Ozark Center/Freeman Health Systems

Match # 192515

Internship positions available: 2

Ozark Center began as a rural mental health clinic in 1965 and has grown into an organization that employs 350 people and serves 13,500 patients every year. An integral component of Freeman Health System (http://www.freemanhealth.com) based in Joplin,
Missouri, Ozark Center provides comprehensive behavioral health services to children, adults, and families in an area that includes more than 450,000 residents from Missouri, Arkansas, Oklahoma, and Kansas.

Freeman Center has three inpatient units: Stephens Unit 1 – a 22-bed acute care adult inpatient psychiatric unit; Stephens Unit 2 – a 20-bed acute care inpatient psychiatric unit; and Senior Serenity – a 10-bed acute care geriatric inpatient psychiatric unit. The age of patients on the two acute care adult units ranges from age 18 to 65 years. The Senior Serenity Unit serves patients 65 years and over. All of our interns have enjoyed inpatient work so much that some of them have specifically sought out inpatient post-doc sites as a result of their internship experience. We have been successful at placing all interns with their desired post-doc location. We follow the Local Clinical Scientist Model which uses client data from clinical judgment, psychological testing, and team input to form hypotheses then asking ‘how can I confirm or disconfirm these hypotheses?’. The Ozark Center/Freeman Health internship has had interns from various cultural backgrounds.

Ozark Center continually looks for innovative ways to address the mental health needs of the community and promote awareness of mental illness in an effort to eliminate the discrimination associated with it. Ozark Center is the area’s largest and most comprehensive behavioral health care provider.

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It should be noted that Joplin, Missouri is approximately 1 hour from Springfield, Missouri where interns must travel for monthly didactic training.

Our Mission

Ozark Center’s mission is to improve the health of the communities we serve through contemporary, innovative, trauma informed, quality behavioral healthcare solutions.

Our Supervisors

Site Training Director

Stephanie Terrell, Psy.D.

Dr. Terrell earned her Psy.D in Clinical Psychology in 2011 from The School of Professional Psychology at Forest Institute. Dr. Terrell earned her Masters of Art in Clinical Psychology in 2009, from The School of Professional Psychology at Forest Institute. Dr. Terrell is a fully Licensed Psychologist as of 2014 and has been employed at Ozark Center since 2010. She provides outpatient therapy and psychological testing to adults. She also provides services on the inpatient unit, which includes group therapy, individual therapy, psychological testing, and supervision of students and interns. Her areas of interest include psychological testing, individual therapy, and providing supervision. Dr. Terrell is a member of the American Psychological Association. Dr. Terrell is a co-author of a published peer reviewed article in the Journal of Ethnographic & Qualitative Research.

Primary Supervisors

Eve Lueker, Psy.D.

Dr. Lueker received her Psy.D. in Clinical Psychology from the Argosy University and has received training and supervision from Dr. Rhonda Goldman regarding Emotion-Focused Therapy (EFT). She has also received specialized training related to treating domestic violence victims. Her research interests include self-compassion, experiential learning, spirituality and resiliency. Her theoretical orientation is Emotion-Focused Therapy.

Sooin Lee, Psy.D.

Dr. Lee received her M.A. and Psy.D. in Clinical Psychology from the Chicago School of Professional Psychology and is interested in subjective experience of psychopathology, the impact of therapeutic relationship on how one relates to self and psychopathology, and what it means to be a human being regarding diversity. Her theoretical orientation is Existential.

Arlene Sadowski, Ed.D.

Dr. Sadowski received her Bachelor’s degree in Psychology from University of Missouri-St. Louis in 1968, her Master’s degree in Psychology from University of Missouri-Columbia in 1971, and her Ed.D. in Counselor Education from the University of Arkansas in 1989. She has received training in Family and Marital therapy as well as Family Therapy Supervision. She is certified in Clinical Hypnotherapy and trained in use of hypnosis in psychotherapy. Dr. Sadowski specializes in the Outpatient practice of psychotherapy with adults, and the problems of depression, anxiety, chronic illness, bereavement. She has had experience as inpatient psychologist, and in the practice of child and family therapy. Her theoretical orientation is cognitive behavioral therapy and existential psychology and her current interests are in the practice of Mindfulness based Stress Management, Hypnosis in the treatment of depression, anxiety, habit control.

