Goodwill Northern New England Goodwill NeuroRehabilitation Services Goodwill NeuroRehabilitation Services Lewiston, Maine Goodwill NeuroRehabilitation Services Scarborough, Maine Thomas G. Miller, Ph.D. Director of Clinical Training Clinical Director, NeuroRehabilitation Services
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Goodwill Northern New England
Goodwill NeuroRehabilitation Services
Goodwill NeuroRehabilitation Services
Lewiston, Maine
Goodwill NeuroRehabilitation Services
Scarborough, Maine
Thomas G. Miller, Ph.D.
Director of Clinical Training
Clinical Director, NeuroRehabilitation Services
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Goodwill Northern New England NeuroRehabilitation Services
APPIC Member
Doctoral Psychology Internship Program in Clinical
Neuropsychology
1. The internship setting
2. Overall internship training goals, objectives, and competencies
3. Internship Program Components
A. Clinical Services
• Diagnostic Evaluation
• Consultation
• Psychotherapy
B. Didactic
C. Supervision
D. Research opportunities
4. Allocation of Clinical Activities/Intern Responsibilities
5. Program Faculty
6. Terms and Benefits of Internship
7. Internship Program Eligibility
8. Application Process and Deadline
9. Grievance and Due Process Procedures
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Doctoral Psychology Internship Program in Clinical Neuropsychology The Setting:
Goodwill Northern New England provides support to individuals with neurological impairment,
developmental disabilities, deafness, physical disabilities, mental illness, or other
disadvantages, through a number of programs. The mission of the organization is: “Through
employment, residential, educational and support services, Goodwill works to enhance the
social and economic independence of people with disabilities and others who experience
barriers to such independence.”
Goodwill NeuroRehabilitation Services is provided in two separate day treatment centers in
Lewiston and Scarborough, Maine. These day treatment centers serve approximately 460
individuals per year. Thomas Miller, PhD, Clinical Director, is involved in providing
neuropsychological services and consultation in both clinics.
Goodwill NeuroRehabilitation Services -Lewiston is one of two comprehensive brain injury
rehabilitation programs owned and operated by Goodwill Northern New England. Program
staff work with individuals from a wide geographical area who, largely, have sustained an
acquired brain injury. The Lewiston clinic is accredited by the Commission for Accreditation of
Rehabilitation Facilities (CARF) as a provider of brain injury services to adults, adolescents, and
children in the areas of Outpatient Rehabilitation as well as Vocational, Residential, and Home
and Community Based Services. Treatment at the Lewiston clinic is provided through the
transdisciplinary model. The treatment team consists of a neuropsychologist,
speech language pathologist, occupational therapist, physical therapist, therapeutic recreation
specialist, case management, registered nurse, and rehabilitation technicians.
Goodwill NeuroRehabilitation Services - Scarborough is the second of two comprehensive
brain injury rehabilitation facilities operated by Goodwill Northern New England. Staff
members at the Scarborough clinic also work with individuals who have acquired brain injury,
but who primarily reside in the greater Portland area. The Scarborough clinic is also CARF
accredited as a provider of brain injury services to adults, adolescents, and children in the
areas of Outpatient Rehabilitation, Vocational, Residential, and Home and Community Based
Services. Services are provided through a transdisciplinary model. The treatment team has a
neuropsychologist, social worker, speech language pathologist, occupational therapist, physical
therapist, case management, registered nurse, therapeutic recreation specialist, and
rehabilitation technicians.
The Internship includes a rotation at each site: together, the Scarborough and Lewiston clinics
offer a comprehensive training program for pre-Doctoral Psychology Interns, and both sites
adhere to INS/Division 40 guidelines for Specialty Training in Neuropsychology. As such, each
internship position requires a one year, full time commitment. Training for each intern will occur
at NeuroRehabilitation Services - Lewiston and at NeuroRehabilitation Services -
Scarborough which is 50-60 minutes from Lewiston. Both locations offer accessibility to a
wide variety of cultural, recreational and professional opportunities.
