Clinical Psychology Internship Rotations | NYU Langone Health

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NYU Langone–Bellevue Clinical Psychology Internship Clinical Psychology Internship Rotations

Clinical Psychology Internship Rotations

The NYU Langone–Bellevue Clinical Psychology Internship year is divided into three four-month rotations. Interns rank their rotation preferences in consultation with the internship director during orientation.

The Adult Psychology Track, the Child and Adolescent Psychology Track, and the Forensic Psychology Track have some rotation requirements.

Adolescent Inpatient Psychiatry Service

The Adolescent Inpatient Psychiatry Service serves patients presenting with trauma, mood disorders, psychosis, severe anxiety disorders, behavioral disturbances, character pathology, and autism.

Interns are integral members of a multidisciplinary treatment team, acting as primary clinician for one to three patients at a time. Interns also contribute to the care of patients on their team for whom they are not primary clinicians and may serve as co-leaders of a variety of psycho-education, cognitive behavioral therapy (CBT), and social skills groups. While on this rotation, interns participate in morning rounds, treatment planning conferences, case conferences, family meetings, and community meetings. Trainees also gain experience in behavior management interventions in a milieu setting. There are occasional opportunities for interns to engage in neuropsychological and psychological assessment.

No prior experience with adolescents is needed. Child and Adolescent Psychology Track interns may select this service to satisfy their second child- or adolescent-focused requirement. Adult and Forensic Psychology Track interns may also select this service as one of their rotations.

Adult Inpatient Psychiatry Service

The Adult Inpatient Psychiatry Service serves patients with primary Axis I diagnoses, including schizophrenia, schizoaffective disorder, bipolar disorder, and major depressive disorder. A considerable number of patients also have personality disorders, and many have comorbid substance use disorders and significant psychosocial stressors.

The intern serves as primary clinician for two or three patients, with responsibility for nearly all aspects of treatment from initial assessment through discharge. Responsibilities include attendance at daily rounds, participation in community meetings, individual and group psychotherapy, and occasional brief psychological and cognitive assessments. Interns are also actively involved in the process of discharge planning and collateral and family meetings as indicated.

In addition, interns may have the opportunity to supervise and debrief psychology externs, medical students, or other trainees. All Adult Psychology Track interns complete at least one rotation on the adult inpatient service. Child and Adolescent and Forensic Psychology Track interns may also select an adult inpatient service as one of their rotations.

Chemical Dependency Outpatient Program

The Chemical Dependency Outpatient Program (CDOP) serves individuals experiencing substance use disorders and co-occurring psychiatric disorders. The CDOP serves a diverse patient population with an interdisciplinary treatment team composed of an addiction psychiatrist, psychologist, internist, nurses, creative arts therapists, clinical social workers, and substance use counselors.

Interns have the opportunity to expand and enhance their clinical skills with a particular focus on developing knowledge of different classes of substances; proficiency in conceptualizing cases that involve co-occurring disorders; and the ability to design and implement evidence-based treatment plans for this population. Interns participate in initial evaluations, carry individual psychotherapy patients, and co-lead psychotherapy groups. No prior experience with substance use disorders is needed. Interns from any track may select this as one of their rotations.

Child and Adolescent Comprehensive Psychiatric Emergency Program

The Child and Adolescent Comprehensive Psychiatric Emergency Program (C-CPEP) provides comprehensive psychiatric services including triage, psychiatric evaluation, and extended observation in the C-CPEP emergency room and interim crisis clinic. The C-CPEP serves a cross-section of child and adolescent patients with diverse psychiatric presentations.

In the C-CPEP, the intern serves as a primary clinician and is responsible for diagnostic evaluation, mental status exam, and discharge planning. Interns on this rotation gain experience in rapid psychiatric assessment and differential diagnosis through training and refinement of interviewing techniques, conducting mental status exams, and providing brief psychotherapeutic crisis interventions for children, adolescents, and families. Interns also have the opportunity to provide individual psychotherapy and co-lead group treatment for patients admitted to the extended observation unit or the interim crisis clinic.

