Wabash Valley Alliance

Message from Dr. Brian Primeau

Match # 228814 (Adult Track), 228815 (Child Track), 228817 (Family HC – Grant Funded), 228818 (Riggs CHC – Grant Funded)

Traditional Internship positions: 2
IHC Grant Funded positions: 2

Total Internship Positions: 4

We are excited to announce that our salary for the 2018-2019 training year has been increased to $23,000 for all matched and unmatched traditional positions.

All grant-funded salary positions will remain $28,352.

Wabash Valley Alliance is a community mental health center serving 10 counties centered on Lafayette, IN. This site has 17 different locations where services are provided in 8 of the 10 counties served, including a free-standing inpatient program, case management programs, group homes and supported living, and traditional outpatient office settings. The Lafayette / West Lafayette metropolitan area has a population of 172,000, making it the 6th most populous in Indiana. As a community mental health center, Wabash Valley Alliance serves all parts of the community. They cover a large geographical area, with satellite offices in 8 different counties, most of which are rural and agrarian. In the 2015-2016 fiscal year Wabash Valley served 8200 clients and had over 22,000 client visits per month in their system. The top diagnoses treated are mood disorders, ADHD, anxiety disorders, adjustment disorders, substance abuse, and schizophrenia.

Although the large majority of the area’s population is white Americans of European heritage, Purdue University has a very cosmopolitan student body, representing 123 countries. There is a growing Hispanic population in the area as well.

It should be noted that office locations for Wabash Valley Alliance range from 45 minutes to 1.5 hours from Logansport, Indiana where interns must travel for monthly didactic training.

Our Mission

The mission of Wabash Valley Alliance is to provide quality behavioral health and addictions care based on the needs of the communities we serve.

Our Supervisors

Site Training Director

Brian Primeau, Ph.D. 

Brian E. Primeau, Ph.D., HSPP is a 1978 graduate of the clinical psychology program at University of North Carolina at Chapel Hill and completed his internship at the Indiana University School of Medicine in Indianapolis. He has worked in community mental health for Wabash Valley Alliance for his entire career. He was an outpatient therapist in Lafayette for 7 years and since 1986 has been the inpatient psychologist and then Inpatient Program Director at River Bend Hospital. He also is the Coordinator of the Emergency Services Team that provides after-hours emergency coverage. In that capacity he has developed an interest in suicide risk assessment and provides training in that for outpatient staff and to police Crisis Intervention Team classes. He is adjunct faculty in the Clinical Psychology program at Purdue University and instructs Purdue graduate students who have a practicum on the inpatient unit. He is active in the Indiana Psychological Association and is currently serving on the Membership Committee of IPA, and has organized a regional branch meeting for local psychologists. He practices Rational-Emotive Therapy and teaches a cognitive therapy class for inpatients.

Primary Supervisors

Dale Crowder, Ph.D.

Dr. Crowder received his Master of Arts from Southern Illinois University in Edwardsville, Illinois and his Doctorate from the University of Kentucky in Lexington Kentucky. He completed his APA approved pre-doctoral internship at the Federal Medical Center in Lexington, Kentucky with a focus on completing forensic evaluations for the Federal Court system. Dr. Crowder has received experience working with adults in outpatient, residential, transitional care, community mental health and inpatient settings. He has received experience working with children and adolescents in outpatient settings. He has worked for Wabash Valley Alliance, Inc. (WVA) for 16 years and serves as the Branch Director for the WVA outpatient clinic in Crawfordsville, Indiana. As Branch Director, Dr. Crowder oversees the operation of the clinic and provides clinical and administrative supervision for therapists and case manager team leaders. His clinical interest include individual and group therapy, addictions therapy and working with the severely mentally ill. Dr. Crowder has served as a board member for the A.H.E.A.D. Coalition which is the local coordinating council for the Governor’s Commission for a Drug-Free Indiana, is a member of the County Crisis Team and served on the Region 9 Child Fatality Review Team. He is a Licensed Psychologist and Licensed Clinical Addictions Counselor in the state of Indiana.