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THE INTERNSHIP PROGRAM DESCRIPTION
OVERALL GOALS OF TRAINING PROGRAM
Goodwill NeuroRehabilitation Services offers comprehensive doctoral training experience in
the clinical practice of Neuropsychology within an outpatient setting. Aside from extensive
training in Neuropsychology, interns will gain experience in Rehabilitation Psychology and Health
Psychology. Training goals are to develop independent professional practitioners of Clinical
Neuropsychology and Rehabilitation who can integrate theoretical concepts of brain- behavior
relationships with quantitative hypothesis testing and process approaches to Neuropsychology.
Our internship training program is mutually planned by the intern and the Director of Training in
Neuropsychology to meet the specific needs and interests of each intern. The internship program
is a 12 month (2000 hours), full-time experience designed to provide the intern with clinical and
didactic training and supervision in the areas of psychological assessment, treatment, and
consultation in preparation for work as a Neuropsychologist in the area of neurorehabilitation.
The intern’s caseload is arranged to promote learning and an increasing level of professional
skills and responsibility. As such, consultations, case presentations, research presentations, and
other teaching opportunities are integral components of the internship program.
OBJECTIVES OF INTERNSHIP PROGRAM Primary objectives of internship training program:
• To increase professional competence in the areas of neuropsychological theory,
evaluation, diagnosis and treatment recommendations
• To develop competence in the communication of tests results through written reports
and oral presentation
• To effectively collaborate with team, family, and other professionals regarding treatment
• To encourage the development of interpersonal professional skills in working with other
healthcare specialists in a multidisciplinary setting
• To understand the role of consultant and methods of consultation to patients and
professionals
• To promote the development of research skills, especially in the area of
neuropsychology
• To ensure a high standard of ethical practice
• To promote a desire for continuing personal and professional development
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COMPETENCY TRAINING OBJECTIVES
1. Professionalism:
a. At the completion of the internship year, the intern will be able to demonstrate
intermediate to advanced understanding of the contributions of neuropsychology in
different contexts, demonstrate awareness of the roles of clinical
neuropsychologists and how those roles vary in multiple practice settings and
assessment versus consultation versus intervention contexts.
2. Self-reflective practice:
a. At the completion of the internship year, the intern will have demonstrated an
increasing self-awareness. The intern will demonstrate a broad and accurate self-
assessment of their knowledge, skills and abilities.
b. The intern will work with supervision and feedback from peers to more accurately
assess and develop their knowledge and performance.
c. The intern will monitor their physical health and emotional well-being,
understanding that self-care plays a central role in the ability to effectively care and
provide services to others.
d. The intern will use supervision to address needs identified in their self-assessment
and reflection as well as provide feedback to the supervisor regarding their self-
care status and needs.
e. The intern will work consistently with their supervisor to develop and modify plans
for their personal and professional growth throughout the internship year.
3. Individual and cultural diversity:
a. At the completion of the internship year the intern will demonstrate intermediate to
advanced knowledge of diversity issues in neuropsychological assessment,
treatment, and consultation.
b. The intern will be able to understand how issues of disability, language, education,
culture, socioeconomic status, and individual differences affect the process and
outcome of neuropsychological assessments.
c. The intern will be able to demonstrate the application of normative data and
interpretations in specific populations, test selection, and treatment planning.
4. Ethical, legal standards:
a. At the completion of the internship year, the intern will be able to understand and
apply the APA Ethical Principles and Code of Conduct and other relevant ethical
standards.
b. The intern will be able to demonstrate understanding and application of concepts
relevant to the professional activities of neuropsychologists. This includes informed
consent, confidentiality, use of technicians and psychometrists, disclosure of test
data, test security, HIPPA, and mandatory reporting.
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5. Relationships:
a. Throughout the internship year, the intern will demonstrate and develop the ability
to maintain effective and productive relationships with all the parties involved in
neuropsychological practice. This includes patients, families, care providers,
multidisciplinary team members, colleagues, and community members.
b. The intern will be able to effectively and clearly communicate neuropsychological
concepts and interpret test data in a fashion that facilitates understanding in the
particular audience being addressed.
