INDIVIDUAL COUNSELING AND THERAPY:
Interns can expect to carry an average case load of ten to twelve individual therapy
clients per week. The actual number seen in any given week varies, depending on the
time of the semester. However, overall clinical services comprise about 25% of ones contract.
Interns are encouraged to discuss their clinical training needs with their primary
clinical supervisor and to tailor their caseloads to ensure that they meet their training
The program is flexible to accommodate varying needs. For example, if an intern wants
to gain experience working with a client dealing with a particular clinical issue,
they may request a referral from anyone on the staff who might see such a client on
intake. If an intern adds a client to their caseload in this way, they may then close
one of their own intake slots for that week.
Each intern is expected to provide approximately four intake slots per week for new
clients. During this time, the intern is responsible for clarifying the presenting
problem, assessing the need for intervention, evaluating the appropriateness of various
service options, and making the proper referral.
The Counseling Center provides immediate assistance for emergencies/crises that arise.
Both staff members and interns have designated times during the week when they are
expected to be available. Each intern is scheduled to be on emergency coverage for
several hours per week during regular working hours. No formal time is contracted
for emergency coverage, and interns are encouraged to schedule theses hours during
times that their work can be flexible. In addition, interns are on-call for weekend
emergency coverage approximately four weekends each semester. Interns are paired with
a senior staff member in providing this coverage.
Both process-oriented and theme-oriented therapy groups are offered. Every effort
is made to provide interns with the opportunity to co-lead (with a supervising staff
member) one of the general, Psychotherapy Process Groups (PPGs) each semester. Additionally,
to nurture an existing special interest area or explore a potential new one, interns
may lead an existing (or develop a new) theme-oriented process or structured group
(e.g., substance abuse education group; grief & loss group; sexual assault survivors
group; online body image group, etc.). These additional groups are co-led by a staff
member, or by another trainee with a staff member serving as a supervisor. Group programming
requires approximately 2½ hours per week per group (representing approximately 5-15%
of contract time). Individual supervision is conducted with the co-facilitator of
each group, or with a designated staff member. In addition, all group co-leaders meet
one hour each week for group supervision.
ALCOHOL AND DRUG ABUSE SERVICES:
The Counseling Center offers specialized services for the alcohol and drug abusing
client with minimal waiting time. Both individual and group counseling are offered.
The program is certified by the Maryland Department of Health and Mental Hygiene.
Interns participate in a full-day seminar during orientation on assessment and treatment
of substance abuse problems. They also receive supervision for treating substance
abuse issues. Additional training in treating substance abuse issues is available
as an elective activity. (see below) The number of hours involved in training on substance abuse issues is varied.
Outreach and Consultation Programming
Outreach programs are an integral component of Counseling Center's developmental/preventive
activities, and may comprise between 2-4 hours per week (5-10% of contract time).
In consultation with the Assistant Director for Outreach and Consultation, interns
develop personal outreach and consultation goals to pursue over the course of the
year. Interns are expected to spend a minimum of 80 hours involved with outreach and
consultation activities over the year.
Outreach programs are designed, implemented and evaluated in conjunction with staff
as well as other interns. Consultation activities and relationships may be established
with various components of the University community. Examples of such programs include
faculty/student development workshops, orientation workshops, Women's Center workshops,
outreach workshops of various themes, liaison with residence halls and other agencies
on campus and training undergraduate helpers on campus. Supervision of outreach and
consultation programs is typically provided by the co-facilitator or area coordinator.
OUTREACH AND CONSULTATION TEAM:
Interns serve on the Outreach and Consultation Team for the entire year and are involved
in examining issues germane to these areas of programming.
INDIVIDUAL SUPERVISION OF INDIVIDUAL CASELOAD
Supervision of interns is held on a regularly scheduled basis for two hours per week
with professional psychology staff who are licensed as psychologists in the state
Each semester, an intern has one primary supervisor, with rotations happening at the
half-year mark. Interns interview staff members to gather information about supervisory
approaches and then decide amongst themselves who will work with each supervisor.
A minimum of two hours per week is devoted to individual supervision for therapy cases,
although informal supervision is often sought and received over and above the minimum
Supervision is process-oriented, and self-exploration is often encouraged in the context
of one’s growth as a therapist. Specific attention to interns' self-awareness regarding
diversity issues and support of interns' ongoing growth in this area is an emphasis
Interns’ therapy work is videotaped to facilitate the supervision process.
