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   Nebraska

   Mental Health Centers

 

     Nebraska Comprehensive Health Care

 

Nebraska Mental Health Centers Psychology Residency Program

(NMHC-PRP)

  

 

Introduction

 

Nebraska Mental Health Centers – Psychology Residency Program (NMHC-PRP) offers a residency program specifically designed to offer a structured, advanced training experience in specific areas of psychology (described below), but also covering a wide variety of psychological services across diverse populations. In terms of the history and the philosophy of NMHC, it was established in 1994 as a multidisciplinary practice and has since grown to be Nebraska’s largest provider of mental health services.  NMHC is comprised of three offices covering many cities and with plans for further expansion.  We believe in creating an individualized treatment plan for every patient that walks through our doors and are ready to be as creative and caring as our patients need us to be. This mindset has lead to the steady, yet fast paced growth NMHC has experienced and is fueled by the hard work ethic and top quality services provided by its employees and trainees.  It is with much enthusiasm that NMHC offers a residency to new psychologists providing them with the same knowledge, acumen, and personal characteristics that have led NMHC to become the premier psychological service provider of the Midwest. 

 

Services

 

NMHC provides psychological care for children, adolescents, adults and families through individual, marital, family and group therapy.  Included in our service delivery are:

1.  Outpatient Programs for Domestic Violence, Substance Abuse, Developmentally Disabled, Pain Disorder and Intensive Outpatient Treatment for a wide variety of issues.

 

2.  Inpatient Treatment for all ages including many medical patients and nursing home residents. 


3.  Assessments for all ages including: Achievement, Social, Intellectual, Personality, Forensic, and Psychological.  Neuropsychological assessments are a large part of the services provided by NMHC and administered to patients experiencing a suspected neurological condition for the purpose of medical and psychological treatment and/or placement needs.

4. Programs & Groups

·        Stress Management

·        Managing Chronic Pain

·        Women's Issues

·        Grief & Loss

·        Domestic Violence/Batterer Intervention Program

·        Substance Abuse Treatment and Aftercare

·        Attention Deficit/Hyperactivity Disorder

·        Men's Issues

·        Mental Health Medications

 

 

5.  Consultative Services will be a major component of the resident’s training experience.  Each resident will serve as a consultant in case conferences regarding psychological assessment, psychotherapy issues, and general patient management.

 

The Program

 

It is the goal of NMHC-PRP to provide high quality, advanced training to professional psychologists who meet the demands and qualifications of the program.  NMHC-PRP offers two major rotations in the following areas:  advanced clinical psychology, medical psychology and psychopharmacology.  To meet the goals of the residency program, a philosophy of individualized development and supervision serves as the basis to train its residents.  As advanced training is highly valued and regarded, NMHC-PRP provides a true learning experience by offering knowledge and guidance in clinical activities.  With a wide variety of populations served including all ages, socio-economic classes, and clinical presentations, NMHC-PRP has a breadth of opportunity for residents to chose from in order to suit their specialty interests.  Although selected residents will be placed in primary major rotations, NMHC-PRP also ensures a wide variety of clinical experiences and the ability to obtain experiences in other rotations of the residency.   Additionally, the residency program fulfills the licensure requirements for postdoctoral supervised practice in its jurisdiction.  A unique contribution that NMHC-PIP provides through our close ties with the medical community is a truly interdisciplinary residency experience. 

 

Basic Requirements

The residency programs are divided over 50, 40 to 60 hour workweeks for a total of approximately 2000+ hours each year.  All residents are expected to attend the program full-time and reach completion in 24 months for the advanced clinical program and 36 months for the medical psychology and psychopharmacology program.  Additional requirement is to be licensed within the first 16 months of residency.  Approximately 25 hours of each week are spent in direct face-to-face service delivery.  On the average, four hours of supervision per week will be provided.  The remainder of each week is spent in case conferences, didactic seminars, grand rounds, writing evaluations, etc. 

 

Supervision

Residents receive two hours of scheduled, face-to-face supervision from each of two supervisors once per week and one hour of group supervision totally three hours of supervision per week, on average.  Additionally, much of the work is initially accomplished alongside a supervisor to address resident questions and evaluate strengths and weakness of the resident. Such activities as briefing and debriefing group therapy, multi-disciplinary team meetings, treatment and discharge planning conferences provide rich learning and supervisory experiences. 

 

The Evaluation Process

Each resident will have two supervisors that split the resident’s caseload.  It is the responsibility of the supervisors to provide ongoing evaluation and feedback to all of their residents.  The Director of Training will meet quarterly with residents to evaluate progress of meeting goals and the evaluation forms (signed by both Training Director and resident) will be maintained in resident’s training file. 

