Alpert Medical School of Brown University Clinical Psychology Training Consortium Postdoctoral Fellowship Description: RESEARCH FOCUS Title: Postdoctoral Fellowship in Autism Research and Treatment Site: Supervisor(s): Bradley Hospital (Primary, Research Site) Eric Morrow, MD, PhD Stephen Sheinkopf, PhD Beth Jerskey, PhD Site: Supervisor(s): Woman & Infants Hospital (Secondary, Clinical Site) Stephen Sheinkopf, PhD Description of Site Bradley Hospital Bradley Hospital is one of the country's foremost child psychiatry centers with a national reputation for excellence in patient care, research, and training. Founded in 1931, it was the nation's first teaching hospital devoted exclusively to child and adolescent psychiatry. Bradley Hospital is the only comprehensive facility for the care of emotionally-disturbed preschoolers, children, adolescents, and their families in the state of Rhode Island and adjacent Massachusetts and Connecticut. It plays a central role in the region’s child mental health system, with over 60% of admissions being publicly supported. Thus, Bradley Hospital is an excellent site for applied child clinical research. Bradley offers a full continuum of care for children and adolescents with significant emotional, developmental, and behavioral problems and provides highly specialized inpatient, school, outpatient, residential, and home-based services for youngsters with emotional and behavioral problems in combination with autism and/or intellectual disabilities. Rhode Island Consortium for Autism Research and Treatment (RI-CART) The Rhode Island Consortium for Autism Research and Treatment (RI-CART) was formed in 2009 to improve diagnosis and treatment services for individuals with autism spectrum disorders (ASD) through a broad range of translational research programs ranging from genetic and cellular to clinical, imaging, and treatment outcome studies. Such studies require cross-disciplinary collaboration using large, population-based samples. RI-CART is a rare resource—a publicprivate partnership with members representing clinicians from four major RI hospitals and leading behavioral healthcare and diagnostic centers, investigators from Brown University and the Alpert Medical School, educators from Rhode Island College, parents specialists from The Autism Project, and representatives from the Rhode Island Departments of Health and Education. Two primary initiatives of RI-CART include (1) expanding Autism Diagnostic Observation Schedule (ADOS) testing in Rhode Island and (2) creating a statewide autism research registry. These initiatives have significantly increased the potential for collaborative research and serve as a national model and resource for autism research. Women & Infants Hospital of Rhode Island (WIH) Women & Infants Hospital of Rhode Island, a Care New England hospital, is one of the nation’s leading specialty hospitals for women and newborns. The major teaching affiliate of The Warren Alpert Medical School of Brown University for activities unique to women and newborns, Women & Infants is the ninth largest stand-alone obstetrical service in the country with nearly 8,400 deliveries per year. In 2009, Women & Infants opened what was at the time the country’s largest, single-family room neonatal intensive care unit. The Brown Center for the Study of Children at Risk Established in 2005, the mission of the Center is to stimulate outstanding interdisciplinary research, education and clinical services on the biological and social factors that determine the developmental outcome of at-risk children. The Brown Center for the Study of Children at Risk is dedicated to 1) advance theories of the developmental pathways from fetal and infancy periods in at-risk children, (2) enhance synergy between research and clinical practice that advances child development research, intervention programs and social policy, and (3) train scientists and practitioners in interdisciplinary methods from the field of child development. In addition, the center offers services to children of a broad 1 Alpert Medical School of Brown University Clinical Psychology Training Consortium Postdoctoral Fellowship Description: RESEARCH FOCUS age range with ASD or a parental concern for an ASD. Services for families include diagnostic and behavioral assessments, psychiatric consultation for behavioral and/or emotional concerns related to an ASD diagnosis, and child and family therapy to optimize the strengths and capacities for families and their children. The Center’s multidisciplinary team includes child psychiatry, psychology and clinical social work. Fellowship Aims 1. To provide the fellow with broad post-doctoral training in the area of autism, autism spectrum disorders and neurodevelopmental disorders. 2. To provide the fellow with a strong working knowledge of assessment, treatment and research conducted with individuals with neurodevelopmental disorders. 