Training Opportunities

Interns will engage primarily in inpatient groups, individual psychotherapy, and psychological evaluations. About 90 percent of their time will be spent working on one of the three inpatient units, Stephens Unit 1, Stephens Unit 2, or Senior Serenity. One intern will be on Stephen’s Unit I for a month while the other intern is on Stephen’s Unit II for a month. Senior Serenity is covered by both interns. Each month, the interns will switch to the other Stephens Unit. The other 10 percent of the intern’s time will be devoted to outpatient individual psychotherapy with adults through Hope Spring at Ozark Center. A typical caseload is 4 to 5 outpatient adult clients, seen on one afternoon a week located in a separate building approximately 8 miles from Freeman East.

Interns on the inpatient units participate in multidisciplinary Treatment Team Meetings which integrate science with their practice. Interns are considered an integral part of the therapeutic treatment team which includes psychiatrists, psychologists, social workers, nurses, psych techs, psychiatric residents, medical students, master level practicum students, and master level social work students. Interns are encouraged to contribute within team meetings as valued members. During these meetings, interns provide input on patient progress and care with the multidisciplinary team. This setting also provides a unique training experience for interns to work with such a varied group of professionals. Interns meet regularly with the treatment team to contribute to ongoing treatment planning for patients.

Supervision will be provided by Stephanie Terrell, Psy.D., Clinical Training Director, Eve Lueker, Psy.D., and Sooin Lee, Psy.D. Dr. Terrell, Dr. Lueker, and Dr. Lee enjoy supervision and as a result, interns end up receiving more supervision than what is required. On Stephen’s Unit II, Dr. Terrell and Dr. Lueker share an office with the intern. On Stephen’s Unit I, interns have a separate office, that is next door to Dr. Lee. The interns use an office next door to Dr. Terrell for outpatient. Thus, interns have access to supervisors all day and any time they need to consult or process a client, session, group, testing results, etc. Our supervisory style is to follow the Developmental Model. Interns may have an opportunity to provide peer supervision to a masters level practicum student and then the intern would receive supervision of supervision.

Interns provide group, individual psychotherapy, and psychological testing for patients in the two acute care adult psychiatric units, Senior Serenity (a geriatric unit), and with outpatient clients. Interns at the Ozark Center are required to complete ten (10) full test reports (6 must include the Rorschach, if the intern has successfully completed the Rorschach class) during the internship year. Interns will have the opportunity to conduct the following types of assessments:

  • Suicide Assessment
  • Cognitive Assessment
  • Objective Assessment
  • Projective Assessment
  • Malingering Assessment
  • Use of screeners such as the RBANS (neurocognitive).

Infrequently, interns might be asked to consult on general medical floors. In addition to attending didactic training provided by the consortium, interns may have the opportunity to participate in various kinds of didactic training with the Ozark Center’s psychiatric residency program.

On each Tuesday except the first Tuesday of the month interns participate in a Journal Club. It is attended by the inpatient psychologists, doctoral interns, the inpatient psychiatrists, psychiatric residents, and medical students. The interns, psychiatric residents, and medical students provide studies for the group to critique and distribute them several days before the meeting. It is a good opportunity for interns to critique ongoing research studies.

Example Schedule

Interns at Ozark Center/Freeman health typically work a Monday – Friday schedule from 8:30 am to 5:00 or 5:30 pm (depending on if the intern takes a 30 minute or an hour lunch). No weekend work or on-call duty is required. About 90% of the intern’s time will be spent working on one of the three inpatient units, Stephens Unit 1, Stephens Unit 2, or Senior Serenity. Interns on Stephens Unit 1 and Unit 2 will switch Units on a monthly basis. The other 10% is outpatient, which begins in January and continues through the end of the internship year. A typical caseload is 4 to 5 outpatient adult clients, seen on one afternoon a week. Examples of what makes up each work day is provided below:

Monday Tuesday Wednesday Thursday Friday

AM

TxT (II)
CL

GRP (SS)
TxT (I)
JC*
CL

TxT (II)
SUP
CL

GRP (SS)
TxT (I)
CL

SUP
CL

PM GRP
CL

GRP
CL

GRP
CL

GRP
CL

GRP
CL

TxT = Treatment team; CL = filling orders/referrals for therapy/testing; GRP = Group; I = Unit I; II = Unit II; SS = Senior Serenity; SUP = supervision; JC = Journal Club (monthly)

Please note that interns are not always responsible for both afternoon groups. In general, each day interns will fill orders/referrals for therapy, testing, etc. They will be able to complete administrative tasks such as checking work e-mails, edit notes in electronic dictation system, and sign notes in electronic dictation system. Interns will also have time readily accessible for additional consultation with supervisors, peers, other professionals throughout the day regarding patients/clients. Interns will also have the option to attend the once a month Journal Club (Tuesday morning).

