Southern Nevada Adult Mental Health Services (SNAMHS)

3 Full-Time Positions:

  • 1 clinical-generalist (APPIC Program Code: 2323-12)
  • 2 clinical-forensic track (APPIC Program Code: 2323-15)

General Information

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The Southern Nevada Adult Mental Health Services (SNAMHS) is a behavioral health system that consists of an 88-bed civil inpatient psychiatric hospital, a 78-bed forensic inpatient hospital, and four outpatient community mental health clinics. SNAMHS provides psychiatric and behavioral health services to a diverse population of underserved adults in Southern Nevada, primarily in Las Vegas. SNAMHS provides services to over 14,000 clients each year, including:

  • Inpatient Services at Rawson-Neal Psychiatric Hospital for civilly committed patients
  • Inpatient Forensic Services at Stein Hospital for patients committed for adjudicative competency concerns
  • Assistive Outpatient Treatment (AOT)
  • Specialty Courts (Mental Health Court, Drug Court)
  • Housing and Residential programs
  • Consumer Drop In Centers
  • Medication management, counseling, and supportive services at outpatient clinics

The Department of Forensic and Civil Psychology at SNAMHS provides inpatient services including:

  • Psychological evaluation and testing (e.g., malingering, personality, cognitive, and differential diagnosis)
  • Clinical interviews
  • Evidence-based group and individual psychotherapy interventions (e.g., DBT)
  • Developing and implementing positive behavior support plans
  • Risk assessments
  • Participation on interdisciplinary team meetings
  • Client-specific consultations
  • Implementation of a token economy system
  • Training for hospital staff

Psychologists on forensic units conduct specialty evaluations, including adjudicative competence and comprehensive risk assessments. The psychology team also provides training and support for the competency restoration program and facilitates rational decision-making groups for patients. Psychology outpatient services at SNAMHS can include outpatient competency restoration and may include psychological evaluations and consultation.

The psychology department has regularly scheduled staff meetings that focus on continued training, case consultation, program development, and administrative tasks. The department also typically provides monthly trainings open to all agency staff called Tuesday Talks.

Internship Experience

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Interns will be expected to work full-time Monday through Friday during standard business hours; no on-call services required. Interns at SNAMHS develop skills and competencies in the assessment and treatment of serious mental illness (SMI), co-occurring disorders, and personality disorders. Interns develop and enhance their skills in the areas of professional development and clinical consultation.

Interns at SNAMHS will enhance their skills in diagnostic assessment, consultation, and treatment for a diverse, urban population. Interns have access to SNAMHS’ extensive library of psychological testing materials. Interns are provided supervised experiences by licensed psychologists in clinical assessment, individual and group therapy, and the development of research projects. Supervision for DBT, CBT, and mindfulness-based individual and group interventions are available. Interns function as members of interdisciplinary treatment teams and provide consultation and crisis intervention support. Interns learn to consult with direct care staff and to write and implement behavior plans.

In addition to NV-PIC-wide didactics, interns at SNAMHS participate in weekly site didactic trainings and case presentations with early career psychologists, postdocs, practicum students, and undergraduate field placement students facilitated primarily by Dr. Bradley. Previous didactic topics have included: expert testimony, civil commitment, malingering, PAI, motivational interviewing, and board complaints/malpractice lawsuits. Interns have generally had an opportunity to observe expert testimony and participate in testimony preparation. Interns provide a Tuesday Talks training during the year. There are opportunities to participate in outreach events throughout the year.

More information about the intern workweek can be found here.

The SNAMHS internship site offers positions on two separate tracks: one clinical-generalist position and two clinical-forensic positions.

Lake Vegas Walking Path (Wikimedia Commons)

SNAMHS Clinical-Generalist Track (APPIC Program Code 2323-12):

The intern on the clinical-generalist track at SNAMHS works primarily with patients in our civil psychiatric hospital, Rawson Neal, engaged in activities to support the patients and treatment team. The intern provides psychological assessments, intervention services, and consultation services, as described above. The intern placed at Rawson Neal may have opportunities to work with forensic patients as well.

SNAMHS Clinical-Forensic Track (APPIC Program Code 2323-15):

The interns on the clinical-forensic track at SNAMHS works with patients who were referred by the court for adjudicative competence concerns. The interns working with the forensic population learn case law related to adjudicative competence and learns how to conduct thorough record reviews, write forensic evaluations, interview forensic patients, and conduct psychological and forensic testing when applicable. Interns have the opportunity to learn forensic assessment instruments such as the ECST-R, M-FAST, SIMS, SIRS, MCAT-CA, and TOMM, to name a few. Interns also learn to conduct comprehensive risk-assessments for self-harm and violence.

Site Director

Shera D. Bradley, Ph.D. (sbradley@health.nv.gov)