Monique Kulkarni, Ph.D.

Dr. Kulkarni received her doctorate in counseling psychology from the University of Texas at Austin. She completed her APA-accredited pre-doctoral internship at the University of California, Berkeley, and she is currently Director of the Community Living Program for Children and Adolescents at Wabash Valley Alliance, Inc. She has specialized training/experience in treating anxiety disorders, working with transgender individuals, developing therapy groups, Child-Parent Psychotherapy, and Reactive Attachment Disorder. She also has a special interest in issues of diversity, identity development, and transitions for early career psychologists. She has previously taught a graduate level course on multicultural counseling and is heavily involved in the American Psychological Association and the Asian American Psychological Association. She also serves on the Juvenile Detention Alternatives Initiative committee for Tippecanoe County.

James Toth, Psy.D.

Dr. Toth received his Psy.D. in Clinical Psychology from Spalding University in Louisville, Kentucky. He is a licensed psychologist in the state of Indiana. He has years of experience in the field of substance abuse / addiction and held the position of director of addiction services in Lafayette, Indiana. He has worked in community mental health for over 20 years in various positions, with most of his experience being with children and adolescents – individual, family and group modalities.

Cathy Streifel, Ph.D.

Dr. Streifel received her Ph.D. in Counseling Psychology from Purdue University in 2009. She was trained as a generalist, but has specific interests in grief and loss and substance abuse. She has had experience in university counseling centers, a state hospital, and community mental health. Her passion is treating the underserved. She has worked with a wide array of clients, from all age groups, from a multitude of cultural backgrounds, and with a diverse array of mental health issues. She had supervision training during her internship program at the Indiana University student counseling center and has supervised students doing practicums for their Ph.D. programs as well as Masters level clinicians over the past three years using a developmental approach to supervision.

Current Internship Placement

Current Locations taking Interns:

Montgomery County Office, Crawfordsville, IN (Adult Track, #228814)

Child & Adolescent Case Management, Lafayette, IN (Child Track, #228815)

River Bend Hospital, W. Lafayette, IN (Interns in both tracks rotate through the inpatient unit one day per week)

Tippecanoe County Outpatient Services, Lafayette, IN (Interns in both tracks rotate through the outpatient unit one day per week)

IHC Grant Funded Internship Rotations

  • Family Health Clinic of Carroll County (Wabash / Family HC – Grant Funded, #228817)
  • Riggs Community Health Center (Wabash / Riggs CHC – Grant Funded, #228818)
Training Opportunities

Wabash Valley Alliance wants interns to develop knowledge and skills in clinical assessment and intervention, by becoming skilled in both interview and psychometric methods of assessment, developing a broad range of conceptualizations for client problems and strategies for intervention, becoming skilled in the use of a variety of therapy techniques, and becoming more aware of their own strengths, biases, and limitations and how to work with them. It is their goal to help interns develop a professional identity within a multidisciplinary framework that values psychology while respecting the contributions of other specialties, by working closely with primary supervisors in developing an understanding of the scientific psychological approach, becoming familiar with a variety of colleagues of other disciplines and appreciating their differences and perspectives, learning how to work as a member of a multidisciplinary team, and gaining a concrete appreciation of the professional and ethical obligations of psychologists in clinical practice. Interns will learn about community mental health and its place in the community and the health care system, by identifying the spectrum of care offered by the community mental health center and how it relates to the needs of its clients and the community, learning about other community agencies and resources and learn to work cooperatively with them, and appreciating the need to use limited resources wisely to meet realistic and practical goals.

Interns will receive diversity training which is included in the new employee orientation and annual staff training. They will also work alongside other diverse staff and practicum students of Wabash Valley Alliance. Their staff includes employees of many ethnic, racial, and cultural backgrounds, as well as staff with physical disabilities. Through a relationship with the Clinical and Counseling programs and Purdue University, WVA has had students from Korea, Turkey, India, Japan, and China, as well as African-American and Asian-American students. Some staff enjoy adjunct faculty appointments at Purdue. Wabash Valley Alliance psychologists are recognized as valuable clinical resources, as evidenced by their involvement in staff and community training functions. Other agency disciplines similarly encourage teaching through placements of nursing, medical, and social work students.

