APPIC Program Match Number 150917
Number of Internship Positions: 1
Nikki Powell, PsyD, BCBA-D
The Pediatric Acute Treatment track (PAT) is dedicated to training interns in the treatment of children and adolescents in acute care and brief treatment settings. The PAT intern will conduct most of his/her clinical work on the Inpatient Psychiatric Unit (IPU) and with the Mood and Anxiety Program (MAP), with rotations/experiences in MAP Intensive Outpatient Program (MAP IOP), Psychiatry Consult/Liaison, the Center for Suicide Prevention and Research (CSPR), and the Psychiatric Emergency Evaluation Center (PEEC). The faculty providing supervision and training includes eight clinical psychologists, and the larger behavioral health team has access to nine other clinical psychology faculty for preceptor and mentor experiences.
The PAT intern participates in a variety of treatment, assessment, and prevention services for individuals who require acute care. Treatment experiences include brief individual, child & parent, and family therapeutic interventions in inpatient psychiatry; ongoing outpatient intervention and group facilitation in intensive outpatient programs; participation in community support and suicide awareness programs; and consultation and intervention for individuals receiving care on medical floors.
The IPU at Nationwide Children’s Hospital provides innovative and evidence-based care for children aged 3-17 years who require psychiatric stabilization and intervention. Throughout the year, the intern participates in initial psychosocial and diagnostic assessment to inform treatment throughout the stay; develops an appropriate treatment plan utilizing evidence-based brief CBT and crisis intervention strategies; conducts individual and family treatment sessions multiple times daily; works collaboratively with families and patients to establish effective safety plans and coping skills to prevent future crises; and assists with discharge planning and care coordination to establish a post-hospitalization plan for ongoing care at the appropriate intensity to foster continued progress. During this rotation, the intern receives exposure to trauma informed care and developmental trajectories, from a child and parent psychotherapy perspective.
The Mood and Anxiety Program (MAP) experience runs simultaneously with the IPU. With the MAP program, the intern establishes and carries an outpatient caseload throughout the year, focusing on more intensive and acute cases. In addition, through MAP, the intern will complete approximately 10 psychological assessments (~1 per month, with room for variation) throughout the year. These assessments will most likely focus on diagnostic clarification for complicated cases seen by the program.
Secondary experiences include participation in the MAP Intensive Outpatient Program (IOP), including group planning and facilitation; rotation through the Psychiatric Emergency Evaluation Center (PEEC) conducting behavioral health assessments in the Emergency Department (ED) to inform level of care; experiences on the Psychiatry Consult/Liaison Service (C/L) assisting with assessment and stabilization during medical or boarding stays; and engagement with the Center for Suicide Prevention and Research (CPSR) participating in community outreach, prevention and education as well as the possibility for research opportunities.
The intern participates on the primary rotations throughout the week, and will be assigned opportunities and experiences in the other programs throughout the year. The duration and intensity of these additional experiences varies based on the structure of the program. For example, MAP IOP will consist of 4 weeks, 4 nights a week, while PEEC and C/L will be eight single days across a 2 month span (i.e. eight  Mondays). CSPR will be scheduled based on the relevance and timing of services needed in the community.
Besides traditional one-to-one supervision, the PAT intern participates in other educational activities. The first is the weekly Vertical Team supervision that engages the interns with case presentations to other trainees and faculty members. Interns receive feedback about intervention, assessment, case conceptualization, and ideas for recommendations and future goals. The interns will be expected to attend and participate in all case conferences, and will be expected to present at least two during the internship year.
The second experience is the weekly Intern Seminar. Intern Seminar is an opportunity for all Nationwide Children's interns, across all tracks, to come together to hear didactic presentations on programs, interventions, special populations, and other innovative topics from a variety of faculty, physicians, and clinicians within the hospital network. The interns will be expected to attend and participate in each Intern Seminar.
The PAT intern has the opportunity to participate in ongoing research projects. On the IPU, there are several Quality Improvement / Process Improvements projects ongoing. These projects inform organizational development, facilitating best-outcomes in psychiatric care, and promote reduction in more restrictive methods of care.
In addition, the PAT intern may have the option to participate in larger research studies through the Center for Suicide Prevention and Research, part of the hospital’s larger, nationally recognized, research program. Research participation is based on intern interest and the current state/availability/progress of projects. Research is not required for successful completion of the internship.
The PAT intern works five days per week, and is expected to see clients two evenings during the week. There is no “on call” coverage and interns typically work 40-50 hours per week.
Faculty based out of the Main Campus Hospital, within Community Behavioral Health, are responsible for training and supervising interns. Supervision takes different forms, including clinical supervision, mentoring, and/or didactic training.
Applicants who may be invited to interview for the Pediatric Acute Intern may have the following:
Direct supervised experience (e.g. live observation, audio or video taping) providing therapy and assessment services to children, adolescents, and families.
They have experience and comfort with acute populations and interventions within acute environments (i.e. crisis, intensive outpatient programs, inpatient care, partial hospitalization/day treatment programs, etc).
Experience with diagnostic assessment, personality, and other psychometric tools, as well as interpretation experience.
Familiarity with tenets of cognitive behavioral therapy (CBT) interventions and evidence-based treatments for children, adolescents, and their families.