Description of Externship:
The Lenox Hill Hospital externship offers externs a broad experience with individuals and families across the lifespan experiencing both acute and chronic issues, while working within specific modalities and orientations. The Outpatient Center for Mental Health is a community-based clinic with a strong interdisciplinary approach. A strong psychodynamic foundation additionally includes specific evidence-based and evidence-supported practices based on the clinician needs of individuals and families.
The externship training is mostly in our outpatient clinic, although there are opportunities for inpatient assessment and intervention for those who express specific interest in the ETP/OnTrack/SMPI track, which requires prior experience working with psychotic disorders and acute psychiatric issues.
All externs will work with children, adolescents and adults, thus individuals at all stages of the lifespan, for intake assessments, psychotherapy, group therapy and testing. Externs will see a wide range of psychopathology/clinical presentations, from professionals who live or work in the area, to severe and persistently mentally ill individuals. A clinic located on the Upper East Side of Manhattan, the OCMH serves a diverse patient population that reflects the population of New York City in terms of race, ethnicity, socioeconomic status and sexual orientation. Individuals and families travel from throughout the five boroughs for a range of short-term and long-term interventions.
General Information About Externship Site:
Supervision: Externs are assured to receive supervision within one or several psychodynamic orientations, and also supervision within other orientations based on their interests and experiences. Supervision happens individually, in groups, and also using a model where trainees at different stages work together along with a senior clinician. Sessions and supervision may be audio or video recorded. Cases are evaluated and assigned by an interdisciplinary team to externs and supervisors based on which interventions are warranted according to the presenting picture and available information. Externs can build on existing experience or seek out new expertise. Externs will work with children, adolescents, adults, and families, in individual and/or group modalities.
The ETP/OnTrack NY program offers specialized wraparound services for young people experiencing psychotic symptoms. These services seek to maximize the individual's ability to participate in school, work, and/or professional/vocational training, while receiving comprehensive mental health services, and psychopharmacological treatment as minimally as possible. Externs who are a part of this program work as part of an interdisciplinary team that includes psychologists, psychiatrists, social workers, mental health clinicians and peer counsellor. Community outreach is common.
The Perinatal Mental Health Program offers specialized clinical services for pregnant and postpartum women, their partners, and their babies, including: individual psychotherapy, group therapy, family/couples work and psychopharmacological consultation. Training opportunities specific to this population include supervision on dyadic, dynamic and CBT-oriented interventions, monthly didactics and hospital-system-wide learning initiatives.
Intervention training experiences commonly offered:
Individual Psychotherapy: externs typically carry 8 individual psychotherapy cases, 4-5 adults and 3-4 children/adolescents. Externs may have the opportunity to work with a young person with first-episode psychosis under supervision of the Early Treatment Team
Group Therapy: externs usually co-lead various groups, including groups for adolescent girls, boys with ADHD, Adult DBT, CBT for depression and anxiety, and process groups, including a process group for individuals with severe psychiatric disorders. Externs have the opportunity to develop their own groups according to their interests and in laboration with supervising staff, psychology interns and medical residents.
Couples/Dyadic/Family Therapy with patients receiving services at the OCMH or through the perinatal mental health program is also a possibility, depending on interest and experience
Inpatient: Externs may have the opportunity to work on the Lenox Hill inpatient psychiatry unit. This experience will include individual and group psychotherapy, high risk treatment planning, didactics and assessment.
Didactics include (but not limited to): Group Psychotherapy, DBT, Child Assessment, Mental Status Exam, Working with Culturally Diverse Individuals and Families, Clinical Case Presentations, and Perinatal Mood and Anxiety Disorders (PMAD). Additional opportunities include participation in Child Neuropsychology rounds at the Center for Attention and Learning, and didactics on psychosis and serious mental illness through the Early Treatment Program.
Case conferences and didactic on the inpatient unit present an opportunity to learn about working with acute psychiatric issues from seasoned clinicians from different backgrounds and clinical orientations.
