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«The Clinical Developmental Handbook 2013-2014 Department of Psychology York University Updated: August 27, 2013 by Mary Desrocher 2 Table of ...»

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During the summer term, the Course Director may assign readings in advance of the course in the fall. Prior to the intervention practicum, it is a good idea to read books and articles regarding various forms of therapy, and to ask your site supervisor for some recommendations of readings before you begin the practicum. If you have any questions, discuss them with both the Course Director and your site supervisor. Two courses are run concurrently with the intervention practicum at this time – one is the intervention practicum course (6930P) and the other is a separate intervention strategies with children course (6930).

NOTE: Contact with the Course Director should be maintained throughout the process. Acceptance of a placement must first be approved by the Course Director as well as the director of clinical training in the CD area.

Practicum Applications and Evaluation When starting one’s assessment or intervention practicum, students and their clinical-site supervisors will be required to complete a Practicum Agreement Form (available in the grad office; see p 103 for a copy of the form). This form will outline the details of the practicum (i.e., length of practicum, estimated hours), as well as provide the department with information pertaining to your site-supervisor.

In addition, prior to the start of the winter term, as well as at the completion of the practicum, an evaluation form will be completed by the student and site-supervisor outlining the student’s progress to date with regards to client characteristics, clinical hours, and a variety of core competencies.

It is recommended that students review both forms prior to beginning their practica, such that they can gain a better understanding of what is expected of them during their time at their placement, and what criteria will be utilized in their evaluation. Copies of both forms are provided in the appendix of this document.

Tracking Clinical Hours Throughout your assessment and intervention practica, you should be keeping detailed records of your clinical hours. These hours include: a) supervision (Individual, group, peer, classroom), b) Direct Service (Interviewing, assessment, Individual and/or group intervention), c) Number of clients (as well as demographic information such as client gender, age, ethnicity, and sexual orientation); d) Indirect Service (Report writing, consultations, literature review), e) Professional Development (i.e., reading, literature reviews), f) Research, and g) Other relevant activities (i.e., meetings). When recording, it is strongly recommended to be breaking down your hours in terms of the required APPIC categories (i.e., client ethnic background, age brackets) as well, such that calculating hours will be much easier when it comes time to complete the APPIC process. Go to www.appic.org for more information on what types of hour breakdowns are required, as well as to obtain further information on the APPIC internship application process.

Students wishing to obtain additional clinical experience beyond their two practica have two options:

1. An optional third clinical practicum (330 hours at a recognized setting)

2. Program-sanctioned hours (more flexible – see form in Appendix)

–  –  –

(NOTE: Practicum course 6440P consists of 20 hours of work per week for the academic year for course credit.

Practicum course 6460P can be either a full course credit consisting of 20 hours of work per week for the academic year or a * ½ course credit of only 10 hrs a week.)

For Clinical-Developmental Program:


–  –  –

A practicum consists of a minimum of 330 hours, over a minimum of 8 months (2 terms). A minimum of 150 hours of direct service and 40 hours of supervision.

What are the duties of the student to be? Please include, if relevant, such activities as: individual therapy, group therapy, family therapy, psychological testing, learning about ethical and professional standards and codes of conduct, applied research, and community consultation, as well as any other activities in which the student will be involved. Please indicate the number of clients the student will likely work with directly, including the number of anticipated contact hours and the kind of preparation the student will receive (e.g., role play, vicarious learning from observing others, psychological professionals and videos, previewing example formats/protocols, etc.). Please record any ancillary services/experiences the student will learn from.

Also describe how the student will be supervised and the amount of time which is to be allocated to such supervision on a weekly basis.

112 What are the dates over which the practicum will extend? _______________________________

Number of hours per week: _____________ Total number of hours: _________________

–  –  –

Practicum Setting and full mailing address:

Phone Number: __________________________________________

______________________ ___________________________ ________________________

Practicum Supervisor’s Name Signature Email address

–  –  –


Signature of Director of Clinical Training in your Area This form must be filled out and signed by both the student and practicum supervisor if the student is to receive practicum credit.

–  –  –

Academic Position, Rank, Tenure-Status (if applicable) : _______________________

Professional Service Delivery (list activities, responsibilities and/or positions):

_________________________________________________________________ _ Professional Honours & Recognition (e.g., Fellow of Professional or Scientific Society;

–  –  –

Member is Professional Societies/Associations: (please specify which ones) ____________


Publications in Last Five Years:

Presentations to Professional or Scientific Groups in Last Five Years:

Funded Research Grants or Training Contracts in Last Five Years (include funding source, duration of funding,

total direct costs):

–  –  –

Complete Part A before giving this form to your supervisor.

