St. Louis Psychiatric Rehabilitation Center
SLPRC, under various names, has served the public since 1869. It is a JCAHO accredited, inpatient psychiatric facility operated by the Missouri Department of Mental Health. The facility currently has 180 beds divided into four 25-bed wards and ten 8-bed residential cottages. We provide long-term inpatient psychiatric and psychosocial rehabilitation services to adults with severe and persistent mental illnesses and Axis II disorders from the urban, suburban, and rural areas of eastern Missouri. We also provide those services for the Deaf for the state of Missouri.
The Psychology Department consists of six psychologists who have varying interests and backgrounds. We are active participants in the ongoing development of treatment and treatment programs and have leadership roles in the units we serve. In general, interns rotating at SLPRC should expect to complete two or more assessments, participate in at least four weekly therapy groups, carry a caseload of three or four individual therapy clients, participate in multidisciplinary treatment team meetings, and lead group supervision of psychology and counseling practicum students. These expectations are flexible based upon the needs and interests of the intern. The supervision available is intense and plentiful, with a minimum of one, but commonly two scheduled hours, along with frequent informal opportunities for supervision. Preferred rotations are selected from the programs detailed below.
Cognitive-Behavioral Program: The two teams of this program provide services for one ward and three cottages. The clients have a broad range of functioning, although most are at a higher level. Most have a personality disorder (often Antisocial Personality or with significant Antisocial features) in addition to a stable Axis I disorder (usually Schizophrenia). Many have problems with chemical dependency as well. Nearly half of the clients in this unit are sex offenders. If you choose this rotation, you will spend much of your time gaining additional experience in providing individual and group therapy and learning the effect of the client’s forensic status on their hospital stay and discharge. You will gain experience completing dangerousness risk summaries, working as part of a treatment team, and you will learn the role of a psychologist in an inpatient facility. There will be a few opportunities for psychological assessment. In supervision, you can expect discussions on the treatment of reluctant and resistant clients, maintaining professional boundaries, and a psychologist’s role in this setting.
New Outlook Program: The program provides inpatient services to adults with severe emotion dysregulation. The majority of clients who take part in this program have developmental disabilities and Axis II diagnoses, primarily Borderline Personality Disorder. Although personality dysfunction is the primary problem for the majority of these clients, a wide spectrum of Axis I diagnoses are also represented. The primary treatment modality is Dialectical Behavior Therapy (DBT), yet other adjunctive treatments are also provided (e.g., groups to address mental illness). Interns who chose this program for rotation will be considered members of the DBT consultation team and the New Outlook multidisciplinary treatment team. Interns will also gain experience in delivering group and individual therapy, as well as in completing integrated risk assessments. Personality, intellectual, and other types of assessment experiences can be provided at the intern's request. There may also be opportunities for writing behavior management plans if so desired.
Programs with Additional Learning/Treatment Opportunities:
Deaf Services: This 8-bed treatment program opened in May 2012 to serve the Deaf clients across the state of Missouri in need of long-term hospitalization. Some staff members are deaf, and are therefore part of the Deaf community. The rest of the staff members have special training in Deaf Culture. Interpreters attend each therapy session. Language facility varies among the clients in the program. Diagnoses include Major Depression, Delusional Disorder, and Schizophrenia. All of the clients, at present, have had problem sexual behavior. Interns who take part in this adjunct experience will learn about Deaf Culture, how to work with an interpreter in treatment, and take part in group therapy with Deaf members.
Transitional Rehabilitation Program: The multidisciplinary team of this program provides psychosocial rehabilitation services to four cottages. Most clients have been adjudicated NGRI and committed by the court for treatment. They usually function at a high level, with stable psychiatric symptoms.