1. Online Program Behavioral Health Internship C.R. Macchi, PhD Clinical Assistant Professor Internship Coordinator Doctor of Behavioral Health Program Arizona State University Collaborative Family Healthcare Association 15 th Annual Conference October 10-12, 2013 Broomfield, Colorado U.S.A. Session #B2a Friday, October 11, 2013, 1:30-2:10p.m.

2. Faculty Disclosure I have not had any relevant financial relationships during the past 12 months.

3. Objectives Explore the key elements of a doctoral level clinical internship program Examine the tools and technologies that are used to support effective online delivery Focus on the ways online tools are used to support pedagogical objectives

4. Learning Assessment Audience Question & Answer

5. The Nicholas A. Cummings Doctor of Behavioral Health Program course requirements and standards ComponentsObjectivesPoliciesResources Consultation Clinical support Professional and skill development Peer network Live, synchronous attendance required 5 case presentations Clinical Consultant MyDBH dashboard LearningStudio Vidyo meeting room Case presentation guidelines and rubric Internship site placement Professional development 400 hours on site 25% direct patient contact Program descriptions Internship packet Reporting & evaluation forms Outcomes management & resourcing Outcome-informed care Patient resource support 65% (total patients) administer measures 25% (total patients) resource referrals MyOutcomes Workplace Outcomes Suite Pro-Change Special project Needs assessment Research-informed practice Population-based intervention Develop and lead population health screening program or health management group MyDBH dashboard resources Site Liaison Clinical Consultant

6. The Nicholas A. Cummings Doctor of Behavioral Health Program 69 active internship sites in 24 states and 4 countries internship sites

7. The Nicholas A. Cummings Doctor of Behavioral Health Program establish site/student intern fit Students identify a potential site by either – Approaching one of the internship sites that has an existing agreement with ASU (see map) – Contacting a colleague in their professional network to seek a site referral An interview with site representatives focuses on exploring the fit between – The needs of the site and the patient population – The student’s professional experience, skills, and career goals

8. The Nicholas A. Cummings Doctor of Behavioral Health Program program management tool MyDBH

9. The Nicholas A. Cummings Doctor of Behavioral Health Program online monitoring & reporting The MyDBH dashboard provides student interns with real-time access to information, resources, and performance feedback – Summary of internship hours – Automatic alerts for upcoming and overdue tasks – Downloadable and online forms available for online submissions – Feedback on submission review/approval process

10. The Nicholas A. Cummings Doctor of Behavioral Health Program course management tool Learning Studio

11. The Nicholas A. Cummings Doctor of Behavioral Health Program consultation videoconference Clinical consultation groups consist of student interns and a consultant (maximum 6:1 ratio) – Consultant-led didactics on related clinical topics – Student case presentations – Group consultation and resourcing HD quality videoconferencing HIPAA-compliant technology Vidyo

12. The Nicholas A. Cummings Doctor of Behavioral Health Program case presentations Skill development focused on unique skills needed in primary care settings – Brief – Focused Address reason for BH referral Summarize the salient clinical issues Offer treatment recommendations Clinical consultation in a group setting enables student interns to – Refine presentation skills – Enhance collegial collaboration skills

13. The Nicholas A. Cummings Doctor of Behavioral Health Program outcome-informed treatment Required Measures Session Rating Scale (SRS) – measures therapeutic alliance Outcome Rating Scale (ORS) – measures patient outcomes Workplace Outcomes Suite (WOS) – measures patient workplace productivity Alternative measures approval process – Procedure designed for student interns to make a compelling case for using a different measure Description of issues precluding the use of a required measure at the site/with the patient population Identification of an alternative measure Description of the psychometric properties Clinical objectives of choosing the measure

14. The Nicholas A. Cummings Doctor of Behavioral Health Program outcomes data management tool

15. The Nicholas A. Cummings Doctor of Behavioral Health Program adjunctive treatment resources Pro-Change is used to extend the reach and impact of student intern/patient strategies and interventions Improves patient self-efficacy Supports patient self-management Follow ups to referrals provide opportunities to – Build on patient strengths – Refine treatment approaches

16. The Nicholas A. Cummings Doctor of Behavioral Health Program online patient resources

17. The Nicholas A. Cummings Doctor of Behavioral Health Program internship project Group treatment intervention of specific conditions – Chronic medical condition (e.g., diabetes, asthma) – Psychiatric condition (e.g., depression, anxiety) – Addictive behavior (e.g., smoking cessation) Patient health management – Conduct screenings and develop outreach to patients who are not currently receiving the treatment needed to effectively manage a chronic condition

18. The Nicholas A. Cummings Doctor of Behavioral Health Program performance evaluations Student intern receive periodic process and summative evaluations Performance evaluations are performed by different people reflecting varying perspectives – Internship site Site liaison Medical provider – Clinical Consultant – Student intern Self-assessment Internship site assessment

19. The Nicholas A. Cummings Doctor of Behavioral Health Program student intern portfolio Skill-building and performance metrics provide data for student to develop connections between – Treatment strategies – Patient outcomes Professional marketing tool Integrated BH SkillsClinical Outcomes

20. Session Evaluation Please complete and return the evaluation form to the classroom monitor before leaving this session. Thank you!