3. To actively participate in research, including grant writing, data collection, management and analysis, and development and implementation of a research proposal, with the goal of presenting research results at a national meeting and writing peer-reviewed manuscripts. Fellowship Timeline The fellowship is designed to span two years, contingent upon satisfactory progress. The anticipated start date is July 1, 2014, although an alternative start date no later than September 1, 2014 may be negotiated on an individual basis. In December 2014, the supervisors will determine if the fellow will be offered the second year of training and the fellow will then decide to accept or decline the offer. Research/Academic Activity Plan The fellowship is primarily a clinical research position. The fellow will be exposed to various aspects of clinical research of ASD. This will be achieved by participation in the following activities: Diagnostic Interviews and Assessments of ASD. The fellow will receive training and become proficient in the administration of semi-structured interviews using the Autism Diagnostic Observation Schedule – 2 (ADOS-2). Focus will be on developing the following assessment skills: 1) the diagnostic assessment of ASD in children, adolescents, and adults, 2) coding the ADOS-2 and writing narrative summaries of assessments; and 3) oral case presentations for consensus ratings. Fellows will be expected to administer and score at most 5 ADOS assessments a week. Current ADOS assessments take 2 hours to administer and score and assessments will primarily be based at Bradley Hospital to minimize the need for travel. In the event that the participant needs to be seen offsite, travel time will be included in the total effort per week and the number of ADOS given will be reduced. (25% time) Independent Research: The fellow will develop research projects of interest to him or her that can be conducted in collaboration with other RI-CART partners. The RI-CART registry will be entering its second year at the beginning of this fellowship, so fellows initially will be able to do secondary analysis on several hundred registry participants. The fellow will be encouraged to develop his/her ideas and potentially prospectively study another thousand participants in 2015-2016. Additionally the fellow will be offered support, including participation in grant writing seminar, should he or she wish to develop a grant idea during the fellowship years. The fellow will be encouraged to collaborate on manuscript preparation and/or national conference presentations. The fellow will also be given opportunities to analyze retrospective datasets if this is of interest. (55% time) 2 Alpert Medical School of Brown University Clinical Psychology Training Consortium Postdoctoral Fellowship Description: RESEARCH FOCUS Clinical Activity Plan The fellow will perform evaluations and/or participate in neurodevelopmental team evaluations conducted with children and adolescents. The fellow will conduct 1 evaluation per week at WIH and will be individually supervised on each case by Dr. Sheinkopf. The fellow will participate in all aspects of assigned cases, including clinical interviews, face-to-face assessment, scoring/interpretation of results, report writing, and family diagnostic feedback sessions. Dr. Sheinkopf will be on site during the evaluation and is available for consultation as the evaluation is being performed. The fellow will meet individually with the Dr. Sheinkopf after the completion of the case to review the evaluation process, test results and recommendations. (10% time) Didactics The fellow will be required to participate in mandatory post-doctoral seminars through the Brown Post Doctoral Training Program, including Core Seminars (monthly), DPHB Academic Grand Rounds (monthly), and Clinical Ethics (monthly). Optional didactics available to the fellow include Track specific Seminar/Rounds, Academic Friday–Grantsmanship Seminars, and Special Topics in Statistics. (10% time) Supervision and Evaluation Dr. Sheinkopf, a licensed psychologist, will provide weekly, individual supervision of clinical activities (i.e., child and adolescent clinical assessments). Either Drs. Morrow or Sheinkopf will be the primary research mentor based upon the interests of the fellow (e.g., genetic interests will be supervised by Dr. Morrow). Fellows will be provided with one hour of individual supervision specific to research aims and Dr. Jerskey will provide one hour of individual supervision on the ADOS administrations. The fellow will also receive weekly, group supervision with Drs. Morrow, Sheinkopf, Jerskey and the RI-CART research group. Total supervision time will be at least 3 hours of individual and 1 hour of group supervision. The fellow and supervisors will develop fellowship goals and learning objectives early on in the first year. At the conclusion and midpoint of the fellowship, the fellow and the supervisors will provide formal performance evaluations, and evaluations of the program relative to the goals and learning objectives of the fellowship. Path toward licensure: YES___X__ NO_____ ADOS assessments and the time devoted to the clinical activities with Dr. Sheinkopf will count towards licensure and the fellow will have enough hours at the end of the fellowship to sit for the EPPP. Resource Requirements The fellow will be provided with the following resources: Semi-private office space A personal desktop computer and project specific software Internet and telephone access Library services through Brown University and Bradley Hospital Access to copying equipment and fax For more information about this post-doctoral training opportunity, contact Beth Jerskey at 401-432-1200. 3