Psychiatry and Behavioral Sciences
Adding Elective Rotations to Customize Your Training
As mentioned elsewhere on this site, we pride ourselves in being able to offer our interns tremendous flexibility in and around the core rotations of all three Specializations. In fact, there is almost no limit to the number of ways in which the internship year at Montefiore Medical Center can be customized! For example, an elective rotation may be added in order to fill a gap in an your training (e.g., working in the Psychiatric Observation Suite as an elective for interns in the Child and Adolescent Specialization and Combined Specialization) or to expand upon your existing knowledge, skills, and abilities (e.g., learning how to apply CBT for patients with Insomnia through an elective in our behavioral sleep medicine program at the Sleep-Wake Disorders Center in the Department of Neurology). Each intern matching with us will be encouraged to think of his or her own specific interests and/or training needs and goals when considering which (if any) electives to add to the core rotations.
In addition to choosing which electives to add, interns are also able to choose how to structure certain electives, depending on the Specialization. For example, while the electives typically occupy either a half or full day per week for a minimum of 4 months, most can be made longer (e.g., up to 8 months), and certain electives can also either be woven into the week (e.g., reducing the caseload of an intern in the Adult Specialization in order to take on 1-2 child cases through our Child Outpatient Psychiatry Department) or be made into a more intense, 2-3 day rotations, often during the last month of the internship.
|2018-19 Interns and Faculty at the First Day Orientation Meeting.|
Current Elective Rotations
Addiction Psychiatry Consultation Service in Psychosomatic Medicine
Note: Required for the Adult Track but can be made into an elective for interns in the other tracks.
The Addiction Psychiatry Consultation Service in Psychosomatic Medicine provides consultation liaison services to medically complex patients with admixtures of physical, mental, social and health problems admitted to the general hospital with substance use related-co-morbidity. During this rotation, interns learn specific evidence-based interventions for substance abuse, including Motivational Interviewing and Harm Reduction and Relapse Prevention, while in the role of a consultant. Interns also learn how to screen for addiction problems, differential diagnosis (e.g., delirium versus toxicity), withdrawal management, use of appropriate psychotropic medications, pain management in the addicted patient, and how to formulate and implement an appropriate treatment plan for patients with co-occurring medical and substance use problems. Interns are part of a busy and visible teaching service team, including Psychiatry Residents, Addiction and Psychosomatic Fellows, and first year medical students and psychology externs, and interact with a range of other disciplines and treatment teams throughout the hospital. Individual supervision of at least one hour per week is provided by a licensed psychologist.
Anxiety and Mood Program (AMP) and the Adolescent Depression and Suicide Program (ADSP)
Note: Required for the Child and Adolescent Track but can be made into an elective for interns in the other tracks.
The Anxiety and Mood Program (AMP) at Montefiore Medical Center's Child Outpatient Psychiatry Department is a specialty program that offers evidence based interventions for children and adolescents with primary and comorbid anxiety, mood, and related disorders. AMP serves children, adolescents and emerging adults, ages 4 to 21 years old, and families from the surrounding Bronx communities. In this elective, interns will have the opportunity to conduct as least two comprehensive intake assessments (e.g., ADIS) and will serve as primary therapists for up to two youth cases of experiencing anxiety (e.g., social anxiety disorder, generalized anxiety, separation anxiety disorder, panic disorder, phobias, OCD, PTSD), depression, tics, trichotillomania, and/or related concerns. To the extent possible, elective cases can be selected for intern’s training preferences. During this rotation, interns will provide and receive weekly supervision on individual and family-based cognitive behavioral treatments (e.g., Coping Cat, Exposure/Response Prevention, Trauma-Focused CBT, Comprehensive Behavioral Intervention for Tics, Parent Management Training), and can elect to serve as co-leaders in Cognitive Behavioral Group Therapy for socially anxious adolescents, Behavior Regulation Movement Groups, or Skills Group for Adolescents with Eating Disorders. Interns will participate in multidisciplinary team rounds, and collaborate with teachers, school personnel, pediatricians, or other providers who may be involved in the child or teen's care. Interns also have the opportunity to participate in scholarly activities, including authoring articles, presenting at conferences, conducting research and leading workshops and in community service events for local groups.
