Message from Dr. Chris Lorance

Match #’s: 192512, 192530 (dual track)

Internship positions available: 4
Dual Track positions available: 3
Residency positions available: 1

Royal Oaks is a 55-bed acute care inpatient facility located in Windsor, MO which treats individuals aged 3-65+. Windsor is a centrally located rural, Midwestern community of approximately 3000 residents with a largely agricultural economy and several large Mennonite and Amish communities. Royal Oaks Hospital provides outpatient psychotherapeutic services, partial hospitalization, and acute inpatient care. The inpatient units are kept full the majority of the time due to the revolving door process in place for admits and discharges. The most commonly seen diagnoses at the hospital include Major Depressive Disorder, Oppositional Defiant Disorder, Anxiety Disorder, ADHD, Adjustment Disorder, Substance Use, Cluster B Personality Disorders, Mental Retardation, and Bi-polar Disorder.

Royal Oaks participates in the Behavioral Health Alliance of Mid-America and proudly works with other mental health professionals to ensure that the most appropriate care is available and provided to each patient. Royal Oaks is licensed by the Missouri Department of Health, accredited by the Joint Commission on Accreditation of Health Care Organizations, and is certified by the Health Care Financing Administration for participation in the Medicare Program. Royal Oaks is an approved facility for multiple insurance panels and provider networks.

Royal Oaks Hospital has two rotations available for match:

  • Full-Time Royal Oaks Hospital Rotation (Match# 192512)
  • Dual Track Compass Health/Royal Oaks Hospital (Match # 192530)

Royal Oaks Hospital is located in Windsor, Missouri Dual track interns would split their time between Windsor, Missouri and the Compass Health office in Clinton, Missouri. Training experiences for the Dual track at both locations will be similar to full time interns except that they will be working both inpatient and outpatient. For more information about the Dual Track experience go here.

Due to regulations for Royal Oaks Hospital, incoming interns are required to attend a 5-6 day orientation prior to their internship start date. The first two days of the orientation is comprised of a general introduction to the organization, customer care, and Information Technology information (such as the Essential Learning training throughout the year). One day will be spent on CALM training (restraint and seclusion), another day on NIMS training (disaster training for emergencies or evacuation), and a day covering the Stop and Think program (evidence-based program for working on the pre-adolescent unit). This orientation typically occurs in June each year and matched interns will be provided with orientation information once the dates are scheduled. Interns are reimbursed at least $250 for travel costs for attending this orientation, however, cost reimbursement above and beyond $250 are subject to site approval. Questions about this requirement can be addressed to Katherine Dixon at

It should be noted that Windsor, Missouri (location of Royal Oaks Hospital) is 2 hours from Springfield, Missouri where interns must travel for monthly didactic training. Royal Oaks Hospital does provides travel reimbursement and mileage for intern travel expenses during monthly didactics.

In addition to the information provided on this page, you can watch the recording of the September 27th Training Director’s Panel below for additional information about this site.

NPTC Central Region Training Director’s Panel

Our Mission

Inspire Hope, Promote Wellness

Our Supervisors

Site Training Director
Tenea Lowman, Psy.D.

Dr. Lowman received her Master of Arts and Doctorate Degrees from Forest Institute of Professional Psychology in Springfield, Missouri. She completed her pre-doctoral internship and post-doctoral residency at Royal Oaks Hospital in Windsor, Missouri. She has received experience in residential and acute care inpatient settings with children and adolescents, adult acute care inpatient, community mental health, private practice and hospice care. Dr. Lowman is currently the Clinical Coordinator, Inpatient Services as well as the adult program director. At Royal Oaks Hospital she provides and supervises clinical services on the adult unit. As training director Dr. Lowman supervises the training and development of psychological interns, residents, and trainees. Her clinical interests include group therapy. She has been adjunct faculty at the School of Professional Psychology at Forest Institute. Dr. Lowman is a Licensed Psychologist in the state of Missouri.