More specified services are provided at select locations with the Wabash Valley system as listed below:


Montgomery County Office, Crawfordsville, IN (Adult Track, #228814)

The adult track has a primary placement at the Crawfordsville outpatient office. The intern will work at this office 3 days a week, one day a week at the Child & Adolescent Case Management office in Lafayette, and one day a week at the inpatient unit at River Bend Hospital for six months and the other six months in the Lafayette outpatient office. The emphasis is on intake assessments, case formulation, and providing ongoing treatment. The primary supervisor is dual-credentialed as a psychologist and addiction counselor. Psychological testing is used to supplement assessment in selected cases rather than as a routine procedure. Crawfordsville, Indiana is 1.5 hours away from Logansport, Indiana where interns must travel for monthly didactic training.

Both interns will have training to be qualified to see referrals from the Indiana state Department of Child Services.

Example Training Opportunities:

  • Individual Therapy (Adult)
  • Group Therapy
  • Marital/Couples Therapy
  • Family Therapy
  • School Consultation
  • Consultation with other Professionals
  • Crisis Intervention
  • Substance Abuse/Addictions Treatment
  • Sexual Abuse Treatment
  • Teaching/Psychoeducation
  • Intake Evaluation
  • Psychiatric Assessment
  • Suicide Assessment
  • Objective Assessment
  • Projective Assessment


Child & Adolescent Case Management, Lafayette, IN (Child Track, #228815)

The child & adolescent track will have the Child & Adolescent Case Management program in Lafayette as the primary placement. The intern will work at that office three days a week, at the Crawfordsville office one day a week, and at the inpatient unit at River Bend Hospital one day a week for six months and the other six months at the Lafayette outpatient office. The C&A track intern will have a partial day at a local school as one of the 3 C&A days, doing some individual therapy, some case coordination, and some consultation. The adult track intern will be at C&A one day a week. Lafayette, Indiana is approximately 45 minutes from Logansport, Indiana where interns must travel for monthly didactic training.

Both interns will have training to be qualified to see referrals from the Indiana state Department of Child Services. The interns will do intakes; individual, family, and parenting therapy; and consultation with home-based and school-based case managers. Psychological testing is used to supplement assessment in selected cases rather than as a routine procedure.

Example Training Opportunities:

  • Individual Therapy (Child, Adolescent)
  • Group Therapy
  • Family Therapy
  • School Consultation
  • Consultation with other Professionals
  • Crisis Intervention
  • Sexual Abuse Treatment
  • Teaching/Psychoeducation
  • Intake Evaluation
  • Psychiatric Assessment
  • Suicide Assessment
  • Objective Assessment
  • Projective Assessment


River Bend Hospital, W. Lafayette, IN

River Bend Hospital is a 16-bed adult inpatient psychiatric hospital in West Lafayette which provides short-term acute treatment for serious mental illnesses as well as acute psychiatric crises. The diagnoses span the whole range from schizophrenia, bipolar disorder, major depression, and PTSD to adjustment disorders with suicidal or homicidal risk. Although many patients have co-morbid addiction issues, patients are not admitted for primary substance abuse problems. Interns in both tracks will spend one day per week at this location for six months. West Lafayette, Indiana is approximately 50 minutes away from Logansport, Indiana where interns must travel for monthly didactic training.

The intern provides individual, group, and psychoeducational therapy as a member of a multi-disciplinary team which includes a psychiatrist, social workers, nurses, activity therapist, pharmacist, dietitian, and psychiatric technicians. The intern has responsibilities for formulating and supervising multidisciplinary treatment planning. Psychological testing is used to supplement assessment in selected cases rather than as a routine procedure, including MMPI, Rorschach, or TOVA.

