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About Us
Mission: Inspire Hope, Promote Wellness
Royal Oaks is a 54-bed acute care inpatient facility located in Windsor, MO which treats children and adolescents aged 3-18. Windsor is a centrally located rural, Midwestern community of approximately 3,000 residents with a largely agricultural economy and several large Mennonite and Amish communities. The inpatient units are kept full the majority of the time due to the revolving door process in place for admits and discharges.
Royal Oaks 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 DNV, and is certified by CMS for the participation in Medicare and Medicaid programs. Royal Oaks is an approved facility for multiple insurance panels and provider networks.
Training Opportunities
192520 – Royal Oaks Hospital
Positions: 4
Setting
Inpatient
Services Provided by Interns
There are four inpatient rotations at Royal Oaks:
- Pre-adolescent
- Adolescent
- Substance Use Disorders
- Psychological Testing
Interns will provide inpatient services including individual, group, and family therapy with children, adolescents, and adults. Interns at this location will also experience placements in child, adolescent, and adult inpatient units, and will also have the opportunity to engage in Substance Use Disorder treatment and psychological assessment.
A caseload of 4-6 patients will be carried on each rotation at Royal Oaks Hospital as well as family therapy, treatment team meetings, and conducting five to ten clinical groups per week. 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 psychologists, 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 also convey findings of psychological testing.
Schedule Considerations
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 provide services Friday evening and Saturday and/or Sundays. On this weekend, interns will work from 5:00 – 8:00 pm Friday and all day on Saturday and/or Sunday. On these weeks, interns will be given the Monday before or after the weekend off in exchange for working.
Interns will also rotate units every three months of internship, though the schedule remains the same for each. In general, interns on all rotations will carry a caseload of four to six patients as well as conducting five to ten clinical groups per week, family therapy, treatment team, and assessment referrals.
192521 – Compass Health: Dual Track with Royal Oaks Hospital
Positions: 3
Setting
Inpatient and Outpatient
Services Provided by Interns
Interns in these positions will split clinical time between Royal Oaks Hospital and a Compass Health outpatient office.
Royal Oaks Hospital: At Royal Oaks Hospital, interns will provide inpatient services including individual, group, and family therapy with children, adolescents, and adults. Interns at this location will also experience placements in child, adolescent, and adult inpatient units, and will also have the opportunity to engage in Substance Use Disorder treatment and psychological assessment.
A caseload of 4-6 patients will be carried on each rotation at Royal Oaks Hospital as well as family therapy, treatment team meetings, and conducting five to ten clinical groups per week. 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 psychologists, 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 also convey findings of psychological testing.
Compass Health Outpatient Office: The primary focus will be working with a team of behavioral health providers to provide outpatient individual and family therapy with children, adolescents, and adults. Possible outpatient experiences that may be available include group therapy, psychological assessment, Dialectical Behavior Therapy consult team, and substance use disorder treatment.
Schedule Considerations
Interns will generally work a typical 8:00 am – 5:00 pm schedule on the two days they are in their outpatient placement. No weekend work or after-hours on-call are required. On days interns are placed at Royal Oaks Hospital, they will typically work an 8:30 am – 5:00 pm schedule except that once each month, interns will provide serves Friday evening and Saturday and/or Sundays. On this weekend, interns will work from 5:00 – 8:00 pm Friday and all day on Saturday and/or Sunday. On these weeks, interns will be given the Monday before or after the weekend off in exchange for working.
Didactics
Didactic trainings are typically held every other Friday from 8:00 am to 12:00 pm. Two times per year interns will attend an all-day training from 8:30 am - 4:30 pm which will allow in-person socialization and interaction. Interns spend a minimum of eight hours each month in seminars and workshops with required learning objectives and a reading list covering relevant journal articles, etc. Please email applicant@psychologyinterns.org for access to our current training manual which includes the full didactic training policy (policies subject to change).
Supervision
All interns receive at least four hours of supervision per week. The requirement includes at least two hours with a licensed psychologist in individual, face-to-face supervision. The other two hours include secondary supervision with a licensed psychologist and/or ancillary supervisor in a group or individual setting. Please email applicant@psychologyinterns.org for access to our current training manual which includes the full supervision policy (policies subject to change).
Clerical and Technical Support
Office locations have support staff on-site, and a full Information Technology department available 24/7.
Training Materials and Equipment
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 are provided with office space complete with a computer and access to the internet and printer. Each location is equipped with the testing and training materials necessary for the interns to complete the requirements of their training year.
Schedule
Example Schedule
| Monday | Tuesday | Wednesday | Thursday | Friday | |
| 0830-0915 | admin time | admin time | admin time | admin time | admin time |
| 0915-1200 | patient care | patient care | patient care | supervision and patient care | patient care |
| 1200-1300 | supervision | documentation | documentation | patient care | patient care |
| 1300-1400 | treatment team | treatment team | group supervision | treatment team | patient care |
| 1400-1600 | patient care | supervision and patient care | patient care | patient care | docmentation |
| 1600-1700 | documentation | documentation | documentation | documentation | patient care and documentation |
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.
Our Supervisors
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.
Site Training Director
Patrick Fletcher, Psy.D.
