Royal Oaks Hospital

Message from Dr. Chris Lorance

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

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

We are excited to announce that the salary for the 2018-2019 training year has been increased to $25,000.

Royal Oaks is a 41-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.

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 trainings 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 $250 for travel costs for attending this orientation, however, costs above and beyond $250 are the sole responsibility of the intern. 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.

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

Adam Andreassen, Psy.D.

Dr. Andreassen is presently the President/CEO for the National Psychology Training Consortium (NPTC). Dr. Andreassen received his Master of Arts and his Doctorate Degree in Clinical Psychology at the School of Professional Psychology at Forest Institute in Springfield, Missouri. He is a Licensed Psychologist in the state of Missouri. He has been employed within various psychiatric and psychological settings including private practice and hospitals. Additionally, he has served as adjunct faculty at Forest Institute since 2011.
Dr. Andreassen specializes in psychological assessment including school-based evaluations, juvenile evaluations, and general personality evaluations. His dissertation was entitled Personality Characteristics Associated with Glossolalia and Religiosity. His clinical interests include the utilization of assessment measures, in particular the Rorschach. His professional interests include integrative primary care, psychological assessment, psychotherapy, business psychology, and clinical training. In 2013, he completed his certification in Primary Care Behavioral Health from the University of Massachusetts.

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.

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.

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 two 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 Compass Health-Clinton portion of this experience go here.

Example training opportunities:

  • Individual Therapy (Child, Adolescent, Adult)
  • Group Therapy
  • Family Therapy
  • Marital/Couples Therapy
  • Consultation with other Professionals
  • Crisis Intervention
  • Substance Abuse/Addictions Treatment
  • Sexual Abuse Treatment
  • Eating Disorders
  • Prevention
  • Research
  • Teaching/Psychoeducation
  • Intake Evaluation
  • ADHD Evaluations
  • Learning Disability Evaluations
  • Cognitive Assessment
  • Suicide Assessment
  • Objective Assessment
  • Projective Assessment
  • Psychiatric Assessment
  • Acute Inpatient Care
  • Rehabilitation
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.

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.