The Adolescent Dialectical Behavior Therapy Program (A-DBT) is a specialty outpatient program within the Anxiety and Mood Program that serves teens exhibiting signs of emerging borderline personality disorder, which may include struggling with difficult-to-control emotions, impulsivity, and family conflict, as well as high-risk behaviors including suicidal thoughts and behavior, and non-suicidal self-injurious urges and behavior. Many of these adolescents have experienced significant trauma, and have comorbid anxiety, depression, and substance-use behaviors. During this elective, interns learn to conduct comprehensive diagnostic interviews and deliver comprehensive Dialectical Behavior Therapy. Interns serve as primary therapists for at least one individual DBT case and have the opportunity to co-lead a DBT multi-family skills training group or graduate group. As part of this elective rotation, interns learn crisis intervention skills. Interns will receive individual supervision and participate in a weekly DBT consultation team. Supervision is provided by Drs. Liza Pincus and Melissa Dackis.
Autism and Obsessive Compulsive Spectrum Program, Anxiety and Depression Program
For interns interested in working with children, adolescents and adults with autism and OCD spectrum patients, or adults with anxiety and depression, they may be assigned cases in the Autism and Obsessive Compulsive Spectrum Program or Anxiety and Depression Program. If interested, interns may also create a more intense research elective experience that would include participating in research studies on cannabinoids in autism, oxytocin in Prader Willi syndrome, vasopressin 1a antagonists for social communication in autism, neuromodulation with TMS and DBS in OCD and related disorders, and new treatments for intermittent explosive disorder and Tourette syndrome. Interns will participate in seminars and case conferences and scholarly activities. Supervision is provided by psychiatrist Dr. Eric Hollander and neuropsychologist Dr. Bonnie Taylor.
Becoming an Emerging Adult at Montefiore (BEAM) Program
The Becoming an Emerging Adult at Montefiore (BEAM) Program is a new multi-site specialty program that offers developmentally-informed, evidence-based interventions for emerging adults with a wide range of presenting concerns. The program offers assessment, treatment, consultation, education and training to improve our ability to meet the needs of emerging adults as they present to and transition among clinics across our hospital system. Interns who participate in this elective will receive specialized training in the unique developmental needs of emerging adults in both child and adult outpatient settings and how to adapt their treatment appropriately. Interns will serve as the primary therapist for individual emerging adults and will also have the opportunity to participate in scholarly activities, including authoring articles, leading trainings for staff throughout the hospital, and presenting at conferences. Supervision is provided by Dr. Amy Kranzler, Dr. Sandra Pimentel, and Dr. Amanda Zayde.
Behavioral Health Integration Program (BHIP)
The pediatric Behavioral Health Integration Program (BHIP) provides evidence-informed integrated behavioral health care for children and their families within Montefiore Medical Group. We provide Healthy Steps programming for prevention and intervention in children ages birth through age five, and treatment of (mild to moderate) anxiety, depression, attention/disruptive behavior disorders and trauma-related issues in school age and adolescent children. This program exists in 20 pediatric primary care sites which serve an estimated 90,000 children. Working alongside pediatricians, a multidisciplinary team of psychologists psychiatrists provide evidence informed behavioral health services across the pediatric lifespan (birth through 18+ years). The emphasis is on population health, and thus all pediatric patients receive mental health screens during routine medical appointments which allows the program to identify children with mild to moderate behavioral health symptoms and intervene in a preventative fashion.
When selected as an elective rotation, the intern will be assigned to a specific primary care site and learn to work collaboratively with a team of pediatric medical and behavioral providers. Interns will be expected to complete brief assessments, based on the use of appropriate screeners and clinical interview, and conduct short term interventions for mild to moderate mental health problems. Coordination of care between the intern and primary care provider (PCP), as well as relevant systems such as school and community resources, will ensure a comprehensive approach to assessment and treatment. Individual supervision of at least one hour per week will be provided by a licensed psychologist (Dr. Vanessa Pressimone and Dr. Teresa Hsu-Walklet). If the intern’s schedule allows, the intern will also have the opportunity to participate in monthly Pediatric BHIP-wide meetings that offer professional development training.
