Provide description of Externship:
The Mount Sinai Adolescent Health Center (MSAHC) is the home of the Division of Adolescent Medicine of the Department of Pediatrics at the Icahn School of Medicine at Mount Sinai and is part of the Mount Sinai Hospital. Although it is a part of a larger health system and medical school, the MSAHC is a freestanding outpatient facility, which provides confidential, comprehensive and integrated healthcare to young people age 10-24. Today, the MSAHC stands as the largest program of its kind in the country and is recognized as a successful model for other similar healthcare efforts around the world. All services offered at the MSAHC are confidential and are provided regardless of ability to pay or insurance status. The multidisciplinary staff at the MSAHC also engage in applied research activities, present widely in the community, and participate in numerous advocacy efforts.
The MSAHC Doctoral Externship Training Program is a part-time program offered to three psychology externs each year. Externs are required to be on-site 2.5 days per week, for a total of 20 hours per week. Mondays and Tuesdays are required days. The doctoral psychology externship program is one of several training programs that run at the MSAHC. The MSAHC is also home to an adolescent medicine fellowship, an APA accredited internship, a social work internship program, and medical residency, and medical school rotations. Externs work side-by-side with other trainees and are fully immersed into the clinical and learning environment at the MSAHC. The externship curriculum places emphasis on training externs to become competent providers of evidence-informed and culturally competent care to youth from marginalized backgrounds. The MSAHC has a long history of breaking down economic and social barriers to care for underserved populations, and this aspect of the MSAHC's mission informs the vision of the psychology training programs. In addition, a broad aim of the training program is to provide externs with an introduction and skills to practice in an interdisciplinary healthcare setting.
Mental health services at the MSAHC are not driven by one particular theoretical orientation nor therapeutic approach. Rather, many clinicians strive to integrate various approaches to best meet their patients' needs. Clinicians at MSAHC are trained in a variety of evidence-based interventions and are encouraged to utilize these interventions as clinically indicated and appropriate. Finally, an over-arching goal of MSAHC mental health services is to be ever mindful of sociopolitical and cultural factors and to consider, and when appropriate intervene, in all levels of a young person's social ecology (e.g., individual, family, school, neighborhood, community).
General information about externship site:
Director of the Program: Lindsay Gerber, PsyD
Training Director, (degree): Lindsay Gerber, PsyD
URL for Externship Brochure:
Length of externship (in months): 11 months
Start Date: July 8, 2019
End Date: June 12, 2020
How many hours a week are expected of extern?: 20 hours per week
Specialty tracks: Externs participate in weekly TF-CBT group supervision and are expected to carry at least 1 TF-CBT case throughout the year. Externs also participate in weekly specialty team meetings in which they can choose between didactic seminars on depression & anxiety, developmental disorders, LGBTQ+, and eating disorders.
# of externs to be accepted for 2019-2020: 3 externs
Minimum level of readiness (any prior experiences or level of training required for applicants): 3rd year doctoral students
Preferences: 4th year doctoral students
Do you provide a stipend? If so how much?: N/A
When do you expect to begin interviews?: February 2019
Interview process: Each applicant will undergo two 30 minute interviews with full-time staff members. Applicants should expect the entire interview process to take 1-1.5 hours.
What application materials are required: Curriculum Vitae, Cover Letter, DCT Letter of Readiness, Psychological Assessment Report, and 2 Letters of Recommendation.
Intervention and Assessment:
Intervention training experiences offered: Externs have the opportunity to conduct individual, group, and family therapy during their training year at the MSAHC. Externs will carry a caseload of 7-9 patients and will conduct intake evaluations, formulate treatment plans, and work with patients to reach treatment goals. Externs are also expected to co-lead a group with another trainee or MSAHC staff member. Externs have the option of co-leading an existing group or starting one of their own based on patient needs. Examples of groups that externs have run in the last several years include: Social Skills Groups, Life-Skills groups, Young Adult Process Group, Healthy Relationship Group, Support Groups for Caregivers of Transgender Youth, and Parenting Groups.
Assessment training experiences commonly offered: Externs will conduct 2-3 psychological assessment batteries over the course of the training year.
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 system
Estimate hours/week of individual supervision: 2 hours
Estimated hours/week of group supervision: 3 hours
Estimated hour/week of didactics: 2 hours
Estimated co-therapy hours with supervisors: As needed
Context of didactics (seminars, Grand Rounds): 2-hour Didactic per week on various, relevant, topics; Mental health team meetings; Specialty team meetings (Depression & Anxiety, LGBTQ+, Eating Disorders, & Developmental Disorders); TF-CBT; Grand Rounds and Didactic seminars available throughout the Mount Sinai System
Estimated informal open door "curbside" supervision: As needed
Describe direct supervision: The externship training programs takes a developmental approach to training. As such, at the beginning of the training year, supervisors provide more hands on supervision, including having externs observe intake assessments conducted by full-time staff members. Externs are then observed by a supervisor to complete intakes, via live supervision, before they can complete intake assessments independently. Similarly, the training program is structured in a way in which the first month of externship is heavy on didactic training and orientation. Direct/live supervision is conducted at least 1x per semester, and more as needed. Live supervision is also provided in the context of high risk cases and risk assessments.
If you have only one extern, would you be able to have the extern participate in a peer support consortium with other sites- live or "SKYPE"?: N/A
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