Abstract: | This article updates and adds to the literature on graduate trainee impairment provided by L. Forrest, N. Elman, S. Gizara, and T. Vacha‐Haase (1999) in their comprehensive literature review. Based on recommendations by Forrest et al., a program model for dealing with impaired trainees is proposed. The 5‐step therapeutic process model includes (a) informed consent, (b) intake and assessment, (c) evaluation, (d) treatment planning and follow‐up, and (e) termination. Each step is explained within the context of graduate training programs, and key points to consider are discussed. |