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values and community service. The primary emphasis of the academic yearlong externship<br />

program is the continued professional development of the psychology extern and solid<br />

preparation for future intensive training, i.e. pre-doctoral internship, and eventual transition from<br />

advanced student to beginning professional.<br />

TRAINING PROGRAM AND TRAINING GOALS<br />

Under close supervision and support, psychology externs may gain clinical experience with a<br />

variety of psychotherapy modalities / approaches (individual, group, family, and couples),<br />

psychological and neuropsychological testing / assessments, while serving a population that<br />

encompasses a broad variety of ages, cultures, illnesses, and levels of functioning. It is important<br />

to note that the externship training staff encourages externs to communicate and pursue their<br />

clinical interests as available in the department.<br />

Further, a key educational component of the training program is the exposure to, as well the<br />

necessity of, working as part of a multidisciplinary team. This approach is vital not only to the<br />

comprehensive care of our patients, but also to the education of the trainee. By the end of the<br />

training year, externs would have acquired / further honed the skills, knowledge and flexibility to<br />

confront – proficiently, ethically and creatively – the challenges of working in an urban<br />

outpatient community mental health clinic and treating patients who present with emotional<br />

concerns that are multi-determined and compounded by various medical, cognitive,<br />

socioeconomic, and social / familial struggles.<br />

TRAINING OPPORTUNITIES<br />

Depending on trainees’ particularly clinical interests and training needs, externs may receive<br />

psychological or neuropsychological testing assignments, through which they will refine their<br />

respective skills in clinical observation, interviewing, cognitive testing, personality / emotional<br />

functioning assessment (objective and projective). Further, the dynamics of the testing patients’<br />

problems are explored and integrated in the context of familial, cultural and political factors.<br />

Externs may be assigned testing cases from any of the clinic units, and may have opportunities to<br />

evaluate children, adolescents, adults and older adults. Often, referral questions for assessment<br />

are wide-ranging and complex, including evaluation of a range of neuropsychological problems,<br />

learning disabilities and ADHD, developmental, psycho-diagnostic and psycho-educational<br />

evaluations.<br />

Regarding psychotherapy, externs may be assigned to work with child, adolescent, adult and<br />

geriatric outpatients who present with wide-ranging emotional concerns. Opportunities for<br />

individual, group, family and couples therapy may be available. Externs are encouraged to<br />

express their training needs and interests, as well to communicate any particular projects they<br />

would like to undertake, for example, forming a new group to address a specific problem area /<br />

concern (e.g. relaxation skills group for patients with panic disorder).<br />

Externs participate in weekly, face-to-face individual supervision with their assigned primary<br />

supervisor. Externs’ primary supervisors work closely with each extern to develop and monitor<br />

training goals. Additional supervision, including consultation on particular cases, may be<br />

arranged, as needed, and on a case-by-case basis.<br />

Externs have opportunities, and are strongly encouraged, to present individual cases in monthly

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