Lincoln Hospital

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Last Update

November 17, 2017

Contact Information

Name of Externship: Lincoln Medical and Mental Health Center

Name of Director: Elise N. Feldman, Ph.D. (currently on leave); Acting Director: Heather Nash, Ph.D.

Street Address:

234 E. 149th Street
Bronx, NY 10451:

Telephone: 718-579-4766 Fax: Not Given

Email: heather.nash@nychhc.org

Application Process

Do you permit applications before January 17?

No

What materials need to be submitted?

  • Cover Letter
  • CV
  • copy of one de-identified testing report or other relevant work sample
  • 2 letters of recommendation
  • letter of eligibility OR current transcript
  • label the subject line of the e-mail, "2017 Externship Application," along with the name of the track to which you are applying


How should it be submitted?

Preferred via email


Any details of the application process (e.g., interviewing, time frame, how decisions are made): Interviews begin as applications are received and will proceed on a rolling basis.

Description of Externship

Lincoln Hospital Psychology Externship Training Program LINCOLN MEDICAL AND MENTAL HEALTH CENTER 234 Eugenio Maria De Hostos Blvd. (149th Street), Bronx, NY 10451

The Hospital Lincoln Medical and Mental Health Center is one of New York City’s premier acute care hospitals. Located in the South Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of best practices. Our team of highly trained and caring medical professionals is dedicated to providing the highest quality health care that is safe, compassionate, culturally competent and patient-centered.

Externship Training The Psychology Externship at Lincoln offers trainees a range of clinical experiences in various inpatient and outpatient settings depending on the Extern's choice of track. All Externs are provided with the opportunity to work under highly qualified and experienced clinical supervisors with a diverse population in a public-health setting. In addition to clinical work, Externs receive a half-day per week of didactics relevant to their training experiences. ***Lincoln abides by PSYDNYS guidelines for externship, including the provision of live supervision.***

Individual training experiences may be somewhat flexible to accommodate the requirements of various academic programs, and the preferences of Externs. All Externship schedules must include Tuesdays (for Adult Track Externs, only Tuesday mornings until 12:30pm is mandatory), and externs may work anywhere from 16 to 24 hours per week, depending upon their interest, availability, and doctoral program requirements. Externs train either in the Child and Adolescent Track, the Adult Track, or the Adult Inpatient Psychology Track. The tracks are explained below. To augment track-related experience, Externs may opt to add Child, Adolescent, and/or Adult testing experience by either extending a 16 hour training week to a 24 hour week or by electing to continue the externship beyond its planned end in June, through the summer.


General Adult Track

Maximum Number of Externs: 2

Location 1: The Adult Outpatient Psychiatric Service (AOPS) is located on the 7th Floor of Lincoln Hospital, Unit 7B.

Outpatient Services: The Adult Outpatient Psychiatry Service accommodates provides comprehensive treatment to patients from the surrounding communities regardless of insurance status, income, or immigration status. The patients of the AOPS present with a broad spectrum of psychopathology and service needs. AOPS provides individual, group, couple and family therapy, psychological testing, medication management, and referrals to other agencies for alternative or adjunctive services.

Location 2: The Adult Inpatient Psychiatric Services are split between two units on the 10th Floor of Lincoln Hospital, Unit 10A and Unit 10C

Inpatient Services: The Adult Inpatient Psychiatric Service (AIPS) provide acute inpatient care on locked units with the goal of achieving psychiatric stabilization in the shortest time possible while maintaining a safe and therapeutic environment. AIPS help to create connections for patients outside the units so they may continue their care on an outpatient basis after discharge. The AIPS provides medication management, treatment planning, discharge planning, therapeutic rehabilitation groups (e.g., art and music therapies), CBT and dynamic psychotherapy groups, and individual supportive therapies to the patients during their stays.

