APPIC Membership Status AHC is a participating member of APPIC.

Internship Summary Agnesian HealthCare s Doctoral Psychology Internship is located primarily in Fond du Lac, Wisconsin. Interns at Agnesian HealthCare work with children, adolescents and adults diverse in diagnosis and socio-economic status. The Behavioral Health Services department is focused on providing services to the community with both outpatient and inpatient care. Over the course of one year, interns will develop expertise in individual, group and family therapy. They will become proficient in skills related to differential diagnosis and assessment; creating and maintaining a treatment plan with measurable goals; appropriate interventions specific to each patient; risk and crisis management; collaboration with other professionals in team consultation; design and facilitation of psychoeducational and psychotherapy groups; and integration of research into practice. Time for personal research and dissertation completion can be negotiated. Interns will complete psychological testing on an inpatient and outpatient basis under the supervision of licensed psychologists. Accreditation Status Agnesian HealthCare s (AHC) Doctoral Internship is accredited by the APA. Questions related to the program s accredited status should be directed to the Commission on Accreditation: Office of Program Consultation and Accreditation American Psychological Association, 750 1st Street, NE, Washington, DC 20002 Phone: (202) 336-5979 E-mail: apaaccred@apa.org All other questions about the internship program may be directed to Evelyn Schaefer, PsyD, Agnesian HealthCare Behavioral Health Services, Training Coordinator, at schaefere@agnesian.com or (920) 926-4355. APPIC Membership Status AHC is a participating member of APPIC. About Agnesian Behavioral Health Services Agnesian HealthCare Behavioral Health Services is comprised of a highly-trained team of multi-disciplinary professionals including psychologists, psychiatrists, a neuropsychologist, psychotherapists, nurses, family therapists, social workers, an addictionologist and certified AODA counselors, who provide evaluation and therapy to people whose behavior, thoughts and feelings have become disruptive to their everyday functioning. Individual, marital, family and group therapy is available for a variety of mental health concerns including: depression, adjustment to trauma, anxiety and stress management, autism spectrum disorders, eating disorders, health issues, anger management, child, adolescent and adult behavioral disorders, academic difficulties, and relationship issues. Inpatient mental health services include crisis observation, short-term care and acute psychiatric care for adults and adolescents (age 17 and older). Additional programs include inpatient and outpatient addiction treatment, an autism center and a pro-bono domestic violence program. Training Locations Training is conducted in three primary outpatient facilities located in Fond du Lac and Beaver Dam. Interns will also have the opportunity to work in various community-based programs within Fond du Lac. Outpatient facilities include: St. Agnes Hospital is the main training site for Doctoral Interns. Comprising the fifth floor of the Diagnostic & Treatment Center, our Behavioral Health Services department provides both inpatient and outpatient services. St. Agnes Hospital has long been recognized as a leader in providing quality care for members of our community with psychological and addictive concerns. Our highly-trained team of professionals includes psychiatrists, an addictionologist, psychologists, a neuropsychologist,

psychotherapists, nurses, family therapists, social workers, and certified alcohol and other drug abuse (AODA) counselors. These professionals work together to serve children, adolescents, adults, couples and families. 430 E. Division Street, Fond du Lac, WI 54935 (920) 926-4200 Doll & Associates, part of Agnesian HealthCare Behavioral Health Services, is a state-certified outpatient mental health clinic offering a wide variety of counseling, assessment and consulting services in a comfortable and confidential setting. Interns may be placed here approximately eight hours per week if their interests align with those of supervisory staff. 40 Camelot Drive, Fond du Lac, WI 54935 (920) 907-8201 Psychiatric Associates, part of Agnesian HealthCare Behavioral Health Services, is an outpatient mental health clinic located 30 miles west of Fond du Lac. Services offered include counseling, assessment and medication management. Interns may be placed here one day per week if their interests align with those of supervisory staff. 200 Front Street, Beaver Dam, WI 53916 (920) 885-2780 Program Structure and Intern Experience Interns will have a full-time position, working approximately 40 to 42 hours a week for 12 consecutive months beginning and ending in September. The start date for the 2018-2019 cohort will be September 4, 2018. Interns specialize in one of three areas: Trauma, Health Psychology or Child/Adolescent. Interns will be matched with an emphasis-specific supervisor and will be availed of a clinical population that will enable their growth in the chosen area. The Trauma intern will work at additional sites including Agnesian s Domestic Violence Services and the Beacon House, a recovery group home located in Fond du Lac. The Child/Adolescent intern will have additional experiences at Fond du Lac High School and our autism treatment program. The Health Psychology intern will work in various departments, including rehabilitation, the cancer center, palliative care and primary care. This intern will also have the opportunity to work at Mahala s Hope, a recovery and equine assisted therapy center. Interns may elect to experience learning activities outside of their chosen emphasis. This option is schedule and availability dependent and will be negotiated on an individual basis. Sample Schedule* Hours Hours Direct Services Education Individual Therapy 8 Peer consultation 1-2 Group Therapy 2 Seminars 2 Family/Couples Therapy 1-2 Total Education 3-4 Diagnostic Interviews/Assessments 2 Indirect Services Psychological Testing 3 Documentation/Reports 5 Total Direct Services 17 Research/Dissertation 2 Supervision Program Development 2 Individual Supervision 3 Total Indirect Services 9 Group Supervision 1 Emphasis Specific Activities Total Supervision 4 Group/Individual Therapy 4-6 Consultation/Supervision 2 Total Rotation 6-8 Total Internship Hours Weekly 40-42 *Experience and total hours are likely to have some variation on an individual basis.

