KINGS COUNTY HOSPITAL CENTER 2016-2017 PSYCHOLOGY EXTERNSHIP TRAINING ROGRAM KINGS COUNTY HOSPITAL CENTER DEPARTMENT OF PSYCHOLOGY A BUILDING – Suite A1116 451 CLARKSON AVENUE BROOKLYN, NEW YORK 11203 718-245-2579 Kings County Hospital Center was founded more than 175 years ago. The hospital we know today has its origins in an institution known as the Almshouse that evolved in the 18th and 19th centuries. In 1837, a hospital building was completed; this building, 86 feet long by 36 feet wide, was the beginning of the present extensive physical plant which has become one of the largest municipal hospitals in the United States. The Center has claimed many "firsts" in the field of medicine: it was the site of the first open-heart surgery performed in New York State; Kings County physicians invented the world's first hemodialysis machine, conducted the first studies of HIV infection in women and produced the first human images using magnetic resonance imaging (MRI). In addition, Kings County was named the first Level 1 Trauma Center in the U.S. Throughout the growth and development of Kings County Hospital Center, devoted administrative, medical, nursing and hospital staff have generously given of their knowledge, time and talents to fulfill the words of the hospital dedication: "Let all who serve here remember that this institution is dedicated to the care of all who are helpless and afflicted. This before all else." Kings County Hospital Center is the largest municipal hospital in New York City and has a rich and famed history of treatment and care. It encompasses a behavioral health center and a general medical hospital that provides acute care and rehabilitation services. Kings County Hospital Center provides the major clinical teaching resources for the State University of New York Health Science Center at Brooklyn (SUNY Downstate), located directly across the street. The various hospital departments benefit from the university’s services, teaching, consultative personnel, library facilities, and research. The hospital is part of the Health and Hospitals Corporation, a health care network of 11 acute and community hospitals, long-term care facilities, emergency services, school-based health centers, home health care, and primary and preventive services throughout the five boroughs of New York City. The hospital is located in the East Flatbush section of Brooklyn and is easily accessible to all parts of metropolitan New York City by car or public transportation. Interested trainees will find readily available lecture programs, scientific meetings, and symposia sponsored by the numerous local professional and scientific societies in Psychology, Psychiatry, Social Work and related disciplines. MENTAL HEALTH SERVICES We are particularly proud of our state-of-the-art Behavioral Health Center known as the “R” Building, which was completed in January 2009 and is the newest and largest single site behavioral health facility in the United States. Its design reflects the most advanced research and practice in the treatment of mental illness in a comfortable, modern and therapeutic setting. It houses the child and adolescent and adult psychiatric emergency rooms and all inpatient and outpatient treatment units. Incorporated within is a fully functioning school that follows the NYC Department of Education Curriculum, a full-service gymnasium, treatment rooms and staff offices. There are five Adult Inpatient Psychiatric Units whose major function is the diagnostic assessment and short-term treatment of patients who present with acute psychological dysfunction and psychiatric disorders, utilizing a Wellness and Recovery Model of treatment. This model of treatment follows a highly researched and successful Rehabilitation and Recovery Model whose focus is to improve patients’ coping abilities, to help them integrate into the general society, according to their abilities, and to decrease the necessity and likelihood of re-hospitalization. The Comprehensive Psychiatric Emergency Program (CPEP) functions as the emergency receiving and treatment service for adults in central Brooklyn, a catchment area of roughly 500,000 individuals, and for children and adolescents throughout the entire borough of Brooklyn. Adult patients are assessed and recommended for either discharge/referral to outpatient care, admission to an inpatient unit, or referral to the Extended Observation Unit (EOU) for crisis treatment. Child/adolescent patients are either admitted to one of the child and adolescent inpatient units, admitted to one of the EOU beds for crisis treatment, or are referred for outpatient treatment. As part of the CPEP, the Mobile Crisis Team provides services to patients ages 5 and older whose mental health needs prevent them from coming to the hospital unassisted. The Adult Outpatient Psychiatric