192513 (Grant Funded – Burrell IHC – Springfield)
192514 (Grant Funded – Burrell IHC – Bothwell)
Intern Positions: 5
About These Rotations
The ABOUT Missouri project is a Primary Care Psychology Training & Workforce Solution for Missouri. 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 Missouri. The overall goal of this project is to establish a viable long-term and sustainable behavioral health workforce solution for rural/underserved counties in Missouri via doctoral psychology internships. This project is a continuation of the original ABOUT Indiana grant, both of which are funded by 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.
ABOUT Missouri 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 two primary partners that function as Community Care Behavioral Health Organizations (CCBHO) in rural Missouri counties and additional experiential partners such as Federally Qualified Health Centers (FQHCs) and medical clinics.
Burrell Behavioral Health is operating as one of the two primary partners of this project offering integrated care rotations treating both rural and urban clientele of all ages. The integrated health care interns will provide services in one of three IHC tracks and each will specialize in working as part of a team including physicians, nurse practitioners, and ancillary staff. 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 training environment will promote competency fundamental to the practice of integrated care through clinical, research and didactic experiences. Interns will learn how to be highly professional, ethical and competent in assessment, and will engage in evidence-based intervention, development of treatment recommendations, and interdisciplinary consultation. These integrated care rotations will provide exposure to a range of theoretical orientations and psychological interventions (CBT, ACT, MI, BA, and mindfulness among others), robust integrated treatment settings, and multidisciplinary teams. In each site, interns will learn about and work collaboratively toward the “healthcare triple aim”, which consists of the simultaneous pursuit of improved health of consumers, reduced healthcare costs, and increased quality of care. In addition to the weekly virtual didactic training that other interns receive, these interns will have an extra day per month of training specific to integrated health care.
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.
For more information, check out the Burrel IHC Virtual Open House video (recorded on October 5, 2022).
192513 - Grant Funded - Burrell IHC - Springfield
Application to this Grant-Funded IHC Track with Burrell may result in placement at a number of offices, with precise placement to be determined following the APPIC Match. These locations are in Springfield, MO. Monthly didactics with a focus on integrated care will also be provided.
There are two intern positions at Family Medical Care Clinic in Springfield, MO. FMCC is a part of the CoxHealth System. CoxHealth is the only locally owned, not-for-profit health system based in Springfield. CoxHealth is the only Springfield hospital named for four consecutive years to U.S. News & World Report’s Best Regional Hospitals list and is recognized by CareChex, the medical quality rating division of Comparion, as among the top 10 percent U.S. hospitals for overall medical care in medical excellence and patient safety.
FMCC is a training clinic for medical residents. Interns will have the opportunity to work in an environment that is conducive for learning and trying new things. Interns are an integral part of the medical team. The intern is available for warm handoffs from the physicians and residents to immediately engage with and begin interventions with patients. Tele-health options are also available to increase behavioral health access. Treatment is primarily brief and problem focused, and covers a very broad range of diagnoses, from severe and persistent mental health diagnoses, to adjustment disorders. There are opportunities to provide crisis assessment, intervention and stabilization. The interns work with patients and families with both acute and chronic physical and mental health concerns. Interns work with patients on topics of weight management, issues around compliance with diabetes or other health regimens, pain management, improving sleep, reducing anxiety and depression, etc. Psychoeducation is provided to patients and/or their family when needed. The emphasis is not on merely practicing psychology within the same clinic as the medical providers, but in helping the team treat the whole person, addressing the behavioral interventions that can augment medical care to help improve treatment compliance and improve the quality of the patient’s life.
In addition to specialized didactic presentations, all interns will have access to Relias, an online training application, where there are a wide variety of clinical topics available, as well as a network of Behavioral Health Consultants for collaboration and consultation.
