Pediatric Acute Treatment Track

APPIC Program Match Number: 150917

Number of Internship Positions: 2

The Pediatric Acute Treatment track (PAT) is dedicated to training interns in the treatment of children and adolescents in acute care  across different treatment settings. The PAT interns will conduct their clinical work with the Mood and Anxiety Program (MAP; outpatient therapy and intensive outpatient programs), with minor rotations  on the Inpatient Psychiatric Unit, Psychiatry Consult/Liaison, the Center for Suicide Prevention and Research (CSPR), Youth Crisis Stabilization Unit and Psychology Consultation and Liaison.  

The PAT interns participate in a variety of treatment, assessment and prevention services for individuals who require acute care. Treatment experiences include brief individual, child and 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 interns establish and carry an outpatient caseload throughout the year, focusing on more intensive and acute cases. In addition, the interns will complete approximately ten psychological assessments (~1 per month, with room for variation) throughout the year. These assessments will  focus initially on cognitive functioning and learning, and later on diagnostic clarification for complicated cases seen by the program. Other opportunities in the MAP program include involvement in several groups (e.g., intensive outpatient program (IOP) for depression,  social anxiety). Interns may lead/co-lead the child or parent groups.

Rotations

The Behavioral Health Pavilion at Nationwide Children’s Hospital provides innovative and evidence-based care for children aged 3-17 years who require psychiatric stabilization and intervention. This rotation provides training in empirically-supported assessment and treatment of severe mood, anxiety, behavioral and co-morbid conditions in an inpatient setting. The interns will be integrated into a team that is comprised of psychology, psychiatry, nursing, nurse practitioners, social-workers, Milieu staff, OT and TR. During this rotation, the interns receive exposure to trauma informed care and developmental trajectories, from a child and parent psychotherapy perspective.

Secondary experiences include 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 interns will also spend time with clinicians in the Youth Crisis Stabilization Unit providing services to youth who are admitted for crisis management. During the Psychology Consultation and Liaison rotation, the interns will assess and provide brief intervention to youth who are admitted with medical concerns. 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 interns participate 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 PAT Specialty Seminar. This bi-monthly series will feature topics relevant to the acute and psychiatric populations. In addition, the interns will prepare 1-2 case presentations related to a scheduled topic. The PAT interns will have an opportunity to attend 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 interns work five days per week and are 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

Supervision faculty are based on the Main Campus Hospital, or in the Behavioral Health Pavilion (BHP). 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 Interns 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.