Each supervisor you worked with during the current practicum/internship should complete a separate form.

–  –  –

The description below refers to work completed under the supervision of the supervisor completing the present evaluation.

Practicum/Internship Student Name: _______________________________________

Name and type of setting:_______________________________________________


(e.g., outpatient/inpatient; children's mental health center, private practice, etc.) Date practicum/internship began: _________________

Today's date:______________

Assessment Practicum (6910): ____ Is this your first assessment practicum? ____ Intervention Practicum (6930): ____ Is this your first intervention practicum? ____ Internship (6840): Full time____Part time____Is this internship CPA or APA

–  –  –

4) Total number of clients: _____________

Presenting problems and/or diagnoses of your cases:



Practicum/internship services you provided ___________________________________________________________________


Total hours of direct service (assessment): _____ Total hours of direct service (intervention): _____ Total hours of direct service (other; specify): _____ Total hours of indirect service (assessment): _____ Total hours of indirect service (intervention): _____ Total hours of indirect service (other; specify): _____ Total hours of individual, face-to-face supervision: _____ Total hours of peer supervision/case discussion: _____ Total hours of other supervision (e.g., group, peer, etc.):_____ Other hours (e.g., clinical research, staff training, etc.): _____

Additional comments:




__ 116 List below the specific assessment procedures you have learned during this practicum/internship (e.g., clinical observation, clinical interviewing, individual, parent, family, structured or semi-structured diagnostic interviewing, construction of a developmental history, psychometric test administration, scoring, interpretation of cognitive and/or achievement test results, personality functioning, use of questionnaires from collaterals [e.g., teachers], parenting assessment, family assessment, feedback of assessment results,

report writing, consultation with other professionals re: assessment, etc.):

Assessment Procedures Learned Total Number 117

List below the specific intervention approaches you have learned during this practicum/internship (e.g., individual therapy, family therapy, couples therapy, career counselling, parent management/therapy, group therapy, play therapy, cognitive-behaviour therapy, intensive behavioural intervention, psychodynamic

therapy, etc.):

–  –  –

Student Name: ___________________________________________________

Supervisor Name: ___________________________________________________

Today's date: ________________________________

Instructions for supervisors:

Based on the work this student has completed under your supervision, please evaluate him/her within each of the core competencies listed on this form. Please use the definitions provided below as a guide for your ratings.

In addition, please complete the section on work habits, provide an overall rating of pass/fail at the end of the evaluation form, and review your evaluation with the student you are supervising. Finally, please assure that both you and the student sign the form.

–  –  –

Overall rating of assessment and evaluation: 1 2 3 4 NA Has the student completed any specialized training in assessment, evaluation, or diagnosis during this practicum? (If yes, please specify nature and extent of training)

–  –  –

Has the student completed any specialized training in intervention and consultation during this? (If yes, please specify nature and extent of training)

–  –  –

Supervisee’s Strengths:

Clinical competencies recommended for further development OVERALL RATING: Satisfactory: ____ or Unsatisfactory: ___ Supervisor Name _____________________________________________________



Student Name ________________________________________________________



Student signature indicates that student has reviewed the practicum/internship evaluation with his/her practicum/internship supervisor.

Please return this form to:

–  –  –

Pre-Doctoral Internship All students in the Ph.D. programme in Clinical-Developmental Psychology are required to complete a pre-doctoral internship. The CD area requires that a student’s Minor Area Paper and coursework are completed, and their Dissertation proposal is approved and their data collection is completed or at least well under way by the November prior to going on internship, or in other words, prior to applying for one’s internship. Internship settings will require that the Director of Clinical Training “sign off” that the applicant has completed the programme requirements prior to entering the internship. A student who has not met the requirements will not be permitted to enter the internship.

NOTE: Students may complete the PhD dissertation and oral defence PRIOR to entering the pre-doctoral internship, and this is strongly encouraged. The Faculty of Graduate Studies (FGS) will allow a student to complete the Ph.D. oral defence prior to completing the pre-doctoral internship. In addition, the FGS has added a financial incentive for students who do this. The monetary incentive is that students will be allowed to register as a part-time graduate student when taking the pre-doctoral internship. Furthermore, students should begin planning several years ahead as to where they would like to take their pre-doctoral internship.

Some internship locations would prefer/require that the student have already completed their Ph.D.


Applying to Pre-Doctoral Internships It is strongly suggested that students start planning for their internship up to two years in advance.

Students must meet with the Director of Clinical Training to discuss their plans for Internship and Internship setting prior to applying. Students should prepare to complete their internships outside of Southern Ontario (in Canada or the United States).

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