The trauma track of the general internship experience is also based at Grady Health System. Currently there is funding for one intern on this track. The track consists of a year long experience working with women who have experienced domestic violence and have made a suicide attempt (Grady Nia Project). The Grady Nia Project is funded by the National Institute of Mental Health and the Centers for Disease Control and Prevention and focuses on the assessment and treatment of abused, suicidal, low-income African American women. The intern will work on the NIA team providing individual psychotherapy, group psychotherapy, and family therapy as appropriate to women who have been referred to the project. The intern will have both short and long term therapy experiences using a variety of therapeutic modalities including crisis intervention, cognitive-behavioral and insight oriented orientations. Additionally, the intern will be the therapeutic case manager for women who are part of the project when they are hospitalized on the inpatient unit and serve on the interdisciplinary treatment team on that service. The intern will also conduct both brief and more comprehensive outpatient and inpatient psychological assessments for women who are part of the project.
Through working on the Grady Nia Project, the clinical training for this position encompasses outpatient and inpatient experiences; psychotherapy (individual, family, and group); psychological assessment; and consultation within the context of a large, well funded, ongoing clinical research project.
Additionally the intern will be responsible for coordinating and implementing psychological prevention and intervention programs for the ongoing "Emory Needlestick Prevention Center" project for the Department of Medicine – Division of Infectious Diseases. The responsibilities for this component include: contacting all individuals exposed to bodily fluids or contaminated hospital equipment; assessing the mental health status of these individuals; offering them and providing psychotherapy as needed; helping coordinate services; and serving as a consultant to the interdisciplinary team.
Minor Rotations: The intern on the trauma track also will have the opportunity to have clinical experiences in other service settings on a rotational system (adult, child, elective). The clinical experiences will vary depending on the needs and preferences of the intern and are described above in the general track information.
As the setting for this track is within a larger ongoing clinical research project, the opportunity for research is also available. While the clinical duties of the intern will be paramount, it is anticipated and expected that the intern will also engage in the development and implementation of research projects, as well as assist with other aspects of the research components such as writing, literature review, data analysis, and manuscript and grant preparation.
In addition to the rotation experiences, all GIE interns (general and trauma track) carry three psychotherapy cases for the full year -- one child (play therapy), one adult (insight oriented therapy), and one case of the intern’s choice, i.e., child, adolescent, adult, family or group. The child and adult case are supervised in a group format with all of the GIE interns. The elective case is supervised individually. During supervision, attention is paid to the nature of the therapeutic relationship and factors that impact it from both the client and the therapist. Additionally, during the course of the year, within their rotations, interns are expected to utilize evidence based practice to inform their assessment and intervention with the patients. The Emory Psychology internship program is committed to train interns in evidence based practice with the appropriate modifications to our patient population. Given that each supervisor has specialized interest and expertise with evidence-based treatment approaches, it is embedded throughout the internship experience that interns, with the consultation of the faculty member on the particular clinical service, selects evidence-based interventions when possible.
The extensive supervision provided during the internship year is a major strength of the program, and typically ranges from 6-9 hours of supervision per week. The format for supervision varies with the setting, the supervisor, and the intern’s needs, and may include individual or group supervision, review of process notes, use of audio or videotapes, live supervision and/or co-therapy. Supervision may also include addressing the trainees’ personal and professional reactions to their clients in order to gain an understanding of transference and countertransference. During the course of the year, supervision will range from a heavily didactic experience in areas that the intern is lacking knowledge or experience, to being focused primarily on helping the intern achieve a clearer sense of identity as a professional psychologist. For example, in the Adult Outpatient Services Intake Clinic, an intern initially observes the supervising psychologist, then interviews the patient with the supervising psychologist, and finally sees the patient individually with immediate supervision following the interview. Psychological assessment follows a similar format, with more intense supervision early in the experience moving toward a case processing format as the intern makes gains toward independent functioning.
Rotation experiences are supervised through ongoing contact with the on site supervisor. Psychotherapy cases are supervised on an individual basis, or in a group format (1½ hour group supervision).