PEER SUPERVISION OF INDIVIDUAL CASELOAD
Interns meet weekly for group supervision of their individual therapy work. This meeting
is facilitated by the Training Director.
SUPERVISION OF GROUP WORK
Supervision is provided for each counseling and/or therapy group offered by the intern.
When co-leading a group with a staff member, supervision is provided by that staff
If an intern has chosen to co-lead a substance abuse treatment group, supervision
is provided by the Coordinator of Substance Treatment Programs.
If and when two interns co-facilitate a group, appropriate supervision with a staff
member is arranged.
Additionally, all group co-leaders meet as a large group for peer supervision on a
weekly basis for one hour.
SUPERVISION OF AN EXTERN AND SUPERVISION OF SUPERVISION
In the spring semester, interns supervise students from local doctoral programs in
counseling and clinical psychology. They conduct individual supervision with an assigned
psychology extern for one hour per week.
Interns receive supervision of their supervision from a licensed staff member for
one hour per week. The staff member also provides one hour per week of supervision
to the extern, so the intern and the supervisor of supervision are both providing
supervision to the same extern.
Additionally, interns have periodic group supervision of supervision with the other
interns and a licensed staff member.
SUPERVISION OF OUTREACH AND CONSULTATION
Interns meet individually with the Assistant Director for Outreach and Consultation
on a regular basis to discuss their goals related to providing outreach and consultation
and progress toward those goals.
The intern seminar series is an integral part of the doctoral internship program at
the Towson University Counseling Center. It provides an opportunity to examine issues
related to interns' development as therapists in a context separate from the experiential
components of actual direct service and supervision. Because the seminar takes place
during the same year that interns are immersing themselves in the practice of psychology
with intensive supervision, the experiential components of the program and the seminar
can inform one another and provide a unique learning situation for the internship.
The seminar has several components:
1. Multicultural Issues: The objectives of this segment of the seminar series are to:
a. Improve knowledge and awareness of the experiences of marginalized groups at Towson
b. Increase awareness of values, biases. privileges, and identity development due to
cultural life experiences.
c. Practice the ability to ask cultural-focused questions with the aim of increasing
the cultural self-awareness of the interview and future clients.
The Multicultural seminar series is divided into didactic trainings that inform trainees
of the unique experiences of specific cultural groups and experiential trainings (called
Cultural Reflections) that include a short didactic introduction of the topic and
structured interviews to help participants reflect on their myriad cultural identities.
2. Research and Evidence-Based Practice: The research seminar has 3 primary objectives:
a. Provide support for the completion of dissertation / research projects.
b. Familiarize interns with evidence-based treatments for presenting concerns that
are commonly encountered at college counseling centers.
c. Strengthen competence in the critical evaluation of clinical research.
The research seminar is divided into meetings focused on dissertation support for
interns who are working on their dissertation projects, and on Evidence-Based Professional
Practice to promote critical discussion of EBPP for presenting concerns that are commonly
seen in college counseling centers. (for more detail, see Research seminar description).
3. Professional Issues: The objectives of this component include:
a. Discuss ethical and legal issues related to the profession.
b. Reflect on and discuss the development of ones professional identity.
c. Discuss and provide support on issues related to job search.
Sessions in this component occur throughout the year and are scheduled to reflect
current developmental issues for interns at different points in the year.
4. Professional Identity Development Series: The objective of this component include:
a. Develop an understanding of one's emerging theoretical orientation and professional
b. Increase awareness of values, biases, privileges, and identity development due
to cultural and clinical life experiences.
The purpose of this seminar is to explore interns' theoretical and professional identities
and the changes that occur throughout each month of the internship experience. Discussion
focuses on different theoretical orientations and their intersection with interns'
growth as a psychologist.
5. Theoretical Approaches and Special Topics: Objectives of this component include:
a. Explore varied theoretical approaches to treatment and apply them to practice.
b. Expand knowledge in special topic areas such as eating disorders, sexual assault,
developmental supervision, substance abuse, termination , etc.
Psychiatric Mental Health Consultation
The psychiatrists on staff are available for consultation, back-up, and in-service
training opportunities. There is the opportunity for collaboration regarding case
management and disposition, as well as the opportunity to work in a multi-disciplinary
treatment manner with other mental health professionals.
