assessment Clinic
Date Last Modified           December 17, 2010
Program/Institution          University of Miami Autism Spectrum Assessment Clinic
                             (ASAC)
Department                   Psychology
Street # and address         5665 Ponce de Leon Blvd, Flipse Building, 2nd Floor
City, State, Zip             Coral Gables, FL 33146
Web Address/Contact Email    www.psy.miami.edu/asac or a.beaumont@miami.edu


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 3

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) up to 3          (end of Aug through mid Aug) up to 3


Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
__n/a___ 1st year practicum                 __n/a___ 1st year practicum
___√____ 2nd year practicum                 ___√____ 2nd year practicum
__√ ____ Elective (12 months)               __√ ____ Elective (12 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required               __√__Level 2 Screen Required
____Fingerprints Required                   _____Do YOU conduct the background checks

____Drug Test Required?                     _____Do YOU conduct the drug tests
____Physical Required                       __√__TB Screening Required
____Proof of Health Insurance Required      ____Physician's Statement of Readiness for
                                            Practicum Required
____Proof of Immunization Required          __√__Interview Required
____Spanish Speakers Only                   ____1 Spanish Speaker Suggested
____1 Male Preferred                        ____Other: ____________________
                                                                                              190

____Are there mandatory training sessions before starting? If yes describe:
Other Required Training Prerequisites (classes, degrees, experience, etc):
Students should have experience administering and scoring cognitive, behavioral, and
academic measures to children and adults. Frequently administered tests include MSEL,
WPPSI-III, WISC-IV, WAIS-III, KABC-II, SB-5, WIAT-II, WJA-III, WJC-III, DAS-II, TOPS-2&3,
BBCS-R, BRIEF, BASC-2, VABS-II, MMPI-2, CTOP, GORT-4, NEPSY, TOWL-3, UNIT, as
well as the ADOS and ADI-R (students do NOT need experience with all tests). Students
should have some experience writing psychological reports.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 8-11
Attendance at specific            Feedbacks, school observations, and additional supervision
meetings                          may be scheduled at other times during the week, depending
                                  on students‘ schedules.
Other requirements                Experience administering and scoring cognitive, behavioral,
                                  and academic measures to children and adults. Must be
                                  available on Tuesdays, Wednesdays, or Thursdays between
                                  8:00 AM and 1:00 PM for testing. Students are expected to
                                  complete (i.e., integrate data into written report) 1 to 2
                                  assessments per month.
List specific evening hours       None
required
# Direct clinical contact         3-6
hours/week
Supervision Requirements          Supervised by clinical faculty and licensed clinical
(e.g., individual, group, time,   psychologists. Minimum of 1 hour group supervision per
day)                              week. Additional ongoing group and individual supervision
                                  are provided as needed.



Contact Person/Supervisor Information
Contact                   Name: Amy L. Beaumont, Psy.D.
Person/Supervisors        Email: a.beaumont@miami.edu
                          Phone: 305-284-1310
                                                                                                191



Short Program Description
The Autism Spectrum Assessment Clinic (ASAC), located on the University of Miami‘s Coral
Gables campus, provides comprehensive diagnostic evaluations to children, adolescents, &
adults who are seeking clarification about an autism spectrum diagnosis. Clients come from
the South Florida community as well as other states & countries. Practicum students will
participate in the entire autism diagnostic process, including test administration, interpretation,
and report writing. The University of Miami‘s Center for Autism & Related Disabilities (CARD)
consultants, behavior analysts, and speech and language pathologists (as needed) are also
involved, providing students the opportunity to work with multidisciplinary teams. Assessments
incorporate a variety of cognitive measures, the Autism Diagnostic Observation Schedule
(ADOS), the Autism Diagnostic Interview, Revised (ADI-R), academic achievement as needed,
adaptive behavior scales (e.g., Vineland Adaptive Behavior Scales, Second Edition),
parent/teacher rating scales, language assessments, and systematic reviews of previous
evaluations. Additional personality measures are administered as needed. Training on the
ADOS (all 4 modules) and ADI-R will be provided. Students will learn how to choose
appropriate tests, interpret test data, provide appropriate treatment recommendations based
on best practices strategies, work with behaviorally challenging children, & provide difficult
diagnoses to families. Students also have the opportunity to participate in school observations
and feedback sessions with families. Because clients in ASAC are extremely diverse, trainees
gain experience in working with clients from many different countries, ethnicities, & cultural
backgrounds.
*New Services include individual and family therapy for children and adults who have ASD and
co-morbid anxiety, depression, and other difficulties. CBT is primary mode of treatment, and
clients are verbal and have the cognitive and language skills needed for CBT. Social Skills
Groups may also be available for school aged-children with ASD.
Clinical Description of Program
     √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                     Infants                   √ Children (16 month &
                                                                 up)
  √ Adults                       √ Older Adults               √ College Students
      Other ________

