Population Served:

18-25, 26-64, 65+, Outpatient, Trauma

Mandatory Days:

Tuesday AM

Appropriate for:

Fourth Externship

Training Model

Trauma Focused

Posted

October 22, 2018

Columbia University/New York State Psychiatric Institute - PTSD Research and Treatment Program

General information about externship site:

The PTSD Research and Treatment Program is housed within the Anxiety Disorders Clinic (ADC) at Columbia University/New York State Psychiatric Institute, and directed by Dr. Yuval Neria. Our program maintains several active protocols, including an NIMH-funded brain imaging study, and the NYP Military Family Wellness Center (MFWC), a treatment and research center that offers mental health services to US veterans, active duty service members, and their families. Our mission is to improve the lives of people exposed to trauma via translational research and innovative treatments. We are a research clinic, which means that our patients receive assessment and treatment as part of our research studies.

The externship will provide extensive experience in the assessment and treatment of PTSD, as well experience in the assessment and treatment of other mood disorders, such as other anxiety disorders and depression. The extern will conduct assessment with patients seeking entrance into our research and treatment programs, as well as individual psychotherapy with veterans and family members seeking treatment within the MFWC. Group therapy, couples therapy, telemedicine, and other delivery modalities may be offered depending on availability and interest.

We offer training in Prolonged Exposure (PE), Interpersonal Psychotherapy (IPT), and Cognitive-Behavioral Therapy (CBT), and other modalities depending on interest and availability. In addition, our psychology extern will be trained in unstructured and structured clinical assessment, including the Structured Clinical Interview for the DSM (SCID-5), Clinician Administered PTSD Scale for DSM-5 (CAPS-5), Hamilton Depression Scale (HAM-D), and other relevant measures, including self-report measures such as the PTSD Checklist for DSM-5 (PCL-5). Participation in research activities, including the development of professional presentations and publications, may be possible, and is determined on a case-by-case basis.

Didactic opportunities include: 1) participation in the ADC scientific research meeting, where our team discusses relevant papers, presentations, and grants, 2) participation in our weekly team PTSD meeting; and 3) attendance at the Department of Psychiatry Grand Rounds, where national and internationally famous researchers present their data on a wide range of topics in psychiatry and psychology. Additional didactic and training opportunities are announced throughout the academic year, and attendance is encouraged. Individual supervision will be provided for a minimum of 1.5 hours weekly with a licensed, clinical psychologist, in addition to 1.5 hours of weekly group supervision with Dr. John Markowitz, a leader in the field of Interpersonal Psychotherapy.

Candidates must be an advanced doctoral student, specifically, at least in their 3rd year of training at the time of application, and having completed a Master's Degree by the time of the start of the externship. Preference is for a student with prior knowledge or experience concerning trauma and/or military culture, but is not required. The extern is required to be on-site for a minimum of 16 hours, and may extend to a maximum of 20 hours. Tuesday mornings are required, but a second day is flexible, not including Fridays. Some evening hour availability is preferred, but not required.

The approximate expected weekly break down of time allotment for our psychology extern (depending on 16 vs 20 hours and other factors) is:

1. 2-3 assessments/intake evaluations (6 hours)

2. 3-4 individual therapy cases, or a combination of individual and group (4-6 hours)

3. Supervision (3 hours)

4. Meetings (1-2 hours)

5. Didactic (1-2 hours)

6. Notes/paperwork (2 hours)

Private space is provided within the ADC for psychotherapy treatment, and office space is allocated for completion of paperwork and other responsibilities.

Director of the Program: Yuval Neria, PhD

Training Director, (degree): Ari Lowell, PhD

Website: https://www.columbiapsychiatry.org/research-clinics/ptsd-research-and-treatment-program

Length of externship (in months): Typically 11-12 months

Start Date: July 2019

End Date: June 2020

How many hours a week are expected of extern?: 16-20

# of externs to be accepted for 2019-20: 1-2

Minimum level of readiness (any prior experiences or level of training required for applicants: Externs must already be in at least their 3rd year of training at the time of applying, and have already completed a Master's Degree at the time of the start of externship. Tuesday mornings are required. A second day may be Monday, Wednesday, or Thursday, but not Friday.

Preferences: Prior knowledge or experience concerning trauma and/or military culture. Evening hours one day a week are preferred, but not required.

Do you provide a stipend? If so how much?: No


Interviews

When do you expect to begin interviews? (Applications can be submitted no earlier than Jan 22): February 11th

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?: We typically interview 6 - 10 prospective externs. Prospective externs meet with Dr. Lowell, the training director, and either Dr. Neria or Dr. Markowitz, and are put in contact with current externs.

What application materials are required (i.e., cv, transcript, how many reference letters, case summary, test report, other?: CV, 2 letters of reference, cover letter, and letter of readiness.


Intervention and assessment

Intervention training experiences offered: We offer training in Prolonged Exposure (PE), Cognitive-Behavioral Therapy (CBT), and Interpersonal Psychotherapy (IPT). Additional modalities, such as telemedicine and group Cognitive-Behavioral Therapy for Insomnia (CBT-I), may be offered as well.

Estimate average number of individual patients that students will carry: 3-4, as well as possibly 1 group. Cases are short term treatment (12-20 weeks), which means that students will likely see a range of patients over the course of the externship.

Assessment training experiences commonly offered. Describe: We routinely conduct detailed evaluations of patients seeking research and treatment which include unstructured interview, SCID, CAPS-5, HAM-D, and other measures, and externs are required to write detailed evaluation reports.

Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests): 0

Estimate # of integrated assessment reports per year: N/A

If offering Rorschach, which scoring systems used: N/A


Supervision

Estimate hours/week of individual supervision: 1.5

Estimated hours/week of group supervision: 1.5

Estimated hour/week of didactics: 1-2

Estimated co-therapy hours with supervisors: 1.5 (externs sometimes co-facilitate groups with a postdoctoral fellow)

Context of didactics (seminars, Grand Rounds): Grand rounds and team science meeting with presenters on a range of topics. Other didactics via Columbia or NYSPI are typically made available

Estimated informal open door "curbside" supervision: 30 minutes (it's usually more in the beginning of the year)

Describe direct supervision: We audio record all assessments, and video record all treatment. These are viewed in individual and group supervision


Support

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"?: We share a support consortium with our partners at Columbia/NYSPI, the OCD team

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

Company Name:

Columbia University/New York State Psychiatric Institute - PTSD Research and Treatment Program

Location:

New York, New York

Population Served:

18-25

Mandatory Days:

Tuesday AM

Appropriate for:

Fourth Externship

Training Model

Trauma Focused

Posted

October 22, 2018

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