Population Served:

18-25, 26-64, 65+, Inpatient, Chronically and persistently mentally ill

Mandatory Days:

Thursday - all day

Appropriate for:

Any Level

Training Model

Integrative

Posted

October 21, 2018

New York-Presbyterian - Westchester Division Track 3: Clinical and Research Practicum in Schizophrenia and Related Psychoses

Provide description of Externship: 

The Psychotic Disorders Division at New York Presbyterian Hospital-Westchester Campuscomprises units or treatment programs that serve individuals with schizophrenia and other severe mental illnesses. The Division includes inpatient services in the Second Chance Program (3 North), an Acute ward (3 South), and the Partial Hospital Program program on 3A North. Second Chance (3 North) is an intermediate to long-term, 30-bed inpatient unit that enrolls people with schizophrenia, schizoaffective disorder, and bipolar disorder with psychotic features. The majority of enrollees in the program present with particularly severe s of psychotic illness and many have been adjudged as "Treatment Refractory." Many care recipients present with enduring, iopathic negative symptoms that co-occur with profound deficits in the independent performance of activities of daily living and other areas of functional behavior. 3 South is a 24-bed inpatient unit that provides psychiatric services to individuals with psychotic disorders including schizophrenia, schizoaffective disorder, and bipolar disorder with psychotic features. 3 South focused on rapid evaluation, symptom stabilization, and crises intervention. The Partial Hospital Program (3A North) provides services for people with a range of psychotic disorders that are currently living in the community. The program provides symptom stabilization services, relapse prevention, psychotherapy, and case management. Care recipients in the program work on treatment and rehabilitative goals germane to their aspirations and valued social roles.

The psychology extern will participate in the provision of modern, evidence-based psychosocial interventions for patients receiving services in these programs. The extern will learn group-based interventions such as cognitive remediation therapy (CRT), Social Cognition Interaction Training (SCIT), social skills training (SST), functional adaptation skills training (FAST), and group-based cognitive behavior therapy for psychosis (CBTp). The extern will be expected to develop competencies at providing these interventions by observing, co-leading, and subsequently leading groups. The extern will work within the context of inpatient multidisciplinary teams to provide brief individual psychotherapy services (e.g., individualized CBTp). The extern and will be exposed to the psychologist's role as a provider of client-focused consultation services to other disciplines. The externship will provide exposure to rapid screening, assessments, and crises interventions. The extern may gain exposure to the use of schizophrenia-specific assessment measures including clinical interviews, rating scales, neurocognitive, and functional capacity assessment batteries. As an important aspect of the externship experience, the extern will be expected to participate in an ongoing research project and in the completion of manuscripts for journal submission. Externs without prior publications are especially encouraged to serve as co-authors on at least two manuscripts during the year.

The extern's specific academic goals will be entified at the beginning of the externship and activities will be negotiated and tailored to the student's goals. The extern's putative activities are summarized as follows:

1.      Complete brief screenings, comprehensive assessments, and outcome evaluations to inform treatment and discharge planning

2.      Lead/co-lead group-based psychosocial treatments-cognitive behavioral therapy for psychosis (CBTp), cognitive remediation (CRT), social skills training (SST), functional adaptation skills training (FAST), social cognition interaction training (SCIT), behavior treatment for substance abuse in schizophrenia (BTSAS)

3.      Provide individual psychotherapy services

4.      Attend unit rounds, grand rounds, cases conferences, and other didactic opportunities

5.      Observe and participate in client-focused consultation, in-service training, and milieu-based activities.

6.      Participate in research design, data lection, implementation, and publications

All clinical and research activities are supervised by the program psychologist. Trainees receive daily, group/individual supervision. If you would like further information prior to submitting an application, please contact Dr. Anthony Ahmed via email:aoa9001@med.cornell.edu or phone: (914)997-5251. 


General information about externship site:

Director of the Program: Anthony O. Ahmed
Training Director, (degree): Ph.D.
Website: https://psychiatry.weill.cornell.edu

URL for Externship Brochure: https://psychiatry.weill.cornell.edu/psychology-externship-westchester

Length of externship (in months): 12 Months
Start Date: July 2019
End Date: June 2020
How many hours a week are expected of extern?: 16-20 hours
Specialty tracks: 
# of externs to be accepted for 2019-20: 3 to 5
Minimum level of readiness (any prior experiences or level of training required for applicants: N/A
Preferences:
Do you provide a stipend? If so how much?: N/A

Interviews:
When do you expect to begin interviews? (Applications can be submitted no earlier than Jan 22): We will accept applications between January 22nd and February 5th, 2019. 


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?: Interviews will take place in mid-February. Interview format is individual, in-person at the Westchester campus or by phone for candidates that are unable to attend in-person interviews.

What application materials are required (i.e., cv, transcript, how many reference letters, case summary, test report, other?:

The following application materials are required--cover letter, CV, two letters of recommendation, sample de-identified assessment report

Please note: If your mentors prefer to submit their letters separately, please request that they indicate your name and the track to which you are applying in their email subject line and send the letters to Anthony O. Ahmed, PhD at aoa9001@med.cornell.edu or mail to: Anthony O. Ahmed, PhD, New York Presbyterian Hospital Westchester Division, 21 Bloomingdale Road, White Plain NY 10605.


Intervention and Assessment:

Intervention training experiences offered: Estimate average number of individual patients that students will carry; estimate number of groups and other types of interventions. Offer description: 

Externs carry a rotating individual caseload of 5-6 individual patients at a time. Externs will have opportunities to lead/co-lead up to six evidence-based therapy groups over the course of the year. 
Assessment training experiences commonly offered. Describe:

Assessment experiences will include intellectual, functional, personality, psychiatric interviews, diagnostic clarifications, and treatment outcome evaluations.

Expected number of full assessment batteries completed during externship (defined as administration of a battery of standardized tests): Variable
Estimate # of integrated assessment reports per year: 8-10
If offering Rorschach, which scoring systems used:

Supervision:
Estimate hours/week of individual supervision: 1
Estimated hours/week of group supervision: 1
Estimated hour/week of didactics: 1
Estimated co-therapy hours with supervisors: Variable
Context of didactics (seminars, Grand Rounds): Seminars
Estimated informal open door "curbside" supervision: 1 
Describe direct supervision:
Specify if observation occurs during intervention, assessment, consultation (audio, video, live in person (in treatment room, one-way mirror, live video stream): Live supervision occurs in person


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"?: NA
Is the agency readily accessible through public transportation?:  
Wheelchair accessible: Yes
Are home visits required as part of the trainee's duties?: NA
Is a transportation stipend provided?: NA


Company Name:

New York Presbyterian - Westchester Division: Clinical and Research Practicum in Schizophrenia and Related Psychoses

Location:

White Plains, New York

Population Served:

18-25

Mandatory Days:

Thursday - all day

Appropriate for:

Any Level

Training Model

Integrative

Posted

October 21, 2018

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