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.
This specialty involves a year on the child and adolescent Partial Hospitalization Program (PHP) unit with youth ranging from ages 6-17. The PHP is an intensive short-term outpatient program that is part of Bellevue’s extensive continuum of care for youth with mental illness and often serves as an intermediate level of care between the BHC inpatient units and the Child and Adolescent Outpatient Clinic. The PHP unit provides mental health care while the youth meet all academic requirements at P35 (a NYC Board of Education school that is co-located with the PHP clinic). Children and adolescents who attend PHP receive treatment for symptoms and impairments associated with major psychiatric disorders (including anxiety and depression, complex PTSD, psychosis, mania, substance use, and externalizing problems). Patients represent an incredibly diverse population and come from a variety of cultural, ethnic, and socio-economic backgrounds; present with varied gender identities and sexual orientations; and are admitted regardless of immigration status.
The extern will participate in numerous aspects of patient care and will follow 2-3 individual cases at a time. For individual cases, the extern will participate in the intake interview with the treating psychiatrist, provide individual sessions 2-3x weekly, participate in family meetings, create individual behavior plans (when applicable), collaborate closely with P35 staff and conduct classroom observations, and provide input to the multi-disciplinary team about the patient’s needs and clinical status. The extern will also work with the patient and family regarding disposition planning. The extern is also expected to actively participate in the therapeutic milieu, including use of the positive behavior management principles and helping patients set and review daily therapeutic goals. The extern will be responsible for co-leading at least one group therapy per week (e.g., trauma informed group treatment, substance use prevention). Externs may have the opportunity to complete brief psychological assessments (e.g. cognitive, academic, and social-emotional assessments). PHP consists of a multidisciplinary team consisting of our unit clerk, psychiatric technician, nurses, a social worker, psychologist, psychiatrists, and trainees from various disciplines. Each person is integral to the functioning of the PHP and the goal is for the extern to be an active member of our treatment team. Group and individual supervision will be provided by licensed psychologists and attending psychiatrists.
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 Director, (degree): Christina Laitner, Ph.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?: 20
Specialty tracks: Not Applicable
# of externs to be accepted for 2019-20: 1
Minimum level of readiness (any prior experiences or level of training required for applicants): Open to graduate students enrolled in Ph.D. or Psy.D. programs in Clinical, Clinical-School, or School Psychology who are applying for their third externship and/or will be in their fourth year of graduate school or beyond by the start of this externship. Prior experience in child and adolescent treatment is required. Attendance is required on Fridays. The rest of the hours are flexible but must be split across at least 3 days, with mornings being mandatory (e.g., 2 morning half-days and 1 full-day). Weekdays may not all be consecutive.
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): minimum 2
Estimate # of integrated assessment reports per year: minimum 2
If offering Rorschach, which scoring systems used: Not Applicable
Estimate hours/week of individual supervision: 1
Estimated hours/week of group supervision: 30-60 minutes
Estimated hour/week of didactics: 2
Estimated co-therapy hours with supervisors: as needed
Context of didactics (seminars, Grand Rounds): Seminars, Grand Rounds, Case Conferences
Estimated informal open door "curbside" supervision: approximately 30-60 minutes/week
Describe direct supervision: Supervision is primarily CBT focused.
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