Assessment
 √ Personality                   √ Intelligence               √ Neuropsychology
 √ Behavioral/Cognitive             Forensic                     Physiological
                                                                                 192

Treatment Modality
  √ Individual             √ Group                     Brief (4 -12 sessions)

 √ Family                     Couples                √ Short-term (3-6 months)
    Crisis Intervention       Other: ____________      Long-term (6+ months)

Theoretical Orientation
    Eclectic                Behavioral Medicine     Humanistic

    Cognitive               Dynamic               √ Systems
    Gestalt               √ Behavioral (& CBT)    √ Other: Educational
                                                                                         193

    University of Miami Jackson Memorial Medical Center - Adult
            Behavioral Medicine and Rehab Psychology
Date Last Modified           November 11, 2010
Program/Institution          University of Miami Jackson Memorial Medical Center
Department                   Adult Behavioral Medicine & Rehab Psychology
Street # and address         1695 NW 9th Avenue, Suite 2303, 2nd floor
City, State, Zip             Miami, FL 33136
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 1                (end of Aug through mid Aug) 1

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
__n/a___ 1st year practicum                 __n/a___ 1st year practicum
________ 2nd year practicum                 ________ 2nd year practicum
__n/a___ Elective (12 months)               __n/a___ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required               ____Level 2 Screen Required
____Fingerprints Required                   __√__Do YOU conduct the background
                                            checks
____Drug Test Required?                     ____Do YOU conduct the drug tests
____Physical Required                       ____TB Screening Required
____Proof of Health Insurance Required      ____Physician's Statement of Readiness for
                                            Practicum Required
____Proof of Immunization Required          __√__Interview Required
____Spanish Speakers Only                   __√__1 Spanish Speaker Suggested
____1 Male Preferred                        ____Other: ____________________
                                                                                               194

____Are there mandatory training sessions before starting? If yes describe:
Other Required Training Prerequisites (classes, degrees, experience, etc):
Basic assessment skills. Cognitive/behavioral therapy skills. Dade County beeper number.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 15-20
Attendance at specific            Team meetings and family-patient conferences (flexible)
meetings
Other requirements
List specific evening hours       None
required
# Direct clinical contact         8-10 hours individual, family or couples therapy and
hours/week                        psychological assessment/neuropsych screening
Supervision Requirements          1-2 supervisors per student, both individual and group.
(e.g., individual, group, time,   Minimum of 2 hours/week. Also, Pain Management and
day)                              Psychodiagnostic Seminar.



Contact Person/Supervisor Information
Contact                   Name: Dr. Mario Olavarria
Person/Supervisors        Email: molavarria@jhsmiami.org
                          Phone: 305 5851252



Short Program Description
This placement provides the student with a comprehensive experience in treating patients with
a variety of medical conditions and injuries, both in acute care and rehabilitation settings. The
service specializes in treatment of spinal cord injury and multiple trauma, as well as other
disease processes which may affect the ability to function independently, such as cancer,
multiple sclerosis, diabetes, and various degenerative conditions. Because many of our
patients are traumatic injuries (motor vehicle accidents, falls, diving or sports injuries), there
are also a number of head injuries. We work closely with an interdisciplinary team geared
toward maximizing the function the patient has, and attaining the maximal level of physical,
emotional, and social independence possible. The patients on this service represent a general
cross-section of the population, with a wide variety of ages, ethnic, cultural, and socioeconomic
backgrounds.
                                                                                      195



Clinical Description of Program
     √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                Infants                    Children
  √ Adults                   √ Older Adults               College Students
     Other ________


Assessment
 √ Personality               √ Intelligence            √ Neuropsychology
 √ Behavioral/Cognitive      √ Forensic                   Physiological


Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                √ Behavioral Medicine √ Humanistic

 √ Cognitive               √ Dynamic               √ Systems
 √ Gestalt                 √ Behavioral               Other:
                                                      _______________
                                                                                           196