Example Training Opportunities:

  • Individual Therapy (Adult)
  • Group Therapy
  • Consultation with other Professionals
  • Crisis Intervention
  • Substance Abuse/Addictions Treatment
  • Teaching/Psychoeducation
  • Psychiatric Assessment
  • Suicide Assessment
  • Objective Assessment
  • Projective Assessment
  • Acute Inpatient Care

 

Tippecanoe County Outpatient Services, Lafayette, IN

The interns will each have a six-month rotation one day a week at the Lafayette outpatient office. The Lafayette office is the busiest in the WVA system. The intern will have responsibility for intake assessments, case formulation, and providing ongoing treatment. Lafayette, Indiana is approximately 45 minutes from Logansport, Indiana where interns must travel for monthly didactic training.

Example Training Opportunities:

  • Individual Therapy (Adult)
  • Marital Therapy
  • Couples Therapy
  • Family Therapy
  • Consultation with other Professionals
  • Crisis Intervention
  • Sexual Abuse Treatment
  • Intake Evaluation
  • Psychiatric Assessment
  • Suicide Assessment
  • Objective Assessment
  • Projective Assessment

 


Integrated Health Care Rotations

Wabash Valley Alliance has two specialty slots for interns to work in integrated health care in Federally Qualified Health Centers (FQHC’s). These 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. These slots are funded by a federal grant to increase the use of psychologists in primary care settings. 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 heath care.

Family Health Clinic of Carroll County (Wabash / Family HC – Grant Funded, #228817)

The Family Health Clinic of Carroll County is a federally qualified health center affiliated with and managed by the Purdue University School of Nursing. Many of the clinic’s patients are uninsured or under-insured. Faculty from the Purdue School of Nursing launched the clinics in the mid-1990s to respond to this patient population, and some faculty continue to practice in them. They oversee Purdue students from multiple professions, such as nursing, pharmacy and nutrition science, who have the opportunity to learn how primary care works, and how their roles can complement each other to provide high-quality healthcare.

The main center is in Delphi, located 20 miles northeast of Lafayette. Advance Practice Nurses consult with and refer to their collaborating physicians. In addition referrals are made to specialists in the Greater Lafayette area. The clinic has a mental health staff consisting of two LCSW’s and an MSW, as well as a consulting psychologist.

Established in 1995 the Family Health Clinic has developed a history and reputation for offering quality medical care in the community for over twenty years. Starting with a staff of three people, the clinic expanded opening a satellite location in Monon, Indiana in 2006. Employing over 40 staff members between the two locations, the Family Health Clinic has grown to accommodate the communities it services offering high quality medical care, laboratory services and expanded services. Recently two more part-time satellite clinics have been established in Wolcott and Burlington, Indiana. There would be some opportunity for the intern to work in these satellite clinics.

In March 2009, the Family Health Clinic received Federally Qualified Health Center (FQHC) Designation. Comprehensive primary and preventive health services are provided in a convenient alternative to out-of-town providers. Being conveniently located in the community, the Family Health Clinic helps reduce emergency room visits for local residents.

In June 2014 the Family Health Clinic received the National Committee for Quality Assurance Patient-Centered Medical Home (PCMH) Level 2 Designation. The Clinic also provides training opportunities for more than 30 Purdue School of Nursing students throughout the year as well as Purdue College of Pharmacy Fellows and Interns at each site.

The clinic provides basic healthcare services to the growing Hispanic and Latino populations in that medically underserved area. Several of the Monon clinic staff are bilingual and provide translation. About 3,000 uninsured and under-insured patients are seen here each year. The center recently received federal grant money to address the opioid epidemic as well.

Riggs Community Health Center (Wabash / Riggs CHC – Grant Funded, #228818)

Riggs Community Health Center in Lafayette, Indiana is one of over 8,000 community health centers nationwide helping patients avoid emergency rooms and offering preventative care. The Community Health Center model of health care is patient-focused, coordinated, and proven to yield better health outcomes, remove barriers to needed care, minimize health disparities, and lower overall costs.

Riggs CHC has a mental health staff consisting of 3 full-time LCSW’s, one of whom is also credentialed in addictions, and a psychiatrist who consults via telemedicine. There is an addiction program featuring Vivitrol injections and offering both individual and group therapy. The mental health staff are integrated with 8 full-time primary care providers consisting of one MD and 7 nurse practitioners.

