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
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 two four-month inpatient rotations on CHA’s Child Assessment Unit and the Adolescent Assessment Unit, and a four-month outpatient rotation in the Autism and Developmental Disabilities evaluation clinic in the child Outpatient Psychiatry Department.
The child unit (CAU) is a 13 bed locked inpatient unit serving children ages 3-12. The adolescent unit (AAU) is a 14 bed locked inpatient unit serving adolescents ages 13-19. 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 reducing seclusion and restraint, developing compassionate ways of dealing with children's anger, and partnering with families. While on the inpatient units, fellows serve as the primary clinician for two cases in which they provide individual, family and systems assessment and interventions. Fellows also complete 6-8 psychological assessment batteries during the two inpatient rotations, using a collaborative/therapeutic assessment (C/TA) approach. Supervision emphasizes psychodynamic, attachment, trauma-informed and family systems approaches. Fellows also co-lead therapy groups on each unit, guided by approaches including DBT, mindfulness, trauma-informed, strength-based and psychodrama approaches.
During the outpatient evaluation rotation, fellows participate in an intensive 4-month tutorial designed to expand awareness/expertise in developmental disabilities, within which Autism Spectrum Disorders are a primary emphasis. Fellows shadow the neurodevelopmental specialist, observing and conducting comprehensive evaluations of toddlers, children, adolescents and their families. Tailored didactics cover normative development from infancy through early adulthood, genetic and neurodevelopmental disorders, and formal and informal assessment techniques, with an emphasis on interactions of culture, medicine, social systems, and mental health. Throughout the year, fellows receive three hours of weekly, 1:1 supervision, and participate in 3 weekly seminars, including Psychological Assessment of Children and Adolescents, Family Therapy (which involves both theory and live supervision of family therapy consultations) and, on the inpatient unit, a live individual and family therapy seminar conducted by expert consultants.
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.
Victims of Violence Program
The Victims of Violence program offers a one year post-doctoral fellowship with comprehensive psychological services to adult victims of recent and/or prior crimes of physical and sexual violence. The program also extends services to survivors of war-related political trauma, family and friends of victims, and community settings distressed by violent traumatic events. The program is staffed by a multidisciplinary team who offer clinical training and supervision to advanced students in psychology, social work, nursing, and psychiatry. Program services include crisis intervention, individual and family evaluation, individual and group treatment, case consultation, psychological testing, and community crisis response services.