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Emory Healthcare - Emory Brain Health Center

Emory's Brain Health Center combines psychiatry and behavioral sciences, rehabilitation medicine, neurology, neurosurgery, and sleep medicine to offer complete, coordinated care for disorders of the brain. Bringing these specialties together allows more than 400 researchers and clinicians from different specialties to work in collaboration to more rapidly predict, prevent, treat, or cure devastating diseases or disorders of the brain. These unique collaborations are demonstrated in some of the more than 20 centers and programs with in the Brain Health Center. Emory's Brain Health Center is based on a model of collaborative, interprofessional patient care that is individualized.

Emory Neurobehavior and Exposure Clinic (ENEC). This placement, which is within the Division of Child, Adolescent and Young Adult Programs in the Department of Psychiatry and Behavioral Sciences, allows the resident to work with a multidisciplinary team to provide diagnostic and intervention services to children and adolescents, 0-21, exposed to alcohol and other drugs, illicit and prescription, and their families as well as children with a history of abuse/neglect and foster placement. The multidisciplinary team includes psychologists, physicians, and educators. The ENEC Clinic serves a diverse community with a wide range of developmental and behavioral problems and provides a comprehensive experience in developmental psychopathology. Typical problems of children presenting at the Clinic include fetal alcohol spectrum disorders, prenatal exposure to cocaine and prescription drugs, learning and developmental disorders, behavioral and emotional disorders associated with abuse, neglect and institutionalization, issues associated with international adoption or foster care and a variety of genetic disorders. A Medication Management Clinic is part of the activities of ENEC. The resident's clinical activities include participation in interdisciplinary diagnostic evaluations, individual evaluations, therapy with children and families, and interactions with other educational and social agencies. In addition, as part of ongoing research activities, residents can participate in community intervention, development of educational methods, and evaluation of research outcomes. As part of the Department of Psychiatry and Behavioral Sciences at Emory University School of Medicine, residents can participate in prevention activities that include the design and implementation of workshops and teaching modules, as well as outcome research. Under the supervision of the primary investigators, residents may design and carry out their own independent research or prevention activities as well.

Division of Rehabilitation Neuropsychology: Adult Neuropsychology. The Division of Rehabilitation Neuropsychology is an integral part of the interdisciplinary Department of Rehabilitation Medicine. Based largely in the Emory Rehabilitation Hospital (ERH), it is part of Emory Healthcare, which is the largest most-comprehensive health system in Georgia with more than seven hospitals and 1,800 hospital beds. As an academically based medical treatment center and a division of the world-renowned Emory University School of Medicine, we have access to state-of-the-art technologies and the collaborative resources of a full range of specialty and sub-specialty physicians. As the ERH is located on campus of Emory University, the resident has access to exciting opportunities at both Emory University Hospital and Emory University. It includes a 56-bed adult inpatient facility that offers comprehensive inpatient services for Adults with Stroke, Brain Injury, Neurological Disorders, Spinal Cord Injury, Amputation, and other orthopedic conditions. Additionally, ERH offers comprehensive outpatient rehabilitation services for individuals following inpatient rehabilitation. Consults are received from various departments within the Medical School including Rehabilitation Medicine, Neurology, the Emory Epilepsy Center, Psychiatry and Behavioral Sciences, Neurosurgery, and Cardiac Surgery. Services include neuropsychological assessment, cognitive rehabilitation, individual psychotherapy, behavioral health interventions, and amobarbital testing and cortical mapping in seizure surgery candidates. Faculty provide consultation to interdisciplinary teams on cognitive and behavioral disorders and play a vital role in developing rehabilitation programs for persons recovering from stroke, traumatic brain injury, tumor surgery, and other conditions affecting the central nervous system. Rehabilitation neuropsychology faculty also maintain an active research program and serve as project directors or consultants on federal grants.

The postdoctoral residency in adult neuropsychology meets International Neuropsychological Society/APA Division 40 training guidelines. The program has been approved for affiliation by APPCN. Neuropsychology residents only participate in the Emory University School of Medicine Postdoctoral Residency Program in Health Service Psychology during the first year of their residency.

The residency provides two years of intensive training and supervised clinical experience in neuropsychological diagnosis, cognitive rehabilitation, and team consultation. Neuropsychological assessments incorporate both quantitative and qualitative approaches to testing and are focused on the diagnosis of cognitive syndromes, the specification of functional strengths and weaknesses, and the development of detailed and practical recommendations for patient rehabilitation. The approach to cognitive rehabilitation emphasizes the enhancement of real world performance using compensatory aids and strategies. Residents conduct neuropsychological examinations (including Wada testing and corticol mapping assessments), provide feedback to patients and family members, provide consultation to rehabilitation teams, develop and carry out cognitive rehabilitation programs, and acquire supervisory skills as they work with practicum students and technicians. Optional supervised psychotherapy experiences also are available.

In addition to receiving individual supervision, residents participate in a variety of conferences and seminars including Rehabilitation Medicine, Neurology, and Psychiatry Grand Rounds, as well as Neuropsychology Case Seminar, Epilepsy Case Conference, and Neuropathology Rounds.  Residents are involved in research and are expected to develop a research idea by the end of the first year and to conduct a study during the second year. Residents are provided with supervised grant writing experience. 

Division of Rehabilitation Neuropsychology: Rehabilitation Psychology. The Division of Rehabilitation Neuropsychology offers one full-time training opportunity in Rehabilitation Psychology at ERH. The program’s main objective is to educate and prepare the resident to function independently as a rehabilitation psychologist. It prepares the resident to incorporate cultural issues associated with treatment of injuries and illnesses through psychological/neuropsychological assessment and treatment. The position aims to develop the resident’s competencies recognized by ABPP-RP: assessment and intervention skills with individuals and their families adjusting to physical and/or cognitive impairment, clinical consultation, multidisciplinary collaboration, and ethical and professional issues. The majority of the resident’s time is spent providing inpatient rehabilitation services and outpatient Cognitive Rehabilitation Therapy. The inpatient rehabilitation services include conducting cognitive assessments,  providing assessments and interventions to assist patients with coping and adjusting to medical condition, addressing substance use, providing pain management, facilitating communication between patients and medical teams, implementing behavior management plans, providing family supportive services, educating patients and families, and consulting to the team. The resident attends interprofessional rounds and provides psychological/neuropsychological findings to the medical team. In conjunction with providing inpatient rehabilitation services, the resident conducts outpatient Cognitive Rehabilitation Therapy; this is a major focus of their training. The resident also provides outpatient rehabilitation psychological services to patients referred post-rehabilitation discharge. Additionally, the resident completes minor rotations based on approval from the supervisor and availability of that rotation. These minor rotations include Adult Outpatient Neuropsychological Evaluation, and Brain and Sports Injury. The resident is expected to complete one program development project on each rotation, in consultation with the resident’s supervisor. Additionally, a case presentation is required periodically during the weekly Neuropsychology Case Seminar. The resident is provided with a unique opportunity to collaborate with ERH health professionals regarding research. The resident collaborates on one program evaluation or research project for the year.