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The Clinical-Child track extends and deepens
the intern’s base of professional development and promotes a rich
understanding of the intrapsychic, familial, school, social and community/systems
aspects of child psychopathology and psychotherapy. Toward these goals,
the track provides intensive clinical and didactic experience in the range
of activities that comprise the role of the clinical-child psychologist.
Training is built around a core of experiences in treatment, assessment,
and consultation with children, adolescents, parents, families, school
and agencies. This training is integrated with a broad range of clinical
conferences. Emphasis is on the development of those clinical skills and
theoretical concepts that are essential for psychologists entering a variety
of career activities in the child mental health area. The track’s
theoretical orientation reflects an integration of intrapsychic, developmental,
family interactional, and cognitive-behavioral points of view.
Activities Experience in outpatient assessment covers the full
range of referral sources, problems, ages, diagnostic roles and procedures.
Interns participate as members of an interdisciplinary diagnostic team
conducting comprehensive evaluations of children and their families, often
including psychodiagnostic testing. Each intern’s outpatient psychotherapy
caseload is monitored to provide experience with different ages, types
of childhood disorders, and treatment techniques. In addition to individual
therapy with children and adolescents, interns also conduct family therapy,
conjoint treatment with parents, parent training groups, and short-term
interventions.
Throughout the training year, interns may participate in the following
subspecialty clinics and programs:
The Child Abuse Project provides interns with a
comprehensive and well-supervised experience in consultative, evaluative,
and treatment services to children who have been sexually abused. The
interns have the opportunity to observe and conduct interviews with
children and parents or caretakers, and then consult with the hospital’s
child abuse team.
The Attention Deficit Hyperactivity Disorders Program
is a nationally recognized center for the assessment and treatment of
ADHD. Children, adolescents, and adults referred to this clinic for
evaluation undergo a comprehensive protocol of rating scales, interviews,
and psychological testing. Interns work intensely in all phases of this
process and learn the skills required to handle ADHD referrals.
The COPE (Community Parent Education) Project project
is a specialized large group parent training program we offer to families
with challenging children. Interns learn the COPE model and can actually
help conduct these state-of-the-art groups. Such training in cost-effective
approaches to dealing with externalizing children is invaluable in today’s
health care climate.
ENHANCE (Excellence in Health Care for Abused and Neglected
Children) is a nationally recognized multidisciplinary (pediatrics,
child psychiatry, developmental pediatrics, social work) clinic which
provides comprehensive health care to children in foster care. An intern
involved with the ENHANCE Clinic will gain experience in diagnostic
interviewing, developmental evaluations, multidisciplinary consultation,
and systemic issues.
The Anxiety Disorders Clinic is a speciality clinic
designed to assess and treat children and adolescents with anxiety disorders
such as obsessive compulsive disorder, school refusal, agoraphobia,
generalized anxiety disorder, and panic disorder. Following a comprehensive
evaluation those referred for treatment are provided with state-of-the-art
treatment based on current research in the area of childhood anxiety.
Interns have the opportunity to observe and actively participate in
both the assessment and treatment process.
The Pediatric Psychopharmacology Clinic offers interns
the opportunity to explore how biological approaches can be integrated
into a child's treatment planning. Working with a child psychiatrist,
interns evaluate patients and learn appropriate decision-making regarding
the use of psychotropic medications.
The Anxiety Disorders Clinic is a specialty clinic designed
to assess and treat children and adolescents with anxiety disorders such
as obsessive compulsive disorder, school refusal, agoraphobia, generalized
anxiety disorder, and panic disorder. Following a comprehensive evaluation
those referred for treatment are provided with state-of-the-art treatment
based on current research in the area of childhood anxiety. Interns have
the opportunity to observe and actively participate in both the assessment
and treatment process.
Upstate Medical University’s Juvenile Trauma Center
serves children and families who have experienced trauma stemming from
abuse, violence, accidents, natural disasters, or death of a family member.
The center offers a 12 to 15 session protocol for symptom reduction that
focuses on the development of coping strategies and an understanding of
common reactions to trauma. Services are also offered for children who
may require longer-term treatment. Interns have the opportunity to observe
an ongoing psychotherapy case, actively participate in their own clinical
cases, and receive training in trauma-oriented cognitive behavioral therapy.
The Pediatric Psychopharmacology Clinic offers interns
the opportunity to explore how biological approaches can be integrated
into a child’s treatment planning. Working with a child psychiatrist,
interns evaluate patients and learn appropriate decision-making regarding
the use of psychotropic medications.
We offer three consultation experiences in the child area:
The Child and Adolescent Psychiatry Intake/Consultation Service
The gateway to the overall array of services in our Child and Adolescent
Psychiatry Clinic. Whenever parents call the clinic for an appointment,
a consultation is scheduled with a clinical child psychologist. The goal
of the consultation is to provide the family with some direction and to
determine the need for further services. Psychology interns have the opportunity
to be involved in this process by observing and/or actively participating
in the consultations.
The Family Oriented Pediatric Consultation
Involves implementation of a systems approach to managing cases in family
medicine.
Pediatric Consultation Service
A joint venture between the Departments of Child Psychiatry and Pediatrics,
affords pediatric attending physicians and residents the opportunity for
psychology consultation for their patients who present with emotional
and behavioral problems. Child psychology interns and pediatric residents
work closely with each other in this interdisciplinary approach to patient
care.
To extend and enhance the clinical experience, Child track interns spend
at least four months, part time, as participants in the Adult track seminars.
Child track interns can carry one or more adult psychotherapy cases.
Seminars
The Child Psychotherapy Seminar (1 hour weekly)
Devoted to a systematic examination of the theory and technique of the
treatment of children and adolescents. The review of literature, discussions
and presentations of case material are concerned with the structure, nature
and course of treatment. Generic issues in child psychotherapy are covered
and include: the beginning phase of treatment, the meaning and use of
play in psychotherapy, the interpretive process, and work with parents.
Throughout, clinical material is interwoven with readings and lecture
material. Interns also present material from their ongoing psychotherapy
with children.
The Child and Adult Diagnostic Testing Seminar (1.5 hours weekly)
Provides interns with a weekly opportunity to refine their skills in
the administration and interpretation of psychological tests. The goal
of the seminar is to provide a method of integrating and communicating
test results effectively. Particular attention is paid to the role of
testing in generating treatment recommendations. The flexible format of
the seminar encourages interns to present cases and explore special testing
topics.
The Observed Family Therapy Seminar (1.5 hours weekly)
Incorporates live and videotaped demonstration interviews, as well as
readings and discussion. Topics include the use of the family in diagnostic
assessment, consultation interviewing, and psychotherapy for families
with a variety of syndromes, including eating disorders, psychosis, behavior
problems, and physical illness.
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