192514 - Grant Funded - Burrell IHC - Bothwell
There are two internship positions designated for the Bothwell IHC track. Bothwell Regional Health Center operates an inpatient hospital as well as a range of primary care and specialty care outpatient clinics including family medicine, pediatrics, internal medicine, and women’s health. Three locations have been selected for integration; services at these sites are provided by two Bothwell IHC interns and one full-time behavioral health consultant. The staff BHC is a licensed psychologist and will be a primary supervisor for the interns. Sites include:
TLC Pediatrics. This is a stand-alone pediatric clinic in Sedalia. In rural pediatric clinics, BHCs truly provide a full spectrum of behavioral health care. Interns will partner with physicians to address health concerns (e.g. weight management, adjustment to chronic illness) but will also be called upon for treatment and diagnostic clarification for psychological concerns. This is accomplished through brief therapy and screening followed by referral to specialty care when indicated. The BHC is vital to this process which ensures that youth are being treated with the proper level of care.
Healing Arts Center. This clinic, located in Sedalia, has a large OB/GYN women’s health clinic as well as family practice, a walk-in clinic, psychiatry, and rotating specialty clinics. Primary placement would be split between women’s health and family practice though opportunities for consultations may come from any of the clinic service lines. This clinic will provide both breadth and depth of experience with integrated care.
Truman Lake Clinic. This is a designated rural health clinic located in Warsaw Missouri near Truman Lake. It is a full-service clinic that is home to family practice, walk-in clinic, imaging, a lab, and rotating specialty care (e.g., orthopedics, sleep medicine, women’s health). The staff BHC is located primarily in this clinic, but there may be opportunities for intern rotation at this location if desired.
In each of these clinics, interns/BHCs are fully embedded as full members of the treatment team alongside physicians, nurse practitioners, and allied health professionals. The interns are available for warm handoffs from the physicians and NP’s to immediately engage with and begin interventions with patients. Tele-health options are also available to increase behavioral health access. Treatment is primarily brief and problem focused, and covers a very broad range of diagnoses, from severe and persistent mental health diagnoses, to adjustment disorders. There are opportunities to provide crisis assessment, intervention and stabilization. The interns work with patients and families with both acute and chronic physical and mental health concerns. Interns work with adult patients on topics of weight management, issues around compliance with diabetes or other health regimens, pain management, improving sleep, etc. Interns also work with children and families on healthy eating, enuresis/encopresis, social skills, parenting, sleep issues, ADHD, depression and anxiety to name a few. Psychoeducation is provided to patients and/or their family when needed. The emphasis is not on merely practicing psychology within the same clinic as the medical providers, but in helping the team treat the whole person, addressing the behavioral interventions that can augment medical care to help improve treatment compliance and improve the quality of the patient’s life.
For more information about the Bothwell Regional Health Clinic, visit their website here.
Interns will generally work a Monday – Friday schedule from 8:00 am – 5:00 pm each day with one hour for lunch. Typically, interns will be in-clinic three to four days a week with one to two days each week of didactic training. No weekend work or after hours on-call is required.
Please note that not every experience is identical and site schedules are a general guideline. Interns may be required to make themselves available at other times as needed. What is provided above is an example of what the work week might look like for an intern at this site.
CoxHealth - Springfield, MO
Bothwell Healing Arts Center - Sedalia, MO
Bothwell Truman Lake Clinic - Warsaw, MO
APPIC Training Experiences
Example treatment modalities (as listed by APPIC):
There are three sites (CoxHealth, MSU Care Clinic, and Bothwell) and the Bothwell site has three different clinics that interns may rotate through. These experiences will vary by site/rotation and are included above in the site descriptions. Information below represents the maximum level of exposure interns will have to the given population/presenting problem.
Example supervised experiences (as listed by APPIC):
The patient population varies by site.
MSU Cares Clinic, Springfield:
MSU Care serves adult patients, ages 18-64, who have no health insurance, are not eligible for Medicaid or Medicare, and have a household income equal to or less than 150% of the Federal Poverty Level (FPL). Patients reside in Springfield and in rural communities within the region. A substantial number of clinic patients are unhoused. Patient diversity is generally reflective of the diversity in the broader community in terms of racial and ethnic make-up, gender identify, and sexual orientation. English is the first language for the majority of patients; the second most common language is Spanish.
CoxHealth Family Medical Care Clinic:
FMCC is a family practice clinic that serves patients across the lifespan. Patients reside in Springfield and in rural communities within the region. Patient diversity is generally reflective of the diversity in the broader community in terms of racial and ethnic make-up, gender identify, and sexual orientation. English is the first language for the majority of patients; the second most common language is Spanish.