Riggs CHC has a rich 25-plus year history of providing high quality, comprehensive primary health care to the uninsured and underinsured men, women and children of Tippecanoe County, Indiana. Wendell Riggs, M.D., a pediatrician after whom the clinic was named, envisioned increased access for the area’s uninsured and underinsured children and their families. With support from St. Elizabeth Medical Center and a few dedicated community members who shared his zeal to help, he was able to provide affordable primary care for women and children by opening a part-time prenatal and well-child clinic in 1988. This was the beginning of access to vital health care services for the under-served in Greater Lafayette and the surrounding area.

From humble roots, through what was then known as the Community Health Clinic under the County Health Department, Dr. Riggs and his colleagues served 240 patients in the Clinic’s inaugural year. During the course of the following years, the clinic became known as the Tippecanoe Community Health Clinic, officially separated from County government, obtained status as a not-for-profit entity, became a Federally Qualified Health Center (FQHC), and in 1998, opened its own 19,000-square foot, epitomizing an outstanding public/private partnership with the community. From 1999 to 2017, annual patient visits at Riggs CHC increased from 21,000 to over 60,000.

 

Intern Selection Process

We want our interns to come from strong clinical or counseling programs and to have an interest in the community mental health setting as a career goal. Interns must be willing to work with a variety of clients from all SES levels and many different diagnoses. They must be willing to work within a system which expects clear documentation in a problem-oriented treatment model. Applicants will be screened by the training director and primary supervisors, interviewed by the training director, and selected by the training director and primary supervisors. Interviews can be face-to-face or telephone or Skype / Facetime interviews. Receipt of a Master’s degree (rather than education equivalent) is required at this site. Preference will be given to students who envision practicing in Indiana for their career. We hope that a proportion of interns will decide to pursue employment with Wabash Valley Alliance after attaining their doctorate.

IHC Grant-Funded Positions Only: Due to the requirements of the HRSA grant, any intern applicants for the IHC-Grant Funded positions must be citizens of the United States, a noncitizen national of the United States, or a foreign national who possesses a visa permitting permanent residence in the United States. Individuals on temporary or student visas are not eligible to participate. Please note that this requirement only applies to the Grant-Funded positions and not the traditional positions available at each of our sites. If you have any questions about eligibility for the program please contact Katherine Dixon at kdixon@psychologyinterns.org.

Wabash Valley does conduct background checks on interns prior to orientation. This site is contracted with DCS of Indiana and DCS requires background checks for all counties and states the intern has lived in for the past 5 years. Please note that having a criminal history does not always have a negative impact on the applicant’s eligibility for an internship. However, if an applicant has a CPS substantiation in any state they have lived in then they are not eligible for internship and that would cause the site to release the intern from a match. A substantiation is when the State’s DCS/CPS feel the person in question has knowingly put a child at risk, such as a DUI with a minor in the car, having altercations in front of child, charges or suspicion of child abuse/neglect, etc. If the applicant feels the substantiation is invalid they can follow up and attempt to clear the substantiation from their record.

DCS also requires a fingerprint and drug screen on each matched intern. A positive drug screen would also cause the site to release the intern from a match. The site is required to list any criminal history reported by the applicant when scheduling the fingerprint appointment. Once the prints are taken they go to the Indiana state police and then they are forwarded to DCS for final approval.  DCS will follow up with the listed criminal history (if applicable) and then make a decision. Prints can come back 1 of 3 ways:

1 – Qualified
2 – Conditionally Disqualified
3 – Disqualified

A fingerprint report returning as “Disqualified” would be cause for the site to release an intern from a match.  If the prints come back Conditionally Disqualified, the intern will need to contact DCS and supply them with any additional info or documents they need to make the prints “Qualified” (this info could also prove them to be Disqualified). If the intern does not take care of this, they would also be released from the match. DCS typically allows up to 3 misdemeanors, but will disqualify anyone with a felony.