Southern Nevada Adult Mental Health Services (SNAMHS)

Southern Nevada Adult Mental Health Services (SNAMHS)

2 Full-Time Positions:

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

General Information:

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)
  • ER Crisis Assessments and Psychiatric Holds
  • 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 testing (e.g., malingering, personality, cognitive, 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 froensic units conduct specialty evaluations, including adjudicative competence and comprehensive risk assessments. The psychology team also provides training and support for the competency restoration program. Psychology outpatient services at SNAMHS can include initial comprehensive assessments and diagnostic evaluations, psychological testing, evidence-based group interventions, and individual psychotherapy interventions.

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

Internship Experience:

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 learn to practice as generalists providing diagnostic assessment, consultation, and treatment to a diverse, urban population. Interns have access to SNAMHS' extensive library of psycholical testing materials. Interns are provided supervised experiences by Licensed Psychologists in clinical assessment, individual and group therapy, development of research projects, and psychoeducational workshops. 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 participate in weekly case consultation meetings with psychiatric students and residents. Interns learn to consult with direct care staff and to write and implement behavior plans.

In addition to NV-PIC wide-didatics, interns at SNAMHS particiapte in weekly site didactic trainings and case presentations with postdocs, practicum students, and undergraduate field placements students facilitated primarily by Dr. Bradley. Previous didactic topics have included: expert testimony, civil commitment, malingering, PAI, motivation interviewing, and board complaints/malpractice lawsuits. Interns provide a Tuesday Talks training during the internship year. There are opportunities to participate in outreach events.

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

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 intern on the clinical-forensic track at SNAMHS works with patients who were referred by the court for adjudicative competence concerns. The intern working with the forensic population learns 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)