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Training Sites

Adult Neuropsychology Service
This two-year program provides intensive training in clinical Neuropsychological assessment at the Neuropsychological and Psychological Assessment Service (NAPA) in the psychiatry department at CHA. The overall goal of training is to provide fellows with a broad range of neuropsychology training experience and prepare them to be board-eligible in neuropsychology.

Our NAPA service provides care to a range of adult outpatient populations, including those with primary medical, neurological and psychiatric disorders. Medical and psychiatric inpatient consultations are also performed. Referrals include evaluations of patients who present with a variety of neurological disorders, such as head trauma, seizure disorders, dementia, vascular disorders, metabolic disorders, sleep disorders, headaches, and movement disorders. Psychiatric referrals range from mood and anxiety disorders to severe and persistent psychotic disorders, complex trauma, and polysubstance abuse. Patients with neurodevelopmental disorders such as learning disabilities, attention-deficit disorder, and Asperger's disorders are also evaluated.

In the first year, fellows participate in seminars in adult neuropsychology, behavioral neuroanatomy and a clinical case seminar (using a fact-finding platform), as well as psychiatry grand rounds, neuroscience grand rounds, and testing rounds monthly. In their second year, fellows participate in a neurology rotation in which they shadow a neurologist in clinic. They also participate in a brain cutting seminar, psychopharmacology seminar, behavioral neuroanatomy seminar, and a case seminar.

Individual supervision is provided weekly. Opportunities for training in psychological assessment are also available and multidisciplinary interaction with psychiatry, neurology, and geriatrics is typical. Fellows are provided with teaching and mentoring opportunities. A clinical research component is also a requirement culminating in a professional poster or paper submission at the end of the two-year training. Extensive didactic opportunities are available within the hospital and Harvard Medical School.

Primary Care/Behavioral Health
The fellow selected for this position will rotate a selection of the following sites: Behavioral Medicine, Family Practice, Somerville Primary Care, and Pediatrics, as well as CHA's adult and family outpatient psychiatry services.  The fellow will also work closely with the Chief Psychologist and with the Practicum, Internship, and Postdoctoral Training Directors and other faculty members to develop a Primary Care-Behavioral Health curriculum for psychology interns, practicum students, and fellows.  The fellow is likely to have a role in pilot testing components of the curriculum he or she will develop with practicum students and psychology interns.  The fellow may also be asked to join the Chief Psychologist and/or cohort site directors at CHA events and meetings pertaining to Primary Care-Behavioral Health integration.  He or she will also attend the Fellows' Professional Development Seminar (and other didactics upon request).

Qualifications for this fellowship include a doctoral  degree in psychology, engagement with public sector mental health, a defined interest in health psychology, willingness to learn how to develop programs, and the personal qualities of flexibility and good collaboration skills.

Child and Adolescent Acute Services
This fellowship consists of rotations within Cambridge Health Alliance which may include the Child Assessment Unit (CAU), the Adolescent Assessment Unit (AAU), and Psychiatric Emergency Services at the Cambridge Hospital campus. The CAU is a 13 bed locked inpatient unit serving children ages 3-13 located at the Cambridge campus. The AAU is an 18 bed locked inpatient unit serving adolescents ages 12-18, located at the Somerville campus. Both units have a patient population that is quite diverse ethnically and diagnostically, and operate within a collaborative interdisciplinary team framework. In 2003, the CAU earned the Gold Achievement Award from the American Psychiatric Association for its innovative practices in eliminating seclusion and restraint, developing compassionate ways of dealing with children's anger, and partnering with families. Psychodynamic, cognitive-behavioral, and family systems approaches are emphasized. The AAU employs a similar model of care that is tailored to the adolescent population and also offers training in an adolescent inpatient DBT group.

Psychology Fellows receive training in assessment, treatment planning, and treatment with children and adolescents, within the context of intensive assessment units. During the inpatient rotations, fellows gain experience working with children and adolescents in individual, family, and group therapy. Our trainees also work with collateral service providers (e.g. DSS, DMH, schools, outpatient treatment teams). Additionally, psychology fellows conduct psychological testing batteries, write reports with supervision, and gain experience giving testing feedback to patients, families, and referring clinicians. Fellows also receive training in Psychiatric Emergency Services at the Cambridge campus. During the emergency rotation, fellows perform evaluations of children, adolescents, and adults, with a focus on pervasive developmental disorders. Throughout the year, fellows receive individual supervision, and participate in Clinical Case Conferences and ongoing seminars, including Psychological Assessment of Children and Adolescents and a family treatment seminar.

Program for Psychotherapy
This fellowship offers long-term psychodynamic psychotherapy of adult outpatients. The Program for Psychotherapy is a multidisciplinary training program that includes advanced fellows in psychiatry and social work as well as psychology. Fellows receive intensive individual supervision in psychodynamic treatment and group supervision by a psychoanalyst, and they attend  reading seminars in Theory and Technique of Psychoanalytic Treatment and Object Relations and Psychoanalytic Theories. The fellowship also includes five hours of research time on the PFP's psychodynamic psychotherapy outcome study. and once monthly case conferences, presentations by a senior faculty clinician, and in-service trainings.

Adult Psychotherapy and Psychological Assessment Services
This program provides a half-time intensive psychotherapy experience in the Psychodynamic Research Clinic (PRC) combined with half-time advanced psychological assessment training in the Neuropsychological and Psychological Assessment Service (NAPA).

In the PRC, fellows are provided with in-depth psychotherapy supervision for a small number of patients, as well as the opportunity for a seminar in psychotherapeutic technique.  At NAPA, fellows receive supervision and training in projective and objective assessment techniques, within a Therapeutic Assessment model of care.  Through their roles in both clinics, the fellows may provide pre-treatment therapeutic psychological assessments for patients in the PRC.  There is also limited opportunity to gain experience in neuropsychological assessment, as well as in coordinating with neuropsychologists for comprehensive assessments.

Assessment patients for this fellowship include a wide range of psychiatric conditions, including mood and anxiety disorders, severe and persistent psychotic disorders, complex trauma, and polysubstance abuse.  Patients with medical, neurologic, and neurodevelopmental disorders such as learning disabilities, attention-deficit disorder, and Asperger's disorders are also evaluated for co-morbid pscyhiatric conditions.

Fellows in this rotation have the option of attending a variety of neuropsychological testing seminar offerings, and play an integral role in leading monthly testing rounds.  They are provided with teaching and mentoring opportunities throughout the year.  For those who are interested, a clinical research component is a possibility, culminating in a professional poster or paper submission at the end of the training year.

Adolescent Risk Assessment and Violence Prevention
The fellowship consists of specialized training in juvenile risk assessment as well as violence prevention treatment for adolescents and young adults. The fellow selected for this position will provide consultation to the Cambridge Police Department through the Safety Net Collaborative. Safety Net is a partnership between the Cambridge Health Alliance and Cambridge Police designed to integrate mental health services into juvenile policing and has been recognized by the International Association of Chiefs of Police as a promising approach to the prevention of juvenile delinquency. The fellow will also conduct safety assessments for the Cambridge Public Schools. There are also potential rotations in the juvenile court clinic and in the Victims of Violence Program at CHA. The fellow will provide individual and family therapy through the Child/Adolescent Outpatient clinic at the Cambridge Health Alliance and will conduct at least one group utilizing a violence prevention curriculum developed to address retaliatory violence in youth. There is also an opportunity for research through the ongoing program evaluation of the Safety Net Collaborative.