Clinical Training Rotations

There are two six-month rotations, with Interns alternating these experiences. One rotation is in Dialectical Behavior Therapy (DBT) program and the other is in Applied Behavior Analysis. Interns spend 4-6 hours per week in activities for their rotation. Interns are assigned to a rotation at the beginning of the training year, in a random manner. Completion of both rotations enhances the overall “generalist” experience, by providing some exposure to these more specialized areas.

Rotation 1: Dialectical Behavior Therapy (DBT)

Interns receive didactic training in DBT at the beginning of the year. Solutions’ DBT program uses Marsha Linehan’s model (2nd edition materials), and the DBT program is designed to meet state requirements for certification in this specialized area.  Andrew Hoerauf, MSW, LICSW is the clinical supervisor of this 6 month internship rotation. Clinical training activities for this rotation include:

  1. Serving as co-facilitator for the DBT adult and/or adolescent groups (3 hours/week)

  2. Providing individual therapy to at least one DBT client (1-2 hours/week)

  3. Participating in weekly to bi-weekly DBT group supervision (1 hour/week)

The objective of the DBT rotation is for Interns to effectively co-lead a DBT group using the Linehan model.

Interns are given a list of the specific expected outcomes at the start of the rotation. These are listed under the Intern Evaluation section. Midway through the rotation, Interns are given feedback as to their progress on these areas. They are again provided feedback at the end of the rotation.

Rotation 2: Applied Behavior Analysis (ABA)

Interns  receive didactic training in Applied Behavior Analysis (ABA) and autism at the start of the rotation. Dr. Jan Witte is the clinical supervisor of this rotation. Clinical training activities for this rotation include:

  1. Providing individual and group intervention (1-2 hours/week)

  2. Developing assessments and treatment plans (2-3 hour/week)

  3. Participating in group supervision (1 hour/week)

The objective for the ABA program rotation is for Interns to develop a general understanding of Applied Behavior Analysis.

Interns are given a list of specific expected outcomes at the start of the rotation. These are listed under the Intern Evaluation section. Midway through the rotation, Interns are given feedback as to their progress on these areas. They are again provided feedback at the end of the rotation. 

Additional Training Opportunities

Additional training experiences may be available, as well as to nurture special interest areas Interns may have, through elective options, such as receiving extra on-call experience, being involved in Parent-Child Interactional Therapy (PCIT), adult psychosocial rehabilitation, Children’s Therapeutic Services and Supports, and infant mental health. These optional activities allow Interns to explore areas of interest. While none of these are required to accomplish the core competencies, they can be good supplemental experiences. To make a request to participate in these training opportunities the Intern should speak with a supervisor.