Diversity and Inclusion events sponsored by the psychology department include a yearly literature discussion and special topics convened collaborative with staff and trainees, and typically include workshops or lectures by invited guests.
Externs participate in an interdisciplinary DBT informed peer supervision group, with the entire OCMH staff, on a weekly basis.
Special Training: All psychology trainees current receive training in using the Collaborative Assessment and Maintenance of Suicidality (CAMS), an evidence-based intervention for individuals with acute or chronic suicidality that can be integrated into various treatment modalities. Currently the CAMS is being used in both inpatient and outpatient settings.
All staff and trainees additionally have the opportunity to engage in Facilitative Interpersonal and Relational Skills Training (FIRST). Based in the research of Jeremy Safran, this training focuses on ways to improve and exercise interpersonal skills and self-management capacities that build and maintain a productive working rapport with patients, including working through challenging moments in treatment.
Assessment training experiences commonly offered: Neuropsychological Testing, Psychoeducational Assessment, Personality/Psychopathology Assessment, Mental Status Exam
Externs may be trained in psychological assessment with children, adolescents and adults, including older adults. Typical referrals include: psychoeducational assessments, requests for academic accomodations, differential diagnosis of neurological and medical issues. Extern training depends partly on prior experience.
Externs will be supervised by various clinical staff, who have specific assessment expertise and training.
Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests):
2-4 full batteries, based on extern experience and expertise
Expected number of assessment reports completed during externship (defined as writing reports based on a battery of standardized tests:
Estimated hours/week of individual supervision: 3-4 Estimated hours/week of group supervision: 2Estimated hours/week of didactics: 2 hrs
Research: New research opportunities are in development, where externs may participate in projects related to therapeutic alliance, clinical work with women and families in the perinatal period, as well as first episode psychosis.
Director of Training: Jerome H. Kogan, PsyD
Externship Co-Director: Inga Blom PhD
Externship Co-Director: Sean Bell-Thomson, PhD
Applications can be submitted no earlier than Jan 18
Length of externship (in months): 12
Start Date: July 2019
End Date: June 2020
How many hours a week are expected of extern?: 21 hours
Specialty tracks: Severe and Persistently Mentally Ill / First-Episode Psychosis / Perinatal Mood and Anxiety Disorders
# of externs to be accepted for 2019-20: 4-5 (one whose focus in on First Episode Psychosis/SMPI and approx two who have interest in working with new moms/babies)
Minimum level of readiness (any prior experiences or level of training required for applicants): Must complete 2 externship placements prior to the July start date. Coursework and experience in assessment and working with children/adolescents required.
Do you provide a stipend? If so how much?: No stipend
When do you expect to begin interviews? Mid-February
Interview process: Anticipate contact via email to schedule interview day and times. Applicants meet as a group with staff psychologists, to learn about the program, and then individually with 2 staff members for 30 min each. Current trainees will also be available at the time of interviews to talk about their experiences. Applicants should expect to be available either for a full morning (9-12) or afternoon (1-4). We do our best to offer applicants their preferred date/time.
What application materials are required?: Letter of readiness from DCT, CV, transcripts, 2 letters of recommendation (one from a clinical supervisor), a testing report, a case summary including theoretical or clinical formulation.
Intervention and Assessment:
Estimate hours/week of individual supervision: 3
Estimated hours/week of group supervision: 2
Estimated hour/week of didactics: 1-2
Estimated co-therapy hours with supervisors: 0
Context of didactics (seminars, Grand Rounds): seminars, Grand Rounds, special series
Estimated informal open door "curbside" supervision: always available - senior staff on site
Describe direct supervision: Externs are assigned 3 to 4 supervisors who are either senior staff members, members of the training faculty who provide specialized services in the community, or postdoctoral fellows. Supervision is provided in one-on-one and group settings.
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