        University of Miami Jackson Memorial Medical Center -
                Department of Adult Neuropsychology
Date Last Modified             November 11, 2010
Program/Institution            University of Miami Jackson Memorial Medical Center
Department                     Department of Adult Neuropsychology
Street # and address           1695 NW 9th Avenue, Suite 2303, 2nd floor
City, State, Zip               Miami, FL 33136
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 4

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 4

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  __n/a ___ 1st year practicum
__n/a___ 2nd year practicum                  __yes___ 2nd year practicum
__n/a___ Elective (12 months)                __yes___ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                 ____Level 2 Screen Required
____Fingerprints Required                     __√__Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     __√__1 Spanish Speaker Required
____1 Male Preferred                          ____Other: ____________________
____Are there mandatory training sessions before starting? If yes describe:
                                                                                               197

Other Required Training Prerequisites (classes, degrees, experience, etc):
Some basic exposure to IQ, personality, and neuropsychological tests. Working knowledge of
cognitive-behavioral approaches. Good interpersonal skills. Comfort level in complex medical
setting.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                1st Year practicum: 15
hours/week                       2nd Year practicum: 20
Attendance at specific           Ground rounds, interdisciplinary rounds, monthly
meetings                         Neuropsychology society meeting
Other requirements               Foreign language skills are desirable.
List specific evening hours      None
required
# Direct clinical contact
hours/week
Supervision Requirements         1-2 hours of individual supervision by one supervisor. Group
(individual, group, time, day)   supervisor is also available. Additional supervision available.




Contact Person/Supervisor Information
Contact                  Name: Gilesa Aguila Puentes, Psy.D.
Person/Supervisors       Email: gisela.aguilapuent@jhsmiami.org
                         Phone: 305 355 8245



Short Program Description
Jackson Memorial Medical Center is one of the nation's busiest medical complexes. It offers
multi-ethnic/multi-lingual opportunities since virtually every conceivable type of diagnosis gets
admitted. Grand rounds are offered weekly. Brain cutting on Thursday.
                                                                                     198

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                Infants                   Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence            √ Neuropsychology
 √ Behavioral/Cognitive     √ Forensic                √ Physiological

Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                    √ Couples                √ Short-term (3-6 months)

 √ Crisis Intervention          Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                √ Behavioral Medicine √ Humanistic

 √ Cognitive               √ Dynamic               √ Systems
 √ Gestalt                 √ Behavioral               Other:
                                                      ________________
                                                                                           199

  University of Miami Jackson Memorial Medical Center - Medical
                        Psychology Service
Date Last Modified             December 29, 2010
Program/Institution            University of Miami Jackson Memorial Medical Center
Department                     Medical Psychology Service
Street # and address           Mental Health Building, Room 2303
City, State, Zip               Miami, FL 33136
Web Address/Contact Email

 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 1

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 1                 (end of Aug through mid Aug) or 1

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
________ 1st year practicum                  ________ 1st year practicum
________ 2nd year practicum                  ________ 2nd year practicum
__n/a___ Elective (12 months)                __n/a___ Elective (12 months)




                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  ____Level 2 Screen Required
____Fingerprints Required                     ____Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            __√__Interview Required
____Spanish Speakers Only                     __√__1 Spanish Speaker Suggested
____1 Male Preferred                          __ __Other: _______________
____Are there mandatory training sessions before starting? If yes describe:
                                                                                                 200

Other Required Training Prerequisites (classes, degrees, experience, etc):
Child development/pathology courses. At least one course in neuropsychology or
neuroanatomy (neuropsych track preferred). Some experience with neuropsychological test
instruments with children/adolescents.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                1st Year practicum: 15
hours/week                       2nd Year practicum: 20
                                 There is some flexibility of hours.
Attendance at specific           Thursdays 3:30 PM to 4:30 PM for supervision
meetings
Other requirements
List specific evening hours      None
required
# Direct clinical contact
hours/week
Supervision Requirements         1 hour of individual supervision plus live supervision during
(individual, group, time, day)   teaching rounds with interns



Contact Person/Supervisor Information
Contact                  Name: Efrain Gonzalez, Psy.D., M.S. ClinPharm, ABPP
Person/Supervisors       Email: eag21@bellsouth.net
                         Phone: 305-355-8247 or 305-218-5540