6. Scientific knowledge:
a. At the completion of the internship year, the intern will be able to demonstrate
intermediate to advanced knowledge of the neurobiological basis of behavior, brain
development, cognitive development, effects of brain injury and neurological
dysfunction in conjunction with the effect of co-occurring conditions.
b. The intern will be able to demonstrate knowledge of developments in clinical
neuropsychology and critically evaluate research and its relationship to clinical
practice.
7. Evidence based approaches:
a. At the completion of the internship year, the intern will demonstrate the ability to
incorporate research in neuropsychology to guide assessment, formulate
interventions, and develop treatment plans consistent with the patient’s needs and
the context in which the patient is functioning.
b. The intern will be able to identify signs and symptoms of disease processes, age-
related changes in brain functioning, and utilize that information in making
scientifically grounded diagnoses and interpretations.
c. The intern will utilize a scientific basis for their assessment strategies including test
selection, normative standards, psychometric characteristics, and testing
procedures.
d. The intern will be able to demonstrate an intermediate to advanced understanding
of best evidence and patient characteristics/value/culture in selecting appropriate
assessment and intervention approaches.
8. Neuropsychological assessment:
a. At the completion of the internship year, the intern will be able to demonstrate
intermediate to advanced knowledge of the neuropsychology of behavior:
information processing theory, cognitive/affective neuroscience, and behavioral
neurology.
b. The intern will be able to describe and utilize an understanding of patterns of
cognitive, behavioral, and emotional impairments associated with neurological
diseases and conditions that affect brain functioning including psychiatric and
medical conditions.
c. The intern will have a basic to intermediate understanding of psychopharmacology,
neuroendocrinology, and neuroimaging.
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d. The intern will be able to apply the above knowledge to complete
neuropsychological assessments based on clarification of the referral question,
gathering key information, interviewing patients and others, behavioral
observations, record review, and appropriately selecting tests and measures
including effort assessment.
e. The intern will demonstrate an understanding of medical and neuropsychological
impairments and their relationship to functional abilities and school, work, and
social roles.
f. The intern will be able to appropriately administer and score selected tests and
measures.
g. Intern will be able to interpret the assessment results with an intermediate to
advanced conceptualization of the individual based on the test results, interview,
behavioral observations, and records.
h. The intern will develop the ability to conceptualize intermediate to advanced
recommendations for the patient and referral source that are consistent with the
test results, history, cultural context, and needs of the individual.
i. The intern will develop intermediate to advanced written communication skills
producing a clear, understandable, integrated neuropsychological assessment with
recommendations as noted above.
j. The intern will develop an intermediate to advanced ability to meet with the patient,
family, caregivers, team, and providers and provide feedback regarding the
assessment adapting to the needs of the specific audience and working in the best
interest of the patient.
k. The intern will develop intermediate to advanced skills in identifying needs of the
patient based on cultural, linguistic, disability, medical, educational, or other factors
and making the most appropriate referrals for services to other providers.
9. Intervention:
a. At the completion of the internship, the intern will have an intermediate to advanced
understanding of the typical empirically supported interventions provided by
psychologists and other mental health professionals including psychiatry.
b. At the completion of the internship, the intern will be familiar with multiple evidence-
based interventions to address cognitive and behavioral problems commonly seen
in clients with neurological disorders.
c. At the completion of the internship, the intern will have an intermediate to advanced
understanding of the theory and procedure of intervention methods typically used
in cognitive rehabilitation to address disorders of attention, learning, memory,
executive functioning, processing disorders, sensorimotor functioning, and
emotional adjustment.
d. At the completion of the internship, the intern will have an intermediate to advanced
understanding of how neurological diagnoses result in both behavioral and
social/cultural disturbances and how to modify interventions to increase
effectiveness with this group of individuals.
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e. At the completion of the internship, based on all of the above, the intern will have
an intermediate to advanced ability to develop a treatment plan that addresses
cognitive, behavioral, and emotional difficulties while at the same time incorporating
individual differences, patient preferences, and social/cultural differences.
f. At the completion of the internship, the intern will have an intermediate to advanced
ability to utilize relationship building skills and self-reflective feedback in the context
of treatment to increase therapeutic effectiveness.