Child and Adolescent Psychology Track interns may select this service to satisfy their second child- or adolescent-focused rotation. Adult and Forensic Psychology Track interns may also select this service as one of their rotations. No prior experience working with children or adolescents is needed.

Child and Adolescent Outpatient Psychiatry Clinic

The Child and Adolescent Outpatient Psychiatry Clinic rotation serves patients under 18. Interns have the opportunity to evaluate and treat a broad spectrum of developmental and psychiatric disorders, participate in a multidisciplinary team, and receive supervision according to a variety of theoretic approaches.

While on rotation, interns conduct two initial evaluations a week, which include obtaining a psychosocial and developmental history, conducting a mental status examination, obtaining collateral information, arriving at an initial diagnosis, and initial treatment planning. In addition, interns co-lead three outpatient psychotherapy groups a week tailored to specific age groups and parenting needs, as well as multifamily groups. Educational activities include supervision and ongoing didactics, including weekly seminars, case conferences, and Child and Adolescent Psychiatry Grand Rounds.

Child and Adolescent Psychology Track interns may select this service to satisfy their second child- or adolescent-focused requirement. Adult and Forensic Psychology Track interns may also select this service as one of their rotations. No prior experience working with children or adolescents is required.

Child and Adolescent Partial Hospitalization Program

The Child and Adolescent Partial Hospitalization Program (CPHP) offers comprehensive training in the diagnostic evaluation and clinical treatment of children aged 5 to 17 presenting with a variety of psychiatric problems, including mood and anxiety disorders, psychotic disorders, behavioral disturbances, and emerging personality disorders.

The program provides intensive psychiatric treatment to decrease the number of inpatient hospitalizations and offers a dynamic training experience that serves patients at the intersection of inpatient and outpatient care. The CPHP works in close collaboration with PS 35M, a New York City Department of Education special education school located within NYC Health + Hospitals/Bellevue. All CPHP patients attend PS 35M and receive their psychiatric care (psychopharmacology, individual, group, family, and milieu therapy) in the CPHP.

Interns serve as the primary clinician for one or two patients and as the co-leader of one or two groups. While on this rotation, interns participate in team rounds, didactics, school consultation, and family meetings. Trainees may also have the opportunity to conduct psychological assessments. The CPHP team consists of psychiatrists, a psychologist, social workers, and nurses and offers important training opportunities in the coordination of care with various educational and child welfare services, including the Department of Education, the Association for Children’s Services, foster agencies, inpatient units, and case management agencies.

Child and Adolescent Psychology Track interns may select this service to satisfy their second child- or adolescent-focused requirement. Adult and Forensic Psychology Track interns may also select this service as one of their rotations. No prior experience working with children or adolescents is required.

Child Inpatient Psychiatry Service

The Child Inpatient Psychiatry Service serves patients aged 3 to 11 who experience a wide range of psychopathology. Interns gain experience managing disruptive behavior that is typical of younger patients.

Interns act as primary clinicians for one to two patients at a time diagnosed with post-traumatic stress disorder, mood disorders, attention deficit hyperactivity disorder, and autism spectrum disorder. Interns also contribute as co-leaders of a psycho-education, cognitive–behavioral therapy, and coping skills group. While on this rotation, interns participate in morning rounds, treatment planning conferences, case conferences, and family meetings. Interns also learn child-targeted skills for managing behavioral outbursts and working to maintain a therapeutic milieu.

As primary therapists, interns coordinate patients’ overall care under the supervision of a psychologist and two psychiatrists. Interns have opportunities to coordinate with outside agencies and systems, including schools, residential treatment facilities, state hospitals, foster homes, courts, and the Administration for Children’s Services. There are also occasional opportunities to engage in neuropsychological and psychological assessment.

Child and Adolescent Psychology Track interns may select this service to satisfy their inpatient requirement. Adult and Forensic Psychology Track interns may also select this service as one of their rotations. No prior experience with working with children or adolescents is needed.