Butler Center for Children and Families
The Butler Center is a dual-licensed clinic for primary care and mental health, addressing issues of child abuse and neglect. The mental health clinic, a satellite of COPD (Child and Adolescent Psychiatry) is a full service OMH clinic with a psychiatrist, a psychologist, three clinical social workers and social work interns. A one day a week rotation with the OMH clinic at the Butler Center offers Psychology interns the opportunity to develop an essential awareness of how to treat trauma, whether it takes the form of sexual or physical abuse, exposure to domestic and/or community violence, a perilous immigration journey, or the living conditions of urban poverty. The ensuing symptoms of PTSD, anxiety disorders, depressive disorders and behavioral problems, including problematic sexual behaviors are addressed with evidence-based interventions such as: TF-CBT or Trauma-focused CBT; AF-CBT or Alternative for Families in cases of coercive parental behavior and risk for physical abuse; and PSB-CBT or Problematic Sexual Behavior CBT, or Problematic Sexual Behavior CBT, a program of concurrent groups for parents and children.
Services are offered in English and Spanish, responding to the needs of recent immigrants. Interns will also be able to familiarize themselves with the forensic part of the process of addressing abuse by observing some interviews conducted by a multi-disciplinary team (child protective service workers, forensic interviewers, pediatrician, nurse practitioners, detectives, social workers and ADAs or Assistant District Attorneys) although the bulk of the forensic phase now takes place mostly off-site. A licensed psychologist is available to provide individual supervision for at least one hour a week: Dr. Rachel Sheffet.
Case Management Support (CMS) and WeCARE Program
The CMS and WeCARE programs are funded by New York City's Human Resources Administration (HRA) to provide evaluation and case management services to substance abusing public assistance recipients (CMS) or those with medical and/or psychiatric disorders, with the goal of assisting them to engage in treatment, become clinically stable, and ultimately self-sufficient through employment. Interns selecting this rotation are able to conduct evaluations for employability, as part of a comprehensive case management program. Interns can also learn about disability and employability criteria and decision-making. Individual supervision of at least one hour per week is provided by Joanne Pearl, CSW or Alan Dubro, PhD.
Child Welfare Programs
The Family Treatment and Rehabilitation Program (FT/R) is dedicated to providing comprehensive child-centered, family-focused and strengths based services designed to address the safety and well-being of children and families in the Bronx impacted by a range of challenging family situations, including mental health and/or substance abuse concerns, domestic violence, trauma and poverty. The ultimate goal of the FT/R program is to support families whose children are at-risk for foster care placement. This is accomplished by bringing together formal and informal networks of individuals and agencies that work to support and strengthen families’ own capacity to meet its needs and nurture and care for their children in their homes. All families accepted into our FT/R program will receive clinical assessment, intensive case management, ongoing monitoring, and supportive service referrals. A subset of FT/R families is currently involved in Court Ordered Supervision (FT/R-COS) through the Bronx Family Court; this would entail frequent interface between families, child welfare providers, and the legal system. Finally, parents involved in the FT/R or FT/R-COS programs have the opportunity to be involved in a treatment study including the provision of the evidence-based Incredible Years and Seeking Safety interventions.
This rotation includes exposure to FT/R and FT/R-COS cases and offers a broad array of clinical training opportunities, including opportunities to conduct comprehensive clinical assessments with adults and children, to provide ongoing supportive services to families, and to serve as an integral part of an interdisciplinary FT/R team, committed to maintaining the safety and well-being of children and families in the Bronx. In addition, rotating interns may be able to co-facilitate Incredible Years and Seeking Safety sessions with clients. Supervision will be provided by Drs. Anita Jose, Melissa Ramrattan, Charu Sood and other trainers in the program.
