United States Department of Veterans Affairs
United States Department of Veterans Affairs

Iowa City VA Medical Center

General Mental Health

The General Mental Health rotation is aimed at providing interns with clinical training in working with a wide variety of pa­tient populations and treatment modalities.  This involves experience in conducting intake evalua­tions and provid­ing as­sess­ment, indi­vidual psycho­therapy and group psycho­therapy for patients representing a broad range of diagnostic cate­gor­ies of vary­ing de­grees of severity and complexity.  This rotation is designed to pro­vide in­terns with a vari­ety of experi­ences to ensure that they receive exposure to a broad range of clin­ical challenges and gain a systematic introduction to the skill of clini­cal selection of as­sess­ment and intervention tools according to pa­tient attri­butes and level of functioning over the course of the recovery pro­cess.  Ac­cording­ly, the clinical cases will in­volve variety in terms of clinical prob­lems/diagnos­tic categories, patient pop­u­lations, assessment and consul­tation pro­cedures (e.g., inter­view­ing, testing, independent case conceptuali­za­tion, re­port writ­ing, feed­back to referral sources, etc.) and intervention skills (e.g., providing individual psychotherapy, group therapy, building family involve­ment, etc.).  For cases in­volv­ing psychi­atric inpatients, the approach to inter­vention follows the Recov­ery Mod­el in that the intern will learn to work with an indiv­idual in crisis due to psychiat­ric­ally- and/or organically-based dis­tress with a goal of facilitating success for that per­son in making the tran­si­­tion to func­tion­ing in the com­mu­nity (see "Inpatient Treatment" below).  The broad range of ex­per­i­ences gained through this rota­tion is designed especially for the de­velop­ment of clinical skill as a generalist. 

Inpatient Treatment:  As part of a multidisciplinary treatment team, consisting of a psychologist, pharmacist, psychiatrists, medical residents, social worker, nurses, peer support technician, substance abuse counselor, and pharmacy and medical students, interns will participate in the daily operations of a psychiatric inpatient unit and provide brief therapeutic intervention, diagnostic assessment, and disposition determination of patients. Interns gain experi­ence with a range of psycho­path­ol­o­gy which may include severe depression, schizophrenia, traumatic brain injury, PTSD, substance abuse, and dementia. 

Psychological Assessment Service:  Interns perform psychodiagnostic evaluations and gain proficiency in the ad­ministration, scoring and interpretation of various psychological assess­ment instruments including objective diagnostic, personality and mood meas­ures and cognitive status assessments. Supervised by a staff neuropsy­chol­o­gist, interns may also gain first-hand experience in neuropsychological screen­ing.