Also, various didactic experiences, conferences and seminars are available to interns including Psychology Intern Seminar (weekly), Psychiatry Grand Rounds (monthly), Child Psychiatry Grand Rounds (monthly), Adult Diagnostic Case Conference (weekly), Parent-Child Interaction Therapy Seminar (weekly for 6 months), Time Limited Dynamic Psychotherapy Supervision Group (weekly for 6 months), and Family Therapy Case Conference (weekly for 6 months).
Grady Health System is the largest general hospital in Georgia, and among the largest in the country. The hospital is maintained principally to provide medical care for the indigent and for emergencies from metropolitan Atlanta, and Fulton and DeKalb Counties. With its nationally acclaimed Emergency Care Center and Burn Unit, Grady Health System has the only level I trauma center in the region and serves as the ambulance provider for the city of Atlanta. The state's only Poison Center is housed at Grady, as well. The Diabetes Detection & Control Center, Georgia Cancer Center for Excellence, Comprehensive Sickle Cell Center, Primary Stroke Center and Avon Foundation Comprehensive Breast Center are also notable components of the health system. Moreover, Grady's Infectious Disease Program was named one of the top three HIV/AIDS outpatient clinics in the country. Other exceptional medical services include Grady's Regional Perinatal Center and its Neonatal Intensive Care Unit, the Primary Care Center, a dedicated 60 Plus service line for older adults, Teen Services, the Rape Crisis Center, and the 24-hour Advice Nurse Line.
Fully accredited by the Joint Commission on Accreditation of Healthcare Organizations, Grady Health System is an internationally recognized teaching hospital staffed exclusively by doctors from Emory University and Morehouse schools of medicine. Remarkably, 25 percent of all physicians practicing medicine in Georgia received some or all of their training at Grady. It is a 850+ bed inpatient facility with a broad array of outpatient clinics, which provides a full range of medical and psychiatric services to hundreds of thousands of patients each year. Over 90% of the patients served by Grady are people of color and the facility functions as a community hospital for over 50% of the African American population in Atlanta.
The Department of Psychiatry and Behavioral Sciences at Grady Health System also houses a full service mental health center (Central Fulton County Mental Health Center) that provides over 100,000 patient contact visits per year. Services include a milieu inpatient unit, crisis stabilization unit, psychiatric emergency service, child and adult outpatient clinics, child and adult consultation/liaison services, adult day treatment service, community outreach service and many more. Professional services at Grady Health System are provided under contract with Emory University School of Medicine, so that the flavor of the hospital is that of a teaching hospital. Grady is involved in training for nearly all the mental health disciplines: clinical psychology, psychiatry, social work, nursing, occupational and recreational therapy. Thus, there are many opportunities to engage in multidisciplinary seminars and treatment programs.
Emory University, located approximately 15 minute driving time from Grady, has the full range of university facilities available to psychology interns. Some psychotherapy cases are seen on or near the Emory Campus and while an Emory-Grady bus provides transportation between the Hospital Campus and the University Campus, automobile transportation is required on occasion.
The Division of Psychology within the Department of Psychiatry and Behavioral Sciences at Emory University School of Medicine has been training psychologists since the early 1960's. The internship program received APA accreditation initially in 1980 and has been fully accredited since that time. The Division also provides practicum training to graduate students from a number of local and regional doctoral programs in psychology. Additionally the Division supports a large and active postdoctoral fellowship training program in psychology in a variety of areas including but not limited to adults with serious psychiatric disorders, women's health, domestic violence, and child and pediatric psychology. The link to the postdoctoral fellowship program is http://www.psychiatry.emory.edu/psychology_postdoc_home.cfm. All psychologists are faculty members in the Department of Psychiatry and Behavioral Sciences or Pediatrics at Emory University School of Medicine, and are listed in the attached compendium. In addition, various psychiatrists and other physicians contribute to the internship as conference leaders, presenters or supervisors, and are listed in the attached compendium.