Provide description of Externship:
ATTENTION: EXTERNSHIP APPLICANTS MAY ONLY APPLY TO ONE SPECIALTY AREA AT BELLEVUE – NEW YORK CITY HEALTH + HOSPITALS. If you apply to more than one specialty area, then you will not be considered for any.
The substance use disorders treatment externship will have externs train in different settings inside Bellevue’s Addictions Division. Externs will spend one full day a week on the dual diagnosis inpatient unit (20 East) and one full day a week in the Chemical Dependency Outpatient Program (CDOP) in order to gain a broad understanding of treating substance use disorders inside multiple treatment contexts. Externs will also participate in weekly externship didactics with other Bellevue externs and a monthly addiction focused journal club. Externs must be available on Friday.
20 East is a 22-bed inpatient unit with both male and female patients and the only dual diagnosis inpatient unit at Bellevue. It is staffed by a multidisciplinary team of psychiatrists, social workers, nurses, behavioral health associates, and a fulltime psychologist. On the inpatient unit, the extern will learn various treatment approaches including harm reduction, motivational interviewing, and relapse prevention, with a particular emphasis on motivational interviewing interventions. The training will consist of participation in multidisciplinary treatment meetings, 1 hour of supervision, 1-2 hours of individual psychotherapy with patients on the unit, and co-leading 1 substance use treatment group on the unit. The goal of this setting will be to learn substance use treatment techniques, to learn about the relationship between substances and mental health disorders, to gain experience providing psychoeducation about the relationship between substances and mental health disorders, and to gain experience helping patients determine the next steps in their treatment following a mental health admission. Specifically, externs will gain experience working with patients who are ambivalent about seeking further treatment for a substance use disorder.
Bellevue’s Chemical Dependency Outpatient Program (CDOP) is a comprehensive and intensive outpatient treatment for individuals with substance use disorders. Many, if not all, CDOP patients are dually diagnosed. CDOP treats a diverse clinical population of differing cultural backgrounds, personality traits, socioeconomic statuses, sexual orientations, substance use histories, forensic backgrounds, and stages of change. CDOP has an integrative orientation, incorporating cognitive-behavioral, addictive disease model, and psychodynamic and family systems perspectives, offered by an interdisciplinary treatment team composed of Addiction Psychiatrists, Psychologists, Internists, Nurses, Creative Arts Therapists, Clinical Social Workers, and Substance Use Counselors. This setting will be heavily focused on group psychotherapy training. Externs will receive 1 hour of supervision, co-lead substance focused groups, and participate in multidisciplinary team meetings and milieu day treatment activities.
General information about externship site:
Bellevue is a part of New York City Health and Hospitals (NYC H+H), and is affiliated with the New York University School of Medicine. Founded in 1736, Bellevue is the oldest public hospital in the nation. It is an acute-care municipal inpatient and outpatient facility whose mission includes the provision of comprehensive health services in an atmosphere of humane care, dignity, and respect, regardless of ability to pay. Bellevue has been a pioneer in defining standards of practice in treating psychiatric and medical illness, and is widely recognized for the excellence of its health care and its distinguished staff. A very diverse patient population is served by Bellevue, including patients from the Hispanic, African American, Asian, South Asian and West African communities, among others.
Director of the Program: Kathryn M. Rhindress, Ph.D.
Training Directors, (degrees): Melissa Mahoney, Ph.D; Patrick Roebke, Psy.D.
URL for Externship Brochure: https://med.nyu.edu/bellevue_externships/home
Length of externship (in months): 12
Start Date: July 1, 2019
End Date: June 30, 2020
How many hours a week are expected of extern?: 16
Specialty tracks: Not Applicable
# of externs to be accepted for 2019-20: 2
Minimum level of readiness (any prior experiences or level of training required for applicants): We ask that only those individuals who have completed at least 2 previous externships apply to this externship, as it is intended to elaborate on the skills learned in previous training experiences. The Bellevue Psychology Externship Training Program is open to graduate students enrolled in Ph.D., Psy.D., or Ed.D. programs in Clinical, Clinical-School, Counseling, or Health Psychology.
Do you provide a stipend? If so how much?: A stipend is not provided.
Applications will be accepted from 9 AM on Tuesday 1/22/19 through 9 AM on Thursday 1/24/19.
Accepting an externship at Bellevue has no impact on one's chances of later attending Bellevue's internship program.
Staff are willing to consider the applications of externship candidates who are concurrently applying for Bellevue's internship program.
When do you expect to begin interviews? (Applications can be submitted no earlier than Jan 22): January 30, 2019
Interview process (provide information about interview process- time frame, how decisions are made) Also, do you conduct individual and/or group interviews; case presentation, other information?: Applications are reviewed by Bellevue staff to determine whether or not an interview should be offered. Interviews are expected to take place until mid-February. Interviewees will attend a group orientation to Bellevue’s externship program before meeting individually with the supervisor or supervisors of their selected specialty areas.
What application materials are required (i.e., cv, transcript, how many reference letters, case summary, test report, other?: Please see the Bellevue Psychology Externship website (https://med.nyu.edu/bellevue_externships/home) for general application instructions and a list of the materials that need to be submitted. Use the website's link to a description of this specialty area in order to see if any additional application materials are required.
Intervention and Assessment:
Intervention training experiences offered: See description above.
Estimate average number of individual patients that students will carry; estimate number of groups and other types of interventions. Offer description: See description above.
Assessment training experiences commonly offered. Describe: See description above.
Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests): None
Estimate # of integrated assessment reports per year: None
If offering Rorschach, which scoring systems used: Not Applicable
Estimate hours/week of individual supervision: 1
Estimated hours/week of group supervision: 1
Estimated hour/week of didactics: 2
Estimated co-therapy hours with supervisors: 1
Context of didactics (seminars, Grand Rounds): Seminars, Grand Rounds, Case Conferences
Estimated informal open door "curbside" supervision: Continuous
Describe direct supervision: Externs will receive one hour of individual supervision and one hour of group supervision across both services.
Specify if observation occurs during intervention, assessment, consultation [audio, video, live in person (in treatment room, one-way mirror, live video stream)]: Observation occurs live in person, with the supervisor joining the extern in the treatment room.
If you have only one extern, would you be willing to have the extern participate in a peer support consortium with other sites- live or "SKYPE"?: Not Applicable
Is the agency readily accessible through public transportation?: Yes
Wheelchair accessible: Yes
Are home visits required as part of the trainee's duties?: No
Is a transportation stipend provided?: No