Comprehensive Psychiatric Emergency Program

The Comprehensive Psychiatric Emergency Program (CPEP) offers services including triage, psychiatric evaluation, and extended observation in the CPEP emergency room. CPEP serves a cross-section of patients with diverse psychiatric presentations and evaluates more than 700 patients each month.

This rotation provides interns experience with in-depth rapid psychiatric assessment, psychopharmacology, and differential diagnosis. Intern training focuses on refining interviewing techniques, conducting mental status exams, providing brief psychotherapeutic crisis interventions, and administering brief cognitive screenings.

In the CPEP emergency room, interns serve as primary clinicians and are responsible for diagnostic evaluation, mental status exam, and disposition planning. One day per week, interns work in the interim crisis clinic. Patients receive brief crisis intervention services, including continued evaluation, psychotherapeutic interventions, and referrals for follow-up psychiatric care. Interns provide short-term crisis intervention and have the opportunity to accompany Bellevue’s mobile crisis unit into the community to conduct psychiatric evaluations.

Concurrent supervision is provided for each case by experienced psychiatrists and psychologists. There is a weekly case conference conducted by a psychologist or psychiatrist focused on clinical interviewing skills. Interns participate in seminars and observe psychiatric interviews. This rotation is open to interns on any of the tracks.

Forensic Inpatient Psychiatry Service

The Forensic Inpatient Psychiatry Service provides acute psychiatric care to individuals who have been charged with a criminal act. Patients on this unit may be pre-arraignment, awaiting trial, or post-conviction. Interns serve as the primary therapist for one or two cases. This role includes conducting an initial intake interview, meeting with the patient three times each week for individual psychotherapy, participating in weekly treatment team meetings, and preparing a discharge summary. Interns also co-lead a psychotherapy group with a member of psychology staff. The treatment team psychologist provides supervision for individual and group therapy and whenever possible, interns are encouraged to provide supervision for other trainees on the unit.

This rotation is mandatory for Forensic Psychology Track interns and is open to interns on other tracks. No prior forensic experience is necessary.

Inpatient Rehabilitation Medicine Service

The Adult Inpatient Rehabilitation Medicine Service comprises two units, the brain injury unit and general rehabilitation medicine unit. The units serve patients with a wide range of medical diagnoses, including traumatic brain injury, stroke, spinal cord injury, amputation (traumatic and disease induced), neurological disorders such as Parkinson’s disease and multiple sclerosis, chronic pain, and physical deconditioning due to illness or disease. Patients may have pre-morbid psychiatric disorders that impact their medical conditions or may develop psychiatric symptoms as a result of certain diagnoses.

Interns work in consultation with other members of the treatment team and conduct intake interviews; formulate psychological diagnoses; conduct short-term individual psychotherapy; perform psychological, neuropsychological, and educational assessments as needed; provide documentation in the medical record for those patients; and assist with mental health service disposition planning. Interns also attend and participate in interdisciplinary case conferences and family meetings.

Interns from all three tracks can select this as one of their rotations. No prior experience with rehabilitation medicine is needed.

Neuropsychology and Psychological Assessment Service

The Neuropsychological and Psychological Assessment Service rotation allows interns to gain specific experience in assessment of adults with a broad spectrum of psychiatric, neurological, and various other medical conditions.

During this rotation, interns develop a better understanding of brain–behavior relationships and strengthen their assessment skills, including their ability to select, administer, and score neuropsychological measures; interpret tests results; conceptualize cases; and effectively communicate the findings to patients and referring clinicians. Supervision emphasizes best practices of psychometric principles and psychological assessment.

Interns also participate in a variety of didactics, including a weekly neuropsychology seminar, journal club, professional development issues, and case presentations; a weekly neuropsychology case conference, which includes clinicians from different local neuropsychology training sites; and a weekly multisite neuropsychology didactic seminar. Educational and practice opportunities available through this rotation are consistent with the Houston Conference guidelines for training in clinical neuropsychology.

This rotation is open to interns on any of the tracks. Prior experience is valuable, though not required.