Short Program Description
The Medical Psychology/Consultation/Liaison Service provides psychological services to the
surgical, emergency room, trauma, and medical units in Jackson Memorial Hospital, where a
full range of medical and psychiatric issues are encountered. Psychological consultation may
be requested based on pre-existing psychiatric issues, current distress, management issues,
poor adherence to treatment, establish capacity to provide informed consent, and provide a
wide range of psychological interventions depending on the reason for consultation and
presenting problem. Practicum students will learn the rapid assessment of medically
compromised patients, and be able to render a diagnosis, treatment, and disposition in medical
areas that are intense and require rapid decision-making and follow up. During the initial
                                                                                            201

assessment, practicum students may conduct clinical interviews and incorporate formal Mental
Status Examinations to arrive at diagnostic impressions and treatment recommendations. In
some cases, such as with pre and/or post transplant patients, brief neurocognitive testing may
be required to assist organ transplantation teams to decide on candidacy for the surgical
procedure. Except for certain cases involving the assessment of capacity, practicum students
may follow their patients throughout the course of hospitalization. Practicum students learn to
write consultation reports and progress notes that are geared to medical colleagues in order to
assist them in the management of their patients. Practicum students will be provided with
reading assignments targeting on differential diagnosis and the more common psychiatric
presentations of certain medical illnesses and/or drug-induced clinical presentations. On
Fridays during the Fall semester, practicum students are welcome to attend the
Psychopharmacology Seminar. During the Spring and Summer semesters, practicum
students are welcome to attend Clinical Ethics Rounds.


Clinical Description of Program
     √ Please check all requirements that apply to your site for practicum students
Client Populations
      Adolescents                 Infants                      Children
  √ Adults                     √ Older Adults                  College Students
      Other ________

Assessment
 √ Personality                 √ Intelligence              √ Neuropsychology
 √ Behavioral/Cognitive        √ Forensic                      Physiological


Treatment Modality
  √ Individual                     Group                   √ Brief (4 -12 sessions)
 √ Family                          Couples                 √ Short-term (3-6 months)
 √ Crisis Intervention             Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                  √ Behavioral Medicine         √ Humanistic
 √ Cognitive                 √ Dynamic                     √ Systems
     Gestalt                 √ Behavioral                      Other: ___________
                                                                                          202



 University of Miami Jackson Memorial Medical Center - Pediatric
                        Neuropsychology
Date Last Modified             November 11, 2010
Program/Institution            University of Miami Jackson Memorial Medical Center
Department                     Pediatric Neuropsychology
Street # and address           1611 NW 12th Avenue, Rehabilitation Building #310
City, State, Zip               Miami, FL 33136
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 1

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 1

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  __n/a___ 1st year practicum
__n/a___ 2nd year practicum                  ___1____ 2nd year practicum
__n/a___ Elective (12 months)                __n/a___ Elective (12 months)



                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                 ____Level 2 Screen Required
____Fingerprints Required                    ____Do YOU conduct the background checks

__√__Drug Test Required?                     ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       ____Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           __√__Interview Required
____Spanish Speakers Only                    __√__1 Spanish Speaker Suggested
                                                                                                203

____1 Male Preferred                            __√__Other: May accept 2 students if both are
                                                Spanish speakers
____Are there mandatory training sessions before starting? If yes describe:
Other Required Training Prerequisites (classes, degrees, experience, etc):
Child development/pathology courses. At least one course in neuropsychology or
neuroanatomy (neuropsych track preferred). Some experience with neuropsychological test
instruments with children/adolescents.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                 1st Year practicum: n/a
hours/week                        2nd Year practicum: 20 – 2.5 days
Attendance at specific            Group supervision: Mondays 9:30 to 11:00AM. Cardex
meetings                          Rounds: Tuesday, 9 to 10:00AM (optional). Walking Rounds:
                                  Fridays 7 to 8:30AM (optional). Brain Cutting: Tuesdays 9:30
                                  to 10:30AM (optional).
Other requirements                Foreign language skills strongly preferred.
List specific evening hours       Yes, occasionally must meet with families in early evening.
required
# Direct clinical contact         Minimum of 50% (10 hours)
hours/week
Supervision Requirements          One supervisor will provide 1.5 hours/week in group format,
(e.g., individual, group, time,   with additional testing supervision as needed.
day)



Contact Person/Supervisor Information
Contact                   Name: Suzan Tanner, Ph.D.
Person/Supervisors        Email: stanner@jhsmiami.org
                          Phone: 305-585-5062