The Cognitive Behavioral Sleep Medicine Program at the Sleep-Wake Disorders Center
The Cognitive Behavioral Sleep Medicine Program at the Sleep-Wake Disorders Center The Cognitive Behavioral Sleep Medicine (CBSM) Program at the Sleep-Wake Disorders Center provides interns with the opportunity to learn about the diagnosis and treatment of patients who have problems associated with sleep and wake. Interns can participate in the evaluation of patients who have insomnia, hypersomnia, narcolepsy, circadian rhythm disorders, nightmares, and difficulty adjusting to PAP therapy for sleep apnea. Interns will learn cutting-edge treatments, such as Cognitive Behavior Therapy for Insomnia (CBT-I), Systematic Desensitization for PAP Adherence, and Imagery Rehearsal Therapy (IRT) for Chronic Nightmares. Though mostly focused on work with adults, child and adolescent patients are occasionally seen. Interns are also given the opportunity to attend a weekly sleep-wake case conference. Individual supervision of at least one hour per week is provided by a licensed clinical psychologist and behavioral sleep medicine specialist: Dr. Sarah Silverman.
The Connecting and Reflecting Experience (CARE) Program
Program Note: Required for the Combined Track but can be made into an elective for interns in other tracks.
CARE, located at Montefiore Medical Center’s Child Outpatient Psychiatry Department - Wakefield Division, is an evidence-based innovative specialty program that offers mentalization-based group treatment to parents who experience difficulties in their ability to reflect upon their own and their children’s underlying mental states. CARE is a transdiagnostic program that integrates perspectives from attachment theory and developmental psychopathology and serves parents of children from birth-18 years old. This elective rotation is ideal for interns who are interested in group therapy, mentalization-based therapy/attachment theory, parenting interventions, and/or a deeper understanding of how clinical work informs research and research enriches clinical work. During this rotation, interns will receive training in mentalization-based therapy and will have the option to co-lead a parenting group. Interns will also participate in research examining treatment outcomes and attend weekly research team meetings. There is opportunity to engage in scholarly activities such as authoring articles and presenting at conferences, and to assist with program development and training such as co-leading workshops within the Montefiore Health System and the broader Bronx community. Supervision is provided by Dr. Amanda Zayde.
The Eating Disorders Program at Montefiore (EDPM)
The Eating Disorders Program at Montefiore (EDPM) The Eating Disorders Program at Montefiore (EDPM) is a multidisciplinary program with the Anxiety and Mood Program in the Child Outpatient Psychiatry Department and the Department of Adolescent Medicine at the Children’s Hospital at Montefiore (CHAM). Our program was formed due to the lack of availability of specialized treatment for low income patients presenting to our clinics with eating disorders. At this time there are no other outpatient clinics in New York City (all five boroughs) that provide specialized treatment for eating disorders for child and adolescent patients who have Medicaid. Additionally, our medical unit is one of the few in the area equipped to treat patients presenting with medical instability related to severe eating disorders. The EDPM provides evidence-informed care for children and adolescents (ages 5 – 21) presenting with Anorexia Nervosa, Bulimia Nervosa, Avoidant Restrictive Feeding and Eating Disorder (ARFID), and Other Specified Feeding and Eating Disorder (OSFED). In addition to interventions that target primary eating disorders, we provide comprehensive care that may also include treatment for depression, anxiety, PTSD, and personality disorders.
Interns doing an elective rotation in the EDPM may choose to work with patients on our inpatient medical unit (CHAM 6), our outpatient department, or a combination of both. Interns may also choose to participate in our ongoing research. Our inpatient unit admits patients with eating disorders presenting with medical instability. Once on this unit patients receive comprehensive medical and psychiatric assessments. Interns working on CHAM 6 will participate in every phase of treatment on the unit including initial assessment, individual and family therapy, and ongoing consultation with the medical team. Interns choosing to work with a patient in our outpatient setting will be assigned 1-2 cases with a primary diagnosis of an eating disorder. Our treatment program uses multiple evidence-based approaches including Family-based Treatment (FBT) and Dialectical Behavior Therapy (DBT). Interns may also participate in bi-monthly rounds with the Adolescent Medicine team, including Dr. Nancy Dodson and Alicia Hoffman, LCSW. Individual supervision of at least one hour per week will be provided by Dr. Michelle Lupkin.
