Mount Sinai World Trade Center Mental Health Program

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Icahn School of Medicine at Mount Sinai| World Trade Center Mental Health Program

Site Location: 345 East 102nd Street, Suite 215, New York, NY 10029

Externship Director: Peter Glick, PhD Phone Number: 212.241.8462

To apply & arrange interview: Email to Esther McBirney-Goc, PhD ( a cover letter, CV, sample testing report & 2 letters of recommendation.

All application materials (including recommendations) should be emailed in one message; not in multiple messages. Applications will only be accepted through Friday, January 19, 2018.

Number of Extern Positions: 4

Length of program & time commitment: 1 year, July 1-June 30; 20 hours per week

Qualifications needed: Requires some previous experience in conducting therapy, group therapy, unstructured intakes, and psychological testing. Please note that while many of our patients carry trauma related diagnoses these are often co-morbid with personality pathology and/or medical illnesses.

OK for first externship: No

Description of externship setting: The World Trade Center Mental Health Program is located at 345 East 102nd Street in Manhattan. It is part of the larger WTC Health Program offering free comprehensive and confidential medical examinations, ambulatory and inpatient treatment and benefit counseling services to WTC responders who participated in rescue, recovery and clean-up efforts after the September 11, 2001, disaster. It has now been well documented that 9/11 workers and volunteers, known as “general responders” in the new program, have been exposed to substances and psychological stressors that put these individuals at risk for certain conditions. The World Trade Center Health Program General Responder Consortium provides specialized medical care, mental health care, and benefits counseling to this group of people. In addition, the program performs health surveillance on 9/11 workers and volunteers, to track the illnesses suffered by them over time.

Description of agency mission: Mt. Sinai’s Psychiatry Department serves patients with a wide range of psychiatric disorders who come from different age groups, socioeconomic and ethnic backgrounds. The Department has a reputation for distinction in clinical research, and supports a variety of research activities. Training programs already established within the Department include the accredited Residency Training Program in Psychiatry, the accredited Training Program in Child Psychiatry, and several fellowship programs in psychiatry. In addition, the Division of Child and Adolescent Psychiatry has offered a Child Psychology Externship Program for years, and has begun a clinical Psychology Internship program. The Department is pleased to extend its commitment to excellence in academic training to students in adult psychology through the Psychology Externship Program at the WTC Mental Health Program.

Description of standard externship experience: Students who participate in the externship will: ● Conduct psychiatric intakes ● Conduct individual psychotherapy: Individual psychotherapy may be dynamic or behavioral. ● Conduct group psychotherapy – Groups may be dynamic or behaviorally oriented. Please note that we also offer a DBT opportunity in which qualified externs can co-lead a group focused on DBT skills. • Join our Crisis and Distress Team (CDT) – a service which offers short-term dynamically focused treatment to people who present with acute safety concerns ● Administer psychological assessments to: clarify diagnosis, determine WTC-relatedness of symptom presentation, and aid in treatment planning; ● Participate in supervision. Supervision will be provided for psychotherapy, group therapy, psychiatric intakes, and psychological testing. ● Attend and participate in weekly intake disposition meetings along with weekly staff meetings ● Work with an interdisciplinary team of psychologists, psychiatrists, social workers, and medical practitioners ●

Note: All externs must be able to attend Wednesday morning intake and staff meetings from 9am-2pm.

Inpatient experience: N/A

Outpatient experience: Externs will treat rescue and recovery workers impacted by their exposure to Ground Zero on or shortly after 9/11. Externs will treat 4-5 individual psychotherapy cases, conduct weekly psychiatric intakes, co-lead one group therapy, and conduct psychological assessments on an ongoing basis

Testing experience: The extern will participate in conducting Extended Assessments, a type of assessment specific to the WTC patient population. Patients whose presentations require more extensive and comprehensive evaluation are assigned for psychological testing. This testing is provided primarily to aid in: clarifying the diagnosis, determining the presence of an Axis II disorder, determining whether a patient’s clinical presentation is due to their exposure to 9/11 related activities, and to aid in treatment planning.

Research experience: It is anticipated that many of the students enrolled in the Externship Program may be interested in becoming involved in ongoing research in the Department and possibly in developing projects for doctoral research. While research is not a formalized aspect of the externship, we anticipate the Externship Program will expose trainees to current research within the Department. A goal of the Externship Program is to encourage students to become involved with research projects within the Department, and to use any hours which they may have free during their time here to seek out such contact. The program staff will help facilitate contact between staff with ongoing research projects and the externs.

Seminars & conferences: The Externship Program will offer ongoing didactics and case conferences to help deepen the extern’s knowledge in a range of topics including: Trauma, Axis II disorders, psychopharmacology, psychodynamic psychotherapy, dialectical-behavior therapy, case formulation, and professional development. Attending MSSM Grand Rounds is also optional.

Supervision arrangements/ratio: Externs will be provided with the following supervision: One hour of individual supervision for psychotherapy cases; A half-hour for diagnostic intakes; One hour of weekly testing supervision; Additional supervision for participation in clinical research activities.

** Please note that the WTC Mental Health Program will be following the NYSPA guidelines for 2018-'19.