1. Core Program
The STMHC outpatient mental health clinic provides comprehensive services to its patient population, thereby giving externs the opportunity to develop clinical skills. Services include intake and assessment, psychological testing, psychotherapy and crisis intervention. The patient population includes children, adolescents and adults, and spans a broad range of psychiatric diagnoses. The Child and Adolescent Service is a subunit within the outpatient clinic.
Treatment modalities include individual psychotherapy, group psychotherapy, brief therapy, marital therapy, family therapy, filial (parent-child) therapy and psychoeducational treatment with severely impaired adults. The clinic services a caseload of over 3,200 patients and provides upwards of 75,000 mental health visits per year, making it among the most active outpatient mental health programs in New York City. All 5 externs are expected to participate in the intake and screening process at the outpatient mental health clinic, to conduct psychodiagnostic testing in the clinic setting, and to carry a small caseload of clinic patients.
1. Child/Adolescent Outpatient Program
Externs working within the Child and Adolescent Services Unit receive training in a variety of functions performed by child psychologists in an outpatient clinic setting. Such an extern provides comprehensive services to a small caseload of child and adolescent clinic clients spanning a broad range of diagnoses. The services provided include individual and group psychotherapy, collateral contacts with parents, provision of concrete services, psycho-diagnostic testing, and intake and screening interviews.
2. Adult Outpatient Program
Externs choosing to emphasize adult outpatient treatment receive the equivalent of 2 days training per week in a wide variety of functions performed by psychologists in the public health sector. The adult outpatient extern provides comprehensive service to adult clinic patients spanning a broad range of psychiatric diagnoses. These services include individual and group psychotherapy as well as the provision of concrete services, psychodiagnostic testing, and intake and screening interviews.
3. Forensic Externship
The extern wishing to emphasize service delivery to forensic populations provides services within Project Second Try, a specialized treatment program for young sexual offenders. This program was inaugurated in 1991 with the help of a Federal grant from the Office of Juvenile Justice and Delinquency Prevention. The patient population includes children, from the ages of five to fourteen. As a rule, referred patients are mandated, as part of probation is required. The treatment protocols include intake assessment, psychological testing, individual therapy and group therapy. The approach combines cognitive behavioral and psychoeducational approaches, but is also guided by psychodynamic understanding of the patient’s delinquent behavior. Treatment and assessment are culturally sensitive in that TEMAS is included as part of the test battery, and cultural factors, such as these related to sexual behavior and family depression are a focus of treatment. The PST experience provides the extern with an understanding of forensic psychological issues relating to young sexual perpetrators; competence in working with delinquents, specifically those exhibiting sexual misconduct; parental and familial issues pertaining to this population; skills in working with individual and group modalities; and experience in case presentations with this population. In addition, the extern may participate in ongoing clinical research with this population. The extern will be responsible for a small outpatient caseload. Specific extern activities include intake assessment; individual and group psychotherapy, psychological testing; parents group, and case presentation.
Carmen Rivera, Ph.D.
Coordinator of Externship Training
Sunset Terrace Family Health Center
514 49th Street
Brooklyn, New York 11220