10. Consultation:
a. At the completion of the internship, the intern will have an intermediate ability to act
in the role of consultant with the treating multidisciplinary team within our program.
b. At the completion of the internship, the intern will have an intermediate ability to
work with referral sources regarding understanding neuropsychological
assessments, the services typically provided by neuropsychologists, services
provided by other rehabilitation professionals, and advocate in the best interest of
the client.
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INTERNSHIP PROGRAM COMPONENTS
Diagnostic Evaluation: Interns will become competent in the administration, scoring, and interpretation of various
neuropsychological instruments for the purpose of differential diagnosis in the context of the
patient’s medical history and neurological findings. Interns will also provide feedback regarding
the implementation of treatment planning, through making appropriate recommendations, and in
many cases, will be responsible for monitoring treatment effectiveness. Evaluations are
conducted under the supervision of the Neuropsychologists. Training in neuropsychology is
focused on diagnostic evaluation which fosters an integration of research, behavioral
observations, psychological factors, cognitive processes, and brain function.
Neuropsychological training further emphasizes the role of individual differences as well as
developmental, cultural, and environmental factors in the interpretation of test findings. As an
important aspect of interpretation and diagnosis, explanation of the results to the patients,
caregivers, and referral sources is highly emphasized as well.
Interns will have the opportunity to assess clients who represent a wide range of neurological
depression, somatization disorders, malingering, learning disabilities, and other acquired or
progressive disorders. Referral sources are primarily neurologists, physical medicine
physicians, and primary care physicians. The majority of clients are adults. However, there
are opportunities to work with children.
Consultation: Consultation is a strong area of focus. Interns will become comfortable with the consultative
role that psychologists play when working with rehabilitation and mental health professionals.
Interns will learn about this role through didactic presentations, then watch and be involved in
consultations.
Psychotherapy: Interns will have the opportunity to provide long and short-term individual psychotherapy as well
as group and family therapy. Stress management and adjustment to disability are strongly
emphasized. The intern will have the opportunity to work with clients who present with chronic
pain, sleep disorders, mood disorders, anxiety disorders, substance abuse, and adjustment to
chronic and acute illnesses. As delineated by the rehabilitation model, psychotherapy training is
designed to complement ongoing medical care as a means of improving the clients’ emotional
and physical well-being in order to maximize life participation. Therapeutic intervention with
families and caregivers is also provided to assist the family’s understanding of and adjustment to
disability, and to encourage the client’s integration within
the family system.
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DIDACTIC EDUCATION The internship training will begin with orientation to the agency and the agency’s programs.
During this period the intern will become acquainted with the staff, setting, and agency policies
and procedures. A series of training/seminars are provided for each intern onsite in addition to
their weekly individual supervision. The intern will have the opportunity to participate in weekly
didactic discussions on topics including neuroanatomy, brain and behavior relationships,
cognition and perceptions, psychopathology, psychometrics, social psychology, lifespan
development, assessment and intervention techniques, professional ethics, diversity and cross
cultural issues, psychopharmacology, and many other areas. There is protected time to
complete doctoral dissertation requirements as needed.
CLINICAL SUPERVISION
A central component of the internship is supervised clinical experience that challenges the intern
to develop his or her conceptual and practical skills in the assessment and treatment of
neuropsychological disorders. Each intern is assigned a primary supervisor who has the
responsibility of overseeing the intern’s program and progress; for the 2020-2021 internship
year this will be Dr. Miller. Supervision is provided on an individual basis as well as group
supervision and interns typically receive 4 hours of supervision per week, including at least two
hours with a licenses psychologist. On a daily basis, liberal time for informal supervision is
allotted as well. Individual supervision will be provided by Dr. Miller and will address issues
including clinical assessment and treatment issues, report writing, ethical issues, patient
feedback, and other professional issues. Interns will receive intensive one-to-one supervision for
all cases. In addition, Interns will receive weekly supervision from other providers within the
clinic and from a post-doctoral Fellow. Interns will receive a formal performance evaluation a
minimum of two times per year.
