Four County – IHC Grant Funded Positions

IU Health Primary Care Office -Tipton, IN

Pulaski Memorial Hospital Addition - Winimac, IN

Match #228813 (IHC – Grant Funded)

IHC Grant Funded positions available: 3

About Our Site

The ABOUT INDIANA project is a Primary Care Psychology Training & Workforce Solution for Indiana. This initiative by the National Psychology Training Consortium (NPTC) has goals to increase: Access to Behavioral Health services that are Original and occur in Underserved communities by Trainees in Indiana. The overall goal of this Project is to establish a viable long-term and sustainable behavioral health workforce solution for rural/underserved counties in Indiana via doctoral psychology internships. Utilizing the Professional Track of the Behavioral Health Workforce Education and Training Program (BHWET), the Project establishes sustainable training placements of doctoral psychology interns in underserved primary care settings. This Project will place ten (10) new full-time doctoral psychology interns each year of the grant, serving 40 participants during the entire Project period. These interns will be placed full-time at primary and experiential partner sites where they will integrate with physicians, nurses, and other healthcare professionals while providing behavioral health services. The integrated care training experiences offered at the partnering agencies include FQHCs and medical centers that provide training and experience in integrated care for many fields including psychology, psychiatry, and social work. NPTC-Great Lakes has been training psychology interns for the past four years, however the partnering agencies have collectively decades of experience running individual psychology internships, masters-level practicum training for counselors and social workers, and FQHC and medical center training for each along with psychiatry in an integrated setting.

 ABOUT Indiana builds on a robust APA-Accredited internship consortium Project, which is administered by NPTC, a 501 (c) (3) non-profit entity that specializes in rural and underserved workforce development for doctoral psychology interns. The Project adopts the Plan-Do-Study-Act (PDSA) model of Rapid Cycle Quality Improvement (RCQI) and utilizes monthly, quarterly, and yearly data to improve all aspects of the Project. This Project will be carried out by NPTC in conjunction with three other primary partners that function as Community Mental Health Centers in rural Indiana counties and additional experiential partners such as Federally Qualified Health Centers (FQHCs) and free health clinics.

 Four County Counseling Center is operating as one of the five primary partners of this project and has agreements in place with the following locations as internship placements as a part of this grant project:

  • Indiana University Health – Tipton, Indiana
  • Pulaski Memorial Hospital – North Judson and Winamac, Indiana

 IU Health Tipton has 2 spots available and one spot will be dedicated to Pulaski Memorial Hospital. Both locations are described in more detail below. These integrated health care interns will specialize in working in a community primary care setting as part of a team including physicians, nurse practitioners, medical assistants, nurses, social workers, pharmacists, and dietitians. The emphasis will be not on merely practicing psychology within the same clinic, but in helping the team treat the whole person, addressing the behavioral interventions that can augment medical care. The emphasis will be on short-term assessment and therapy, crisis intervention, and psychoeducation. There may be opportunities for community outreach. In addition to the two days a month of didactic training that other interns receive, these interns will have an extra day per month of training specific to integrated health care. Interns will be provided with some travel/hotel reimbursement for this additional day of didactics. Interns will be assigned to different locations based on experience and interest.

 Interns as a part of the IHC Grant-Funded experience will also be sent to a regional integrated health care conference free of charge. More information about the conference and this experience will be provided closer to the event.

Example Schedule

Interns in each of these office locations will generally work a Monday – Friday schedule from 9:00 am – 5:00 pm each day. Our interns generally have a one hour lunch in the middle of the day. The rest of the day is devoted to same-day referrals from the physician/nurse practitioner as well as scheduled follow-up appointments.

Interns placed at Pulaski Memorial Hospital will work out of two different office locations each week, Winamac and North Judson, Indiana. These office locations are approximately 30 minutes away from each other and mileage reimbursement is provided when traveling from one office location to another within the same day. This intern will spend 2 days per week in the North Judson Office and 2 days per week in the Winamac office. One day per week (Friday) will be spent in group supervision and didactic training with all of the other IHC interns in Logansport.

Interns placed at IU Health/Frankfort could possibly work out of two different office locations each week, Tipton and Frankfort, Indiana. One intern will be at IU Tipton 4 days per week. One intern will be at IU Tipton 2 days per week and IU Frankfort 2 days per week. For both interns, one day per week (Friday) will be spent in group supervision and didactic training with all of the other IHC interns at a Four County office.

Site schedules are a general guideline and interns may be required to make themselves available at other times as needed.

Placement Locations

Four County Counseling Center is operating as one of the three primary partners of this project and has agreements in place with the following locations as internship placements as a part of this grant project:

  • Indiana University Health – Tipton, Indiana and Frankfort, IN
  • Pulaski Memorial Hospital – North Judson and Winamac, Indiana

It should be noted that monthly didactic training is located at the Four County main office location in Logansport, IN. Depending on office assignment, interns may be required to travel anywhere from 30 minutes to 1 hour for monthly didactic training.

