Gouverneur Healthcare Services
2/8/18, 5:00 PM: We are no longer accepting externship applications. For applicants inquiring about status of applications, we have already made interview invitations. If you have not been contacted at this point, it is fair to conclude that you will not receive an interview.
1/5/18, 10:00 AM: Minor edits to program description and deadlines.
12/22/17, 3:15 PM: Program description for 2018-2019 added.
3/1/17, 8:45 AM: 2 positions remain available -- for family therapy track and DBT track.
2/27/17, 12:00 PM: 2 positions (ABC and trauma track) are filled. Offers are pending for remaining positions.
12/22/16: Description of 2017-2018 externship program is added.
3/1/16 1:00 PM: all positions are filled.
3/1/16 10:00 AM: 6 of 7 positions are filled.
1/20/16: For 2016-2017 program, please note there will only be one position for health track (brochure had indicated there would be two positions).
Brochure for 2016-2017 program is updated as of 12/14/15.
Brochure and listing here about the externship for 2015-2016 are updated as of 12/3/14. Update 1/28/15: Our Spanish DBT track position is no longer being offered, as our Spanish DBT group is no longer running. Applicants interested in this position may be considered for the trauma track position, with the opportunity to work with Spanish-speaking patients with histories of trauma. The extern in this track may expect some supervision in DBT strategies, as applicable, to their patients with histories of trauma. Update 2/27/15: Our health track will now accept two students.
Update 3/2/15 5:00PM: Our SMI track and trauma tracks are now filled. Family track positions, DBT track, ABC track, and health track positions are still unfilled at this time.
Update 3/3/15 12:00 PM: All positions are filled except for one family track position.
Update 3/5/15 7:20 PM: All positions are now filled.
Name of Externship: Gouverneur Health
Name of Director/Coordinator: George Collins, Ph.D.
Start Date: First Monday in July
End Date: End of June
Scheduling (e.g., required/optional days of week, # hrs per day, total hours per week, flexibility in scheduling):
- Externs are expected to be on-site on Mondays, with the other day flexible, 16 hours total. For advanced students up to 20 hours (with half of a third day) may be arranged, with consent of their program DCT.
Required level of readiness (any prior experiences or level of training required for applicants):
- Priority is given to applicants from APA-accredited programs in clinical psychology. However, applications from school, counseling and combined clinical programs may be considered as well. Prior to beginning the externship, all applicants must have completed two years of graduate training, including theory courses and previous practica in both psychological testing and psychotherapy. Further, applicants must be students in good standing within their respective graduate psychology programs, as demonstrated by a letter from their respective academic training directors attesting to such.
Preferred level of readiness(any prior experiences preferred for applicants):
- Students with at least 2 years of graduate training and previous practicum placement.
Is there a stipend for externs?
Do you permit applications before January 16th, 2018?
What materials need to be submitted?
- To apply for an externship position, please send (i) a cover letter specifying which track(s) (see brochure for detailed description of tracks) that you are applying for, detailing your clinical interests / experience, goals for the externship year, and mutual fit between your goals / interests / experience and offerings of the training program, (ii) updated curriculum vitae, (iii) graduate transcript (unofficial is fine), and (iv) three letters of recommendation, at least one of which must be from an individual clinical supervisor closely familiar with your clinical skills, level of maturity and personal qualities. The above application materials must be sent in one email to George.Collins@nychhc.org (preferred) or one envelope addressed to the training director listed above.
How should it be submitted?
- Either by ONE email (preferred) or sent by mail in one envelope to the director of externship listed above.
Any details of the application process (e.g., interviewing, time frame, how decisions are made):
- Gouverneur will not accept any applications postmarked or time-stamped prior to Tuesday, January 16th, 2018. Applications will be accepted up until Friday, February 9th, 2018. The deadline for submission may be extended based upon the number of applicants and interviews scheduled. Interviews will be scheduled during the month of February. Interviews are generally 30 minutes and conducted by a psychologist who supervises a track for which you are applying. Externship offers will not be made until 9am on February 26th, 2018; offers will be made via email during business hours (between 9am and 5pm Monday through Friday) and cc'd to graduate programs' directors of clinical training (DCT).
Description of Externship
For full details about the externship program, please see brochure (available through link at the bottom of this page).
Tracks of Externship
• Asian Bicultural Clinic trauma track: The extern in this track will be assigned monolingual Chinese-speaking patients whose diagnoses range from mood disorders to schizophrenia and other psychotic spectrum diagnoses. Working with Dr. Chen, the extern can expect to learn about immigration trauma experienced by many undocumented Chinese patients, the impact of such trauma on the development of psychiatric illnesses, the influence of attitudes about mental health treatment in the Chinese community, strategies to overcome treatment obstacles in the cultural context, strategies to build insight and increase treatment adherence, and rehabilitation of patients into the community. The extern will have the opportunity to co-lead an emotion regulation group in Chinese, adapted from Linehan’s DBT model. In addition, the extern will be assigned individual patients from the general adult clinic with histories of trauma and will have an opportunity to co-lead a trauma recovery group using modalities of mindfulness and chair yoga. Externs with Chinese language proficiency will be given priority.