Short Program Description
The Pediatrics Neuropsychology Service is primarily based in the Pediatric Rehabilitation Unit
of Jackson Memorial Hospital, which treats infants, children, and adolescents with a wide
variety of neurological and orthopedic conditions. Conditions include TBI, stroke, tumors,
seizures, anoxic events (e.g. near drowning), encephalitis, meningitis, multiple sclerosis, spinal
cord injuries, and orthopedic injuries. Because JMH is the only Level 1 trauma center in the
                                                                                            204

area, our patients have a wide variety of conditions with varying levels of severity. The
population includes county indigent patients, insurance covered patients, and self-pay patients
from other countries that come to JMH for our rehab services. Cultural diversity is also
extensive, including patients who are Hispanic, Haitian, Caribbean, African American, South
American, and Caucasian.
The Pedi Neuropsychology Service provides a wide range of services for both inpatients and
outpatients, however, practicum students will primarily provide outpatient services. Treatment
includes comprehensive outpatient neuropsychological and psychoeducational evaluations,
outpatient initial assessments, neuropsychological screening of inpatients, some patient and
family education, and cognitive retraining.
Clinical Description of Program
     √ Please check all requirements that apply to your site for practicum students
Client Populations
  √ Adolescents                √ Infants                    √ Children
  √ Adults                     √ Older Adults                  College Students
      Other ________

Assessment
 √ Personality                 √ Intelligence               √ Neuropsychology
 √ Behavioral/Cognitive            Forensic                    Physiological

Treatment Modality
  √ Individual                  √ Group                    √ Brief (4 -12 sessions)

 √ Family                          Couples                 √ Short-term (3-6 months)

     Crisis Intervention           Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                      Behavioral Medicine       Humanistic

     Cognitive                   Dynamic                   Systems
     Gestalt                  √ Behavioral                 Other:
                                                           _______________
                                                                                            205

   University of Miami Miller School of Medicine - Department of
                     Rehabilitation Medicine
Date Last Modified             December 23, 2010
Program/Institution            University of Miami Miller School of Medicine
Department                     Department of Rehabilitation Medicine
Street # and address           1120 NW 14th Street, Clinical Research Building, Suite 954

City, State, Zip               Miami, FL 33136
Web Address/Contact Email      djgreene@med.miami.edu


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 1

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) 0                 (end of Aug through mid Aug) 1

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
__n/a___ 1st year practicum                  __n/a____ 1st year practicum
__n/a___ 2nd year practicum                  ____1____ 2nd year practicum
__n/a___ Elective (12 months)                __n/a___ Elective (12 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                  ____Level 2 Screen Required
____Fingerprints Required                     ____Do YOU conduct the background checks

____Drug Test Required?                       ____Do YOU conduct the drug tests
____Physical Required                         ____TB Screening Required
____Proof of Health Insurance Required        ____Physician's Statement of Readiness for
                                              Practicum Required
____Proof of Immunization Required            ____Interview Required
____Spanish Speakers Only                     __√_1 Spanish Speaker Preferred
____1 Male Preferred                          ____Other:
____Are there mandatory training sessions before starting? If yes describe:
                                                                                             206

Other Required Training Prerequisites (classes, degrees, experience, etc):
9-month commitment (September-May)
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                1st Year practicum: 16
hours/week                       2nd Year practicum: 16
Attendance at specific           None
meetings
Other requirements
List specific evening hours      None
required
# Direct clinical contact        8-10 hours individual, family or couples therapy and
hours/week                       psychological assessment/neuropsychological assessments

Supervision Requirements         1 supervisor per student, both individual and group format.
(individual, group, time, day)   Minimum of 1 hour supervision per day. Availability of various
                                 didactic seminar depending on days on-site.



Contact Person/Supervisor Information
Contact                  Name: Doug Johnson-Greene, Ph.D.
Person/Supervisors       Email: djgreene@med.miami.edu
                         Phone: 305-243-8472



Short Program Description
This placement will provide training in neuropsychological assessment and treatment of
patients within a rehabilitation context who have a wide range of acute and chronic central
nervous system disorders. The population served by the Department of Rehabilitation
Medicine range from young adults to the elderly. The emphasis will be on neuropsychological
evaluation of individuals (young adulthood to geriatric) with a wide range of acquired and
degenerative brain disorders (e.g., stroke, TBI, infectious, metabolic, and neurodegenerative)
and rehabilitation needs (e.g., pain, depression, anxiety, adjustment, family issues). Trainees
provide feedback and cognitive rehabilitation services, as well as psychoeducation and
psychotherapy services. Consultation is provided to referral sources such as medical
providers, vocational rehabilitation centers, case managers, and psychologists in the
community. Assessments include standardized neuropsychological testing instruments, as
well as specialized neurobehavioral examination techniques necessary to evaluate individuals
with significant motor, sensory, and cognitive disabilities. Rehabilitation neuropsychology
                                                                                            207

treatments derived from the assessments focus on working with patients, families, physicians,
and health-care teams to maximize affective, cognitive, and behavioral functioning, as well as
social, educational, vocational, and recreational participation.
Clinical Description of Program
     √ Please check all requirements that apply to your site for practicum students