APPIC Training Experiences

Within psychological services, supervisors recognize that ethnic, racial, gender, religious, sexual orientation, socioeconomic status, as well as theoretical diversity, strengthen patient care. Services are provided regardless of race, religion, sex, political affiliation, social or economic status, lifestyle or physical disability. Staff, including interns, are expected to be competent, sensitive, and responsive to cultural differences in patients and in other staff. Interns are encouraged to discuss possible diversity issues contributing to the conceptualization of patents and to their own quality of training.

At our internship site, we have been fortunate to have interns from a variety of diverse ethnicities, some of which include: Black South African, Poland, Armenian, South Korean, and Swedish. Diversity among clients seen include: ethnicity/race (African American, Hispanic, Native American, Hmong, Caucasian), sexual orientation (gay, lesbian/bisexual/transgender), religious diversity, availability to translators for non-English speaking and hearing-impaired clients, low SES, etc.

Example patient populations (as listed by APPIC):

  • Adults
  • Older Adults
  • Inpatients
  • Outpatients
  • LGBTQI+
  • Students
  • Rural
  • Low Income
  • Homeless

 

Example treatment modalities (as listed by APPIC):

  • Assessment
  • Individual Intervention
  • Group Intervention
  • Consultation/liaison
  • Crisis Intervention
  • Brief Intervention
  • Long-term Intervention
  • Supervision of Practicum Students
  • Evidence-Based Practice
  • Evidence-Based Research
  • Acute Inpatient Care

 

Example supervised experiences (as listed by APPIC):

  • Eating Disorders
  • Physical Disabilities
  • Learning Disabilities
  • Developmental Disabilities
  • Assessment
  • Neuropsychology – Adult
  • Serious Mental Illness
  • Anxiety Disorders
  • Trauma/PTSD
  • Sexual Abuse
  • Substance Use Disorders
  • Geropsychology
  • Counseling
  • Multicultural Therapy
  • Religion/spirituality
  • Empirically-Supported Treatments
  • Supervision

The most commonly diagnoses seen at these locations include: MDD, PTSD, GAD, Bipolar, Borderline PD, Antisocial PD, Schizophrenia, Autism, Schizoaffective Disorder, Substance Use/Abuse, Co-Occurring disorders, Learning Disorders, and other personality disorders.

Salary, Benefits, and Support

Salary for the 2019-2020 Training Year: $25,001.60

Benefits provided at this site include:

  • 112 hours of PTO (vacation / sick leave)
  • 24 hours of Professional Development
  • Discounted health insurance
  • Vision insurance
  • Dental insurance
  • Professional liability insurance (for those not already covered)

Ozark Center observes the following 7 holidays:

  • New Year’s Day
  • Memorial Day
  • Independence Day
  • Labor Day
  • Thanksgiving Day
  • Christmas Day
  • Personal Holiday

Interns have available the resources of both the Ozark Center and Freeman Health System. For example, computer and technology support is available through Freeman Medical Systems. At the Ozark Center, a MOSS or administrative assistant provides scheduling support and organizational help with clients. The MOSS will make sure that they have available charts and necessary documents for ongoing clients. The MOSS also phones each client 48 hours before a scheduled appointment to confirm that appointment. Each intern will have a computer, phone, desk, and office shared with masters level interns. The office will include chairs for clients, a table for testing, and a bookcase. All office supplies are provided by the Ozark Center or Freeman Health Systems. A printer, copier, and fax machine are easily accessible. Interns are expected to dictate progress notes by phone on the inpatient units but will provide written documentation as needed at the Ozark Center. A multiuse group room is available for therapy groups on each inpatient unit. As psychologists in training, interns have access to all the equipment, supplies, and support available to psychologists at the Ozark Center and Freeman Health.

More information about the Support and Benefits offered in each of our regions can be found here.

Background Checks

Ozark Center does conduct background checks on interns prior to orientation and will be unable to keep a matched intern who by statute, must be excluded due to results of a criminal background review. Ozark Center conducts the following reviews of all matched interns:

  • Conduct a criminal background check with the state highway patrol or private investigatory agency,
  • Check the Division of Aging’s employment disqualification list with the Department of Social Services,
  • Check the Family Care Registry, and
  • Check the Missouri Child Abuse or Neglect registry.