Counseling Center Staff Meetings / Staff Development
We hold weekly staff meetings to convey information from the Division of Student Affairs
to Counseling Center staff, to make announcements of relevance to the operation of
the Counseling Center, to discuss administrative issues germane to Center programming,
and to provide staff development opportunities. Interns are expected to participate
The staff development component is seen as an opportunity for in-service training.
Issues of particular interest to staff are identified and staff members, interns,
or outside consultants may present on areas specific to their interest and expertise.
Additional Professional Development
The Counseling Center is in full support of the continued development of interns above
and beyond that offered through Center involvement and programming. Interns are encouraged
to develop their identity as professional psychologists by membership in relevant
organizations, attendance at outside workshops, and local, regional, and national
conventions. Many of the workshops and training opportunities are offered in the greater
Baltimore/Washington area. We make every effort to facilitate the interns' desire
for continued professional development. Professional leave is available for these
Interns are provided 4 hours per month of professional leave time to use for participation
in professional development activities including conferences. Additionally or alternatively,
interns may choose to put these hours toward work on their dissertations.
Recognizing the need for effective case management and time to process and reflect
upon on-going clients, interns are expected to take time to watch video of their clinical
work, write notes, and prepare for supervision.
Every week, interns have an hour-long meeting designed to provide them with support
time. Interns alternate between meeting on their own and meeting as a group with the
Interns decide how to best utilize this time together. They may discuss reactions
to the internship, process experiences they have had, and address various issues that
arise during the course of the week.
The training director may seek feedback and provide information regarding meaningfulness
of activities, staff interaction difficulties, unmet needs, mentoring, administration
and program development.
Development of supportive group cohesiveness among interns is encouraged.
Though we call them electives, every intern is required to select at least one elective
activity. Some or all of the elective hours may go toward an apprenticeship. Elective
hours that do not go toward an apprenticeship can be filled with other elective activities
of the intern's choosing.
Suggested electives are listed on the internship website and in the intern handbook.
Interns may also propose electives that are not listed to the training director who
will make a decision with the intern about whether the elective can work.
There is generally a lot of flexibility about elective choice as long as the elective
is relevant to the intern's professional development and the Counseling Center mission.
Supervision of elective activities will be determined by the training director based
on the best match between the intern's training goals and staff expertise.
Subcategory of elective. An apprenticeship involves working closely with one person
who is in a particular role to learn about and assist with that role.
The number of hours required for the apprenticeship can vary depending on the availability
and interests of both the intern and the mentor, and should be established at the
beginning of the apprenticeship. Supervision is provided by the mentor.
Electives as Differentiated from Outreach
Core outreach requirements are 80 hours over the course of the year, including time in outreach meetings, outreach supervision, preparing and delivering
Interns are required to develop a major outreach focus as well as to participate in
more general and varied outreach topics throughout the year. The outreach director
provides general supervision of outreach. This supervision may be augmented by supervision
from other staff with expertise in relevant content areas.
As an elective, interns may choose to do additional work beyond the 80 required hours
The following list provides examples of potential elective activities, but is in no
way exhaustive. Interns may, in consultation with the training director, create whatever
unique training activity that they wish, utilizing any campus resources that are available.
Depending upon how much time is available, interns may participate in more than one
Examples of Elective Activities
Interns have the opportunity to pair up with a senior staff member who is coordinating
an area of interest to the intern (examples below) and shadow the staff member on
their coordinator responsibilities as well as assisting with responsibilities as agreed
upon between the intern and staff member.
Interns may apprentice with the following staff members:
Training Director: Intern sits on the Training Team committee, participate in the Intern Selection
committee, and takes on additional tasks related to coordinating the doctoral internship
program as agreed upon between the intern and training director.
Externship Coordinator: Intern assists with coordinating the extern seminar, extern selection, and planning
for extern orientation, and other tasks related to coordinating the externship program
as agreed upon between the intern and externship coordinator.
Assistant Director for Outreach and Consultation: Intern assists with the coordination of general outreach administration and peer
education program, and takes on additional tasks as agreed upon by the intern and
the assistant director of outreach and diversity.