Primary Supervisors
Chris Lorance, Psy.D.

Dr. Lorance received his doctorate degree in 2015 from the Forest Institute of Professional Psychology in Springfield, Missouri. He completed his post-doctoral residency at Pathways Community Health with a focus in individual therapy, Dialectical Behavior Therapy, and psychological testing. Dr. Lorance began working at Royal Oaks Hospital in 2015 and currently runs psychotherapy groups with a variety of emphasis, from process groups to skills groups to psychoeducation groups. He also performs a number of psychological testing consultations ordered from the psychiatrists at the hospital. Dr. Lorance has extensive training in a variety of psychodiagnostic instruments, including neuropsychological, projective, objective, and intelligence testing. He is a member of various organizations that study and research testing. Furthermore, he has training in the administration of DBT and ACT, and belongs to organizations that study these therapeutic approaches.

Lisa Brown, Psy.D.

Dr. Brown received her Doctorate Degree in 2003 from Forest Institute of Professional Psychology in Springfield, Missouri. She completed her internship and post-doctoral residency at Royal Oaks Hospital with a focus in Psychological Testing. She became licensed to practice Psychology in Missouri in 2004, and currently works as a therapist on the adolescent inpatient psychiatry unit. She also currently teaches Ethics as well as Marriage and Family Therapy, in the Masters in Counseling program, at Missouri Valley College in Marshall, Missouri. Dr. Brown’s Theoretical Orientation is Psychodynamic and her research interests include Trauma.

Training Opportunities
There are three inpatient rotations at Royal Oaks:

  • Preadolescent
  • Team B adolescent
  • Adult

A case load of 4-6 patients will be carried on each rotation as well as conducting five to ten clinical groups per week, family therapy, and treatment team. Running Saturday groups one time a month will occur on all rotations. The prior Monday to the scheduled Saturday will be given off to the scheduled intern. Testing will occur on all rotations with the exception of the pre-adolescent rotation. A minimum of thirty psychological evaluations will be completed during the training year. During some rotations, interns will participate as a member of a multi-disciplinary treatment team led by an Attending Psychiatrist. Other members of the treatment team include Psychologist, Registered Nurses, Licensed Professional Counselors, Clinical Social Workers, Expressive Therapists, Educators, Utilization Review staff and a Clinical Case Manager. Interns not only present case conceptualizations, but will convey findings of psychological testing.

Interns utilize both hands-on training as well as web-based training programs. The agency offers a full training library of web-based programs for the interns and staff to access as they are able based on their licenses/interests. Interns also work collaboratively to provide lectures on Group Therapy to nursing students at State Fair Community College each semester.

Interns can also apply for the dual track between Royal Oaks and Compass Health (formerly Pathways Community Health)- Clinton. There are three positions for the dual track. Interns in these positions will spend half of their time at Royal Oaks and half of their time in the Compass Health-Clinton office. Training experiences at both locations will be similar to full time interns except that they will be working both inpatient and outpatient. For more information about the Dual Track experience go here.

APPIC Training Experiences
Royal Oaks Hospital is located in Windsor, Missouri which is a rural farm town with the population of 2,785 individuals. Those living in the area are primarily Caucasian and there is an Amish community. Kansas City is one and one half hour north-west and Whiteman AFB is about 20 miles away.

Patient Demographics
Total number of clients (agency wide)










African American






Asian/Pacific Islander


American Indian/Alaska Native


Multiethnic or None of the Above


Being located in a rural area, the location of the hospital is often a barrier for patients. Also, many families can not afford to attend family sessions. The most commonly seen diagnoses at this location include mood disorders, thought disorders, substance use disorders, ADHD, parent/child relational issues, trauma, and various personality disorders. Royal Oaks at times will have individuals seek services from ethnic and religious groups that are not of the majority for the Central Missouri area.