Note these key factors that could cause the site to release an intern from match:

  • Unsatisfactory background check where actions and/or crimes which prohibit patient/client contact pursuant to state law and regulations of accrediting entities.
  • Background check returned as disqualified from any of the agencies listed in the previous section.
  • Found to be convicted of, guilty of, pleaded guilty to or nolo contendere to any of the following crimes:
    • Physical abuse of Class I Neglect of a patient, resident, or client
    • Furnishing unfit food to patients, residents, or clients
    • Failure of a specified professional to report suspected abuse or neglect of a patient
  • Found to be convicted of, guilty of, pleaded guilty to or nolo contendere to any of the listed felonies in the following document: Disqualifying Actions
  • Found guilty or pleaded guilty to a violation of Driving While Intoxicated or Driving with Excessive Blood Alcohol Content and who is found by the court to be an aggravated (3 or more) or chronic (4 or more) violator.
  • Found to be guilty of any felony drug offense.
  • Found to be guilty of any equivalent felony offense.

An intern of Ozark Center, with probable cause, as determined by the Human Resource Coordinator, Program Director, Vice President, or On-Call Administrator, will be required to undergo alcohol and drug screening. Probable cause is interpreted to mean when the employee appears to be under the influence of alcohol or drugs or in possession of alcohol or drugs using the following criteria:

  1. Possession of illegal drugs, prescription medication without a prescription in the employee’s name, or of alcohol while on Ozark Center property or while using Center vehicles or while acting on behalf of the Center off the premises;
  2. Displaying a marked personality change;
  3. Demonstrating irrational, bizarre or inappropriate behavior;
  4. Displaying clinical symptoms;
  5. Demonstrating inability to perform job duties due to lack of coordination or ability to concentrate;
  6. Being involved in an incident involving a significant error of judgment or other significant misconduct; or
  7. When behavior has the potential of compromising the safety of a patient, visitor, staff or employee; and,
  8. Information provided by a reliable source that the employee might be in violation of the organization’s Drug-Free Workplace Policy.

If matched with Ozark Center, interns will also be required to obtain the influenza vaccine or provide a declination based on medical or religious exemption by December 1 each year. The flu shot will be provided to interns at no additional cost. If interns do not take advantage of the vaccine provided by Freeman Health, then documentation of receipt of vaccine will be required prior to December 1st each calendar year. Although interns can decline the influenza vaccine due to medical or religious reasons, for the health and safety of patients and employees, personnel who are vaccine-exempt or who cannot provide documentation of having received seasonal influenza vaccination, or have declined influenza vaccination for any reason are required to wear a protective mask while performing clinical duties or working in patient care areas. This will be in effect for the designated influenza season as defined by the CDC. Additional information regarding this policy can be provided upon request.

Intern Selection Process

The Training Director along with input from Postdoctoral Residents at the site, review all approved applications sent by the Executive Training Office. This site specifically looks for applicants with the following experiences and/or traits:

  • Inpatient setting (or who sought inpatient experience)*
  • Group therapy
  • Some assessment
  • Appreciation of diversity issues in practice
  • Reasonable client contact hours particularly with the chronically mentally ill
  • Highly ranked by their references
  • Highly motivated to learn with a demonstrated work ethic
  • Excellent therapeutic skills and the ability to create a strong therapeutic alliance

*Note: While inpatient experience is looked for, it is not required. This site welcomes applicants with no previous inpatient experience, but who are interested in learning about the inpatient work environment.

Applicants who meet these characteristics are placed on a list to interview either in person or by phone. Those applicants who could not interview in person were offered opportunities to interview by phone. The Training Director and Postdoctoral Residents compiled a list of interview questions to ask to make the interview process as consistent as possible. After all the interviews, the applications and interview responses are used to rank or eliminate applicants.

Interview Day

In order to reduce the travel expense associated with interviewing, all participating NPTC sites participate in a Universal Interview day in Springfield, Missouri. Interviews can also be arranged at other times and places and Skype interviews are also possible. Please be aware that on-site tours are not a part of this interview process. However, some sites may approve a site tour at a later date if requested by prospective intern. The ability or inability to attend a site tour at another time will not impact match rankings and this is not an option available at all locations.