Client Populations
      Adolescents                 Infants                      Children
  √ Adults                     √ Older Adults                  College Students

  √ Other: chronic illness

Assessment
 √ Personality                 √ Intelligence              √ Neuropsychology
 √ Behavioral/Cognitive           Forensic                     Physiological

Treatment Modality
  √ Individual                     Group                   √ Brief (4 -12 sessions)

 √ Family                          Couples                 √ Short-term (3-6 months)

 √ Crisis Intervention             Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                  √ Behavioral Medicine √ Humanistic
 √ Cognitive                     Dynamic                   Systems
     Gestalt                 √ Behavioral                  Other: ______________
                                                                                          208

   University of Miami Miller School of Medicine - Psychiatry and
                        Behavioral Science
Date Last Modified             December 22, 2010
Program/Institution            University of Miami Miller School of Medicine
Department                     Psychiatry and Behavioral Sciences
Street # and address           1695 N.W. 9th Ave.
City, State, Zip               Miami, Fl 33136
Web Address/Contact Email      http://psychiatry.med.miami.edu/
                               (acastro2@med.miami.edu)


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 4

Of total # of students, # that are Summer    Of total # of students, # that are FALL starts
starts (May through April) _0_               (end of Aug through mid Aug) _4_

Further description of # of SUMMER           Further description of # of FALL student
student starts                               starts
___n/a___ 1st year practicum                 __n/a___ 1st year practicum
___n/a___ 2nd year practicum                 ________ 2nd year practicum
___n/a___ Elective (12 months)               ________ Elective (12 months)


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
____ Level 1 Screen Required                 ____Level 2 Screen Required
____Fingerprints Required                    ____Do YOU conduct the background checks

____Drug Test Required?                      ____Do YOU conduct the drug tests
____Physical Required                        ____TB Screening Required
____Proof of Health Insurance Required       _√__Physician's Statement of Readiness for
                                             Practicum Required
____Proof of Immunization Required           _√__Interview Required
____Spanish Speakers Only                    ____1 Spanish Speaker Preferred
____1 Male Preferred                         ____Other: _________________________
                                                                                              209

_√__Are there mandatory training sessions before starting? If yes describe: Varies per
rotation
Other Required Training Prerequisites (classes, degrees, experience, etc): Varies per
rotation; However, familiarity with psychological testing and report writing are suggested
prerequisites in most rotations.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                1st Year practicum: ___
hours/week                       2nd Year practicum: _16_
                                 Elective practicum: _16_
Attendance at specific           Varies with rotation and to be arranged with supervisor.
meetings
Other requirements               Must abide by UMMSM requirements and guidelines.
List specific evening hours      n/a
required
# Direct clinical contact        1st Year practicum: ___
hours/week                       2nd Year practicum: ___
                                 Elective practicum: ___
Supervision Requirements         Minimum of 1 hour weekly individual supervision. Bi-weekly
(individual, group, time, day)   group supervision also offered.




Contact Person/Supervisor Information
Contact                  Name: Anthony M. Castro, Psy.D., Ph.D.
Person/Supervisors       Email: Acastro2@med.miami.edu
                         Phone: (305) 243-3465 / (305) 355-9121



Short Program Description
   1) Health Psychology (HIV Clinic)
   2) Neuropsychology Service
   3) Psychology & Law Program (Forensic)
   4) Geropsychology Service
                                                                                     210

Clinical Description of Program
    √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                Infants                √ Children
  √ Adults                   √ Older Adults              College Students
     Other ________

Assessment
 √ Personality              √ Intelligence            √ Neuropsychology
 √ Behavioral/Cognitive     √ Forensic                   Physiological


Treatment Modality
  √ Individual               √ Group                  √ Brief (4 -12 sessions)

 √ Family                       Couples               √ Short-term (3-6 months)

    Crisis Intervention         Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                √ Behavioral Medicine √ Humanistic