Goals of the General Adult Externship Track: - provide the Extern with a realistic experience of the professional activities and skills required of a psychologist in a community-based public hospital setting - provide opportunities to work with patients with a diverse range of DSM-5 diagnoses, from multiple psychotherapy modalities, within a psychiatric team approach on both inpatient and outpatient settings. - to increase the breadth of the Extern's training experience and familiarity with inpatient treatment, outpatient intakes, and broader systems impacting some of the patients in a community mental health center

Extern's Participation: According to interests and needs, Externs participate 12 to 16 hours a week in clinical settings. Psychology Externs provide psychodiagnostic services, individual and group psychotherapy, treatment planning, psychoeducation, and case management to their patients. Under the supervision of licensed psychologists, interns also evaluate, assess, diagnose, and recommend modalities of treatment for clients entering the outpatient services during outpatient intake assessments. Clinical time is two days split between inpatient and outpatient services.


Inpatient Adult Track

Maximum Number of Externs: 1

Location: The Adult Inpatient Psychiatric Services are split between two units on the 10th Floor of Lincoln Hospital, Unit 10A and Unit 10C

Inpatient Services: See above under the description for General Adult Track

Goals of the Inpatient Adult Externship Track: - provide the Extern with a realistic experience of the professional activities and skills required of an inpatient psychologist - provide opportunities to work with patients experiencing an acute phase of a diverse range of DSM-5 diagnoses - to co-lead or lead inpatient groups from multiple psychotherapy modalities - to participate in and, when possible, to lead inpatient unit activities including community meetings, interdisciplinary groups, treatment team meetings, morning rounds, and treatment planning - to increase the depth of the Extern's training experience and familiarity with psychiatric inpatient treatment and acute psychiatric care with adults

Extern's Participation: According to interests and needs, Externs participate 12 to 16 hours a week on the inpatient services. Psychology Externs provide individual and group psychotherapy, psychoeducation, and short-term problem-solving and crisis planning and prevention services to their patients under the supervision of a licensed psychologist. The Extern will also be encouraged to be a member of the therapeutic milieu and engage with inpatients as appropriate for their individual care.


Child/Adolescent Track

Maximum Number of Externs: 1

Location: Child and Adolescent Psychiatry Services (CAPS) is located on the 4th floor (Unit 4-A) at Lincoln Hospital.

Services: CAPS provides family-oriented psychotherapy services to children and adolescents, as well as parent-child counseling services. This latter service helps parents to understand and cope with the child's disorder. CAPS provides services to children, adolescents and families with a multiplicity of behavioral problems from age 5 to 18.

Goals: • To become familiar with the process of intake, psychosocial assessment, and psychological assessment of children and adolescents; • To provide individual, group, and family treatment utilizing a variety of modalities and approaches; • To co-lead groups for children and/or parents; and • To develop the psychology Extern's competence in cognitive behavior therapy, play therapy, parent training, and family therapy.

Extern's participation: The Extern is expected to complete the following for each assigned case: • Treatment plans, within 30 days of case assignment, and treatment plan updates every three months; • Utilization review, in which a review of the case is made 30 days after admission. The Certification of Quarterly Review addresses the need for continued treatment every three months; • Transfer summary if the case is transferred to another clinician; • Termination summary if the case is closed; • Contact with school, foster care, and other community-based agencies.

Didactics

All Externs regardless of track are provided access to the year-long didactic experiences offered by our APA-accredited Psychology Internship Program. These experiences include:

Weekly Psychology Seminars. A variety of topics of importance to professional psychologists are presented by staff psychologists and psychiatrists. Every Tuesday morning, Externs are provided two one-hour long courses on topics including but not limited to: PTSD, developmental disorders, projective testing, and substance abuse treatment.
Clinical Colloquia. 2-4 week specialized training on the following areas: family therapy, play therapy, neuropsychological testing, systems theory, forensic psychological assessment, group therapy, issues in an urban community setting, and treatment strategies in child abuse.
Weekly Psychiatry Grand Rounds. The Department provides lectures by noted speakers on numerous aspects of psychiatric/psychological practice. Past speakers have included psychiatrists and psychologists from the NYU Child Study Center, NIMH, Columbia Presbyterian, Fordham University, the American Institute for Cognitive Therapy, and the Minuchin Center for the Family.
Pediatric Psychology Seminars. A lecture series is provided to pediatric and psychology staff focusing on normal child developmental problems and child psychiatric disorders (monthly).
Unit Inservice Training. Each placement unit holds its own in-service training sessions focusing on topics specifically relevant to that unit.
Case Conferences/Case Presentations. Externs present cases for discussion at Team Conference Meetings. In addition, Externs may present a treatment or evaluation case under the guidance of their supervisors.

The majority of didactics occur on Tuesday mornings, a required time for Externs. Some didactics occur on other days which may or may not fall on a particular Extern’s training days.

Supervision

Externs will receive extensive supervision on all clinical activities and in a variety of different supervision modalities (live, 1:1, group). Psychology Externs can expect to receive at least an hour of individual supervision weekly from a licensed psychologist, who will serve as their primary supervisor in their respective tracks. Externs will also be provided with additional 1:1 supervision for psychological testing. Each Extern will receive an additional hour of weekly supervision, provided by an Intern mentor. Live supervision will be provided in each evaluation period and, for those on both inpatient and outpatient units, in each clinical training area.

Contact Us

For specific inquiries about the General Adult Track, Adult Inpatient Track, or to apply, please contact our Acting Externship Director:

Heather C. Nash, Ph.D. Director of Clinical Programming Lincoln Hospital 9D-215 234 E. 149th Street Bronx, NY 10451 718-579-4766 heather.nash@nychhc.org

For specific inquiries about the Child and Adolescent Track and to apply to the Child and Adolescent Track, please contact:

Sandra Runes, Ph.D. Director of Psychology Lincoln Hospital Unit 4A 234 E. 149th Street Bronx, NY 10451 (718) 579-5128 sandra.runes@nychhc.org


Populations commonly served:

Children
Adolescents
Adults
Elderly
Ethnic Minorities
Medical
Inpatient
Outpatient
Substance Abuse
Latino/Hispanic population
Medical setting including emergency psychiatric population
Co-morbid substance abuse and psychiatric illness
ER evaluations

Training models offered:

Psychodynamic
Evidence based assessment models
Cognitive Behavioral Therapy
Dialectic Behavioral Therapy
Trauma Focused CBT (child)
CBT for Psychosis (adult)
PCIT (child)
Play (child)


If any of these models are only available to students under certain circumstances, please indicate:


Intervention training experiences commonly offered:

No formal intervention training experiences. Offers didactics on Motivational Interviewing, DBT, and Prolonged Exposure Therapy for PTSD, as well as other models of intervention.


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: Depends. Can be several.


Assessment training experiences commonly offered:

Intakes
Intake Report Writing
Assessment Report Writing
Personality/Psychopathology Assessment Projective and Self Report
Structured Interviewing
Motivational Interviewing
Mental Status Exam
Psychological Testing (Cognitive, Achievement, Neuropsychological, etc.)


Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests):

Testing cases are always available, depending upon the extern's interest, ability level and time committment

Expected number of assessment reports completed during externship (defined as writing reports based on a battery of standardized tests:

Testing is not a requirement of this externship, however, the interested candidate can have access to as many testing cases as s/he is able to set aside time to complete. Irrespective of track chosen (Adult or Child), the extern may elect to be assigned cases from either age group and will be provided with a supervisor who has expertise with the selected population.

Supervision:

Estimated hours/week of individual supervision: 1-3 based on number of cases and assessments
Estimated hours/week of group supervision: 1
Estimated hours/week of didactics: 2.5
Provision of live supervision: minimum of once per evaluation period, typically more

Other Comments

Bilingual candidates encouraged to apply.