UMSL Center for Behavioral Health (CBH) offers high quality training experiences in psychological assessment and treatment, as well as professional consultation.  This busy clinic receives approximately 3,600 referrals for psychological assessment each year, providing a significant range of cases to support interns’ professional skill development.  Interns provide comprehensive psychological evaluations to children, adolescents, and adults who present with emotional, behavioral, learning and/or personality difficulties, not uncommonly severe in nature.  Referral questions include diagnostic clarification for children with the most impairing of psychiatric conditions (e.g., psychosis, bipolar disorder), risk of harm to self/others, parenting competencies, psychosexual functioning, impact of exposure to trauma, and identification of treatment needs and after-care placements for children and adolescents in residential treatment programs.  Assessments are sometimes conducted at residential treatment facilities and in schools to observe the individual in his/her typical environment and facilitate consultation with ongoing service providers.  Indeed, as part of their role as an assessment clinician, interns provide professional consultations to schools, Deputy Juvenile Officers, other mental health providers, and other stakeholders involved in the lives of the clients they serve.  CBH also commonly has a waitlist for psychotherapy services, allowing for thoughtful case assignments matched to intern skill level and interest.  Clients seeking treatment commonly present with major affective disorders, interpersonal difficulties, behavioral disorders and personality disorders.  Both our therapy and assessment clients are diverse in terms of racial/ethnic identity, nationality, socioeconomic status, religion, gender identification, and sexual orientation.  Ethical and culturally sensitive provision of services is emphasized throughout supervision and modelled by supervisors.  The scientific and empirical basis of services provided is regularly reviewed in supervision and in the context of other didactic experiences at CBH.  Further, interns are encouraged to research clinical issues on their own to bring back to supervision for discussion.  Finally, interns sometimes have the opportunity to supervise a graduate student on a therapy or evaluation case, as well, and receive supervision of supervision. 

CBH offers both a Core rotation (4 days/week for 4 months) and an Adjunct rotation (1 day/week, year-long).  Interns completing CBH as a Core rotation conduct a wide variety of evaluations including cognitive and personality (objective and projective) assessment for a range of referral questions and presenting concerns, including significant emotional, psychiatric, and behavioral difficulties.  Core rotation interns also carry a small caseload of outpatient psychotherapy clients (3-4 clients) and may have the opportunity to supervise a doctoral student on a therapy or assessment case.