RESEARCH OPPORTUNITIES
The neuropsychology internship at NeuroRehabilitation Services - Lewiston and
NeuroRehabilitation Services - Scarborough offers a variety of empirical research
opportunities. Both clinics regularly collect outcome data involving physical, cognitive, and
psychological adjustment of people who receive treatment at these facilities. Used previously
for poster presentations at the International Neuropsychological Society Annual Meeting and
National Academy of Neuropsychology and currently for manuscript publication, this large
database is available for interns to conduct studies of interest. Additionally, there are
collaborative opportunities for presentations with supervisors.
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Recent intern publications/presentations include the following:
• Neurorehabilitation associated gains following longstanding traumatic brain injury
• Predictors of independent living after traumatic brain injury
• Brain injury rehabilitation: Compensatory skills versus Cognitive Rehabilitation
• Depression and treatment following brain injury
• The Effects of Age on Recovery from ABI
• Executive Functioning and Independent Living Skills
ALLOCATION OF CLINICAL ACTIVITIES/INTERN RESPONSIBILITIES Clinical work is assigned based on intern’s training goals and level of experience. As the intern
demonstrates proficiency there is increasing autonomy and complexity. Each intern is expected
to be a contributing member of the transdisciplinary team. As the intern demonstrates skill
development responsibilities will also increase.
This position is a full time commitment with work day hours usually 8-5.
40% Assessment
25% Psychotherapy/other clinical activities
15% Supervision/ didactics
10% Consultation
10% Research/dissertation
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PROGRAM FACULTY
Thomas G, Miller, Ph.D.
Thomas G. Miller, Ph.D. is a Neuropsychologist, Director of Clinical Training, and Clinical Director
at NeuroRehabilitation Services – Lewiston and NeuroRehabilitation Services - Scarborough. Dr.
Miller earned a doctoral degree in clinical psychology from The Fielding Institute in Santa Barbara,
CA. Graduate level education also included two years at Xavier University in Cincinnati, OH.
Doctoral and post-doctoral training emphasized neuro-rehabilitation and neuropsychological
evaluation. He provided inpatient neuropsychological and neuro-rehabilitation services to the
physical medicine/rehabilitation departments of the Mercy-Franciscan Health System in
Cincinnati, OH; and psychological and neuropsychological services within the outpatient geriatric
psychiatry clinic at Maine Medical Center in Portland, ME. Dr. Miller has been involved in clinical
trials examining the efficacy of new medications for Alzheimer’s dementia; in clinical research
examining cognitive impairment and quality of life issues in patients diagnosed with glioblastoma;
and has interests in geriatric neuropsychology, adjustment to brain injury, and methods for
reducing anxiety and improving pain management. Dr. Miller has taught at the graduate level
within the department of Psychology at Xavier University in Cincinnati, OH; and conducted
seminars in neuropsychology for resident physicians in Psychiatry at Maine Medical Center in
Portland, ME.
.
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TERMS AND BENEFITS OF INTERNSHIP/SALARY AND BENEFITS
holiday time; no mandatory evenings or weekends; dissertation release time; no cost access to
Employee Assistance Program; and discount at Goodwill stores.
This internship site agrees to abide by the APPIC policy that no person at this training facility will solicit, accept, or use any ranking-related information from any intern applicant.
ELIGIBILITY FOR DOCTORAL LEVEL INTERNSHIP
Applicants for the doctoral internship are required to be currently attending a clinical
psychology doctoral program and have participated in supervised experiential training in
professional psychology skills.
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APPLICATION PROCESS AND DEADLINE The completed application for the internship includes:
Completion of the electronic APPIC application (including current CV)
Two letters of recommendation (at least one from a previous training supervisor)
One report with identifying information removed
All completed applications are due by December 6th.
This internship site agrees to abide by the APPIC policy that no person at this training facility will solicit, accept, or use any ranking-related information from any intern applicant.
For more information you may contact:
Thomas G. Miller, Ph.D., Clinical Training Director Goodwill NeuroRehabilitation Services 618 Main Street Lewiston, ME 04240 Phone: (207) 795-6110 Fax: (207) 795-6189 Email: [email protected]