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Clinical
Internships and Practicum Experiences at the Parenting Clinic
Introduction
The
Parenting Clinic of the University of Washington is a research-based
program funded by grants from the National Institute of
Mental Health (NIMH), National Institute of Nursing Research
(NINR) and the National Institute of Drug Abuse (NIDA).
The parenting Clinic was established in l983 to develop
and evaluate treatments for families with young children
(ages 3-8 years) with Oppositional Defiant Disorder (ODD),
Conduct Disorder (CD) and Attention Deficit Hyperactivity
Disorder (ADHD). Over the past 21 years, Carolyn Webster-Stratton,
clinic director, and her staff have developed empirically
validated interventions designed for use with parents, teachers
and children. Modifications of these interventions include
programs developed for prevention as well as clinical disorders.
Current emphasis is placed on school-based interventions
addressing the needs of diverse families as well as treatment
for children (ages 4-6) with ADHD.
Theoretical
Orientation
The
Parenting Clinic's interventions incorporate a variety of
theoretical orientations from three general perspectives:
(1) social learning theory, which includes behavioral and
cognitive-behavioral views; (2) the "relational theories"
such as attachment psycholoanalytic theory, (3) family systems
theory and (4) humanistic theory. Social learning theory
provides an emphasis on modeling, positive and negative
reinforcement, and coercive interactions. Attachment and
psychoanalytic theories provide an emphasis on the affective
and relational aspects of child treatment, parenting and
parent training. Family systems theories provide an emphasis
on parent-child interaction patterns, family structure,
communication patterns and the influence of marital relationships
on children and parenting practices.
Practicum
and Internship Opportunities at the Parenting Clinic
Graduate students in psychology,
nursing, education, social work, and counseling can receive
training in our child and parent programs by participating
in a practicum or internship experience. Our training model
places students with our experienced group leaders so that
they can observe the group process. As students become comfortable
with the content and process of our groups, they may gradually
take on more leadership roles under the supervision of our
experienced leaders. Students receive 3-4 full days of training
in either program and attend weekly group supervision.
Parenting
Group Internship or Practicum Experiences Students
will be placed in one of our parenting groups where they
will observe and assist in the delivery of our parenting
program.
Additional Internship or
Practicum Experiences Students who are participating
in either the child or parenting practicum can obtain additional
training hours in the early fall and late spring by participating
in home interviews and child assessments for families enrolled
in our project.
Information
about Internship and Practicum Experiences
We
frequently receive requests to complete an internship, practicum,
or research experience in our clinic. These requests come
from graduate students, post-doctoral students, or community
practitioners. Our clinic can be an excellent training opportunity,
and we truly enjoy working with trainees. Many students
have attended training, learned to deliver our interventions,
used our data to complete dissertations, and assisted with
our assessment procedures. Some of these students have gone
on to become a regular part of our research team or to continue
research or training in our program at other sites.
Here
are some things to know if you are considering working with
us:
- We
are not primarily a training site so our grant goals always
come first. Luckily, since our grants involve direct training
and services to parents, schools, and children, trainees
have the opportunity to participate in hands-on training
and intervention. However, some flexibility is required,
and grant goals and activities vary from year to year and
from month to month (often we have no intervention in the
summer, assessments in the fall, intervention in the winter,
and assessments in the spring).
- We
do not have an APA-approved internship program. It is the
trainee's responsibility to keep track of APA requirements
and to ensure that all requirements are met. Trainees may
need to seek additional experiences outside of our clinic
to meet their program requirements. Several students have
successfully completed APA internship requirements, with
some creativity.
- Practicum
experiences can range from 6 hours per week to full-time
work and can last from 4 months to a full year. We almost
always require that a student participate for a full intervention
period (4 months). Start times of interventions vary, but
most begin in the late fall and continue until the spring.
- Our
training model is to have trainees participate in standard
trainings in our programs and then to partner with a certified
leader. We train students in how to conduct parent groups,
small group child treatment, and classroom child social
skills programs (availability depends on specific grant
goals). Trainees are then paired with an experienced leader
and assist in conducting the intervention. Depending on
the trainee's prior experience and comfort level, this role
may be an observer role or may involve more leadership.
Trainees also participate in weekly supervision.
- Our
team includes licensed psychologists, licensed social workers,
nurse practitioners, and teachers. All of these staff can
be involved in supervision depending on the needs of the
trainee.
- We
regret that we do not have funding available for trainees
to learn and assist with the interventions. Occasionally,
we can pay a minimal hourly rate for work that trainees
do on our assessments. This is not an adequate amount to
live on, so trainees must have another source of funding.
- We
often hire former trainees to work on our grants. Many of
our current therapists first learned our program as a volunteer
or as a student.
- We
have large data sets with information about families and
children and schools. Over the years we have had a number
of doctoral students who have used our data as the basis
for their dissertations. Interested students are encouraged
to contact us about this. We do not take students unless
we can make a commitment to working collaboratively on a
project with them, so almost all of our doctoral students
have been from local universities. (Students often spend
time learning our intervention before using our data). While
we like to be closely involved in student research with
our data, we also expect students to take the initiative
on these projects and to work efficiently and proactively
on their projects. We generally ask to be on a student's
dissertation committee if our data is being used.
Feel
free to contact Jamila Reid, Ph.D. mjreid@u.washington.edu
if you
are interested in training with us. In some ways we offer
a very flexible and exciting internship/practicum program,
but because of our grant constraints, it is not the right
match for everyone.
Thank
you for your interest!
Student
Doctoral Dissertation Results
(Julie Rinaldi, Ph.D.)
Over 60 families participated
in a long-term follow-up study of the Incredible Years Program.
At the time the parents received this intervention program,
their children were aged 4-8 and were exhibiting significant
behavior problems. Ten years later, the parents as well
as their teenagers were interviewed. Results of these interviews
indicated that at least 75% of the teenagers adjusted typically
into adolescence with minimal behavioral and emotional problems.
There were a few teenagers (approximately 10) who did have
significant problems in adolescence. These teenagers exhibited
behaviors including alcohol use, delinquency, and high levels
of defiance or aggression. In addition, some also had elevated
levels of depression, anxiety, or self-worth issues.
It is very promising that
the parenting skills taught in the Incredible Years Program
had lasting effects. For example, those mothers who used
less critical language with their children both before and
just after completing the Incredible Years program were
more likely to have teenagers with a typical adjustment
into adolescence (as opposed to the 10 teens who had multiple
problems). In a similar way, the fathers who praised their
children more frequently were more likely to have their
child adjust typically into adolescence. At greatest risk
for having problems in adolescence were those children who
had a coercive relationship with their mothers. A coercive
process develops when the child's negative behavior causes
the mother to be more critical, negative, or hostile, which
in turns causes the child to be more defiant. Breaking this
cycle between parents and children is an important focus
and continuing goal of the work at the Parenting Clinic.
These results are promising
and suggest that enhancing parenting skills is a useful
and important key to improving conduct problems in children
and maintaining those improvements to prevent further adolescent
behavior problems.
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2006-2007
Interns
Jani
Driver
Lisa
Emerson
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