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  • Community-Based Dual Disorder Rotation

    Drs. Williams (primary supervisor), Coffey and Schumacher

    The goal of this rotation is to learn how to treat mental illness that co-occurs with substance use disorders. The primary focus is on evidence-based treatment of mood, trauma-related, and anxiety disorders, particularly the treatment of PTSD using prolonged exposure, the treatment of depression using behavioral activation, and transdiagnostic treatment of emotion dysregulation with dialectical behavior therapy skills, with the opportunity to also acquire advanced skills in motivational interviewing.  There also are opportunities to treat anxiety and mood disorders such as social anxiety, generalized anxiety, panic, and bipolar disorder using a variety of evidence-based protocols. There are opportunities to complete evaluations of clients, to prepare integrated reports, and to make recommendations to the substance abuse treatment team. The clinical experiences take place within a community-based residential substance abuse treatment program (18-minute drive from the UMMC campus). Therefore, the intern will not only learn how to treat co-occurring disorders, but also how to participate in a multidisciplinary treatment team with fellow professionals who may have different treatment philosophies and values. Opportunities to train staff in cognitive behavioral treatment approaches, to provide general program consultation to the community-based program, and clinical supervision to doctoral students may also be available. Given that these community-based programs are major recruitment sites for Drs. Coffey and Schumacher's NIH-funded grants and other research projects, interns will also learn how to establish and maintain mutually beneficial relationships with community treatment providers. Given the importance that the National Institutes of Health have placed on testing psychological treatments in "real-world" settings, interns interested in conducting research in community settings may benefit from experiences gained on this rotation.