CORE REQUIREMENTS OF THE FELLOWSHIP ADVANCED CLINICAL TRACK
The Fellowship program at Aegis Institute, Inc. is designed to emphasize core competencies
within the field of clinical psychology preparing Fellows for licensure as clinical
psychologists while offering practical hands on business experience as an additional
benefit. Elective opportunities may be available as well and are described briefly
By the end of the fellowship year, candidates are expected to have a mastery of
the following competencies:
General Psychology: Fellows will build upon their earlier training
and education to form mastery in all areas of general psychology which are assumed
Ethical Principles: Fellows will be able to articulate and apply
the ethical standards as outlined by the APA Ethical Principles of Psychologists
as well as those specific to the field of addiction medicine (e.g. 42 & 45 CFR).
Fellows will be expected to demonstrate a meaningful contribution to case discussions
in which ethical issues are in play.
Communication and Consultation: Fellows will be expected to communicate
clearly to a variety of audiences with varying levels of psychological sophistication,
from program physicians and nurses to medical assistants and caseload managers.
Written and verbal communication will be articulate and well organized. Fellows
will be expected to participate in ongoing case conceptualization in which recommendations
will be solicited. It is expected fellows will be well prepared for these interactions
and offer a meaningful contribution to the discussions.
Assessment Skills: Fellows will be expected to interact with and
show a command of assessment instruments common to the field of addiction medicine.
These instruments will include the Addiction Severity Index, the Depression, Anxiety,
Stress Scale, the Brief Symptom Inventory as well as other internally developed
Therapy Skills: Fellows will be expected to demonstrate an advanced
competency in therapeutic skills most of which have already been utilized in previous
practicum and internship placements. Building upon this, fellows will demonstrate
a mastery of the early recovery skills, relapse prevention skills, treatment of
dual diagnosis, solution-focused and CBT theoretical orientations as well as a command
of the stages within the compulsive behavior cycle. These skills will be utilized
in both individual and group modalities.
Required Core Seminars (Didactic Training)
Introductory Seminar: This seminar is an intensive 2-3 week immersion
orientation in which fellows will be assigned to a facility manager who will begin
training on standard policies, procedures and protocols of the site as well as administrative
and operational aspects of opiate treatment facilities. Ongoing proficiency testing
will occur to ensure the fellow is making acceptable progress. Once fellows successfully
complete this process, they will be assigned for an additional 2 week period to
the agency’s corporate office for advanced master classes with Aegis Directors and
key support staff. Fellows advancing beyond the introductory seminar will be placed
at their permanent site for the continuation of their fellowship year.
Advanced Clinical Seminar: This seminar meets for 1 hour per week
following the introductory seminar and lasts for the entirety of the fellowship.
There are a variety of required readings that will accompany the training, including
book chapters, research articles and curricula review.
Case Conference Seminar: This seminar meets for 1 hour per week
with the full interdisciplinary treatment team for the entirety of the fellowship.
Case conference seminar allows fellows to present cases and receive feedback from
seasoned members of the clinical and medical team. Additionally, fellows will be
exposed to advanced case formulation, medication management, contingency management
practices and utilization of community resources.
Advanced Medical Seminar: This seminar meets for 1 hour per month
for the entirety of the fellowship and is hosted by the Program Physician. Medical
lectures on common medical conditions affecting the substance using community will
Advanced Management Seminar: This seminar meets for 2 hours once
per month and is hosted by Aegis Directors. Fellows will be exposed to operational
and administrative aspects of opiate treatment facilities including policies, procedures
and protocols as well as relevant case law, pending legislation and preparation
for health care reform. There will be a strong emphasis on leadership and managerial
Advanced Peer Seminar: (upon availability) This seminar meets for
1-2 hours once per month for the entirety of the fellowship in which all fellows
meet for a prepared presentation by their peers upon a mutually agreeable topic.
This seminar is not supervised. All materials including PowerPoints will be submitted
to the Fellowship Director so as to document successful completion. Depending on
the total number fellows, it is anticipated that 3-4 peer presentations should be
expected per fellow.
Supervised Practice: Aegis Institute, Inc. Therapy Cases & Groups
The primary supervisor will work closely with the fellow to develop appropriate
clinical experiences (individual and/or group therapy, etc.) to ensure a variety
of experiences. The Advanced Clinical Fellow can expect to provide between 10-15
hours per week of direct clinical services utilizing approved policies, procedures
and protocols. These experiences may include intakes, individual/group counseling,
case conceptualization, assessments, case conferencing, behavioral agreements, treatment
planning, discharge planning, conducting referrals for services, etc. The fellow
can expect the supervisor to join a minimum of 2 individual or group sessions during
the year to ensure progress is being made. In addition, fellows will meet weekly
for the entirety of the fellowship in both individual and group supervision with
the primary or designated supervisor.
Towards the goal of achieving a rich supervised experience, fellows have the following
minimum additional requirements to achieve:
Required readings and materials include:
1. Living in Balance by Marc Galanter, Herb Kleber
2. The Transtheoretical Model and Stages of Change by James O. Prochaska, Colleen
A. Redding and Kerry E. Evers
3. Counselor’s Treatment Manual: Matrix Intensive Outpatient Treatment for People
with Stimulant Use Disorders. DHHS Publication No. (SMA) 06-4152. Rockville, MD:
Substance Abuse and Mental Health Services Administration, 2006.
4. Professional Perspectives on Addiction Medicine: Understanding Opioid Addiction
and the Function of Methadone Treatment published in 2006 edited by Mark Stanford
and Donald Avoy.
5. Mind Over Mood written by Dennis Greenberger and Christine A. Padesky
Additional recommended reading materials include:
1. The Bipolar Workbook published in 2006 by Monica Ramirez Basco
2. Seeking Safety published in 2002 written by Lisa M. Najavits
3. The Anxiety & Phobia Workbook, 4th edition published 2005 written by Edmund
4. The Dialectical Behavior Therapy Skills Workbook published in 2007 written
by Matthew McKay, Jeffrey C. Wood and Jeffrey Brantley
Clinical Groups: Fellows will lead two (2) clinical groups per
week utilizing approved Aegis Clinical Protocols and materials. Approved topics
range by the patients’ needs as well as groups already in progress, but may include:
Clinical Depression, Bipolar, Anxiety Disorders, Adult AD/HD, Anger Management,
PTSD, Recovery or Relapse Prevention Skills or Life Skills. Additional groups may
be available depending on the fellow’s level of clinical training and experience.
Assessments: Fellows will be expected to conduct no fewer than
30 thorough assessments of patients with whom they are providing treatment. Assessments
include the Addiction Severity Index, The Depression, Anxiety and Stress Scale,
the Brief Symptom Inventory as well as additional internally developed measures.
Assessments will be reviewed and approved by the Regional Supervisor.
Treatment Planning: Following the assessment, Fellows will be expected
to develop no less than 30 comprehensive treatment plans addressing all identified
high risk needs of their patients. Treatment plans include establishing both short-term
and long-term goals of the patients as well as planned interventions towards reaching
these goals. Every patient will have an updated treatment plan quarterly as required
by state regulations. Treatment plans will be reviewed and approved by the Regional
Case Presentations: Fellows will be expected to present no fewer
than 12 cases (e.g. 1 per month) for review within the context of the interdisciplinary
treatment team. Preparation for presentation will be essential as each fellow will
be expected to demonstrate a detailed understanding of the patient’s range of issues
covering seven (7) domains of functioning as well as defend interventions, goals
and techniques utilized within individual sessions.