Einstein Student Mental Health Clinic (ESMHC)
The Einstein Student Mental Health Clinic (ESMHC) serves culturally diverse medical students, PhD students, and postdoctoral trainees at Albert Einstein College of Medicine on Montefiore Medical Center’s Jack and Pearl Resnick Campus. This elective offers interns in all three specializations a unique opportunity to join a programmatic effort at Montefiore/Einstein to promote mental health literacy and increase the accessibility and suitability of mental health services to a culturally diverse and often highly stressed clinical population. The ESMHC employs a brief psychotherapy framework for most patients, which therefore requires efficient assessment, case conceptualization, and treatment planning, as well as a strong background in, and commitment to using, short-term evidence-based treatments such as CBT, DBT, and/or ACT. Interns will serve as the primary therapist for 5-10 individual therapy cases. Opportunities may also exist for interns to participate in program planning and implementation, assist in clinic initiatives to coordinate with Einstein to promote healthy mental health practices via campus outreach, co-lead a therapy group, and participate in scholarly activities, including authoring articles and presenting at conferences. Individual supervision of at least one hour per week is provided by a licensed psychologist, Dr. Ryan DeLapp.
Forensic Psychology Elective: EAC Diversion and Reentry Programs: Brooklyn, Bronx, Queens and Manhattan
EAC, a not-for-profit agency with a large criminal justice division, provides court-based diversion (alternative to incarceration) and jail-reentry services for individuals with serious mental illness involved in the criminal justice. EAC's program is designed to clinically assess defendants charged with felonies or misdemeanors for the presence of psychiatric and/or substance use disorders, refer eligible defendants to treatment in the community, monitor their progress, and communicate this progress to the court and other criminal justice partners. The goal of both the diversion and reentry programs is to help offenders with serious mental illness into appropriate community care, focusing on individualized approaches to rehabilitation and risk management.
The EAC team collaborates with the Brooklyn District Attorney's office, the defense bar, and thn treatment courts in all 5 boroughs to identify and evaluate individuals who may be appropriate for mental health diversion services. Using empirically-validated testing batteries, EAC provides in-depth diagnostic evaluation of the defendant including diagnostic, cognitive, personality, malingering, and violence risk assessment, and identifies appropriate treatment resources that can meet the needs of the individual. Results of the assessments are communicated to the courts via formal forensic reports.
Psychology interns will be part of a clinical team of masters level forensic case managers, a clinical social worker, a licensed psychologist and a psychiatrist. Trainees will be mostly involved in diversion cases although could also be involved in re-entry cases with clients that are difficult to engage or require psychological testing. Doctoral interns will conduct forensic psychological evaluations for the courts with a special focus on violence risk assessment, present cases to the psychologists and psychiatrist during clinical meetings and supervision, and become involved in treatment planning. Once a defendant has been accepted for diversion, interns may be responsible for making referrals to treatment providers, monitoring the individual for progress and compliance, and providing the courts with regular updates on treatment progress. Trainees will be involved in communications with defense attorneys, prosecutors and treatment providers involved in their clients' cases. Individual supervision of at least one hour per week is provided by Drs. Merrill Rotter and Melodie Foellmi.
For interns interested in working with older psychiatric patients, they may be assigned cases in the Geriatrics service of the AOPD. If interested, however, interns may also create a more intense elective experience that would include providing care at area nursing homes, conduct home visits, and participating in an array of inter-professional seminars and case conferences conducted in collaboration with the training program of the Division of Geriatric Medicine and comprehensive dementia assessments at the Center for the Aging Brain. Interns choosing this elective would also have opportunities to work with Holocaust survivors and participate in NIMH-sponsored research. Supervision is provided by geriatric psychiatrists Dr. Gary Kennedy, Dr. Alessandra Scalmati, and Dr. Mirnova Ceide.
Klau 2, Adult Inpatient Psychiatry
Klau 2 is a 22-bed, adult acute psychiatric unit within the main medical center. Klau 2 serves adults, ages 18 and over, presenting with a wide range of serious mental illness. Patients are offered a multi-disciplinary treatment approach that includes a broad range of traditional mental health services, as well as other wellness-oriented treatments designed to enhance recovery for those with mental illnesses. Individual, family, and group psychotherapy, creative arts, recreational, milieu and pharmacological therapies are employed in accord with the specific needs of the patients and assessed on an ongoing basis in treatment team meetings.
