Specific goals vary with each intern's needs and experiences, and are achieved through three four-month rotations with experiences in the areas of child psychology, adult psychology, and an elective experience. Each intern begins the year in one of the three general areas and rotates through the remaining areas as the internship year proceeds. Throughout the year, each intern also works on various services funded through the state mental health grant and provides intake, assessment, and intervention services to seriously mentally ill adults.
During the Adult rotation, the intern works in several service settings at Grady Health System.
Within the Adult Outpatient Clinic, the intern works within the Crisis Intervention Service, a 24 hour psychiatric emergency service. Interns typically provide group therapy, crisis intervention, and individual therapy to individuals (and their families as appropriate) who are in the midst of a psychiatric emergency. Patients on this service sometimes are admitted to a psychiatric hospital, or have an outpatient follow-up plan to address their particular psychiatric needs.
On the Milieu Inpatient Unit, the intern is responsible for psychological assessment, attendance at various ward meetings (including a weekly interdisciplinary case conference), group therapy with inpatients and consultation with psychiatry residents. The intern conducts both brief and comprehensive psychological testing with the adult inpatients (about 2/month) on this service. Test results are usually presented at the weekly adult case conference as part of the comprehensive patient presentations. Assessments are individually tailored to meet the referral questions, thus there is not a “standard battery” which is used. Typical questions include issues of cognitive and emotional functioning, and differential diagnosis. The intern also may function as a consultant to staff and other trainees on specific behavioral interventions and formulations. Patients on the unit are quite varied in diagnoses and presenting problems and the intern usually is able to work with patients with varying ranges of functioning and types of psychopathology.
On the NIA and WITT services, the intern provides individual and group therapy to outpatients who have an extensive trauma background utilizing evidence based approaches including compassion meditation, DBT, STAIR-NST, and cognitive processing therapy among others.
During the Child Rotation, the intern works in three child focused service settings; a Pediatric Consultation and Liaison Service Experience at the Infectious Disease Program, the Hughes Spalding Children’s Hospital, and the Emory Child Outpatient Training Clinic; and at the Psychosocial Rehabilitation (Day Treatment) Clinic.
On the Pediatric Consultation and Liaison Service Experience, the intern participates as a member of an interdisciplinary team whose function is to provide psychological services for children who attend an outpatient medical clinic involved in working with children and families with HIV. In this role, the intern provides consultation to the medical staff regarding diagnosis and child management, makes recommendations for follow-up care, and works directly with the child and family in providing therapeutic services.
At the Hughes Spalding Children’s Hospital, in the Outpatient Pediatric Appointment Clinic, the intern is responsible for completing about three psychological assessments each month. Children ages 2 to 16 are referred for psychological evaluations with a variety of possible problems: attention deficit disorder, mental retardation, learning disabilities, adjustment problems associated with medical conditions, and other emotional/behavior problems. Weekly duties involve the administration, scoring and interpretation of an appropriate test battery that may include measures of cognitive abilities, achievement, and personality functioning; participation in supervision; report writing; feedback to parents and the referring physician; and making recommendations that may involve consultation and coordination with schools and/or other agencies.
The Emory Child Outpatient Training Clinic provides evaluation and treatment for youth ages 3 through 17. In this setting, the intern carries short-term (2-16 sessions) therapy cases and evaluates children and their families as appropriate.
The Psychosocial Rehabilitation (Day Treatment) Clinic provides mental health services to adults between the ages of 18 and 65, who have chronic and persistent mental illnesses (primarily the schizophrenia spectrum, major depressive disorder, and bipolar disorder.). The psychosocial rehabilitation program stresses empowerment of the consumer, successful community reintegration, relapse and re-hospitalization prevention, and recovery. Consumers are present at least 5 hours per day for 3 to 5 days per week. They are involved in psycho-educational and vocational rehabilitation skills building groups. The intern provides short-term individual therapy (16 or fewer session with a caseload of 2 to 3 consumers), family therapy, and group therapy with the young adults ages 18-25 on this service. The intern provides psychological testing and evaluation primarily for diagnostic clarification, cognitive functioning, and strengths assessment. As part of a multidisciplinary treatment team, the intern provides feedback, recommendations, and consultation to treatment team and other mental health providers. Participation in weekly supervision, supervising a practicum student, and consumer discharge planning are included duties.
The Elective Rotation presently can be divided into a major elective and a minor elective and consists of approximately 16 hours per week. The primary goals are to give interns a chance to work in areas within the Grady Health Care System in which they have a special interest, and to allow interns the opportunity to gain more supervised experience in needed areas to round out potential weaknesses. Typical major electives consist of working in the Infectious Disease Clinic (HIV), Forensics Service, and a Group/Family rotation. In addition interns work in the Adult Outpatient Service for up to 16 hours per week.
In the Adult Outpatient Service the intern is responsible for the initial assessment and case management of outpatient adults, consultation with other staff, psychotherapy follow-up and appropriate disposition planning of their patients, and psychological assessment. The intervention services typically consist of brief treatment (8 session) outpatient services and treatment focuses on targeting specific symptoms and extensive after care planning.
Some electives have prerequisites and interns interested in those electives should assess their credentials to insure their acceptance to those experiences. The elective experience may also involve additional experience in one of the child or adult service areas that are part of the required rotations, electives which the intern develops in areas of individual clinical or research interest, or other experiences in the following:
Elective Experiences: * Prerequisites required
Infectious Disease Clinic, Adult and Pediatric HIV
Family Violence Grady NIA Project
Adult Neuropsychology *
Psychodynamically Informed Psychotherapy