G E N E R A T I O N S + NORTHERN MANHATTAN HEALTH NETWORK LINCOLN MEDICAL AND MENTAL HEALTH CENTER Adult Outpatient Psychiatric Clinic, Unit 7B 234 Eugenio Maria De Hostos Blvd. (149th Street), Bronx, NY 10451 Tel: (718) 579-6526 Lincoln Hospital Psychology Externship Training Program The Hospital Lincoln Medical and Mental Health Center is one of New York City’s premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-ofthe art medical technology and best practices. Our team of highly trained and caring medical professionals is dedicated to providing the highest quality health care that is safe, compassionate, culturally competent and patient-centered. Externship Training The Psychology Externship experience at Lincoln offers trainees in-depth patient care, clinical supervision, and extensive didactics. Individual training experiences may be somewhat flexible to accommodate the requirements of various academic programs, and the desires of Externs. All Externship schedules must include Tuesdays, and externs may work anywhere from 16 to 24 hours per week, depending upon their interest, availability and doctoral program requirements. Externs train either in the Child and Adolescent Track or in the Adult Track and must apply to one or the other. The tracks are explained below. To augment Track-related experience, Externs may opt to add Child, Adolescent, and/or Adult testing experience and Adult Track Externs may opt to gain experience on the Lincoln Hospital Consultation/Liaison Psychiatry Service. In addition to clinical training, supervision and didactics, all externs will be provided with daily meal vouchers to be used at The Tower Café in Lincoln Medical and Mental Health Center. The Adult Outpatient Clinic Location. The Adult Outpatient Psychiatric Clinic is located on the 7th Floor of Lincoln Hospital (Unit 7B). Facilities: The Adult Outpatient Psychiatric Clinic accommodates between 19,000 and 22,000 visits yearly from community residents seeking mental health services. It provides individual, group, couple and family therapy, psychological testing, medication management, as well as referral to other agencies. Services. The Adult Outpatient Psychiatric Clinic provides comprehensive treatment to patients representing a broad spectrum of psychopathology and service needs. Goals: The goal of this placement is to provide the Extern with a realistic experience of the professional activities and skills required in a typical day in an outpatient clinic in a community-based hospital. Psychology Externs have the opportunity for a varied experience in terms of diagnostic categories following DSM-IV guidelines, and the use of diverse psychotherapy modalities within a psychiatric team approach. Extern's Participation. According to interests and needs, Externs participate two to three days a week on the unit. Psychology Externs on this service provide intake, psychodiagnostic services, consultation, psychotherapy (including group psychotherapy), and psychoeducation. Externs have the opportunity to provide consultation to medical units and other departments within the hospital. In addition they provide individual psychotherapy and conduct screening interviews. Under the supervision of licensed psychologists, interns also evaluate, assess, diagnose, and recommend modalities of treatment for clients entering the outpatient services. Child/Adolescent Psychiatric Services (CAPS) Location. CAPS is located on the 4th floor (Unit 4-A) at Lincoln Hospital. Services. CAPS provides family-oriented psychotherapy services to children and adolescents, as well as parent-child counseling services. This latter service helps parents to understand and cope with the child's disorder. CAPS provides services to children, adolescents and families with a multiplicity of behavioral problems from age 5 to 18. Goals: • To become familiar with the process of intake, psychosocial assessment, and psychological assessment of children and adolescents; • To provide individual, group, and family treatment utilizing a variety of modalities and approaches; • To co-lead groups for children and/or parents; and • To develop the psychology Extern's competence in cognitive behavior therapy, play therapy, parent training, and family therapy. Extern's participation: The Extern is expected to complete the following for each assigned case: • Treatment plans, within 30 days of case assignment, and treatment plan updates every three months; • Utilization review, in which a review of the case is made 30 days after admission. The Certification of Quarterly Review addresses the need for continued treatment every three months; • Transfer summary if the case is transferred to another clinician; • Termination summary if the case is closed; • Contact with school, foster care, and other community-based agencies. Didactics The Externs are provided access to the year-long didactic experiences offered by our APA-accredited Psychology Internship Program. These experiences include: • Weekly Psychology Seminars. A variety of topics of importance to professional psychologists are presented by staff psychologists and psychiatrists. Every Tuesday morning, Externs are provided two onehour long courses on topics including but not limited to: PTSD, developmental disorders, projective testing, and substance abuse treatment. • Clinical Colloquia. 2-4 week specialized training on the following areas: family therapy, play therapy, neuropsychological testing, systems theory, forensic psychological assessment, group therapy, issues in an urban community setting, and treatment strategies in child abuse. • Weekly Psychiatry Grand Rounds. The Department provides lectures by noted speakers on numerous aspects of psychiatric/psychological practice. Past speakers have included psychiatrists and psychologists from the NYU Child Study Center, NIMH, Columbia Presbyterian, Fordham University, the American Institute for Cognitive Therapy, and the Minuchin Center for the Family. • Pediatric Psychology Seminars. A lecture series is provided to pediatric and psychology staff focusing on normal child developmental problems and child psychiatric disorders (monthly). • Unit Inservice Training. Each placement unit holds its own in-service training sessions focusing on topics specifically relevant to that unit. • Case Conferences/Case Presentations. Externs present cases for discussion at Team Conference Meetings. In addition, Externs may present a treatment or evaluation case under the guidance of their supervisors. The majority of didactics occur on Tuesdays, a required day for Externs. Some didactics occur on other days which may or may not fall on a particular Extern’s training days. Supervision Externs will receive extensive supervision on all clinical activities (individual and group psychotherapies, psychological testing, consultation, intakes) and in a variety of different modalities (1:1, group, in-vivo). Psychology externs can expect to receive at least an hour of individual supervision weekly from a licensed psychologist, who will serve as their primary supervisor either in the Adult Outpatient Psychiatric Clinic or in CAPS. Externs will also be provided with additional 1:1 supervision for psychological testing and in-vivo supervision while on the Consultation-Liaison Service. Each extern will receive an additional hour of weekly supervision, provided by an intern mentor. Externs will also participate in a weekly group case conference led by a psychology intern or psychology intern dyad, where they will have the opportunity to present cases and receive feedback from their peers, as well as more advanced doctoral candidates. To augment their training and experience, externs may also receive additional in-vivo supervision from licensed attending psychiatrists and medical residents. Application Materials To be considered for interview, please forward the following materials: 1) Cover letter stating training interests and Track to which application is made 2) Curriculum Vitae 3) Statement of eligibility from training director 4) Academic Transcript 5) Two or more letters of reference 6) Relevant de-identified work sample Contacting us: For general inquiries about the Externship and to apply, please contact: Alexis Cohen, Ph.D. Consultation Liaison Service Coordinator/ Director of Psychology Externship Training Lincoln Hospital 7B-111 234 E. 149th Street Bronx, NY 10451 (718) 579-5779 Alexis.Cohen@nychhc.org For specific inquiries about the Child and Adolescent Track, please contact: Sandra Runes, Ph.D. Director of Psychology Lincoln Hospital Unit 4A 234 E. 149th Street Bronx, NY 10451 (718) 579-5128 Sandra.Runes@nychhc.org ***The Psychology Externship Program at Lincoln Medical and Mental Health Center honors and abides by the guidelines set forth and approved by the members of PSYDNYS (Psychology Directors of New York State)***