Department provides a variety of treatment and aftercare services, including those for individual psychotherapy, group psychotherapy and psychopharmacology. The Partial Hospitalization Program (PHP) provides an intensive 6-week outpatient treatment program for mentally ill patients. The Forensic Psychiatry Evaluation Service provides court ordered Competency to Stand Trial and Serve Sentence examinations of defendants from Brooklyn and Queens. Neuropsychological Assessment is provided for inpatients and outpatients and serves both the mental health and medical units throughout the hospital. Women suffering from pregnancy-related depression receive treatment through the Women’s Health Initiative (WHI). The Behavioral Support Team (BST) collaborates with both the adult and child/adolescent inpatient unit psychologists in the creation of effective Individual Behavior Plans (IBPs), based on the Positive Behavior Support Plan model that targets maladaptive behaviors of adults and children/adolescents on the respective units. Child and Adolescent Inpatient treatment is provided on three inpatient co-ed units: one for adolescents ages 14-17, one for young adults with first break psychosis, ages 16-23, and one for children ages 13 years and younger. The Child and Adolescent Outpatient Department offers diagnostic and treatment services for children and adolescents up to age 18. A wide variety of treatment modalities are available, including brief and longer-term psychotherapy, group, family, behavior modification, cognitive-behavioral, psychopharmacological treatment, and crisis intervention. Parent counseling and school consultation are also offered. More specialized outpatient services available for children and adolescents include the Developmental Evaluation Clinic (DEC), which provides assessment and treatment for children with a spectrum of developmental delays. Preschool and infant assessment and treatment are also offered through an Early Intervention Program (EI) at the DEC and through the Infant and Child Learning Center (ICLC) at Downstate Medical Center. Through the Pediatric Consultation Liaison Services, psychological services are also provided to children and adolescents in the medical and rehabilitative departments. The Intensive Crisis Stabilization and Treatment Program (ICST), based in the outpatient department, provides in-home psychiatric services to children and adolescents in crisis. DEPARTMENT OF PSYCHOLOGY The Department of Psychology includes over 40 licensed psychologists who work in both adult and child/adolescent services. They provide direct patient care and trainee supervision in addition to administrative services throughout the hospital. PSYCHOLOGY EXTERNSHIP TRAINING PROGRAM The externship program is comprised of two independent tracks: The Adult Track and the Child & Adolescent Track. The externship begins after Labor Day and ends in May and requires a minimum of two days per week (16 hours) for the Adult Track and two and ½ days per week (20 hours) for the Child & Adolescent Track. Adult Track externs may opt to add an additional ½ day for a total of 20 hours per week. All externs receive one hour of individual clinical supervision per week for their individual outpatients and one hour per week for supervision of each psychotherapy group. Child/Adolescent Externs receive at least one hour of individual supervision for their inpatient case. Additional supervision for psychological testing is arranged for each assigned testing case. Externs also meet with the Director of Externship Training in their respective track for one hour each week. This hour is used for didactics, extern case presentations and/or discussion of the externship experience. Depending on scheduling, externs may be invited to attend other didactic and continuing education presentations throughout the year. Applicants need not be residents of New York or citizens of the United States. They should be second or third year doctoral students and must have completed at least one clinical externship during their doctoral training prior to applying for externship at Kings County. Additionally, all externs must have completed at least one year-long course in cognitive and projective/personality assessment including the Rorschach Inkblot Test (Exner Comprehensive System). Applicants may apply to only one of the two tracks. Should applications be received for both tracks, neither will be considered. Each track has its own interviewing and admissions process. The Externship abides by the guidelines set by the Psychology Directors of New York State (PSYDNYS). Applications will not be accepted prior to agreed upon dates and interview offers will be made following this date. Externship offers to students will be made in accordance with the date set by PSYCNYS. ADULT TRACK Four externs are