 √ Cognitive               √ Dynamic               √ Systems
    Gestalt                √ Behavioral               Other:
                                                      _______________
                                                                                         211

                          University Pavilion Hospital
Date Last Modified            December 29, 2010
Program/Institution           University Pavilion Hospital
Department
Street # and address          7425 North University Drive
City, State, Zip              Tamarac, FL 33321
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
        THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
    Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 6

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 3                (end of Aug through mid Aug) 3

Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
__n/a__ 1st year practicum                  __n/a__ 1st year practicum
________ 2nd year practicum                 ________ 2nd year practicum
________ Elective practicum                 ________ Elective practicum


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required                ____Level 2 Screen Required

__√__Fingerprints Required                   ____Do YOU conduct the background checks

__√__Drug Test Required? (students have to ____Do YOU conduct the drug tests
obtain this; when getting medical clearance
ask physician for a prescription for the drug
test
__√__Physical Required                       ____TB Screening Required
____Proof of Health Insurance Required       __√__Physician's Statement of Readiness for
                                             Practicum Required
__√__Proof of Immunization Required (for flu) __√__Interview Required

____Spanish Speakers Only                    _√___1 Spanish Speaker Suggested
                                                                                                  212

____1 Male Preferred                            ____Other:
____Are there mandatory training sessions before starting? If yes describe:
Other Required Training Prerequisites (classes, degrees, experience, etc):
Some experience providing group and individual therapy. Knowledge of DSM-IV-TR.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions




Describe Specific Site Requirements
Minimum number of                1st Year practicum: 16
hours/week                       2nd Year practicum: n/a
                                 Elective practicum: 16-20
Attendance at specific           Must also attend one Baker Act Hearing, attend one 12 Step
meetings                         Support Group meeting, attend a PMAB training (Prevention
                                 & Management of Aggressive Behaviors), spend 8 hours in
                                 the Respond Unit (Intake), attend one ECT treatment, attend
                                 treatment planning meetings which occur informally on each
                                 unit.
Other requirements               8 days off with Supervisor‘s approval
List specific evening hours      None
required
# Direct clinical contact        2/3 of time
hours/week
Supervision Requirements         Minimum of 1 hour/wee; individual format with some group
(individual, group, time, day)   supervision




Contact Person/Supervisor Information
Contact                  Name: Christopher Brooks, Psy.D.
Person/Supervisors       Email: Christopher.brooks@hcahealthcare.com
                         Phone: 954-722-6269




Short Program Description
UPH is a 60-bed psychiatric hospital serving children and adolescents, adults, and geriatric
patients. The adult program is divided into 3 distinct units: mood disorders/personality,
geriatric, and psychotic disorders. The program includes both inpatient and a partial
hospitalization program (PHP), and each has a special dual diagnosis track. Opportunities
exist to conduct group, family, couples, and individual therapy, as well as crisis intervention
                                                                                               213

and intake assessments. Students will complete a rotation on 3 units. An effort will be made to
accommodate student preferences. Doctoral students will also have opportunities for
intellectual/cognitive and personality testing and report writing. UPH is also a Baker Act
receiving facility. Patients present with a wide a range of Axis I diagnoses. Typical patient stay
is 3-10 days. Quarterly in-services are provided by the psychologist on subjects such as
personality disorders, stress management, and group therapy. Students are required to attend
a minimum of 2 of the 4.
Clinical Description of Program
     √ Please check all requirements that apply to your site for practicum students

Client Populations
  √ Adolescents                    Infants                       Children
  √ Adults                      √ Older Adults                   College Students
      Other ________

Assessment
 √ Personality                  √ Intelligence                   Neuropsychology

 √ Behavioral/Cognitive            Forensic                      Physiological

Treatment Modality
  √ Individual                   √ Group                     √ Brief (4 -12 sessions)

 √ Family                        √ Couples                      Short-term (3-6 months)

 √ Crisis Intervention              Other: ____________         Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                   √ Behavioral Medicine √ Humanistic

 √ Cognitive                      Dynamic                √ Systems
 √ Gestalt                    √ Behavioral                   Other:
                                                             _______________
                                                                                         214

                       West Palm Beach VA Medical Center
Date Last Modified           March 12, 2011
Program/Institution          West Palm Beach VA Medical Center
Department                   Main Hospital and Palm Beach Vet Center
Street # and address         7305 North Military Trail and 4996 10th Ave N Suite 6
City, State, Zip             West Palm Beach, FL 33410 and Greenacres, FL 33463
Web Address/Contact Email


