Pediatric Acute Treatment Track

APPIC Program Match Number: 150917

Number of Internship Positions: 1

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 with the Mood and Anxiety Program (MAP; outpatient therapy and intensive outpatient programs) and on the Inpatient Psychiatric Unit (IPU), Psychiatry Consult/Liaison, the Center for Suicide Prevention and Research (CSPR), the Psychiatric Emergency Evaluation Center (PEEC), Youth Crisis Stabilization Unit, and Psychology Consultation and Liaison.  

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.  

Yearlong Experiences

In the Mood and Anxiety Program (MAP), 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. Other opportunities in the MAP program include involvement in several groups. For example, the Intensive Outpatient Program (IOP) focusing on depression, the School Avoidance Group which involves experience with exposure for anxiety, and a Social Anxiety group. Interns may lead/co-lead the child or parent group.

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 and develops an appropriate treatment plan utilizing evidence-based brief CBT and crisis intervention strategies.  During this rotation, the intern receives exposure to trauma informed care and developmental trajectories, from a child and parent psychotherapy perspective.  

Rotations

Secondary experiences include participation in 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, lethality assessments, safety planning, and disposition planning in the community.  The intern will also participate in the Youth Crisis Stabilization Unit providing services to youth who are admitted for crisis management and Psychology Consultation and Liaison service during which the intern will assess and provide brief intervention to youth who are admitted with medical concerns. 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. 

Supervision

Besides traditional one-to-one supervision, the PAT intern participates in other educational activities.  PAT interns participate in 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.  PAT interns also participate in the Pediatric Psychology Seminar in which pediatric psychology faculty discuss cases and treatment as well as clinical services hour in which medical staff provide didactic information about different medical specialties.

Hours

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

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.

Successful Applicants

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.