Provide description of Externship:
Kingsboro Psychiatric Center is a large, New York State mental health facility providing psychiatric and medical services to clients with chronic severe mental illness. The facility is fully accredited and has been named a regional center of excellence by the New York Office of Mental Health. Kingsboro Psychiatric Center is located in the East Flatbush/Prospect Lefferts Gardens area of Brooklyn a short distance from King's County Hospital Center, SUNY Downstate Hospital and Kingsbrook Jewish Medical Center. Externs will be working exclusively inpatient with an ethnically diverse, adult inpatient population with both axis I and axis II diagnoses, trauma, dual diagnosis (MICA) and forensic status. Inpatient units consist of two admission units, two step-down units, an all female unit, a cognitive deficits unit, and a continuing care services for those individuals who require extended treatment. The facility also maintains 2 on-site and one off-site transitional residences; three outpatient clinics; and outpatient intensive case management (ICM) services. Students are provided with offices used exclusively by psychology externs.
Training consists of a 16 hour per week (2 full day) placement with opportunities for more time/training if requested by students. Training begins the last week of August and ends the last week of May. Students receive seminars and conduct individual therapy; group therapy; attend team treatment meetings; and conduct psychological assessments. The goal of this training program is to translate theory into practice and provide a concentrated clinical experience for its students focused on every aspect of treatment for those with severe mental illness. Every attempt is made to integrate the trainee into the treatment team and students work closely with supervising psychologists. Externs will be responsible for providing weekly individual therapy for 3-4 patients. All students will make one case presentation to fellow externs and the psychology department prior to the end of the year. Additionally, students will co-lead/lead 2-3 treatment groups and conduct psychological testing (1-3 full integrated reports depending on student needs). Psychodiagnostic testing covers a range of referral questions but the aim of the program is to have the trainee complete a minimum of two integrated reports. Psychodiagnostic testing occurs throughout the hospital and students can expect to assess individuals on units they are not assigned to. For students who have never conducted testing with those diagnosed with severe mental illness this is a unique and invaluable experience!
Our training program offers students the opportunity to lead/co-lead the following groups:
- Coping skills
- Distress Tolerance
- Communication Skills
- Cognitive Remediation
- Anger Management
Training seminars occur 1-2 times a month and cover topics such as theory and research pertaining to the treatment of the severely mentally ill, DBT, religion, culture, testing/neuropsychological testing/TBI, psychopharmacology, character pathology, and family systems. In addition to primary specialty in severe mental illness, staff psychologists have sub-specialties and post-doctoral certifications in family therapy; developmental psychology; ABA; cognitive therapy; art therapy; forensic psychology; interpersonal therapy; and psycho-dynamic therapy.
In addition, students have the opportunity to attend forensic committee meetings and to obtain a comprehensive certification in Integrated Mental Health/Addictions Treatment Training offered in collaboration with Columbia Presbyterian's Center for Practice Innovations. This certification consists of 29 online training modules that include basic, intermediate, and advanced skills in integrated treatment for co-occurring mental health and substance use disorders, including motivational interviewing and trauma informed treatment
Externs receive at least one hour of individual supervision per week and have both a primary clinical supervisor and an assessment supervisor. Students have access to supervision and staff support at all times while on campus.
General information about externship site:
# of externs to be accepted for 2019-20: 2
Minimum level of readiness (any prior experiences or level of training required for applicants): Students should have prior experience with assessment and therapy.
Preferences: 3ird year and above or prior experience working with challenging populations.
Do you provide a stipend? If so how much?: no
When do you expect to begin interviews? (Applications can be submitted no earlier than Jan 22): The last week of January
Interview process: We conduct individual on-site interviews.
What application materials are required: Cover letter; CV; 2 reference letters; one full integrated assessment report.
Intervention and Assessment:
Intervention training experiences offered: Average number of individual patients that students will carry will be 2-3; students can exspect to lead or co-lead 2-3 groups.
Assessment training experiences commonly offered. Describe: Students may be asked to do some cognitive screenings such as MOCHA or MMSE; otherwise, assessment will be based on referral and further questions. Standard assessment batteries will consist of a WAIS; a personality inventory such as the MMPI or the PAI; and projectives. Neuro; malingering; dementia; non-verbal IQ; and other specifically tailored assessments are possible.
Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests): 1-3.
If offering Rorschach, which scoring systems used: Exner; R-Pass software has been ordered and may be in use for the 2019-20 school year.
Estimate hours/week of individual supervision: 2
Estimated hour/week of didactics: 1+
Estimated co-therapy hours with supervisors: 2+
Context of didactics (seminars, Grand Rounds): grand rounds; online learning portal; face-to-face seminars with clinicians
Estimated informal open door "curbside" supervision: As much as needed
Describe direct supervision: We work on a mentorship model. Students typically initially co-lead groups with their primary supervisors and attend rounds and team meetings with their supervisors. They additionally receive an hour of individual clinical supervision and a separate assessment supervor who will meet with them weekly during assessments or as needed depending on pace and complexity of case. Observation occurs naturally as a part of the shadowing/co-leading process. Students are not allowed to tape sessions given the setting.
Is the agency readily accessible through public transportation?: yes, but we have a parking lot for those who drive
Wheelchair accessible: yes
Are home visits required as part of the trainee's duties?: no
Is a transportation stipend provided?: no