Pediatric Acute Treatment Track

Interns will spend approximately six months as part of the Mood and Anxiety Program (MAP). During this rotation, they provide interventions during group and individual sessions. They will have the opportunity to participate in intensive outpatient programming as part of the Anxiety and Avoidance program and social anxiety group. Interns assist with leading or co-leading group sessions for teens or parents, depending on interests and goals. Based on interest, interns may also have opportunities to shadow experiences with the comprehensive DBT program. Opportunities to participate in intensive obsessive-compulsive disorder treatment groups may be available pending scheduling.

During this rotation the intern will serve patients and families on the child and adolescent inpatient psychiatry units. This rotation provides training in empirically-supported assessment and treatment of severe mood, anxiety, behavioral, and co-morbid conditions in an inpatient setting. The intern will be integrated into a multi-disciplinary team that is comprised of psychology, psychiatry, nursing, nurse practitioners, behavioral health clinicians, milieu staff, OT, and TR. Interns participate in interdisciplinary rounds and case conference, co-facilitate inpatient DBT/CBT groups, and provide individual crisis-focused therapy to further hospitalization goals. Opportunities for parenting interventions may be available.

The Psychosis Clinic is a multidisciplinary clinic focused on the treatment of youth with psychosis or bipolar-related disorder. Interns will participate in two half-days of clinic during the week. As part of clinic, interns will carry a caseload of 4-6 individual cases focused on use of CBT-P with adolescent patients and families. Interns will participate in clinic rounds, seminars, and various educational opportunities. Interns may have opportunities to support program development and quality improvement projects if available and interested.

The partial hospitalization program provides intensive services to youth ages 13-18. The intern will attend all multidisciplinary rounds and team meetings and participate in treatment planning. Interns will assist with the facilitation of daily therapy groups and provide individual and family therapy, gaining experience with crisis focused assessments.

Interns will complete an assessment rotation alongside work in MAP. Interns will have the opportunity to complete psychoeducation and diagnostic assessments for youth of various ages, with expected completion of 3-6 reports by the end of rotation. Interns will have established testing and report-writing time as part of their weekly schedule.

During this rotation, interns will be embedded into the consultation/liaison team, which serves youth admitting medically for variety of presenting concerns, including suicide attempts, self-harm, psychosis/catatonia, or a primary medical issue (e.g., encephalitis). Interns will participate in daily psychiatry table rounds individual- and family-based consultation, and interdisciplinary behavior planning/consultation.

Interns will be able to choose additional clinical experiences, primarily shadowing in nature. Opportunities include:

• Youth Crisis Stabilization Unit: interns will have the opportunity to observe family- and individual-based crisis intervention as part of the stabilization unit.
• Psychiatric Crisis Department/Extended Observation Suite (PCD/EOS): interns will be able to shadow clinicians during crisis assessments and observe individual/family intervention for youth boarding in EOS.
• Center for Suicide Prevention and Research (CPSR): Interns will be able to participate in the Signs of Suicide (SOS) program, an evidence-based program aimed at increasing awareness of suicide risk factors and warning signs and provides students with opportunities for screening and support. The intern will be able to observe staff training and assist with screening and risk assessment processes.