Supervision and Evaluation Each intern receives supervision and support from multiple professionals. Interns will be matched with a primary supervisor, specific to their chosen concentration and receive supervision from other psychologists at their secondary outpatient sites and emphasis sites. Interns overall strengths and areas for growth will be evaluated at the beginning, middle and end of their year-long experience. Interns will have the opportunity to provide feedback during supervision sessions and formally at the end of each trimester. Interns will also complete a formal evaluation at the end of the internship which will be read and processed after completion of the program. The first person to review the evaluation is a psychologist that is not an employee of Agnesian HealthCare and will use this information to advise the internship program. Stipend, Benefits and Resources Interns will receive $25,100/year plus full benefits of an Agnesian HealthCare staff member. Interns accrue paid time off (PTO) and can access this benefit after 90 days of employment. PTO is used for sick days, holidays and vacation time. Interns will have one week of vacation time with additional time negotiable for dissertation defense. Any unused PTO will be paid out at end of internship. Interns have shared primary office space with individual desktop computers, telephones, voicemail and storage. Multiple consultation rooms for treating patients are shared with consistency a priority. Interns utilize a computerized medical record and scheduling system with full administrative and IT support. Interns are availed of all the support services of Agnesian HealthCare, including public relations, marketing, printing services and a health resource center. Seminars In addition to educational experiences from each emphasis, there will be two hours of educational seminars held weekly. This educational series is delivered by staff and area volunteers. A list of sample topics is provided below. Seeking Safety - AODA/Trauma Group Framework Trauma Assessment Couples Therapy Mental Health & Older Adults Complex PTSD Safe Zone Training Reproductive Trauma Professional Development Series DBT Skills Training Anger Management Therapy with Men Childhood Trauma Elimination Disorders Child/Adolescent Sleep Issues Adult Survivors of Childhood Sexual Abuse Medical Side of Addiction Mandated Reporting Third Party Billing Risk Assessment Administration Psychology and Physical Rehabilitation Psychopharmacology Gestalt Therapy Assessment and Intervention of the Suicidal Patient Neuropsychology Series EMDR Self Harm Domestic Violence Advocacy Offender Treatment Domestic Violence Assessment Childhood & Adolescent Assessment Autism Diversity ACE and the Impact of Trauma Informed Care Hair Pulling and Picking Disorders Parenting Teens ADHD and Executive Functioning Assessment Eating Disorders Grief Counseling/Hospice Work Assessing and Treating the Transgender Child and Adult Self-Regulation Social Skills Treatment Interns may also attend Medical Staff educational offerings and seminars specific to emphasis (e.g. cancer conference for Health Psychology).

