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The internship is an integrative training experience and the capstone of doctoral training for developing professionals (Madson, Hasan, Williams-Nickelson, Kettmann, & Van Sickle, 2007). The imbalance between supply and demand of internships is an increasingly critical problem in professional psychology and one that the American Psychological Association of Graduate Students (APAGS) is committed to resolving with all stakeholders. This paper will provide a brief overview of the problem, summarize the efforts of APAGS to address the issue since its last article on the internship crisis (Madson et al., 2007), and provide a framework by which APAGS will continue to address the internship crisis-an issue we have defined as one of the most critical facing psychology graduate students today.Although systemic data collection was not underway at the time, it was suspected that the number of applicants outweighed the SHANDA R. WELLS earned her doctorate in clinical psychology from MidWestern University. She is currently a behavioral health psychologist at the Departments of Pediatrics and Psychiatry, University of Wisconsin working in integrated care with a dual appointment in pédiatrie and adolescent medicine and psychiatry. In addition to training and education, her research and clinical interests include integrated health care, primary care behavioral health and pédiatrie obesity.

Although care within a medical home increases parental satisfaction with health care services and improves health care utilization, significant racial/ethnic and language disparities persist in health care settings. Integrated, team-based approaches can decrease health disparities. The current study examines medical records of 2,353 youth who received a behavioral health consultation in an urban, residency training pediatric primary care clinic. A three-phase, mixed-method approach was used to examine whether differences in clinician-identified presenting concerns and recommendations were present across English-, Spanish-, and Other-language-speaking families. Findings reveal disparities among language groups in presenting concerns and referral to behavioral health services. Factors in medical record documentation also differed across language groups and by provider type. Recommendations for further research, identification, and assessment of psychosocial concerns for families with limited English proficiency (LEP) and development of evidence-based approaches for families with LEP in primary care are discussed.

Despite a continuing need for clinicians to engage in socially-­‐just practice that addresses systemic factors impacting the mental health of clients through advocacy, there are often limited formalized opportunities for doctoral counseling psychology students to be exposed to and to engage in community or public arena advocacy. Two counseling psychology faculty members initiated and supervised a Participatory Action Research (PAR) team comprised of six advanced counseling psychology doctoral students and three early career counseling psychologists with experience conducting community and public arena advocacy. The nine PAR team members explored the doctoral students’ experiences conducting advocacy during their doctoral training and the resulting qualitative data was analyzed using a content analysis methodology. The study results highlight the challenges inherent in facilitating and conducting these types of advocacy training activities, discuss essential supports provided by their doctoral programs, and offer recommendations to counseling psychology faculty interested in preparing their students to engage in this work.

Overweight and obese children are at an increased risk of remaining obese. The American Academy of Pediatrics recommends addressing healthy habits at well-child checks, but this poses challenges, especially in low-income populations. A clinical innovation project was designed to adapt recommendations in a busy urban clinic and consisted of motivational interviewing, culturally tailored tools, and standardizing documentation. A quasi-experimental design examined innovation outcomes. Of 137 overweight and obese children aged 24 to 66 months, providers’ documentation of weight during well-child check visits improved post-innovation ( P < .01), as did development of healthy habits goals ( P < .001). Families were more likely to return for visits post-innovation ( P = .01). A logistic regression analysis showed that adding body mass index to the problem list and establishing a specific follow-up timeframe most predicted follow-up visits to assess progress ( P < .001). Comprehensive innovations consisting of motivational interviewing, implementation of culturally tailored tools, and standardized documentation can enhance engagement in an urban clinic setting.