Upon admission, each patient is assigned to a primary therapist, a Psychology Intern or a Psychiatry Resident. Additionally, patients are assigned to a team comprised of an attending psychiatrist, psychologist, social worker, integrative behavioral therapists, nurses, mental health assistants, and trainees of various disciplines. This multidisciplinary team collaborates with the patient to create an individualized plan throughout treatment. The involvement of the patient's family and/or significant others (based on patient's needs and wishes), as well as outpatient treatment providers, is also sought to ensure a comprehensive disposition plan, so that the patient is returned to the community in a safe and expeditious fashion.
Psychology Interns on Klau 2:
For many psychology interns, the acute inpatient unit rotation provides a novel and unique opportunity to work with patients during their most vulnerable time of experiencing mental illness, reflecting the full spectrum of psychiatric disorders. By providing both assessment and treatment in this multidisciplinary setting, Interns learn how to apply their clinical knowledge base to this population, honing their skills in creatively collaborating with their supervisor and multidisciplinary treatment team, adapting evidence-based treatment to match patients’ current acute therapy needs, and assisting them through the most acute phases of mental illness towards their recovery.
During their rotation, Psychology Interns will acquire or further develop their skills in: comprehensive admissions assessments; differential diagnosis; acute individual, group, and family psychotherapy; as well as case formulation; treatment planning; case presentations; and preparation of progress notes and discharge summaries.
Treatment and supervision focus on the use of evidence based treatment models, modified and adapted to the setting and population, as part of a recovery-oriented model of care. Treatments include integrated treatment for co-occurring disorders, time-limited interpersonal therapy, strengths-based therapy, motivational interviewing, social skills training, dialectical behavior therapy, cognitive behavior therapy, illness management and recovery, family psycho-education, and psychopharmacology. Individual supervision of at least one hour per week is provided by a licensed psychologist: Dr. Sharon Spitzer.
Neuropsychology Assessment Service
Interns may elect to perform additional neuropsychological testing with adult, child, or pediatric inpatients and outpatients referred to the Neuropsychology Assessment Service. The Neuropsychology Service provides assessment and diagnosis of the cognitive and behavioral effects of various neurological and psychiatric disorders, including traumatic brain injury, dementia, stroke, multiple sclerosis, brain tumors, lupus, epilepsy, learning disabilities and attention deficit disorder. These batteries are supervised by a licensed psychologist who is board-certified in neuropsychology: Dr. Bryan Freilich.
The OnTrackNY program at Montefiore is a multidisciplinary treatment team serving adolescents and young adults with early psychosis. The OnTrack team provides comprehensive mental health services including individual and group psychotherapy, medication management, peer support, education/employment assistance, and family support. During this rotation, interns are trained in the evaluation and treatment of patients with a recent onset of psychotic symptoms such as hallucinations, delusions, and disorganized thinking. Interns also learn to utilize the recovery model of treatment and shared decision making with patients and their families. Supervision is provided by the team leader, licensed psychologist Dr. Lionel Wininger.
Psychiatric Observation Suite (POS) - Psychiatric Emergency Room
Note: Required for the Adult Track but can be made into an elective for interns in the other tracks.
The Psychiatric Observation Suite (aka the "Psych ER") is a five-bed crisis intervention service within the general Emergency Department, which is the busiest of all the city's hospitals, and the second-busiest emergency room in the nation. This rotation introduces interns to patients that are in an acute state of decompensation and distress. Interns learn to quickly diagnose patients, make triage and referral decisions, perform suicide and violence potential assessments, and do crisis intervention. Interns work closely with psychiatrists, nurses and social workers. Individual supervision of at least one hour per week is provided by the medical director, Dr. Paul Jayson.
Rose F Kennedy Children's Evaluation and Rehabilitation Center (CERC)
Rose F Kennedy Children’s Evaluation and Rehabilitation Center (CERC), in the Department of Pediatrics at Montefiore provides interns with the opportunity to work in the Group Attachment Based Intervention (GABI) an intensive parent-child intervention developed for families with birth to three children, when there is a concern about a parent’s ability to parent due to an array of psychosocial stressors. Families are referred to GABI by pediatricians, ACS, Family Court and preventive agencies. GABI is part of CERC which consists of a multi-disciplinary team of developmental behavioral pediatricians, psychiatrists, psychologists, and social workers, among other developmental specialists. Interns will learn how to conduct a trauma-informed clinical intake, including administering the Adult attachment Interview (AAI), the Parent and Child – Adverse Childhood Experiences Questionnaires , and behavioral health screenings. Interns will participate in GABI which includes dyadic psychotherapy, parent groups, child groups and video feedback sessions. Interns will also have one individual parental mental health case. GABI sites are located in all five boroughs and involve an online training in the model, monthly all team trainings with key experts in the field, in addition to quarterly video sessions reviewed in supervision. Individual and group supervision is provided by Drs. Anne Murphy and Hannah Knafo, as well as four LCSWs.