Dr. Patrick Fletcher attended Wright State University’s School of Professional Psychology to receive his doctorate in psychology, graduating in the Summer of 2019. Dr. Fletcher completed both his internship and post-doctoral training at Royal Oaks Hospital prior to being hired at the hospital as a Licensed Psychologist in the Winter of 2019. Dr. Fletcher serves as the Testing Director for the hospital, providing psychological assessments, training, and supervision. Dr. Fletcher primarily utilizes Cognitive Behavioral Therapy, Mindfulness, and Person-Centered techniques when providing individual and group therapies. Dr. Fletcher maintains a passion for providing effective and supportive supervision for trainees, for reducing stigma in mental health, and for relieving problematic symptoms associated with irrational thoughts.
Supervisors
Tenea Lowman, Psy.D.
Dr. Lowman received her master’s 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 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 Vice President of Clinical Services. As training director, Dr. Lowman supervises the training and development of psychological interns, residents, and trainees. Her clinical interest is group therapy and psychosis. She has been adjunct faculty at the School of Professional Psychology at Forest Institute and was a board member for Child Safe of Central Missouri from 2016 to 2019 and currently serves on the Special Projects Committee for the Bothwell Hospital Foundation. Dr. Lowman is a Licensed Psychologist in the state of Missouri.
Example treatment modalities (as listed by APPIC):
|
Assessment
|
Exposure (1% to 20%) |
|
Individual Intervention
|
Experience (21% to 30%) |
|
Couples Intervention
|
N/A |
|
Family Intervention
|
Exposure (1% to 20%) |
|
Group Intervention
|
Major Area (50%+) |
|
Community Intervention
|
N/A |
|
Consultation/Liaison
|
Exposure (1% to 20%) |
|
Crisis Intervention
|
Emphasis (31% to 49%) |
|
Brief Intervention
|
Exposure (1% to 20%) |
|
Long-Term Intervention
|
N/A |
|
Cognitive Rehabilitation
|
|
|
Primary Care
|
|
|
Supervision of Prac. Students
|
Exposure (1% to 20%) |
|
Evidence-Based Practice
|
Major Area (50%+) |
|
Evidence-Based Research
|
Exposure (1% to 20%) |
Example supervised experiences (as listed by APPIC):
| Health Psychology | N/A |
Forensics / Corrections
|
N/A |
| Women’s Health | N/A |
Sexual Offenders
|
Exposure (1% to 20%) |
|
HIV / AIDS
|
Geropsychology | N/A | |
| Eating Disorders | Exposure (1% to 20%) | Pediatrics | Exposure (1% to 20%) |
| Sexual Disorders | Exposure (1% to 20%) | School | N/A |
| Sports Psychology | N/A | Counseling | Major Area (50%+) |
| Rehabilitation Psychology | N/A |
Vocational / Career Development
|
N/A |
| Physical Disabilities | Experience (21% to 30%) |
Multicultural Therapy
|
Emphasis (31% to 49%) |
| Learning Disabilities |
Experience (21% to 30%)
|
Feminist Therapy
|
N/A |
| Developmental Disabilities | Exposure (1% to 20%) |
Religion / Spirituality
|
N/A |
| Assessment | Experience (21% to 30%) |
Empirically-Supported Treatment
|
N/A |
| Neuropsychology – Adult | N/A |
Public Policy / Advocacy
|
N/A |
|
Neuropsychology – Child
|
N/A |
Program Development/Evaluation
|
N/A |
| Serious Mental Illness | Exposure (1% to 20%) | Supervision | Exposure (1% to 20%) |
| Anxiety Disorders | Experience (21% to 30%) | Research | Exposure (1% to 20%) |
| Trauma/PTSD | Major Area (50%+) | Administration | N/A |
|
Sexual Abuse
|
Emphasis (31% to 49%) |
Integrated Health Care–Primary
|
Exposure (1% to 20%) |
| Substance Use Disorders | Exposure (1% to 20%) |
Integrated Health Care–Specialty
|
Exposure (1% to 20%) |
| Children | 25% |
| Adolescents | 50% |
| Adults | 25% |
| Family | 45% |
| Older Adults | 10% |
| Inpatients | 100% |
| Outpatients | 40% |
| LBGTQIA+ | 30% |
| Ethnic Minorities | 15% |
| Spanish Speaking | 10% |
| French Speaking | |
| Deaf/Hearing Impaired | 5% |
| Students | 80% |
| International Students | |
| Rural | 80% |
| Urban | 10% |
| Low Income | 80% |
| Homeless | 35% |
Annual Pay for the 2025-2026 Training Year: $40,000
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.
Please note that available benefits and observed holidays are subject to change. Matched interns will receive full benefit orientations at their site which will go over all benefit information for the training year. More information about the Support and Benefits offered in each of our regions can be found here.
Royal Oaks Hospital does conduct background checks on interns prior to orientation.
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: http://dmh.mo.gov/about/employeedisqualification/
- 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.
Interns with Royal Oaks Hospital will be required to verify immunization to MMR, Varicella (Chicken Pox Vaccine), and Hepatitis B during the onboarding process. Interns will also be required to receive the annual influenza vaccine unless they have an approved medical or religious exemption. Starting October 2021, all employees (including interns) will be required to receive the COVID-19 vaccine unless granted an approved accommodation. New employees must receive their first dose of COVID-19 vaccination prior to the 1st day of Orientation and receive their second dose (unless they received a one dose vaccination) within the first 30 days of hire. Reasonable accommodations for vaccine requirements are allowed.
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.