Diversity Coordinator: Intern sits on relevant committees, assists in coordination of multicultural training
(for peer educators, externs, and senior staff), and contributes to multicultural
Eating Disorder Services Coordinator: Intern sits on the Eating Disorder Outreach Committee and Eating Concerns Consultation
Team. Intern also actively participates in the planning and delivery of Love Your
Body Week and National Eating Disorders Awareness Week activities. Lastly, intern
coordinates a Student Bodies group or assists in the running of the Body Image Peer
Groups Coordinator: Intern assists in organizing the group supervision meeting agendas, providing support
to group leaders in planning for their groups, planning and assessing PR efforts for
the various groups offered each semester, and engaging in broader strategic planning
and assessment initiatives for the groups program. The intern also could take on additional
tasks as agreed upon by the intern and the groups coordinator.
Clinical Services Director: Intern learns about the various clinical services duties and activities (e.g. managing
the clinical services system and procedures, managing unusual clinical and case management
situations, interfacing with office staff with respect to clinical functions, resolving
any difficulty that affects the smooth operation of the Counseling Center), handles
or collaborates on selected routine tasks (e.g. coordinating requests for release
of records and reports, convene the Suicide Tracking System meetings at times, data
production and maintenance, and any of the above items), and takes on additional tasks
as agreed upon by the intern and clinical services director.
Sexual Assault Services Coordinator: Intern sits on the Sexual Assault Prevention and Response Committee, aids in sexual
assault programming, and co-facilitates the Sexual Assault Survivor Support Group.
The intern also could take on additional tasks as agreed upon by the intern and the
sexual assault services coordinator.
Substance Abuse Treatment Coordinator: Intern sits on the Substance Education and Concerns Committee (SECC) and the SECC
sub-committee, Alcohol Programming. Intern also actively participates in all planning
and implementation of substance abuse prevention programs, such as, but not limited
to, the Save-A-Life Tour and National Alcohol Screening Day. In addition, intern co-facilitates
either the substance use education or the substance therapy groups program. The intern
also could take on additional tasks as agreed upon by the intern and the substance
abuse treatment coordinator.
Counseling Center Director: Intern meets with the Counseling Center Director to discuss management and leadership
issues, how decisions are made regarding agency policy and planning, dealing with
staff issues and conflict, and developing an understanding of how the Center fits
in with the Division of Student Affairs and the university community. Projects and
tasks may develop as a result of mutual interests.
Research and Evaluation
Interns who are still working on their dissertations may elect to put additional time
toward research by embarking on a research project of their own choosing, utilizing
the research seminar for support. They may use counseling center data or collect their
own. They also may elect to assist with counseling center data collection and management,
or another ongoing counseling center research project.
If interns have completed their dissertations, it is expected that they will use at
least one hour per week, on average, of their elective time to be involved with some
type of research. They may elect to do research beyond this basic requirement if they
Clinical Services with a Particular Population
Interns who wish to gain specialized experience with clients who have a particular
type of clinical issue that would lend itself to counseling center treatment (e.g.
eating disorder relapse prevention; substance abuse issues; clients dealing with LGBT
issues; etc.) can arrange a clinical elective by requesting referrals of clients with
this issue and arranging for supervision of those clients by a staff member who has
special expertise in that area. This clinical work would be considered an elective
in that it would be above and beyond the clinical work required as part of the core
Liaison with Other Campus Departments
Interns may cultivate relationships with other members of the campus community (e.g.
Athletics, Women’s Center, Office of Diversity, Office for Students with Disabilities)
and serve as a Counseling Center liaison to those groups, providing consultation and
clinical services as appropriate.
Career Services / Training
The Career Center offers a two-credit academic course in career and life planning
called Personal Life and Career Planning. Interns who are interested in co-teaching
this class with a Career Center staff member may do so as an elective activity during
the fall semester.
Intern Selection Committee
An intern may choose to participate on the intern selection committee even if they
have not chosen to pursue an apprenticeship in training. The intern selection committee
consists of two senior staff members (including the training director) and one intern
who represents the intern group.
The committee reads all applications, decides whom to interview, and, following all
interviews and review of feedback, decides who and in what order applicants will be
An intern may choose to participate on the Diversity Committee even if they have not
chosen to pursue an apprenticeship with the Multicultural Coordinator. This committee
consists of four senior staff members and one intern and meets on a monthly basis.
The committee's purpose is to plan and implement in-service trainings and other activities
to continue ongoing awareness of and sensitivity to multicultural issues within the