selected each year for the Adult Track. The adult track externship program requires two full days (16 hours) with the option to add ½ day depending on the extern’s schedule. Please note that Friday is a required day for the Adult Track. Externs in the Adult Track are placed in two major assignments during the year and they receive an hour of rotation-specific supervision per week. One placement is on an adult psychiatric inpatient unit where trainees will provide individual and/or group psychotherapy to patients. As part of this placement, externs participate in inter-disciplinary team meetings, community meetings, staff meetings, and other relevant unit activities. The other placement is selected from a variety of outpatient clinics and services in the Departments of Behavioral Health and Medicine. The assignments are made by the Director of Externship Training, with decisions based on extern interest, training needs and supervisor availability. In addition to the two rotations, externs are required to co-lead at least one year-long psychotherapy group, treat at least two adult patients for the duration of the externship year, and perform psychodiagnostic evaluations. CHILD AND ADOLESCENT CLINICAL TRACK Two externs are selected each year for the Child & Adolescent Track, which requires two and a half days and is primarily centered on the inpatient child, adolescent and young adult psychiatric units. There are three co-ed units: one for adolescents 13-17, one for young adults with first break psychosis, ages 17 to 23, and a unit for children age 13 and under. Externs rotate on two of the three units. Externs are responsible for individual psychotherapy of one inpatient child, adolescent, or young adult at a time. This includes participation on a multidisciplinary team consisting of psychiatrists, nurses, psychologists, social workers, therapeutic rehabilitation therapists, and pediatricians. Responsibilities include individual and family therapy and participation in unit meetings and psychodiagnostic evaluations which include tests of cognitive, academic and personality functioning. Additional opportunities include co-leading an inpatient group and there may be an opportunity for an extern to be assigned an outpatient psychotherapy case through the Child and Adolescent Outpatient Psychiatry Clinic APPLICATION PROCESS Applications can be obtained on the FDU Wiki site. Applications for the Adult Track should be sent, along with a current CV, an integrated adult psychological testing report (cognitive and personality/projective assessment), an unofficial transcript and two letters of recommendation, to: Damaliah Gibson, Ph.D. Director of Externship Training – Adult Division st Department of Psychology – A Building, 1 Floor, Room 1116 Kings County Hospital Center 451 Clarkson Avenue Brooklyn, New York 11203 damaliah.gibson@nychhc.org Applications for the Child & Adolescent Track should be sent, along with a current CV, a child/adolescent clinical treatment summary, an integrated child/adolescent psychological testing report, and two letters of recommendation, to: Marilyn Feldman, Ph.D. Director of Child and Adolescent Externship Training A Building, 1st floor - Department of Psychology Kings County Hospital Center 451 Clarkson Avenue Brooklyn, New York 11203 marilyn.feldman@nychhc.org TRAVEL INSTRUCTIONS TO KINGS COUNTY HOSPITAL CENTER DEPARTMENT OF PSYCHOLOGY The Psychology Department is located in the A Building whose entrance is through the Behavioral Health Center (R building). Interviewees will be met in the lobby of the Behavioral Health Center (R building) on Clarkson Avenue (corner of New York Ave). BY SUBWAY Brooklyn Bound Trains Take the #2 Train (or the #5 during rush hours) to the Winthrop Street station. Make sure that the train says “Flatbush Avenue” as its final destination. Trains with other final destinations listed do not go to Winthrop Street. The Brooklyn bound train exits at the corner of Nostrand and Parkside Avenues (You will see the hospital one block away down Parkside Ave). Walk toward the hospital, one block and turn right onto New York Avenue, then walk one block and make a left onto Clarkson Avenue. You will see the new Behavioral Health Center(R building) on your left. The Manhattan/Bronx bound train exits at the corner of Nostrand Avenue and Winthrop Street. Do not cross Nostrand, but proceed along Winthrop to New York Avenue. Turn right onto New York Avenue and walk one block and turn left onto Clarkson Avenue. The new Behavioral Health Center (R building) will be on your left. The northbound subway entrance/exit at Nostrand and Winthrop is the only entrance for Manhattan and Bronx bound trains for the return trip. BY CAR From Long Island and Queens: via Jackie Robinson Parkway. Exit at Bushwick Avenue and follow Bushwick two or three traffic