 

The Programs

Each resident will be selected to one of two programs:  advanced clinical psychology and medical psychology and psychopharmacology.  A brief description of each is as follows:

 

 

Ø     Ø     Advanced Clinical Psychology

The residency program in Advanced Clinical Psychology is designed to be completed over a twenty-four month period.  It is intended to prepare the resident in a great many of the facets of clinical psychology that  cannot be accomplished in a 1-year residency program.  The first year serves as the post-doctoral year required by most states for licensure.  The program will prepare the resident in greater depth in the areas of psychological assessment, diagnosis, psychotherapy, psychotherapy supervision, consultation/liaison, clinical team management and mental health administration. A graduate of this program will be well prepared to serve as a leader of a treatment team in a number of environments.

 

Ø           Ø           Medical Psychology and Psychopharmacology

The residency program in Medical Psychology and Psychopharmacology is designed to be completed over a thirty-six month period.   The resident will work with psychological and medical patients on an outpatient basis and within area hospital systems. Experience will include working with patients presenting a wide array of medical illness with combined psychological needs.  Additionally, a significant amount of the resident’s time is spent completing the psychopharmacology didactic coursework in conjunction with The Psychopharmacology Institute, an association affiliated with NMHC.  Typically, 24 months of study is required to fulfill the coursework.  The remainder of the third year is spent completing a 1-year/100 patient preceptorship as required for Level III training.  This track is in accordance with the American Psychological Association’s “Model Curriculum for Training in Psychopharmacology”.  Following nomenclature of New Mexico’s 2002 Prescriptive Authority Law allowing psychologists to prescribe psychotropic medication, the training offered through this program fulfills all requirements to demonstrate “proficiency in psychopharmacology” and allows one to sit for the APA’s PEP Exam.  Upon passing of this exam, psychologists can prescribe in any state where law allows.   All didactic work and other training for the psychopharmacology track are conducted at the main clinic in Lincoln.

  

All residents will have the opportunity to engage in elective training opportunities within the NMHC system as well.

 

Of the elective training opportunities, the following are offered:

 

1.    Alcohol and Substance Abuse - residents will be able to participate in chemical dependency evaluations, Drug/Alcohol education classes, as well as outpatient and intensive outpatient substance abuse programs. 

 

2.    Rural Mental Health - residents will participate in the administration of mental health services in our  Beatrice and Fremont offices.

 

3.     Forensic - residents will be involved in Court Ordered Evaluations,

Child Custody, Commitment, Parental Assessments, Competency to Stand Trial, Mediation, and other forensic services.

 

4.  Mental Health Administration – residents will involve themselves in

    the day to day operations, policy and procedure development, board

    meetings, and staff oversight as a director of a mental health facility.

 

5. Supervision - resident will receive both group and individual supervision, and will provide both forms of supervision to interns as their skills develop over the course of the residency year. 

 

6. Geropsychology – resident will work within the nursing facilities that NMHC presently contracts with. 

 

7.  Neuropsychology -  resident will work within the clinics, hospital, and nursing facilities administering and interpreting neuropsychological instruments.
 

Seminars

Yet another aspect of the structured training offered by NMHC-PRP is weekly seminars covering a broad spectrum of topics.  These seminars are primarily for the educational benefit of the psychology interns at NMHC.  However, the purpose of these weekly meetings for residents is to refresh them on already familiar topics of clinical practice, provide new and more in-depth knowledge of material in the resident’s repertoire, and to furnish important information that is essential to the practice of psychology.  The resident will also be expected to lead various seminars of their choice.  A full list of topics for the weekly seminars is provided below.  Each meeting is scheduled for one hour and will commence one time each week for the entire 46 weeks of the residency program.  Below is a full listing of the weekly seminars offered to interns and residents at NMHC:
 

 

  • Documenting Psychological Services

  • A Review of Psychological Theories in Psychotherapy

  • Treating Families

  • Ethical Considerations in Psychological Practice

  • Managing Malpractice

  • A Review of Psychological Assessment Techniques

  • DSM-IV Diagnostic Classification Decision Tree

  • Conducting a Concise and Thorough Diagnostic Interview

  • Using Empirically Validated Treatment

  • Racial and Cultural Identity Models

  • Political and Practical Dimensions of Multicultural Mental Health Practice

  • Multicultural Therapy Competencies

  • Therapy with Specific Multicultural Populations

  • A Review of the Nervous System

  • Basic Neuropsychology

  • Basic Psychopharmacology

  • What is Managed Care?