Bothwell Health Center:
Bothwell clinics are located in Sedalia and patients reside in Sedalia and other rural communities in the region. Patient diversity is generally reflective of the diversity in the broader community in terms of racial and ethnic make-up, gender identify, and sexual orientation. Patients are predominately white, non-Hispanic. However there are substantial Hispanic, Ukrainian, and Russian immigrant communities which include patients whose first language is Spanish, Ukrainian and Russian.
TLC Pediatrics serves children and adolescents. Interns rotating at the Healing Arts Center will see patients across the lifespan in family practice and women in the Women’s Clinic.
While we won’t know your exact supervisor assignments until the internship starts, these are examples of some of the individuals you may work with over the course of your year at the site.
Chelsea Gilliam, Psy.D.
Chelsea Gilliam began her journey in clinical psychology by obtaining her bachelor’s in psychology at Lyon College in Batesville, Ark. She earned a Masters in Mental Health from Mississippi College in Clinton, Miss. and then her PsyD in clinical psychology at Forest Institute of Professional Psychology in Springfield. It was at Forest Institute where Chelsea became interested in behavioral health integration and completed her dissertation on the correlation between infertility and shame. She completed internship locally within the National Psychology Training Consortium and completed residency at Burrell Behavioral Health from 2014-2015. Chelsea continued her interest in integration at Jordan Valley Community Health Center where she developed and implemented an integrated pain management program. After searching for more opportunities for program development, Chelsea returned to Burrell in 2018 as part of the fast-growing integration team. Chelsea is currently the System Director of Adult Integration at Burrell where she provides oversight of integrated care projects at local health centers and college campuses across the region.
Kristen Thompson, Ph.D.
Dr. Kristen Thompson received her degree in clinical psychology in 2016 from Northern Illinois University, where she earned a special emphasis in child psychology and conducted research on interpersonal violence and mindfulness. She completed internship at the University of Michigan Mary A. Rackham Institute prior to specializing in pediatric psychology during a fellowship at Children’s Mercy Hospital, where she worked closely with medical providers in the hospital and in integrated specialty and primary care clinics, providing services to patients with chronic health conditions, traumatic injuries, and developmental and behavioral health disorders. Dr. Thompson joined Burrell Behavioral Health in 2017 and is currently the System Director of Pediatric Integration. She works with community partners to expand access to behavioral health care for children by pairing behavioral health services with the health care children are already receiving. Dr. Thompson is also the director of Burrell’s Youth Focus Clinic, which provides multidisciplinary care to children and adolescents with ADHD.
192525, 192526 - Springfield, MO
Springfield is the state’s third largest city. This location maintains a talented arts community dating back to the early 1900s, offering a symphony, a community theatre, an art museum, a ballet company, and a regional opera. Springfield is also home to the recently opened Wonders of Wildlife Museum and Aquarium which is the largest and most immersive fish and wildlife attraction in the world. Next door to it is the Bass Pro Shops Outdoor World, a popular attraction in the state of Missouri for fisherman and hunters alike.
192527 - Sedalia, MO
Sedalia is a small city of about 20,000 but serves as a commercial hub for a nine-county area, serving more than 145,000 residents within a 45 mile radius. Sedalia boasts a low cost of living with homes in neighborhoods, apartment/condo complexes, and rural farmsteads.
Travel/weather: Sedalia is centrally located in Missouri with easy access to anywhere in the state. It’s about an hour East of Kansas City, an hour West of Jefferson City and Columbia, and 2 hours North of Springfield. The area has a typical Midwest climate where you’ll experience all four seasons including hot humid summers and an annual average of 14 inches of snow through the winter.
Places to eat: Sedalia is famous for being the home of the Gooberburger – a peanut butter topped hamburger, as well as a wide variety of dining options including barbeque, Mexican, Chinese, and American.
Things to do: Sedalia is home to the Missouri State fairgrounds, which draws attractions year round, and is the birthplace of Ragtime music, with an international ragtime festival each year to honor the music’s heritage. Outdoor activities are at your doorstep, with the famous Katy Trail offering miles of access for biking, hiking, and exploring.
Central Region Sites
- Burrell Behavioral Health Center
- Clark Community Mental Health Center
- Compass Health
- Royal Oaks Hospital
- University Health (Previously Truman Medical Centers)