Substance Abuse Treatment Program (SATP)/New Directions Recovery Center (NDRC)
The Substance Abuse Treatment Program (SATP) and New Directions Recovery Center (NDRC) provide integrated substance use counseling, primary medical care and psychiatric services to over 1,000 patients. SATP provides methadone maintenance for individuals with opioid use disorder and NDRC offers intensive outpatient treatment for a range of substance use disorders, including alcohol, cocaine, cannabis, benzodiazepines and PCP. Interns will take part in several clinical opportunities including individual and group therapy, intake assessments, and crisis intervention. Interns will also work closely with a team of psychologists, addiction counselors, medical providers and other clinicians to provide integrative treatment services within a harm-reduction framework. SATP and NDRC are co-located at 2058 Jerome Avenue on the Burnside Avenue stop of the 4 train. Supervision is provided by Dr. Daniel Sullivan.
Supporting Healthy Relationships Program
This is a unique opportunity to gain experience working on a federally-funded relationship education research program serving couples in the South Bronx. The program, called Supporting Healthy Relationships (SHR), is designed specifically to enhance relationship skills and strengthen relationships for low-income couples in the greater NYC area. The curriculum utilized is Drs. John and Julie Gottman's Loving Couples Loving Children which was shaped by Gottman's many years of research on marital functioning. The curriculum has also been modified to fit our diverse community by adding aspects of Dr. Sue Johnson's Emotionally Focused Couples Therapy and the Prevention and Relationship Enhancement Program (PREP by Stanley & Markman). While most clinicians work with couples using therapy as an intervention, our program encourages a clinician's role in prevention, before couples are distressed. This rotation offers a broad array of clinical training opportunities. We provide opportunities to conduct clinical assessments with couples and individuals, co-lead relationship education groups, design and lead groups on topics of intern's choice, provide ongoing supportive services to couples, as well as contribute to marital research/program evaluation projects as available. Supervision will be provided by Dr. Traci Maynigo, as well as other trainers in the program.
Transplant Surgery Programs
The psychosocial service to the Transplant Surgery Programs provides consultation to all the solid organ transplant teams at the medical center. Psychiatrists, psychologists, consultation liaison fellows, and social workers are key participants in the multidisciplinary team that evaluates patients with congestive heart failure, liver diseases, and kidney failure. Interns will have the opportunity to carry a small caseload of transplant patients for individual psychotherapy, meet weekly for supervision, attend meetings for psychiatric/medical consult (when needed), attend selection meetings, observe and participate in multidisciplinary teams as they make crucial decisions related to transplant listing and treatment planning, participate in bedside evaluations/interventions, co-lead existing intervention/support groups, lead one or two psycho-educational group meetings on a topic of interest to them and pertinent to the patient population (mindfulness, reward planning, cognitive restructuring, insomnia, weight management, interpersonal effectiveness, etc.), and attend multidisciplinary psychiatric didactic meetings. The schedule for this rotation is flexible, and, within reason, can be tailored to an intern’s availability. The psychologist is on site Tuesdays, Wednesdays, and Thursdays, so the intern must be available for supervision on one of those days. Individual supervision of at least one hour per week is provided by Dr. Meredith Townes and Dr. Paula Marcus.
University Behavioral Associates
This is an innovative managed care company founded by the Department of Psychiatry at Montefiore Medical Center which delivers behavioral health services to a large population in the Bronx and Westchester. Interns choosing this research elective on behavioral population health will learn about patterns of utilization, models of health care reform, managed care, and reimbursement methodologies. Individual supervision is provided by Dr. Scott Wetzler.