Provide description of Externship:New Alternatives for Children, Inc. (NAC) is an incorporated New York State not-for-profit health and child welfare agency providing comprehensive services for children with severe disabilities and/or chronic illnesses. NAC provides a multidisciplinary continuum of care that meets the needs of the entire family. Our professional staff consists of master-level social workers, doctors, psychologists, psychiatrists, mental health clinicians, nurses, CASACs, parent advocates, educational specialists, recreational associates and vocational and resource specialists. Together we collaborate with families to provide support and services needed to achieve safety, stability, and independent family functioning.
The Comprehensive Healthcare Center at NAC specializes in providing a unique blend of medical and mental health services not only to NAC children and their families but also to New York City’s most socio-economically disadvantaged, underserved and vulnerable population. These are children with chronic diseases, developmental disabilities and/or co-occurring mental health disorder, and their families, who live with a myriad of psychosocial stressors. Children served by NAC may have learning disabilities, intellectual disabilities, attention deficit-hyperactivity disorder, cerebral palsy, cancer, respiratory or cardiac problems, sickle cell disease, asthma, HIV/AIDS, brain injury, prenatal problems, diabetes, birth defects, neurological impairment, genetic disorders, emotional disorders, autism, or other conditions. NAC’s families carry the emotional scars of inter-generational trauma and they have complex histories. They live in poverty, they frequently have histories of abuse and neglect and domestic violence is common as is homelessness. We serve families residing throughout the five boroughs. The Comprehensive Healthcare Center at NAC offers an array of outpatient medical and mental health services through a licensed Article 28 Diagnostic and Treatment Center and a licensed Article 31 Mental Health Clinic. The clinics provide treatment to children and adults.
Psychology externs participate in several core activities under close supervision from licensed psychologists. These include:
- Child and adult psychotherapy in the NAC Article 31 Mental Health Clinic, utilizing psychodynamic, family systems and evidence informed interventions
- Psychological consultation and assessment of children, adolescents, adults in the NAC Article 28 Diagnostic & Treatment Center
- Participation in the Building Blocks program, a dyadic therapy model that promotes attachment security between parents and young children
- Multidisciplinary clinical case review
- Developmental evaluations (early intervention, preschool)
- Involvement in the Mental Health Discussion staff training series
- Participation in weekly didactic seminar with topics pertinent to the clinical work
- Participation in additional all-staff training and seminar opportunities
- 1 to 2 hours of individual supervision and 1 to 2 hours of group supervision weekly
General information about externship site:
Director of the Program: Khalid Khan, M.D., Board Certified Child, Adolescent and Adult Psychiatrist
Training Director: Ashley Golub, Psy.D., Licensed Psychologist
Length of externship (in months): 10 months
Start Date: In September, typically the week after Labor Day
End Date: Mid June
How many hours a week are expected of extern?: Minimum of 16
Specialty tracks: N/A
# of externs to be accepted for 2019-20: 3
Minimum level of readiness : Third or fourth year graduate students enrolled in the doctoral program of an accredited university in school, counseling, clinical, educational, or applied developmental psychology are eligible to apply.
Preferences: It is expected that externs will have completed practica in psychological testing.
*Monday OR Tuesday is required.
When do you expect to begin interviews? (Applications can be submitted no earlier than Jan 22): Interviews will take place from Feb 1 through Feb 28. Applications will no longer be accepted after Feb 8.
Interview process?: We conduct individual interviews, usually lasting 30 minutes. We can provide contact information of current externs for applicants to contact.
What application materials are required?: Please provide CV, cover letter, eligibility letter from DCT, two letters of recommendation and redacted test report. Letters of recommendation may be uploaded through the portal or sent directly to the TD, Dr. Ashley Golub at firstname.lastname@example.org.
Intervention and Assessment:
Intervention training experiences offered: Students carry a caseload of 4-6 therapy cases typically, which are a mix of adult, child, dyadic/family cases. Opportunity to conduct group therapy and provide parent consultation is also offered. Consultation with child welfare social workers is also a significant part of the experience.
Assessment training experiences commonly offered. Describe: Testing is a significant component of the externship experience, and batteries range from brief assessment of developmental level/cognitive ability to complex and comprehensive evaluations that assess cognitive, academic, social-emotional and adaptive functioning.
Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests): 8-10
Estimate # of integrated assessment reports per year: 5
If offering Rorschach, which scoring systems used: Exner
Estimate hours/week of individual supervision: 1-2
Estimated hours/week of group supervision: 1-2
Estimated hour/week of didactics: 1-2
Estimated co-therapy hours with supervisors: In case conferences and group supervision, typically 1-2 hours per week. There may be an opportunity to run a group with a supervisor or full time staff member.
Context of didactics (seminars, Grand Rounds): There are Tuesday morning didactics designed exclusively for Mental Health trainees; All staff seminars, and Interdisciplinary case conferences are also offered and externs are encouraged to attend. An example of topics include: Child development, clinical dynamics of adoption, complex trauma, suicide prevention, ethics seminar. In addition, a comprehensive orientation is offered.
Estimated informal open door "curbside" supervision: Often, as needed.
Describe direct supervision: Students are encouraged to provide clinical videos of themselves conducting dyadic therapy sessions 1x per semester. Process notes may also be used, and supervisors may observe assessment sessions, and participate in assessment feedback sessions or family meetings with trainees.
Specify if observation occurs during intervention, assessment, consultation (audio, video, live in person (in treatment room, one-way mirror, live video stream): Dyadic intervention; supervisors may also provide direct supervision of assessment and individual therapy skills.
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
Is the agency readily accessible through public transportation?: Yes, F,M,R,W,1,6 trains
Wheelchair accessible: Yes
Are home visits required as part of the trainee's duties?: No, but there is an opportunity to provide home visits if the student wishes.
Is a transportation stipend provided?: No.
Attending the externship will have no impact on a student's chances of attending NAC's internship. At this time, we will not interview students for the externship who are concurrently applying for internship.