  • Use of Computers in Practical Clinical and Ethical Considerations

  • Computer Based Assessment

  • Suicide

  • Integration of Mental Health and Substance Abuse Services

  • Geriatric Mental Health

  • A Review of Child and Adolescent Psychological Services

  • Understanding Domestic Violence

  • Rural Mental Health Needs

  • Serious Mental Illness

  • Discussion of Personality Disorders

  • A Review of Diagnostic and Treatment of Eating Disorders

  • A Review of Developmental Disorders

  • Forensic Psychology

  • Health/Medical Psychology

  • Multidisciplinary Collaboration

  • A Review of Hospital Practice

  • Issues Related of Death and Dying Grief

  • Patient and Professional Advocacy

  • Collaborative Practice in Schools

  • The State Psychological Association and You

  • Hypnotic Techniques

  • The Clinical Use of Biofeedback

  • Basic Supervisory Techniques

  • The Business of Practicing Psychology

  • Mental Health Administration

  • Personnel Management in Mental Health Practice

  • Creating and Maintaining a Treatment Outcome Database

  • Marketing Your Practice and Public Relations

  • A Review of Resources Preparing for Licensure


 


Affirmative Action Policies

 

NMHC takes affirmative action to assure fair and equitable treatment of all employees and applicants for training without regard to race, color, religion, national origin, age, gender, physical disability, or political affiliation.  Affirmative action policies address, but are not limited to:  recruitment, training, promotion, and termination.

 

Diversity Statement

 

NMHC is sensitive and committed to the importance of diversity and the richness of human diversity.  Our services and training focuses on respectful and non-prejudicial treatment to people of all backgrounds.  It is of the utmost importance that NMHC promote the value and strength of diversity to all employees, applicants, trainees, and individuals served.   As a clinical and training facility, we are motivated to addressing issues of prejudice and discrimination and the influence of those issues on the lives of the individuals we encounter in practice and training.

 

 

The Training Staff/

Clinical Training Committee

 

Matthew Nessetti, Ph.D., M.D., ABMP is the Chief Financial Officer and founder of NMHC. He is a licensed clinical psychologist and specializes in Medical Psychology.  Dr. Nessetti received his Ph.D. from the University of Nebraska and his M.D. from the International University of Health Sciences.  Current professional interests include the integration of medicine and psychology, psychopharmacology, forensic psychology, neuropsychology, and mental health advocacy.  Dr. Nessetti  is the Clinical Director and Internship/Residency Training Director

Lee Zlomke, Ph.D.  is a licensed psychologist and one of the primary supervisors for the NMHC Program. Dr. Zlomke specializes in behavioral treatments and interventions for a wide array of clinical presentations and is a Diplomate of the American Board of Psychological Specialties in Forensic Child Psychology.

 

NMHC also has a very large support staff for managing clerical, insurance, and other business responsibilities thereby increasing the time interns and other professional staff can use for providing services and in other learning activities.  In addition, NMHC employs several licensed mental health practitioners for patients in need of counseling. 

 

Training Sites

 

NMHC is a multi-site and multidisciplinary organization.  Three NMHC clinics are utilized for the residency program that cover three cities including Lincoln, Fremont, and Beatrice.  In addition, residents provide services in hospitals, nursing programs, and day treatment programs.  This clinic will serve the southeast region of Lincoln from a 20,000 sq. foot facility and serve as the main clinic offering psychological as well as medical services.   

 

 The Lincoln location serves as the main clinic and training site for the residency program.  Dr. Matthew Nessetti serves as the Clinical Director.  Certain services are provided through our other two clinics.  Many nursing home facilities are in or around the city of Beatrice where we also have an outpatient clinic. 

 

 

Residents completing the medical/health rotations will provide services to inpatient populations as well as outpatient. 

 

   

 

Benefits and Holidays

 

Salary is evaluated yearly.  Residents are given paid time off for all major holidays when the clinics are closed.  In addition, residents are allowed one week paid vacation per year following a two-week notification and approval of the Training Director.

 

Policy, Procedures and Evaluation Information  (Click here)

 

Application

 

NMHC-PRP requires all applicants to have completed all doctoral degree requirements from an APA accredited program and completion of an APA or APPIC-member internship. Qualified applicants interested in NMHC-PRP should provide the following information to receive consideration to enter the program:

 

1)    The APPIC application form (AAPI) that was submitted for internship year.  No changes need to be made to this document.  However, please include an additional document including detailed information of your internship experiences as well as ideas for you career plans. 

2)     Personal statement

3)    An official transcript from graduate institutions.

4)    Three letters of recommendation

5)    A signed consent granting faculty of the NMHC-PRP program to contact references and training directors of both graduate and internship program.  Please provide a list of these individual’s names along with their mailing address, phone number, and e-mail address.

 

Deadline for applications is February 15th.  Selection is based upon quality of application and level of fit between applicant’s interest and NMHC-PRP goals and objectives.  NMHC-PRP abides by all rules and regulations set forth by APPIC in regard to application for residency as well as the entire conduct of the program.  Completed applications should be mailed to the attention of Dr. Matt Nessetti at the  Lincoln office with the following address: 

 

 

Nebraska Mental Health Centers. P.C. 

Psychology Residency Program

Attn:  Dr. Matthew Nessetti

4545 South 86th Street

Lincoln, Nebraska 68526