lights to Eastern Parkway. Make a left onto Eastern Parkway and continue to Albany Ave. Turn left and continue to Clarkson Avenue, turn right. Via Belt Parkway: Exit onto North Conduit Boulevard. Continue on North Conduit Boulevard to Linden Boulevard. Continue on Linden Boulevard to Albany Avenue. Make a right onto Albany Ave. and go 2 blocks to Kings County Hospital, left on Clarkson Ave. From Manhattan: Take the Manhattan Bridge onto Flatbush Avenue. Continue on Flatbush to Grand Army Plaza and ¾ around the traffic circle and head onto Eastern Parkway (the Brooklyn Public Library will be on your right). Continue on Eastern Parkway to Brooklyn Avenue and make a right onto Winthrop Street and a left onto New York Avenue and a left onto Clarkson Ave. From New Jersey and Staten Island: Take the Verrazano Bridge and exit to Route 278, keeping to the right and following the sign that says “Thru Traffic”. Continue on Route 278 to the Prospect Expressway. Take the Expressway to the Ft. Hamilton Parkway exit. Follow the exit ramp to the second traffic light, which is Caton Avenue. Make a left onto Caton and go several miles, passing Flatbush Avenue. Just past Flatbush, Caton curves to the right and becomes Linden Boulevard. Continue on Linden and follow to New York Avenue. Make a left on New York Ave and go 2 blocks to Clarkson Avenue, and the hospital will be on the right. PARKING: There is a parking lot on Clarkson Ave at the cross street of E. 39th street. There is a fee for parking. There is also street parking on most of the streets around the hospital, but it is very difficult to find a spot during morning hours. Check the signs for parking regulations and restrictions. You can also park nearby at ESP Parking: 324 Clarkson Avenue. KINGS COUNTY HOSPITAL CENTER DEPARTMENT OF PSYCHOLOGY A BUILDING – Suite A1116 451 CLARKSON AVENUE BROOKLYN, NEW YORK 11203 Tel:718-245-2579; Fax:718-245-2412 APPLICATION FOR CLINICAL EXTERNSHIP Name______________________________ Date_________ Home Address__________________________________________________________ Phone: __________________________________________ E-mail:__________________________________________ Graduate School/Program______________________________ APA Accredited Y Current year: 2nd 3rd N 4th Are you a matriculated candidate for a doctoral degree in Psychology? __________ Anticipated Degree: Ph.D.____ Psy.D.____ Ed.D.____ Other (specify) ___________ Clinical___ Counseling___ School___ Combined (specify) _________________Other (specify)_________ Name of Director of Clinical Training (DCT):___________________________________________________ E-mail & phone # of DCT:_________________________________________________ CLINICAL EXPERIENCE (Check if Yes) Outpatient INDIV: Child___ Adolescent___ Adult___; Outpatient GROUPS: Child___ Adolescent___ Adult___ Inpatient INDIV: Child___ Adolescent___ Adult___; Inpatient GROUPS: Child___ Adolescent___ Adult___ ER ___; Community Day Treatment Program/Partial Hospitalization Program: Adult ___ Adolescent .___Child ___ Intake___ Family ___ Couples___ Subst. Abuse ___ Crisis Mgmt.___ CLINIC TYPE: Dept. Clinic ___University. Cnslng Ctr. ___ School ___ Forensic ___Community Mental Health Clinic___ Medical Clinic ___ VA_____ Other ___ PSYCHOLOGICAL TESTING Indicate how many of the following tests you have administered under supervision ( Do not include practice assessments done as part of coursework) COGNITIVE: WAIS IV ___ WISC IV/V ___ WPPSI III ___ SB-5___ ACHIEVEMENT: WIAT-III ___ WJ-III ___ PERSONALITY: MMPI-II ___PAI_____ PROJECTIVE: Drawings____ TAT ___ Rorschach (Exner) ___; ADAPTIVE: Vineland-2 ___ ABAS-II ___ OTHER (i.e., Forensic, ADHD, Connors, Neuro, etc.) _________________________________________________________________________________________________ _________________________________________________________________________________________________ THEORETICAL ORIENTATION (Check all that applies) Psychodynamic ___ CBT ___ Integrative ___ Behavioral ___ Interpersonal ___ Biological ___ Eclectic ___ Systems ___ Humanistic/Existential___ Other ____________ Please check the track to which you are applying. Adult _____ Child & Adolescent _____ Is your application complete? Indicate Yes or No Application Form: Y N Cover Letter: Y N Integrated Test Report: Y N Letters of Recc (2): Y N CV: Y N Transcript: Y N __________________________________ Signature of Applicant For Office Use Only Reviewer_________________________ Date____________ Interviewer______________________ SAMPLE INTEGRATED REPORT: 1 2 3 4 5 LETTERS OF REFERENCE WRITER Clinical Supervisor Director of Clinical Training Externship Director University Professor Dissertation Chair/Research Practicum Supervisor Clinic Director Other (Type) ______________ COMMENTS: LETTERS 1 2 ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ 6 7 8 9 10