Title Address Description Link

APPIC Training Experiences

Treatment Modalities

Example treatment modalities (as listed by APPIC)

(1% to 20%)
(21% to 30%)
(31% to 49%)
Major Area
Assessment X
Individual Intervention X
Couples Intervention X
Family Intervention X
Group Intervention X
Consultation/Liason X
Crisis Intervention X
Brief Intervention X
Long-Term Intervention X
Primary Care X
Evidence-Based Practice X


Supervised Experiences

Example supervised experiences (as listed by APPIC):

(1% to 20%)
(21% to 30%)
(31% to 49%)
Major Area
Health Psychology X
Women’s Health X
Eating Disorders X
Sexual Disorders X
Physical Disabilities X
Learning Disabilities X
Developmental Disabilities X
Assessment X
Serious Mental Illness X
Anxiety Disorders X
Trauma/PTSD X
Sexual Abuse X
Substance Use Disorders X
Geropsychology X
Pediatrics X
Counseling X
Multicultural Therapy X
Religion/Spirituality X
Empirically-Supported Treatments X
Program Development/Evaluation X
Supervision X
Administration X
Integrated Health Care – Primary X
Integrated Health Care – Speciality X
Patient Populations

Example patient populations (as listed by APPIC):

Population % Served
Rural 100%
Number of Counties Served 1

Our Supervisors

James Noll, Ph. D.

James Noll, Ph.D., HSPP, is the Regional Training Director of NPTC’s Great Lakes Region and the Director of Client Experience and Training at Four County Counseling Center. Dr. Noll received his undergraduate degree in psychology from Purdue University in 1987 and his masters and doctoral degrees in psychology from Northern Illinois University in 1993 and 1999 respectively. Dr. Noll completed his internship at the Lexington KY Veterans Affairs Medical Center with rotations in geropsychology, neuropsychology, and acute care. He has been at Four County Counseling Center since 1997 and has been practicing in community mental health since 1995.Dr. Noll conducts individual, family, and couples therapy, completes psychological evaluations, and is involved in overall treatment planning. He has interests in anxiety disorders, mood disorders, personality disorders, and treating elderly individuals. He has received advanced training in treating military personnel and their families. He also is a lecturer for the counseling psychology department at Purdue University and teaches coursework on clinical supervision.


Carrie Cadwell, Psy. D.

Dr. Cadwell earned her doctorate degree in clinical psychology from the Adler School of Professional Psychology with a certificate in Cognitive Behavioral Therapy and specialty track in neuropsychological assessment. Prior to this, she earned her masters degree in clinical psychology from Pepperdine University. She has worked as a clinician in both outpatient and residential settings and has an outpatient clinic managerial background. She has taught classes for undergraduate psychology degree programs. Part of her current practice involves serving as the behavioral health consultant for Plymouth Family & Internal Medicine and supervising psychologist for the Logan Center. She is owner and clinician at Cadwell Psychological Services, LLC. She also serves as the Chief Executive Officer for Four County Counseling Center. Dr. Cadwell has a special interest in the area of evidence-based practice, working with individuals with co-morbid mental health and intellectual or developmental disabilities, and integrated healthcare.

Life in Winamac, IN and Tipton, IN

Winamac is the county seat of Pulaski County and has a population of 2,490. The town’s name came from the Potawatomi word for “catfish.” The racial makeup of the town is 97.2% White, 0.5% African American, 0.3% Native American, 0.4% Asian, 0.3% from other races, and 1.2% from two or more races. Hispanic or Latino of any race are 2.3% of the population. The primary employers in Winamac are BraunAbility, Pulaski Memorial Hospital Senior, Pulaski Memorial Hospital, Eastern Pulaski Schools, and Plymouth Tube Co.

 Tipton is the county seat of Tipton County and has a population of 5,106. The racial makeup of the city is 97.1% White, 0.1% Black, 0.2% Native American, 0.6% Asian, 0.7% from other races, and 1.3% from two or more races. Hispanic or Latino of any race are 2.7% of the population. Every year, the weekend after Labor Day the Tipton County Pork Festival takes place. The event features a parade, a queen contest where Miss Pork Cuisine is crowned, food and music. The primary employers are Miller’s Merry Manor, Steel Parts Mfg Inc, IU Health Tipton Hospital, and Du Pont Pioneer.

 Interns often choose to live in either Kokomo, IN or Lafayette, IN; however, some interns have lived on the north side of Indianapolis, such as Westfield and Noblesville.

 Kokomo is a city in, and the county seat of, Howard County, Indiana. Kokomo is Indiana’s 13th-largest city. The city’s population is approximately 57,000 people. A significant number of technical and engineering innovations were developed in Kokomo, particularly in automobile production, and, as a result, Kokomo became known as the “City of Firsts.” A substantial portion of Kokomo’s employment still depends on the automobile industry. Housing is very affordable in Kokomo, with the options for interns being to rent an apartment, rent a house, or even purchase a home for the year.

 Lafayette, IN is a college town, the home of Purdue University, with a city population of 71,782, not including Purdue students. It is located 63 miles northwest of Indianapolis and 105 miles southeast of Chicago. The university and its associated businesses employ the largest portion of the Lafayette workforce. However, private industry and commerce independent of the university also exist in the community, including Alcoa, Subaru, Caterpillar, and Wabash National. Lafayette’s dining scene is eclectic and delicious. Many festivals, cultural events, and art functions are promoted by the city and Purdue. Housing is very affordable and often revolves around a student schedule.