Internship Training Staff Sarah Arnold, PsyD, Doll & Associates, Fond du Lac Nancy Goranson, PhD, St. Agnes Hospital, Fond du Lac Beth Rogers-Doll, PhD, Doll & Associates, Fond du Lac Evelyn Schaefer, PsyD, St. Agnes Hospital, Fond du Lac Training Coordinator Jennifer Specht, PhD, St. Agnes Hospital, Fond du Lac Lynn Stock, PhD, St. Agnes Hospital, Fond du Lac Wendy Upadhyay, PsyD, Psychiatric Associates, Beaver Dam Espen Klausen, PhD, Fond du Lac County External Advisor Application Process and Requirements Three full-time positions (Health, Trauma and Child/Adolescent) are available for the 2018-2019 cycle. Application materials are submitted through the AAPI online application portal (https://portal.appicas.org). Required materials for applicants are as follows: Completed AAPI online application (program code 226111 - Health; 226112 - Trauma; 226113 - Child/Adolescent) Cover letter (part of online AAPI) Curriculum vitae (part of online AAPI) Three letters of recommendation, two of which must be from people who have directly supervised your clinical work (part of on-line AAPI) Official transcripts of all graduate coursework (part of online AAPI) Supplemental materials (part of online AAPI) Example of an integrated assessment report (please redact appropriately) Additional requirements from Agnesian HealthCare (upon employment) CPR certification Background check Tuberculosis test Influenza vaccine Contact Information Evelyn Schaefer, PsyD - Coordinator of Training St. Agnes Hospital, Outpatient Behavioral Health Services 430 E. Division Street Fond du Lac, WI 54935 (920) 926-4355 E-mail: schaefere@agnesian.com Web site: http://www.agnesian.com/page/behavioral-health-training-opportunities Intern Expectations The Agnesian HealthCare Doctoral Internship is a year-long, full-time experience. Interns are expected to complete a minimum of 2,000 hours of training during the year. Interns are also expected to achieve the goals and objectives of the training program, as stated below, and to abide by the APA Code of Ethics, the requirements of the training program, and the policies and procedures of their employer, Agnesian HealthCare.

Internship Mission Statement Following a practitioner-scholar model, Agnesian HealthCare trains interns in the practice of clinical psychology developing individuals who serve as clinical resources for their communities. Doctoral psychology interns in our program will be competent to practice autonomously in their future roles as licensed psychologists providing compassionate care to all persons at every stage of life. AHC trains clinical psychologists who are able to effectively evaluate and utilize research and who use scholarly inquiry to inform their practice. AHC offers comprehensive training with specialized focus in areas of chosen emphasis (Health Psychology, Trauma and Child/Adolescent). Training Objectives Psychology interns demonstrate an excellent ability to identify ethical issues as they arise, consult with colleagues as a matter of course and maintain an ethical stance at all times. Psychology interns demonstrate receptivity to receiving supervision and competency using it to implement changes in their practice. Psychology interns will demonstrate awareness of their own strengths and weaknesses and show signs of addressing areas of weakness. Psychology interns demonstrate proficiency in developing rapport with diverse clientele, and sensitivity to individual and cultural differences. Psychology interns demonstrate solid skill in using their preferred theoretical orientation, in combination with evidenced-based interventions, to conceptualize cases, develop treatment goals, and to devise and implement interventions. Psychology interns display proficiency in collaborating with clients, assisting clients in crisis intervention and maintaining client confidentiality. Psychology interns demonstrate respect for and partnership in working with other professionals, treatment teams, peers and support staff at all times. Psychology interns demonstrate excellent competency in selecting, performing, interpreting and reporting results of evidencebased assessments. Psychology interns demonstrate appropriate knowledge, skills and attitudes to make informed use of scientific methods and findings in all professional roles. Psychology interns demonstrate positive coping strategies to manage personal and job-related stress to maintain professional functioning, so that quality client care continues uninterrupted. Psychology interns will cope effectively with professional challenges and crises with clientele. About Agnesian HealthCare History Agnesian HealthCare began with the visionary leadership of Mother Agnes Hazotte, first general superior of the Congregation of Sisters of St. Agnes. Understanding the need for healthcare services in this region, Mother Agnes made a commitment to open a hospital in Fond du Lac and provide the necessary resources to help improve the overall health and well-being of area communities. Building upon the healing mission of Jesus, St. Agnes Hospital was originally dedicated on June 23, 1896. Mother Agnes legacy continues today through Agnesian HealthCare. Sponsored by the Congregation of the Sisters of St. Agnes, Agnesian HealthCare is comprised of Agnesian HealthCare Enterprises, Christian Home & Rehabilitation Center, Consultants Laboratory, Fond du Lac Regional Clinic, Ripon Medical Center, St. Agnes Hospital, St. Francis Home, Villa Loretto/Villa Rosa and Waupun Memorial Hospital.