 TOTAL NUMBER OF PLACEMENTS AVAILABLE IN THE COMING
                       YEAR
       THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
   Total # Total Doctoral Students WE WILL TAKE FROM NOVA this coming year: 2

Of total # of students, # that are Summer   Of total # of students, # that are FALL starts
starts (May through April) 0                (end of Aug through mid Aug) 2
                                            (1 student will be assigned to Vet Center Palm
                                            Beach)
Further description of # of SUMMER          Further description of # of FALL student
student starts                              starts
__n/a___ 1st year practicum                 __n/a___ 1st year practicum
__n/a___ 2nd year practicum                 ____2____ 2nd year practicum
__n/a___ Elective practicum                 __n/a___ Elective practicum


                      SPECIAL PROGRAM REQUIREMENTS
         THE INFORMATION IN THIS SECTION MUST BE FILLED IN EVERY YEAR
     √ Please check all requirements that apply to your site for practicum students
__√__ Level 1 Screen Required               __√__Level 2 Screen Required
___X_Fingerprints Required                  __√__Do YOU conduct the background
                                            checks
__√__Drug Test Required?                    __√__Do YOU conduct the drug tests
____Physical Required                       __X__TB Screening Required
____Proof of Health Insurance Required      __√__Physician's Statement of Readiness for
                                            Practicum Required
__√__Proof of Immunization Required         __√__Interview Required
____Spanish Speakers Only                   ____1 Spanish Speaker Suggested
____1 Male Preferred                        ____Other: _______________
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__√__Are there mandatory training sessions before starting? If yes describe: 1-2 days
individualized orientation during first semester of practicum
Other Required Training Prerequisites (classes, degrees, experience, etc):
Course work and some at least minimal experience in conducting initial interviews and
assessments, developing treatment plan and providing individual and group counseling.
Can students tape sessions with clients with an informed consent? Yes ____ No ____. The
referring agency must also provide written consent to permit the student to tape sessions



Describe Specific Site Requirements
Minimum number of                1st Year practicum: n/a
hours/week                       2nd Year practicum: 15-20
Attendance at specific           Team and clinical meetings for rotation
meetings
Other requirements
List specific evening hours      Not required, but students may elect to participate in evening
required                         patient care activity (e.g., evening smoking cessation clinic) if
                                 they desire
# Direct clinical contact        2-5 hours of group therapy and 7-9 hours of individual
hours/week                       therapy and assessment
Supervision Requirements         1-3 hours/week in individual format with 1 supervisor
(individual, group, time, day)




Contact Person/Supervisor Information
Contact                  Name: Michael Busse, Psy.D.
Person/Supervisors       Email: michael.busse@va.gov
                         Phone: 561-422-5348
                         Name: Kimberly Daniel, Ph.D., Director of Clinical Training
                         Email: Kimberly.Daniel@va.gov
                         Phone: 561-422-6570



Short Program Description
West Palm Beach VAMC is a 184 bed medical surgical facility with a 120 bed NHCU that
provides primary and secondary level healthcare to eligible veterans in a 7-county area along
Florida‘s Treasure Coast. Comprehensive services include medical, surgical and psychiatric
inpatient care and outpatient services in each specialty. In addition, extended care services
offer community residential care, adult day healthcare, respite and hospice in addition to
                                                                                              216

nursing home care. At the VMAC there are also many opportunities for additional training in
the form of continuing medical education topical presentations and case conferences. Palm
Beach Vet Center (second location) does readjustment counseling with returning combat
veterans and family members.


Clinical Description of Program
     √ Please check all requirements that apply to your site for practicum students
Client Populations
      Adolescents                 Infants                     Children
  √ Adults                     √ Older Adults                 College Students
      Other ________

Assessment
 √ Personality                 √ Intelligence                 Neuropsychology

 √ Behavioral/Cognitive           Forensic                 √ Physiological

Treatment Modality
  √ Individual                 √ Group                    √ Brief (4 -12 sessions)

 √ Family                      √ Couples                  √ Short-term (3-6 months)

 √ Crisis Intervention            Other: ____________ √ Long-term (6+ months)


Theoretical Orientation
 √ Eclectic                  √ Behavioral Medicine        Humanistic

 √ Cognitive                    Dynamic                   Systems
     Gestalt                 √ Behavioral                 Other: ______________

				
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