• Dialectical Behavioral Therapy track: The extern in the DBT track will co-lead a DBT skills group and attend a consultation team meeting on a weekly basis. Externs participate in this meeting by taking a turn along with other members in leading mindfulness, observing group process, taking notes, and teaching the group. The extern will be assigned at least one DBT patient for individual therapy and will also be assigned patients in the general adult clinic. Supervision with general clinic patients will focus on integrating DBT techniques with other theoretical orientations and approaches. Additionally, externs in other tracks may have the opportunity to co-lead a DBT skills group and/or participate in a DBT consultation team for trainees. This is determined on a case by case basis. If interviewing for another track, please let your interviewer know about your interest in this opportunity.
• Health psychology track (2 positions): The focus in this track is on integrating traditional psychodynamic, cognitive, and behavioral therapy techniques with relaxation techniques such as breathing, progressive muscle relaxation, imagery, yoga, and meditation. These approaches are used in various combinations to address psychiatric and medical issues in accordance with specific patient needs. Examples include patients with panic attacks, PTSD, depression, and a variety of medical disorders including, chronic pain, lupus, diabetes, hypertension, and asthma. Externs with training in yoga, meditation, and/or nutrition are especially encouraged to apply. There are 2 positions available in this track: 1. Behavioral Health Position: The extern on this track will see individual patients in the Department of Behavioral Health. They will also co-lead three groups with Dr. Barron. Two of the groups involve stress and pain management and integrate psychotherapy, yoga, and meditation. The third group focuses on the interaction of psychiatric and medical disorders with nutrition and lifestyle factors. 2. Primary Care Position: The extern will be primarily situated in Primary care. They will see individuals for short term therapy. They will also run health related groups for stress management, coping with chronic illness, and weight management. Some of the groups will be co-led with a yoga instructor. The extern may also see longer term patients in Behavioral Health if they have availability.
• Family therapy track (2 positions): The externs in this track will participate in a family and couples therapy seminar with Jennifer Press, LCSW, the family therapy coordinator in the department. Externs in this track will meet 1 1/2 hours a week for group supervision with other trainees and participate as part of a treatment team. The seminar includes a review of theory, working with families in front of a one-way mirror with live supervision, review of cases, review of video recordings, and team consultation. Externs in this track typically take on 2-3 family or couples cases as well as 3 or more individual adult psychotherapy cases, to be supervised by a psychologist. Individual psychotherapy cases have typically involved a range of presentations, from mood and anxiety disorders to personality disorders.
• Severe Mental Illness track: In this track, the extern can expect to work with patients with personality disorders and severe mental illnesses. Working with Dr. Collins, externs will develop their understanding of psychotherapeutic strategies drawn from DBT, schema therapy, and experiential approaches. Externs may also expect to learn about resources and strategies of working patients with severe mental illnesses, such as working with clubhouse programs, vocational rehabilitation, case management, supportive housing, and other services. The extern in this track has the opportunity to co-lead a weekly supportive psychotherapy group for male patients diagnosed with a psychotic spectrum illness.
• Trauma track: Within this track, working with Dr. Diana Chen, the extern will be assigned individual adult patients with significant histories of trauma and will be guided in applying integrative treatment interventions for trauma including Prolonged Exposure, chairwork, expressive therapies, etc. Spanish-speaking candidates are encouraged to apply, as there are opportunities to see Spanish-speaking patients with histories of trauma.
Populations commonly served:
- Children and Adolecents
- Ethnic Minorities
- Substance Abuse
- Specific unit for Asian population - Asian Bicultural Clinic
- Dialectical-Behavioral Therapy Program
If any of these populations are only available to students under certain circumstances, please indicate:
- Not specified.
Training models offered:
- Psychodynamic psychotherapy
- Dialectical behavioral therapy
- Stress and pain management
- Family therapy
- Group therapy
- Integrated psychotherapy
- Crsis intervention
If any of these models are only available to students under certain circumstances, please indicate:
- Not specified.
Intervention training experiences commonly offered:
If any of these intervention experiences are only available to students under certain circumstances, please indicate:
- Not specified.
Expected number of cases seen at any one time:
- Externs typically carry a caseload of 7-8 individual psychotherapy patients and co-lead 1 group with a psychologist. Additionally, externs can also choose to attend assessment and family therapy seminars to receive assessment and family case assignments.
Assessment training experiences commonly offered:
- Psychoeducational Assessment
- Intake Report Writing
- Assessment Report Writing
- Behavioral Assessment
- Personality/Psychopathology Assessment
- Mental Status Exam
If any of these assessment experiences are only available to students under certain circumstances, please indicate:
- Not specified.
Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests):
- Externs with an interest in gaining assessment experience may expect to do 3-4 batteries through the year.
Expected number of assessment reports completed during externship (defined as writing reports based on a battery of standardized tests:
- see above
Estimated hours/week of individual supervision:
- At least 2 hours - one hour of weekly individual supervision and one hour of weekly group supervision. If externs wish to gain experiences in psychological assessment and/or family therapy, they also need to attend a weekly assessment seminar and weekly family therapy seminar.
Estimated hours/week of group supervision:
- 1 hour+ (see above)
Estimated hours/week of didactics: 1 hour+
- For the first two months of the training year, externs are required to attend weekly orientation workshops that provide introductions to various services in the department, child protection policies and protocols, domestic violence policies and protocols, etc. Thereafter a weekly didactic seminar meets, in which short courses are taught by psychology and social work staff. Current didactic seminar topics include: working with Asian patients, working with Latino patients, introduction to schema therapy, working with trauma, CBT for anxiety disorders, DSM-V diagnosis, mental hygiene law, focusing, and others. Additionally, externs may attend Grand Rounds presentations offered for the entire department several times throughout the year.