Mission Our ministries are intimately tied to the communities that surround them. We live in tightly knit, family-oriented communities, which are reflected in our family-like work environment; and our friends and neighbors are in better health because of this commitment. The mission of Agnesian HealthCare provides compassionate care that brings Hope, Health & Wholeness to those we serve by honoring the sacredness and dignity of all persons at every stage of life. This mission guides everything we do as an organization. Values We are rooted in the healing ministry of the Catholic Church as we continue the mission of our sponsor, the Congregation of Sisters of St. Agnes. We emphasize the following values: Honesty Excellence Compassion Respect Stewardship Internship Admissions, Support, and Initial Placement Data Updated: 9/1/17 Internship Program Admissions Eligibility and Qualifications In order to be considered as a prospective candidate, all applicants must: 1) Be formally matriculated and in good standing with a graduate program in Clinical or Counseling Psychology accredited by the American Psychological Association s Commission on Accreditation. 2) Submit the complete required AAPI application online. 3) Have completed all courses in psychological assessment and psychological interventions as well as other required courses offered by the applicant s graduate program needed to be in compliance with the doctoral program accreditation requirements for the Commission on Accreditation of the American Psychological Association. Incoming interns should only have dissertation or internship credits outstanding. Questions regarding these requirements should be directed to the applicant s Director of Clinical Training for their home graduate program. Consistent with the AAPI procedure for the APPIC match, the applicant will need to have their graduate program faculty affirm the applicant s readiness for Internship (see AAPI instructions). 4) Have supervised practica in assessment and treatment of at least 700 combined hours or more. The applicant s report of details of these hours and their activity are an important part of the AAPI application. This program s evaluation of the practica experiences of applicants is both qualitative and quantitative in nature. The balance of assessment, intervention and supervision hours is considered in the light of the applicant s stated career goals. The training staff makes a considered judgment of the frequency, nature and complexity of such experiences needed to function capably in the AHC Internship.

Does the program require that applicants have received a minimum number of hours of the following at time of application? Yes - 700 combined hours (intervention and assessment) or more by time of application. Describe any other required minimum criteria used to screen applicants: Applicants should be mindful that this program has a stated preference for applicants who have at minimum successfully defended their dissertation proposal and applications will be considered in this light. Furthermore, as internship training is an intense and busy period of time, this program strongly encourages interns to have their dissertation research (where required) completed before starting the Internship. In addition, interns are expected to have some relevant practicum experience in their area of chosen emphasis (Health Psychology, Trauma and Child/Adolescent). Financial and Other Benefit Support for Upcoming Training Year Annual stipend/salary for full-time interns $25,100 Annual stipend/salary for half-time interns Program provides access to medical insurance for intern? If access to medical insurance is provided: Trainee contribution to cost required? Coverage of family member(s) available? Coverage of legally married partner available? Coverage of domestic partner available? Hours of annual paid Personal Time Off (PTO used for vacation and holidays) Hours of annual Paid Sick Leave 62 Other benefits (some require trainee contribution) NA Yes Yes Yes Yes No 170 accrued/ approximately 80 usually taken. Interns must be mindful of total hours worked in order to reach 2,000 hour requirement. Any unused PTO will be paid out at end of internship. Vision & Dental Insurance, Prescription Plan, Life & Accidental Death Insurance, Disability Insurance, Flexible Spending accounts, Paid Funeral Leave, 401(K) Plan, Credit Union, EAP, Fitness Center, Wellness Initiatives

Initial Post-Internship Positions (Provide an Aggregated Tally for the Preceding 3 Cohorts) Total # of interns who were in the 3 cohorts 6 Total # of interns who did not seek employment because they returned to their doctoral program/ are completing doctoral degree 2014-2017 Post-internship employment setting PD EP Community mental health center NA NA Federally-qualified health center NA NA Independent primary care facility/clinic NA NA University counseling center NA NA Veterans Affairs medical center NA NA Military health center NA NA Academic health center NA NA Other medical center or hospital NA 4 Psychiatric hospital NA NA Academic university/department NA NA Community college or other teaching setting NA NA Independent research institution NA NA Correctional facility NA NA School district/system NA NA Independent practice setting NA 1 Not currently employed NA NA Changed to another field NA NA Other NA 1 Unknown NA NA 0