Example patient populations (as listed by APPIC):

  • Children
  • Adolescents
  • Adults
  • Families
  • Inpatients
  • Ethnic Minorities
  • Spanish-Speaking
  • Rural
  • Low Income

Example treatment modalities for this rotation (as listed by APPIC):

  • Assessement
  • Individual Intervention
  • Couples Intervention
  • Family Intervention
  • Group Intervention
  • Consultation/Liaison
  • Crisis Intervention
  • Evidence-Based Practice
  • Evidence-Based Research

Example supervised experiences (as listed by APPIC):

  • Eating Disorders
  • Rehabilitation Psychology
  • Assessment
  • Sexual Abuse
  • Substance Use Disorders
  • Research
  • Empirically-Supported Treatments
  • Teaching/Psychoeducation
  • Acute Inpatient Care


Example Schedule
Interns at Royal Oaks Hospital will typically work an 8:30 am – 5:00 pm schedule each week except that once each month, interns will run consecutive Friday evening and Saturday groups. On this weekend, interns will work from 12:00 pm – 8:00 pm and all day on Saturday. On these weeks, interns will be given the previous Monday off in exchange for working Saturday.

Interns will also rotate units every four-months of internship, though the schedule remains the same for each. In general, interns on all rotations will carry a case load of 4-6 patients as well as conducting five to ten clinical groups per week, family therapy, treatment team, and assessment referrals.

Salary, Benefits, and Support
Salary for the 2019-2020 Training Year: $30,014.40

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
  • 401(k) with 4% employer match
  • Cafeteria Plans for medical and/or dependent care
  • Intern-funded life insurance
  • Intern-funded short-term disability
  • Employee Assistance Program (free short-term counseling for intern/family)
  • Professional liability insurance (for those not already covered)
  • Licensure Assistance program
  • Mileage reimbursement

Royal Oaks Hospital observes the following 10 holidays:

  • New Year’s Day
  • Martin Luther King Jr. Day
  • Memorial Day
  • Independence Day
  • Labor Day
  • Thanksgiving Day
  • Christmas Eve
  • Christmas Day
  • 2 Personal Holidays

Royal Oaks Hospital has support staff on site available to assist the interns. They also utilize both hands-on training as well as web-based training programs. Their web-based training program offers a full training library for our staff to access as they are able based on their licenses/interests. They also offer a wide range of psychological assessment and scoring materials.

Due to the distance required to travel to Didactic training each month, Royal Oaks Hospital provides travel reimbursement and mileage for intern travel expenses during monthly didactics.

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

Background Checks
Royal Oaks Hospital does conduct background checks on interns prior to orientation. The following document provides the full, detailed hiring policy for the Compass Health network:

Compass Health Hiring Policy

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

  • Positive drug screen.
  • Unsatisfactory background check where actions and/or crimes which prohibit patient/client contact pursuant to state law and regulations of accrediting entities.
  • 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
    • Is listed on the DMH disqualification registry
    • Is listed on the employee disqualification list of the Department of Health and Senior Services or Department of Social Services
    • 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 website:
  • 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.

Please note that a criminal background check that reveals an intern’s past alcohol or drug related crimes does not automatically release an intern from match. If otherwise qualified, if two (2) years have passed since the intern was convicted or found guilty and they are not currently on probation or parole, the intern is still eligible to be matched.

Intern Selection Process
The Training Director, Supervisors, current interns, and Postdoctoral Residents review all interested applicants. The selection committee initially looks for individuals with a Master’s degree and eliminates applicants based on the following criteria:

  • History of legal complications
  • Personal academic probation
  • Released from a prior internship site
  • Inappropriate disclosure made in applicant material (i.e. sexual experiences of self or others)

Those who appear to be an appropriate fit in the hospital setting will be invited for an interview. The selection committee is likely to rank those interviewees who appear to be well rounded as an individual not just as a soon-to-be psychologist. Applicants who have good self-care, who are interested in professional development and skill set, and who can work independently as well with an interdisciplinary team are preferred.

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.