Provide description of Externship:
The clinical faculty of the Department of Psychology of Bronx Psychiatric Center is pleased to announce the continuation of its Clinical Psychology Externship Program for the upcoming academic year. Since September 2003, we have had over 40 externs from various graduate programs successfully complete our program where they were able to gain an intimate knowledge of inpatient psychiatric treatment. Our Externship Program affords graduate students the opportunity to immerse themselves in the long-term interdisciplinary inpatient hospital treatment of the severe and persistently mentally ill in a public health setting. Working with such a disturbed patient population can be an immensely rewarding, poignant, and exciting personal experience.
Bronx Psychiatric Center is a 156-bed hospital of the NYS Office of Mental Health responsible for providing borough-wide psychiatric services for a population of over one million people. It is a community-oriented facility organized into a variety of specialized inpatient treatment wards, including male and female admissions, Hispanic, and psychosocial rehabilitation. Bronx Psychiatric Center also provides MICA (mentally ill chemical abusers) treatment, intensive case management, ACT team services, a Transitional Living Residence (TLR), and outpatient clinical services at our White Plains Road Clinic. The patient population is ethnically diverse, and we have a strong commitment to cultural diversity issues. An increasing number of our patients also have a forensic history, offering externs a glimpse into the intriguing inner world of the mentally ill criminal offender.
Bronx Psychiatric Center has a well-trained and experienced Psychology Department, all of whom have either a Ph.D. or a Psy.D. in Clinical Psychology and are licensed in NYS. We are also affiliated with the Department of Psychiatry and Behavioral Sciences of the Albert Einstein lege of Medicine. Externship supervisors have extensive experience working with the severely mentally ill and integrate a variety of theoretical orientations into their work, including psychodynamic (interpersonal, object-relational, self-psychology), family systems, cognitive-behavioral, psychosocial rehabilitation, and biological/ psychopharmacological approaches.
The Clinical Psychology Externship Program consists of a two-day per week placement from September 2019 - May 2020 (approximately 500 - 600 hours), with some flexibility to meet student needs and graduate program requirements. The aim of this externship is to narrow the gap between theory and practice and to expose externs to various aspects of clinical practice in psychological assessment and treatment. For the upcoming academic year, we will have three positions available: one extern for each of our male admissions units and one extern on the coed long-stay unit.
The clinical psychology extern on the inpatient unit typically carries primary clinical responsibilities for a caseload of 2-4 patients and is an active member of the treatment team and therapeutic community. With the increase in forensic mentally ill individuals within the hospital population, the extern usually has one or more forensic patients on their caseload. The extern is responsible for individual and family psychotherapy, the coordination of disciplines involved in treating the patient, documentation of the patient's progress, and treatment planning for the unit. The extern will also complete approximately two or three HCR-20 evaluations per month in order to assess the potential risk that an individual may pose to the community as part of our high -risk process.Externs also co-lead groups along with their supervisors, other clinical staff, and/or another extern and usually participate in two groups per week. Each extern will complete between two and three full psychological testing batteries per year in addition to mandatory cognitive testing for the under 22 population and dementia screenings as needed. As for supervision, each extern receives at least one hour of individual treatment supervision weekly and testing supervision as needed. There is also a weekly didactic seminar which covers a broad range of topics with various presenters both from the psychology department as well as other disciplines. In addition, once per month, on a rotational basis the externs present one of their cases in a case conference to their fellow externs, supervisor, treatment team, and members of the psychology department. As the seminars, case conferences, and Psychology Department meetings all occur on Mondays, externs are required to be present on this day in addition to one other day of their choice. Attendance at Einstein, BPC Grand Rounds, and other training experiences offered is also encouraged.
General information about externship site:
Director of the Program: Jennifer Heslin (929) 348-3393
Training Director, (degree): Pete Piepgras, PhD (929) 348-3131
URL for Externship Brochure: psychpracticum.apa.org/BronxPsychiatricCenter
Length of externship (in months): 8
Start Date: 9/19/18
End Date: 5/22/20
How many hours a week are expected of extern?: 16 (two days, Monday is a required day)
Specialty tracks: Inpatient male admissions (2 positions); Inpatient coed unit (1 position)
# of externs to be accepted for 2019-20: 3
Minimum level of readiness (any prior experiences or level of training required for applicants: Must have completed one prior doctoral level externship
Preferences: Please submit all materials as on PDF document
Do you provide a stipend? If so how much?: No stipend
When do you expect to begin interviews? (Applications can be submitted no earlier than Jan 22): February, 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?:
What application materials are required (i.e., cv, transcript, how many reference letters, case summary, test report, other?: Please submit cover letter, CV, at least two references, case summary and sample testing.
Intervention and Assessment:
Intervention training experiences offered: Estimate average number of individual patients that students will carry; estimate number of groups and other types of interventions. Offer description: Externs will be expected to carry 2-4 individual cases, and will co-lead 2 groups per week with their supervisors or co-extern.
Assessment training experiences commonly offered. Describe: Externs will be assigned testings as needed by the hospital; can include dementia screenings, cognitive capacity, full diagnostic batteries. They will also complete 2-4 HCR-20's per month and gain competency in the instrument.
Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests): 2-3
Estimate # of integrated assessment reports per year: 2-3
If offering Rorschach, which scoring systems used: Exner
Estimate hours/week of individual supervision: 1
Estimated hours/week of group supervision: 0
Estimated hour/week of didactics: 1-2
Estimated co-therapy hours with supervisors: Varies
Context of didactics (seminars, Grand Rounds): Weekly one hour didactic seminars, monthly case presentations on Mondays. Facility-wide grand rounds (optional). Other facility training opportunities available.
Estimated informal open door "curbside" supervision: Frequent.
Describe direct supervision: Observation of live therapy sessions and assessments in addition to co-leading groups with supervisor. Possibility of audio recording sessions if needed for training and approved by the unit psychiatrist and agreed upon by the patient.
Specify if observation occurs during intervention, assessment, consultation (audio, video, live in person (in treatment room, one-way mirror, live video stream): As above.
If you have only one extern, would you be to have the extern participate in a peer support consortium with other sites- live or "SKYPE"?: N/A - 3 externs on site.
Is the agency readily accessible through public transportation?: Yes-2 blocks from 6 train at Middletown Rd station and 21 bus stops on campus.
Wheelchair accessible: Yes
Are home visits required as part of the trainee's duties?: Externs will have the opportunity to escort patients with a member of the clinical team or supervisor on furloughs to the community to assist with the discharge planning process and for graduated exposure to life outside the hospital. Externs will not be permitted to escort patients on their own under any circumstances.
Is a transportation stipend provided?: No